health assessment complete health history

subjective sensation that the person feels from the disorder

objective abnormality that you as the examiner could detect on physical examination or in lab reports

• p=provacative or palliative (what brings it on, what makes it better, worse?)
• q=quality or quantity
• r=region or radiation
• s=severity scale
• t=timing (onset, duration, frequency)
• u= understand the patients perception

a graphic family tree that uses symbols to depict the gender, relationship, and age of immediate blood related relatives in at lease 3 generations (grandparents, siblings, parents)

education, financial status, value belief system

name, nickname, address, phone #, patients names and #'s, age, dob, birth place, gender, race, ethnic origin, info about home

• -person providing info and relation to child
• -your impression of the reliability of info
• -any special circumstances (interpreter)

the younger the child the more detailed and specific the data should be.

• H=home environment
• E=education and employment
• E=eating
• A=activities drugs
• S=sexuality
• S=suicide or depression
• S=safety from injury or violence

• apparent when a persons response is much greater than the expected reaction to a traumatic life event
• -a significant behavioral or psychological pattern that is associated with distress or disability

die to brain disease of known specific organ cause

organic etiology has not yet been established ex. anxiety disorder

consciousness, language, mood and affect, orientation, attention, memory, abstract reasoning, thought process, thought content, perceptions

• -thought process is delayed and response time is slower
• -recent memory is decreased

appearance, behavior, cognition, and thought processes

• persons ability to lay down new memories.
• -ask 10 and 30 minutes later the 4 words to see how memory works

when she or he can compare and evaluate the alternatives in a situation and reach an appropriate course of action

consistently aware of reality

anxiety and depression score of 0-6 (0 being no anxiety)

standard set of 11 questions (memory, orientation, time and place, naming, reading, copying, visuospatial orientation, writing, ability to follow a three state command)

omission, the child does not achieve a milestone you would expect

test that gives you a chance to interact directly with the young child to assess mental status. designed to detect developmental delays in infants and preschoolers within 4 functions: gross motor, language, fine motor, personal social skills. 125 items arranged in chronological order

• age 7-11, who have grown beyond the age of developmental milestones. can be given to the parent along with history
• 5 major areas- mood, play, school, friends and family reactions

• cognitive impairment tool for older adults
• 3- item recall test and clock drawing test

• -voice disorder
• -difficulty or discomfort in talking, with abnormal pitch or volume due to laryngeal disease. voice sounds hoarse or whispered, but articulation and language are intact

• -articulation disorder
• -distorted speech sounds, speech may sound unintelligible, basic language, intact

-true language disturbance, defect in word choice and grammar or defect in comprehension, defect is in higher integrative language processing

generalized anxiety disorder, panic disorder, social anxiety disorder, ptsd

spontaneous speech is absent or reduced to a few stereotyped words or sounds, comprehension is absent or reduced to only the persons own name and a few select words, repetition, reading and writing are severely impaired, caused by a large lesion that damages most of language areas

expressive aphasia, person can understand language but cannot express himself or herself using language

receptive aphasia, opposite of brocas, person can hear sounds and words but cannot relate them to previous experiences, speech can totally be incomprehensibile

joy and optimism, overconfidence

excessive well being, cheerful and elated

existence of opposing emotions toward an idea object or person

rapid shift of emotion

affect clearly discordant with the content of the persons speech

sudden interruption in train of thought, unable to complete a sentence

fabricates events to fill in memory gaps

coining a new word, invented word has no real meaning except for the person

round about expression, substituting a phrase when cannot think of name of object

talks with excessive and unnecessary detail, delays reaching point

shifting from one topic to an unrelated topic

abrupt change, rapid skipping from topic to topic

incoherent mixture of words, phrases, and sentences, illogical, disconnected, includes neologisms

persistent repeating of verbal or motor response, even with varied stimuli

imitation, repeats others words or phrases, often with mumbling mocking or mechanical tone

word choice based on sound, not meaning includes nonsense rhymes and puns

strong, persistent irrational fear of an object or situation

morbid worrying about his or her own health, feels sick with no actual basis for that assumption

unwanted, persistent thought or impulses

unwanted repetitive, purposeful act, driven to do it

firm, fixed false beliefs, irrational

sensory perceptions for which there are no external stimuli

misperception of an actual existing stimulus

delusions, hallucinations, disorganized speech, grossly disorganized, negative symptions

• detects less severe alcohol problems as well as alcohol abuse or dependence
• covers 3 topics: alcohol consumption, drinking behavior or dependence, and adverse consequences

• cutdown, annoyed, guilty, eye opener.
• yes/no questions
• tests for lifetime alcohol abuse and or dependence but does not establish past problem drinking with present drinking

• identify at risk drinking in women, especially pregnant women
• tolerance, worry, eye opener, amnesia, kut down

• for older adults who report social or regular drinking of any amount of alcohol.
• 10 yes/ no questions
• low risk is 0 or 1 point

drinking raises GTT, takes 4-5 weeks for levels to return to normal

months of chronic drinking increases this

heavy alcohol drinking 4-8 weeks

inspection, palpation, percussion and auscultation

general survey

intensity-loud or soft

frequency-# of vibrations per sec

appearance, body structure, mobility, behavior

pressure forcing blood into the tissues, averaged over the cardiac cycle

dificiency in growth hormone in childhood results in retardation of growth below the 3rd percentile, delayed puberty, hypothyroidism, and adrenal insufficiency.

excessive secretion of growth hormone by the anterior pituitary resulting in overgrowth of entire body

excessive secretion of growth hormone in adulthood, after normal completion of growth, causes overgrowth of bone in face, head, hands and feet, no change in height

connective tissue disorder, tall thin stature, long thin fingers, flexible joints, arm span greater than height