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19 Cards in this Set
- Front
- Back
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Section 2 holding time, signatories, purpose, renewal details
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28 days
2 doctors + ASW Assessment order (treatment CAN be given against patient's will, as tis is useful in assessment) Cannot be renewed |
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Section 3 holding time, purpose, renewal details
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6 months
"Treatment order" Appeal before 6 months After 3 months, patient has to consent to treatment, or, 3rd doctor opinion. Renewable by tribunal |
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What is a section 4?
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Emergency order.
Only needs 1 doctor and 1 ASW (so 1 doctor less than Section 2). Lasts 72 hours, no treatment, but can convert to S2. Commonly used by GPs. |
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What is a section 5?
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Compulsory detention of patient who is already in hospital informally, and trying to self discharge.
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What are the two Police sections?
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Section 135: a P.C may enter the patient's house and remove them for 72hrs.
Needs social worker warrant. Section 136: As above, public place. No warrant. |
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Othello syndrome
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Patient believes partner is cheating on them.
M > F |
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Cotard's syndrome
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Patient believes parts of body are dead/decaying
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Capgras syndrome
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Patient believes friends/relatives have been replaced by doppelgangers
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De Clerembault's syndrome
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Patient believes another person is madly in love with them, usually celebrities.
F > M |
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MSE domains
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Appearance
Behaviour Communication Depression? (mood) Thoughts Perception Cognition Insight Risk |
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Appearance and Behaviour MSE strands:
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Move quick/slow?
Rapport establishable? Eye contact? Clothes/self care? Facial (tattoos + expression) Psychomotor |
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Mood MSE strands:
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Subjective
Objective Elation? Low? Labile? |
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Communication MSE strands:
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Rate/Rhythm/Volume
Spontaneity Form Pressure of speech? Interruptable? |
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Thought MSE strands
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Content:
Preoccupations, delusions, overvalued ideas. Thought disorders? (Alienation, block, insertion, broadcast) Flow: Flight of ideas,future plans Poverty of thought Thought perseveration |
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Perception MSE strands
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Hallucinations
Illusions Depersonalisation/somatic hallucinations |
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Cognitive MSE strands
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Orientated in time, place, and person?
Short term/long term memory? Judgement? Planning? |
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Insight MSE strands
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Are they aware of behaviour?
Aware it's a sign of illness? Aware they need help? Aware it can be treated? Capacity. |
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Clozapine
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Atypical antipsychotic with risk of Agranulacytosis
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When switching SSRIs...
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The patient should be withdrawn completely, then begin a new drug
Fluoxetine has a long half life, so leave a 4-7 day gap. |
