Mental status examination Senserioum cognition Senserioum cognition Senserioum

Mental status examination Senserioum & cognition

Senserioum & cognition • Senserioum is the part of consciousness that perceive sorts & combines information • -clear senserioum oriented to time , place & person • -use memories for recall information • Act with recent & remote information • Table 9 - ( level of consciousness )

Memory • is the ability to recall past events , experience & perception • Types of memory: • immediate –> recall ask the pt for remembering • things color, address , an object • recent • remote ﺗﻘﺮﺍ ﻣﻦ ﺍﻟﻜﺘﺎﺏ

2. recent memory : • Events within 2 weeks, ask to recall the events of the past 2 hours loss of recent memory in • Alzheimer • Anxiety • Depression

remote memory • ask about place of birth , school , age of family members, persons background • N. B difficult to say the mental ill client has accurate memory • Remote memory dysfunction present at • 1. physical problems ( organic brain disorder ) • 2. conversion disorder • 3. dissocative disorder

Calculations the ability to do simple math problems. (division , subtraction , multiplying ) ● ﺿﺮﺏ ﻗﺴﻤﺔ ﻃﺮﺡ ● Patient With mental illness has problem with concentration and calculation.

: judgments* the ability to evaluate choices make appropriate decisions. ● ﺳﺆﺎﻝ ﺍﻟﻤﺮﻳﺾ ﻋﻦ ●. ﻣﻠﻴﻮﻥ ﺩﻭﻻﺭ 20 ﻣﺎﺫﺍ ﺗﻔﻌﻞ ﻟﻮ ﺭﺑﺤﺖ ● impaired Judgment found in ● chemical dependence. ● intoxication ● schizophrenia ● mental retardation. ● organic mental disorder Insight : client understanding of the situation. ●

Chapter 10. Therapeutic communications : ● ● Communications : exchange of information ideas , beliefs, feeling and attitudes between 2 persons or among group of persons. Therapeutics communications need skilled listener an example of communication ﺍﻟﺮﺳﻢ ﻋﻠﻰ ﺍﻟﺤﺎﺋﻂ , ﺍﻹﺫﺍﻋﺔ ﺍﻟﻤﺮﺋﻴﺔ ﻭﺍﻟﻤﺴﻤﻮﻋﺔ The 1 st one focus on communication is Florence nightingale

ruches' theory: communication is circular process • Figure 1 -10 • Message travels from within one person to another person and back again • Sender message recipient • un successful interaction disturbed of communication

types of communication : • • 1 -intra personal within own self or self dialogue -ve hallucction +ve : help in planning & problem solving 2 -Interpersonal : between 2 or more persons. verbal & non verbal • Symbols , language , culture , Behavior • it is complex • clear message to successes

process of communication • • 1. sender 2. reciever 3. message. 4. feed back.

Factors influence communication : ● ● social class. relationship. ﺍﻟﺘﻌﺎﻣﻞ ﻣﻊ ﺍﻷﻘﺎﺭﺏ perceptions and values ﻣﻬﻢ figure 10 -3

Levels of communication : ● ● ● verbal nonverbal. Appearance , body motion, ﻗﺮﺍﺀﺓ ﺍﻟﻔﻘﺮﺓ , non language sound.

Communications style: • The rituals connected with greeting and departure, • Types of communications style: • 1. linear communication styles. • 2. circular communication style

* Therapeutic communication include • • 1. listening skills. - concentrate on the speakers - listen objectively. - Use appropriate eye contact. - use effective body language. - respect cultural background. - Don’t interrupt. - clarify specific topic.

Barriers to communications: ● ● ● noisy or crowded environment. Client refuse to communicate : Unclear problems Lack of listening skills. ﺍﻻﻃﻼﻉ ﻋﻠﻰ Sample client care plan 10 -1

• Communication ﻣﺜﺎﻝ ﻋﻠﻰ • Table 10 - 3 • Speech patterns associate with psychiatric problems.

Chap. 11 Therapeutic relationship • dynamics: • The interactions that occur among various forces • *social relationships include dynamic e. g: • fun together. • supporting each other. • enjoying each other.

work relation ship: • • • has the purpose of achieving certain goals e. g : dynamic of motivation preference and evaluation Therapeutic relation ship: Care giver establish connection with client to help them cope with their life demands.

Component of Therapeutic relation ship: • • concept of trust. empathy. Autonomy. Caring Hope Trust : risk taking process An individual situation depends on the future behavior of another person.

Steps of trust : • assess the client ability to trust • care provider be honest with their client. • use clear communication give information slowly using terms that can be under stood.

• Empathy : is the ability to understand the emotions , and situations • Empathy demonstrated : verbally, nonverbally and behaviorally. • Hope : is multidimensional dynamic life force c. c. c by confident yet uncertain expectation of achieving a future good. • Figre 11 – 1 ﻣﻬﻢ • Box 11 -2 component of therapeutic relation ship T. E. A. C. H