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What is Mental Health?
How well one functions in social, personal and work situations. Dynamic
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What is Consciousness?
Being aware of self and environment (LOC)
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Alert
Awake or readily aroused
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Lethargic
Somnolent, can be aroused by name, responds appropriately, but slow
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Somnolent
Drifts off to sleep
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Obtunded
- Sleeps continuously, difficult to arouse.
- Arouses by shouting or vigorous shaking.
- Requires contant stimulation
- Converses in monosyllables and mumbles
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Stupor or Semi-coma
Unconscious, responds only to vigorous shaking or pain, withdraws from pain, cannot converse, may groan or mumble
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Coma
Unconscious adn unresponsive to pain
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Light coma
May have reflexes
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Deep coma
no motor reflexes
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Delirium
Acute confusional state, hallucinations or impaired cloud
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Mood
subjective, how a person FEELS. ex: euthymic, euphoric, dysthymic
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Euphoric
exaggerated feeling or wellbeign; mild elation
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Dysthymic
Chronically depressed mood
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Affect
Objective assessment of patient of mental status: appropriate, flat, labile
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Flat
No change in facial expression
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Labile
Extreme swings or over-reaction
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Thought processes
Delusion (false that appears real), paranoia, confusion
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Paranoia
Persecutory thinking associated with feelings of being treated wrongly.
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Orientation x3 or x4
Person, place and time. (x4 add "preceding events")
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Cognition
Orientation, memory, field of knowledge, insight, judgement
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Mood Disorders
problems with mood or affect
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Psychotic Disorders
problems with thoguht processes
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Dementia
problems with cognition
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What are changes in mental status with aged adults?
Mental status remains intact (no loss of knowledge or vocab), slower response, recent memory may be repaired, age related sensory perceptions can affect mental status (change in vision or hearing)
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