Week 3 Flashcards
Indirect Data
gathering data through the way a patient responds during the interview
when would you conduct a full mental health examination?
if family members express concern about the patients behaviour, if there is a brain injury or aphasia, or if symptoms of a mental illness are observed
Factors that may affect mental health findings
pre-exisiting illnesses or medications. These factors are included in the health history
what are the 4 main components of the mental status exam
Appearance, Behaviour, cognitive functions and thought processes (A, B, C, T
MOCA
a simplified scored assessment of cognitive functions (not mood or thought processes)
The MOCA is used to detect?
dementia and delirium and to differentiate organic brain disorders from psychiatric illnesses
Aging and its effects on the mental status exam?
slower response time may affect learning. Age-related physical changes may also have an affect on the mental status exam (hearing or vision loss)
before assessing an older adults mental status?
check sensory status and correct deficits if possible
set test
assess the mental status by asking the patient to name ten items in 4 categories
Pain is a?
highly complex and subjective experience
phases of nociceptive pain?
transduction, transmission, perception and modulation
nociceptive pain is?
predictable and time limited
neuropathic pain implies?
an abnormal processing of the pain message due to an injury of nerve fibers and is sustained on a neurochemical level
Referred pain
originates in one area but is felt in another. Both areas are inervated by the same spinal nerve so it is difficult for the brain to differentiate the point of origin
acute pain
short and self limiting. follows a predictable tract and ends after the injury heals
Persistant/ chronic pain
Continues for 6 months or longer. results from abnormal processing of pain fibers that do not stop when injury heals.
Pain and infants
Infants have the same capacity for pain as adults do but are at high risk for undertreatment since they are nonverbal
Pain and older adults
although pain is common in older adults, it is not a normal part of aging
pain and genetics
genetic differences in men and women may account for differences in pain perception
Cross-cultural Pain
ask each patient how they typically behave when in pain
subjective report
the most reliable indicator of pain
canthus
inner corner of the eye where the lids meet
caruncle
small fleshy mass containing sebaceous glands located at inner canthus