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Psychotic Disorders Acute phase
- behavior stabilization
- reality testing
- discharge planning
- goal setting
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GAF
- Global Assessment of Functioning
- 1-100
psychological, social, and occupational functioning
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delusions
false beliefs in external reality without an appropriate stimulus
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Psychotic Disorders Long Term Hospitalization Focus
- normalizing environmental
- how to achieve goals
- discharge planning
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Agnosia
Inability to understand and/or Misinterpretation of sensory information
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DSM IV
- I - Clinical Disorders
- II- Mental Retardation, Personality Disorders
- III- General Medical
- IV- Social, environmental
- V- GAF
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psychotic disorders community settings focus
- behavior monitoring
- maintenance behaviors
- independent living
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Antisocial Personality Disorder
diffiulty conforming to social norms
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Schizotypal Personality Disorder
- magical thinking
- illusions
- peculiar
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Avoidant Personality Disorder
feelings of ineptness or unworthiness
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Schizoid Personality Disorder
socially withdrawy, bland, constricted
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ADD/HD intervention
- environmental modification
- consulting with teachers/parents
- sensory modulation
- self management
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MOHO
- volition
- habituation
- performance capacity
*environment impacts performance
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Delirium
Difficulty connecting with reality, disturbance of consciousness
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Severe MR Focus
- communication skills
- significant impairments
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Moderate MR Focus
- supported employment
- supervised living
- independence in daily routine
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Mild MR Focus
- supported employment
- minimal support
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Personality Disorders
Behavior that deviates markedly from cultural norms in cognition, affect, impulse control, and interpersonal relating
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Tangentiality
abrupt changing of focus to a loosely associated topic
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psychomotor agitation
cognitive of motor activity generally non productive and in response to inner tension
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Akathsia
state of restless characterized by an urgent need for movement
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Evaluation group
Focus: develop an understanding of an individuals task and group interaction
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Parallel groups
members work on independent projects with minimal interaction
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Cooperative group
Learning to work together-- enjoy each others company, meet emotional needs.
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Mature Groups
Responsive to members needs; balance between carrying out the task and meeting members needs
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Thematic Groups
Groups designed to teach specific skills
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Topical Groups
discussion of activities and issues outside of the group that are current or anticipatedInstrumental Group
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Instrumental Group
meeting health needs and maintaining functions
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Project Groups
common short term activities some interaction required; to develop the ability to perform a shared short term activity with another member in a comfortable cooperative member
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Development Groups
Focus; to teach and develop members group interaction skills
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Task Oriented Group
To increase clients' awareness of their needs, values, ideas, feelings and behaviors as they engage in a group task
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Managing Hallucinations
Redirection
highly structred
environment free of distractions
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managing delusions
redirect thoughts to reality
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Managing offensive behavior
- set limits
- state reasons that behaviors arent acceptable
- consequences
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managing manic or monoplizing behavior
- highly structured activity
- require shift of focus from patient to patient
- thank patient for participating
- limit setting
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Managing Alzheimers
- make eye contact
- value and validate
- use positive nonverbal communication
- short simple words
- familiar, enjoyable routine
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psychosocial groups: considerations in activity selection
- degree of structure
- degree of new learning required
- complexity of activity
- length of time for completion
- degree of challenge
- nature and degree of skill required
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ACL Levels
- 1. Automatic motor response
- 2. Movement associated with comfort
- 3. Exploratoryl use of hands; needs longterm repetitive practice
- 4. simple tasks, visual cues, can't cope with unexpected
- 5. overt trial and error; new learning occurs
- 6. absence of disability, trial and error
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Positive symptoms
excesses or distortions
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negative symptoms
loss or absence of functioning
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