Mental Health Assessment Paper

An out-of-body experience is explained by few as a sense of being detached from one’s body, and if associated with other factors like a sense that the world is not real, far away, or even foggy. This with the combination of failure to recall significant personal information, or the content of a meaningful conversation forgotten from one second to the next are signs of a psychological disorder known as Dissociative Disorder. Considered as a rare and mysterious psychiatric curiosity, Dissociative Disorders will be the psychological disorder that will be discussed in this paper.

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

emotionally capable of making an informed decision regarding participation in this study. Of the participants, 250 were male and 300 were female. Participants were selected from general

Patient is a 76 y/o male that lives with family members and his wife who has Alzheimer’s disease. They live in a single family home with 1 step to enter. Pt has 2 daughters and 1 son who live locally and assist him and his wife with driving to the grocery store. The reason that the patient was referred to Occupational Therapy is because of his decline in strength, decrease in functional mobility, and decrease in transfers along with his reduced participation in his activities of daily living. Pt’s prior level of function was moderate independent with the assist of adaptive equipment such as a rolling walker. His prior level of function doing his ADL’s was moderate independent in hygiene, grooming, bathing, toileting, UB &

Mr. Checketts main health issue is her poor mobility as a result of having a fall at home. It is also exacerbated by a fractured wrist, which might impede her progress, as she would probably have difficulty holding the walking frame. She will likely to have difficulty following the physiotherapist and respite facility mobility instructions because of her early dementia. There is also a big possibility that she will wander around without assistance or walking frame making her a falls risk.

The physical examination was only conducted after informed consent was obtained. Of note, the nursing home staff members were heavily involved in determining the residents’ ability to provide informed consent. Residents were administered the Short Bless Test (SBT), a measure that assesses early cognitive impairment and the Mini Mental Status Examination (MMSE), a brief questionnaire used to test for problems with memory and other mental abilities. Importantly, informed consent was still obtained from residents considered incompetent by the nursing staff given that he or she scored less than a 12 on the SBT (0-4 = normal cognition, 5-9 = questionable impairment, and 10 or more = impairment consistent)

I am Lily Moulin a sophomore at New Albany High School I'm writing this letter to inform you about spreading awareness of mental health. In my English class we Read a book called challenger deep that was about a teenagert named caden who struglled with a mental illness. This was one of my favorite books because it was the most relatable book this year. Mental illness is something everyone knows about but not many people understand it. I thinks something that could be improved about new albany and keeping it healthy is raising awareness about mental health, how to recognize it, deal with it, and how to get better. Many kids just like caden in the book I read deal with mental illness but struggle to realize it or to even get help. Also many people

The Mental Status Examination “is a clinical assessment of the individual which reflects both the individual’s subjective report and experience, and the clinician’s observations and impressions at the time of the interview” (Evans, 2002). It is very important because it is “a vital component of clinical care” (Evans, 2002). “It is used to establish a baseline, evaluate changes over time, facilitate diagnosis, plan effective care, and evaluate response to treatment” (Evans, 2002). I would ask the client questions in terms of time, place, person, and self to determine the presence of confusion or clouding of consciousness. I would also ask questions pertaining to family, past, and present events. “One commonly used format for a Mental Status

Multiple domains should be evaluated when performing a complete functional assessment on a geriatric patient. In addition to ADL and IADL the complete functional assessment would address psychological issues, social issues, a comprehensive history, and a complete physical examination (Ball, 2015). Due to Mr. Emerson’s age, common geriatric problems should be addressed during the functional assessment. Memory, cognition and mood changes (psychological domain); identification and abilities of caretakers and probable caretakers and resources available (social domain); medications and fall history (historical domain); orthostatic hypotension, balance ordination, and dyspnea on exertion (physical domain) are all areas to be explored (Ball, 2015).

Test-retest reliability, which is the measurement of change over 2 different measures, is seen in regards to this assessment. This type of reliability determines if an assessment is reliable over repeated measures. The BADLS had good test-retest reliability with a coefficient of r = 0.95 (Fish, 2011, p. 452). When measuring the reliability or consistency of an assessment, the standard coefficient should be greater than 0.9 (Hinojosa, Kramer, & Rogers, 2014, p. 152). This means that the BADLS is consistent in measuring change over 2 occasions. The test-retest reliability was tested by having the caregiver of the client with dementia fill out the questionnaire regarding the client’s functional ability to complete ADL. Once the answers the form

The get up and go test is used to distinguish people with balance deficits. Numerous

A.T. is most vulnerable due to her long list of co-morbidities and the existing limitations brought about by her complex medical conditions. The importance of a comprehensive geriatric assessment (CGA) will help address various ways of preventing risks such as falls and increased hospitalizations. CGA addresses observed and suspected cognitive impairment, mental disorders, or functional decline or identification of specific needs due to problems such as incontinence, pain or sleeping problems (Sternberg & Bentur, 2014).. It also addresses the complexity of medication administration due to polypharmacy. Furthermore, with increasing debilitation due to advancing age and possibly worsening medical condition, there is consideration for referral for training of friends and/or members considering care for the patient, fulltime or supplemental home health care, rehabilitation training, or even placement to assisted living or nursing home.

When Mr. G.’s functional status was evaluated, the assessment rendered the following needs of assistance: bathing, bladder control, walking, mobility, meal preparation, housekeeping, laundry, transportation, shopping, and yard care. Most importantly, with the above comorbidities, the client resides only with the back den on his home, which is near the common areas of the home such as the kitchen and restroom.

She was again assessed with the NIHSS and her score was 12 (on the NIHSS she falls between a 6 and 15 which means she will /.,m benefit from rehabilitation), her cognitive and communication was enact with the FIM, except her previously documented left visual/spatial neglect. It also evaluated patient M’s risk for complications. Because of her spatial neglect, they use the Berg Balance Scale and the Stops Walking When Talking test to screen her, on the Berg Balance Scale she scores a 43, and she also stop walking to engage in conversation. Psychosocial assessment involved the CES-D (Center for Epidemiologic Studies Depression Scale), and the review of the medical history and conversations with the patient and her children; No sign of depression was

All participants were required to complete the same procedure of cognitive screening tests. The tests were applied in a specific sequence that being: [1] the MMSE, [2] the Memory Test, [3] the Verbal Fluency test, [4] the CDT, [5] and The Lawton Instrumental Activities of Daily Living. Aside from completing the cognitive and functional evaluations, each individual was required to complete the Geriatric Depression Scale as well.