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25 Cards in this Set

  • Front
  • Back
what does SOAP notes stand for?
Subjective, Objective, Assessment and Plan
what is egotistonic?
uncomfortable with self
what does V71.09 mean?
where do you find it?
no diagnosis, axis II
what does provisional mean?
1 symptom short, working on it
v799.9 means? where do you find?
axis II means diagnosis deferred. maybe mentally retarded or have a personality disorder
axis 1 what disorders? how to list?
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
severity and course specifiers
6 specifiers
mild, moderate, sever, in partial remission, in full remission and prior history. short/rapid onset
when can specifiers be used?
when the full criteria of the diagnosis has been met
4 situations where nos is appropriate
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
Mental Disorder def
clinically significant (impedes function) love and work
syndrome def
group or set of concurrent symptoms which together are indicative of a disorder or disease
symptom def
any sign, physical or mental, that signifies something; what the client reports/says
5 things test for MSE
BPACT
1) presentation: dress, smell
2) cognition
3) thought
4) Affect (emotional state) and mood
5) Behavior
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)
what are 5 approaches to drug treatment
1) admission of problem
2) detox
3) antabuse- meds to have adverse reactions
4) controlled drinking/drugs
5) aa/na
controlled drinking
What 5 things characterize delirium?
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
What characterizes dementia
Memory deficit plus 1:
Triple AAA plus executive function
Aphasia
Apraxia
Agnosia
what characteristics of amnestic
Memory deficit only, evolve into dementia
what causes amenestic syndrom
substance, general medical condition
what vascular dementia
brought on by stroke, step progression
what did vascular dementia used be called
multi-infarct dementia
what are the two different kinds of strokes
1) aschemic, 80% frequent
2) hemmorhagic fatal less frequent
What is aschemic
1) blocked blood flow to brain or in the brain
what are diseases that cause dementia
hiv, parkinson's, huntington's, alzheimer's
what are some signs of a stroke
trouble walking, slurring, numbness on one side, trouble with vision and dizziness