Show:
Basic Concepts
Nursing process & standards of care
Psychobiological
Diagnostic Test
Other Stuff
100

Most accepted explanation for mental illness

Combination of genetic vulnerability and negative environmental stressors. 

Biological predisposition 

& 

Environmental stress/trauma

Diathesis + Stress  Model

100
  • Rule out medical condition 
  • Establish a rapport
  • Gain understanding of the current problem/complaint
  • Baseline vital signs/physical status
  • Assess for risk factors/safety of the patient and others
  • Perform a mental status examination
  • Assess psycho social status
  • Identify mutual goals for treatment

Formulate a plan of care

Purpose of an assessment

100


  • Core 
  • Hypothalamus 
  • Brainstem 

Brainstem

100

Function: Brain waves

Seizure, migraines, brain activity and changes in
Alertness 

EEG

100

Cellular Composition of the Brain

Neurons: respond to stimuli, conduct electrical impulses, release chemicals called Neurotransmitter

200

Resilience

Ability and capacity to secure resources needed to support well being. characterized by Optimism , sense of mastery, and competence. Essential to recovery

200


  • VS, Head to toe, Allergies
  • Mental Status/ Psycho-social Exam
  • Past Medical/ Psychiatric hx/Current medications
  • Diagnostic testing (labs, tests, screenings)

 

Components of an assessment

200

Core

Regulates internal organs/ vital functions

200

Structural: magnetic field applied to the brain to produce 3D radio waves. 

Detect: Brain edema, Ischemia, infection, Neoplasm, Trauma

Schizophernia: enlarged ventricles, reductions in temporal and prefrontal lobe

MRI: Magnetic Resonance

200

When Neurotransmitters are taken back into the synaptic cell from which they were originally released. 

Cellular Re uptake

300

Obtaining and Making:connections, avoid seeing issues as unfix-able, accept change, having goals, self-discover, positive self view, hopeful outlook.

Strengthening Resilience 

300


  • Suicidal/ homicidal thoughts
  • Presence of a plan
  • Means to carry out the plan
  • Opportunity to carry out the plan

Ideas of harming self or others

300

– Basic drives/ link between though, emotion, internal organs

Biological clock may be de-synchronized by external or internal factors 

Hypothalamus 

300

Structure: X-ray images of the brain, analysis of slices providing 3D reconstruction of each segment

Detect: Lesions, Abrasions, Infarct, Aneurysm, Cognitive Abnormalities

CT : Computed Tomography

300

THEY:

Respond to Stimuli

Conduct Electrical Impulses

Release Chemicals called NEUROTRANSMITTERS

Neurons

400

Diagnosis based on description of symptoms, enviromental stressors and concerns, Global functioning

DSM-5 

400

Examination use to assess cognitive status

Alert and orientated

attention span to calculate counting backwards

recalling objects

Language, object naming, following commands, ability to write

Mini-Mental State Examination

400

– Processing center for sensory information

Brainstem

400

 Both: Structure and Function 

Radioactive substance injection that travels to the brain showing bright spots which produces 3D images of CNS activity

Detect: Oxygen utilization, glucose metabolism, blood flow, Neurotransmitter/receptor interaction 

Schizophrenia, Mood disorders, Adult ADHD

PET: Position-emission tomography

500

6 domains: Cognitive, Mobility, Self- Care,  Getting alone with others, Life activities, Participation

WHODAS Global functioning

500

Used to determine a baseline assessment of LOC

high value is 15 = Alert and Oriented  X 3

 A score of < 7 = Coma


GCS 

500
  • Coordination/ contraction/skeletal muscle

Equilibrium

cerebellum

600

Least restrictive care setting

manage the severity of MI

Assist the PT to live at the highest, most in-dependable level of functioning

The Goal for pt's with mental illness

600

Mistaken Mental Illness 

What is the Importance of a full Assessment

600

Cerebrum

  • Mental activities/Conscious sense of being
  • Emotional status/Memory
  • Control of skeletal muscles – movement
  • Language/communication
700

Appearance

Behavior

Speech

Mood

Disorders of the form thought

Perceptual disturbances

Ideas of harming self or others

Cognition

Mental Status Exam

700

Primary responsible for regulating emotional responses

composed of numerous functional structures: Frontal cortex, hypothalamus, amygdala, hippocampus, brain stem, ANS. 

 

Limbic System