OSCE Flashcards
appearance
age, sex, dress, self harm
behaviour
agitated, on edge, confused, inappropriate conduct
rapport
eye conduct, co-operation, talkative (responsive/spontaneous), friendly
Speech
rate, quantity and quality, neologism
Mood + suicide
low/elated, euthymic, anxious, angry
affect: blunt/flat, labile, congruent?
SUICIDAL THOUGHTS
Thoughts
Form Preception Possession Content Cognition
Thought form includes
speed, flow, flight of ideas type
Thought perception includes
Hallucinations, pseudo hallucinations, can other people see these things, do you know if they are real or not?
Thought content includes
abnormal beliefs/delusions, obsessions, overvalued ideas
Thought Possession
broadcasting, insertion, blocking, passivity
Assess cognition
orientate person in time/place/person
Short Term Memory
Attention and concentration
ICD10 core criteria
anhedonia, anergia, low mood
ICD10 additional criteria
sleep, appetite, concentration, low confidence, guilt, suicide, agitation, bradykinesia, guilt
How do you establish fluctuation?
In the past month have you felt this way … every day?
Important past psych history
previous episodes, counselling, hospital admissions