Biopsychosocial History and Collateral Data Flashcards
What are the 5 parts of the biopsychosocial assessment?
chief complaint
social/environmental issues
history
mental status exam
the client’s version of what the overarching problem is, in his/her own words
chief complaint
the eval of the social development and physical settings. Social development is crucial to understanding the types of support systems the client has.
social / environmental issues
this includes all the events in the clients past. obtaining this information is usually a multi-stage process and can involve 5 methods of data collection
history
what are the 5 methods to collect data for client history during a biopyschosocial assessement?
presenting problem past personal medical mental health substance abuse
What exam is a concise, complete eval of the client’s current mental functioning level in regard to cognitive and behavioral aspects?
mental health status examination
This model proposes multiple causes from three major groups: biological, psychological and social/environment
biopsychosocial model
this refers to the cognitive processes such as thoughts, beliefs, one’s view of an experience and one’s view of ones self.
psychological factors
this occurs when a person perceives a real or imagined threat and feels unable to cope with it.
psychosocial stress
what are the 10 primary biological systems in the human body?
cardiovascular digestive endocrine integumentary lymphatic muscular/skeletal nervous renal reproductive respiratory
this system circulates blood through the body via the heart
cardiovascular
this system removes nutrients from consumable energy sources through the mouth, throat, stomach and intestines, it removes waste from the body through the intestines and bladder.
digestive
this system uses hormones to regulate complex functions like growth, reproduction and metabolism.
endocrine
this system consist of skin, hair and nails to protect the internal organs from external damage
integumentary
this system is a network of vessels that promote the body’s ability to fight infection and disease
lymphatic
this system enables the body’s physical structure and movement
muscular/skeletal
this system is responsible for communication between the brain and muscles, resulting in physiological action and tangible sensation
nervous
this system comprises primarily the kidneys which filter waste from blood
renal
this system includes sexual organs responsible for conception and maturation of a fetus
reproductive
this system brings oxygen into the body and releases carbon dioxide out of the body through the lungs.
respiratory
this most commonly occurs when a client does not have coping tools or capacity to manage mental, emotional or psychological stressors
somatization
this type of disorder is more prevalent in clients who have substance abuse history. a substance abuse diagnosis is often made in conjunction with a mood or anxiety related disorder, resulting in dual diagnosis
co-occuring disorders
treatment of dual diagnoses at the same time in the same setting by the same treatment team is also known as an
integrated treatment approach
what types of medications are used to treat disorders like schizophrenia, psychosis, depression, anxiety, add, and bipolar disorder?
psychotropic prescriptions
