Module 3 - Mental Health Assessment, substance use and interpersonal violence Flashcards
Mental status examination assesses what four components
appearance- observe the patient’s posture, body movements, dress, grooming and hygiene
behaviour - evaluate level of consciousness, facial expression, speech, mood, and affect
cognitive functions - check level of consciousness; orientation to time, place, person, and self, memory, attention span and concentration, comprehension.
thought process - ask questions to evaluate perception, though content, though process, judgement and insight and screen for anxiety disorders, depression and suicidal thoughts
CAGE
cutdown
annoyed
guilty
eye-opener
for women with alcohol problems TWEAK
tolerance worry eye-opener amnesia cutdown
There are four levels of sexual assault
- sexual assault that is forced sexual activity without physical injury
- sexual assault with a weapon or verbal threats to a third party
- sexual assault causing bodily harm
- aggravated sexual assault which is forced sexual activity where the attacker seriously injures, wounds, maims, disfigures or endangers life
There are two types of IPVs (intimate partner violence
- physical or sexual violence or threat of such violence
- psychological or emotional abuse or coercion
Child abuse and neglect are covered under these four definitions
neglect - failure to provide for a child’s basic needs
physical abuse - physical injury or otherwise harming the child
sexual abuse
emotional abuse - behavior pattern that harms a child’s emotional development or sense of self-worth
Korsakoff syndrome
a chronic memory disorder caused by severe deficiency of thiamine (vitamin B-1). Korsakoff syndrome is most commonly caused by alcohol misuse, but certain other conditions also can cause the syndrome.
5 A’s for integrating knowledge of substance use in health assessment
- Acquire knowledge; replace erroneous assumptions
- Anticipate harm that may be caused by your practices, reactions and judgements; harm that may be linked to substance abuse, such as the social, legal, and economic contexts of use; and harm, that may be caused by substances used.
- Analyze the impact of policies at the level of organizations and society
- Avoid social judgement about substance use, such as seeing a person as “bad” deviant or morally weak
- Approach all patients respectfully
delirium
there is a disturbance in attention and awareness which tends to fluctuate in severity during the course of the day and a disturbance in cognition.
dementia
progressive degenerative disease caused by damage to the brain cells. Symptoms include memory loss and a deterioration of cognitive performance and function, physical capacity and personality features.
Major depressive order
characterized by one or more depressive episodes lasting at least 2 weeks and accompanied by at least four additional symptoms of depression
Bipolar I disorder
involves both episodes of mania and sometimes hypomania as well as depressed mood
Bipolar II disorder
involves evidence of episodes of hypomania and depressed mood; there are no episodes of mania
schizophrenia
affects a person’s cognition, perception, and affect; the schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception and affects that are inappropriate or blunted
putting harm reduction principles into action
- learn about the context and population you serve
- be clear about why you are gathering information
- do not gather information that is not needed or will not be used
- assess the individuals in context
- start history-taking with least intrusive questions
- use assessment as an opportunity to promote health and offer suggestions for harm reduction
- throughout the assessment, avoid making assumptions and being influenced by popularized stereotypes
- know and draw on resources
- advocate for adequate resources for yourself and your patients
