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25 Cards in this Set
- Front
- Back
what does SOAP notes stand for?
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Subjective, Objective, Assessment and Plan
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what is egotistonic?
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uncomfortable with self
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what does V71.09 mean?
where do you find it? |
no diagnosis, axis II
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what does provisional mean?
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1 symptom short, working on it
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v799.9 means? where do you find?
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axis II means diagnosis deferred. maybe mentally retarded or have a personality disorder
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axis 1 what disorders? how to list?
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clinical disorders and other conditions that might be focus of clinical attention. list all clinical disorders and etc. principle diagnosis should be first on list. rest listed by which needs attention next
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severity and course specifiers
6 specifiers |
mild, moderate, sever, in partial remission, in full remission and prior history. short/rapid onset
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when can specifiers be used?
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when the full criteria of the diagnosis has been met
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4 situations where nos is appropriate
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1) ? of etiology (drugs)
2) symptom pattern is not normal but causes impairment for patient 3) symptoms are atypical or subthreshold 4) insufficient opportunity to collect data but enough to diagnose |
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Mental Disorder def
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clinically significant (impedes function) love and work
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syndrome def
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group or set of concurrent symptoms which together are indicative of a disorder or disease
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symptom def
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any sign, physical or mental, that signifies something; what the client reports/says
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5 things test for MSE
BPACT |
1) presentation: dress, smell
2) cognition 3) thought 4) Affect (emotional state) and mood 5) Behavior |
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Reasons to diagnose
DBCT |
1)Definition and organization of clinical info
2)Communication with other professionals 3) Prognosis (selection of treatment) 4) Treatment (most important) |
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what are 5 approaches to drug treatment
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1) admission of problem
2) detox 3) antabuse- meds to have adverse reactions 4) controlled drinking/drugs 5) aa/na controlled drinking |
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What 5 things characterize delirium?
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1) Disturbance in consciousness
2) Short onset 3) Changing cognition MAC 4) Fluctuates throughout day and night, 5) Direct Consequence substance or general medical medication |
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What characterizes dementia
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Memory deficit plus 1:
Triple AAA plus executive function Aphasia Apraxia Agnosia |
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what characteristics of amnestic
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Memory deficit only, evolve into dementia
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what causes amenestic syndrom
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substance, general medical condition
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what vascular dementia
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brought on by stroke, step progression
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what did vascular dementia used be called
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multi-infarct dementia
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what are the two different kinds of strokes
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1) aschemic, 80% frequent
2) hemmorhagic fatal less frequent |
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What is aschemic
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1) blocked blood flow to brain or in the brain
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what are diseases that cause dementia
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hiv, parkinson's, huntington's, alzheimer's
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what are some signs of a stroke
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trouble walking, slurring, numbness on one side, trouble with vision and dizziness
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