Ch 6. Mental Health Flashcards
Factors influencing mental health
Internal emotional problems
Familial and social network
Community, including health care systems, employment, education, and housing
Larger social issues (e.g., poverty, racism, discrimination)
20% of Canadians personally experience a diagnosed mental illness during their lifetime
Moca Measures
EMOTION + COGNITIVE FUNCTION
Sensitivity of 90% for detecting mild cognitive impairment
Good for detecting dementia and delirium and differentiating these from psychiatric mental illness
Componets of an MSE
ASEPTIC
Appearance Speech (Behaviour) Emotion: affect/mood (Behaviour) Perception Thought Content/Process Insight/Judgment Cognition (level of consciousness, orientation, memory, attention and concentration, comprehension and abstract reasoning, constructional ability, fundamental of knowledge) Mobility
- General appearance
- Level of consciousness
- Attention span
- Memory
- Orientation
- General intelligence and fund of knowledge
- Judgment and insight
- Thought processes
»a. Conceptual ability
»b. Organization of thought
»c. Flow or speed of thought
»d. Content of thought - Mood and affect
- Perceptual disturbances
- Motor activity
Test for speech
Rate, quality, articulation, latency
Loud/soft, fluent, lisping, stuttered, slurred
Soft/latency = depression
Test for Attention
Digit repetition – say specific digits back
Serial sevens – counting back from 100 by 7s
Random letter test – 40 dif letters, ask person to tap for every letter “b” they hear
Thought Contect includes
Delusions – grandeur (more important), persecution (is being chased), control, reference , self deprecation, nihilism, somatic
Thought insertion – thinks someone is putting thoughts in their head
Preoccupations – obsessions and compulsions
Phobias
4 basic part of self
Social identity
Personal identity
Body image
Self esteem
