Mental Status Assessment: A. General Appearance the Patient Grooming Was

MENTAL STATUS ASSESSMENT:

A. GENERAL APPEARANCE The patient patient grooming grooming was fair after after morning care . Most of the time she exhibited appropriate facial expressions and posture during interactions and can maintains good eye contacts. B. MOTOR BEHAVIOR Throughout the entire days of duty the patient presented automatism. It is defined as repeated repeated purposeless purposeless behavior behavior often indicative of anxiety such as drumming of fingers, twisting of locks of hair or tapping of foot. No other motor behavior presented. C. SENSORIUM AND COGNITIVE Sensorium and cognitive consists of the assessment of orientation, concentration and memory. memory. Orientation refers to the client recognition of person, person, place, place, and time. Memory Memory is an organism’s mental ability to store, retain, and recall information which is divided divided into recent and remote memory. During the 4 day nurse-patient interaction, interaction, the patient orientation and memory are stable. She can retrieve past events and recognize people around her, she is also acquainted to time, place, and who she is. D. PERCEPTION The patient manifest presence of delusion wherein she stated that she undergone undergone abortion abortion and she was a battered wife. She also claim that she was tricked by a tricycle driver to worked as a “labandera” in VSMMC and that’s the reason she was admitted.

E. ATTITUDES AND BEHAVIOR Attitude is a position of the body or manner of carrying carrying oneself. It is a position of the body appropriate to or expressive of an action, emotion. The patient exhibited uncooperation and withdrawn social activities until the termination of her treatment care. It was also observed that she was evasive with any type of therapy rendered by the Student Nurses. F. DEFENSE MECHANISM Defense mechanism are psychological strategies brought into play by various entities to cope with reality and to maintain self image. Healthy persons normally use different defenses throughout life. An

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ego defense mechanism becomes pathological only when its persistent use leads to maladaptive behavior such that the physical and/or mental health of the individual is adversely affected. The purpose of the Ego Defense Mechanisms is to protect the mind/self/ego from anxiety, anxiety, social sanctions or to provide a refuge from a situation with which one cannot currently cope. “http://en.wikipedia.org/wiki/De “http://en.wikipedia.org/wiki/Defence_mechanism’ fence_mechanism’’ ’ The patient patient manifest denial defense mechanism observed.

from day 2 to day 3. No other

G. AFFECTIVE STATE Affect refers to the experience of feeling or emotion. emotion.[1]

Affect is a key part of the process of an organism’s interaction with stimuli. The word also refers sometimes to affect display, display, which is "a facial, vocal, or gestural behavior that serves as an indicator of affect." (APA 2006) Irritability is an excessive response to stimuli. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessive sensitivity to stimuli. Affective flattening is a general category which includes

diminishment of, or absence of, emotional expressiveness. The patient often shows irritability during the nurse patient interaction. Sometimes shows flat affect and ambivalence. H. SPEECH Speech is the vocalized form of human communication. It is based upon the syntactic combination of lexicals and names that are drawn from very large (usually >10,000 different words) vocabularies. During the interaction, the patient does not show any alteration in her speech pattern. She did not experience verbigeration, aphasia, punning and other speech related problems. I.THOUGHT PROCESS AND CONTENT The patient manifested delusion.



RELATED LITERATURES

Schizophrenia is a mental disorder that makes it difficult to tell

the difference between real and unreal experiences, to think logically, to have normal emotional responses, and to behave normally in social situations. Causes, incidence, and risk factors

Schizophrenia is a complex illness. Even experts in the field are not sure what causes it. Some doctors think that the brain may not be able to process information correctly. Genetic factors appear to play a role. People who have family members with schizophrenia may be more likely to get the disease themselves. Some researchers believe that events in a person's environment may trigger schizophrenia. For example, problems (infection) during development in the mother's womb and at birth may increase the risk for developing schizophrenia later in life. Psychological and social factors may also affect its development. However, the level of social and family support appears to affect the course of illness and may protect against the condition returning. There are 5 types of schizophrenia: •

Catatonic

•

Disorganized

•

Paranoid

•

Residual

•

Undifferentiated

Schizophrenia usually begins before the age of 45, symptoms last for 6 months or more, and people start to lose their ability to socialize and work. Schizophrenia is thought to affect about 1% of people worldwide. Schizophrenia appears to occur in equal rates among men and women, but in women it begins later. For this reason, males tend to account for more than half of patients in services with high numbers of young adults. Although schizophrenia usually begins in young adulthood, there are cases in which the disorder begins later (over 45 years). Childhood-onset schizophrenia schizophrenia begins after the age of 5 and, in most cases, after normal development. Childhood schizophrenia is rare and can be difficult to tell apart from other developmental disorders of



Schizophrenia may have a variety of symptoms. Usually the illness develops slowly over months or even years. At first, the symptoms may not be noticeable. For example, you may feel tense, or have trouble sleeping or concentrating. You can become isolated and withdrawn, and have trouble making or keeping friends. As the illness continues, psychotic symptoms develop: •

An appearance or mood that shows no emotion (flat affect)

•

Bizarre motor behavior in which there is less reaction to the environment (catatonic behavior)

•

False beliefs or thoughts that have nothing to do with reality (delusions) delusions)

•

Hearing, seeing, or feeling things that are not there (hallucinations) hallucinations)

•

Thoughts "jump" between unrelated topics (disordered thinking)

UNDIFFRENTIATED SCHIZOPHRENIA

The undifferentiated subtype is diagnosed when people have symptoms of schizophrenia that are not sufficiently formed or specific enough to permit classification of the illness into one of the other subtypes.

The symptoms of any one person can fluctuate at different points in time, resulting in uncertainty as to the correct subtype classification. Other people will exhibit symptoms that are remarkably stable over time but still may not fit one of the typical subtype pictures. In either instance, diagnosis of the undifferentiated subtype may best describe the mixed clinical syndrome.

Mental Status Assessment: A. General Appearance the Patient Grooming Was

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