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In the field of medicine a patient history is an account of the significant events in the patient's life that have a relevance to the issue being addressed. The clinician taking the history guides the process in an attempt to achieve a succinct summary of these relevant details. Much of the history is obtained by asking questions.
Collect data about the patient's current difficulties, past psychiatric history and medical history, as well as relevant developmental, interpersonal and social history. [1] Diagnose the mental health issue(s). [1] Understand the patient's personality structure, use of defense mechanisms and coping strategies. [2] Improve the patient's insight. [2]
Separate versions were used to assess psychiatric patients (SCID-P) and to study non-patient populations (SCID-NP). Another form of the SCID-P, SCID-P W/PSY SCREEN , was developed for patients in which psychotic disorders were expected to be rare and only included screening questions for these disorders but not the complex module.
Usually, the clinician diagnoses the patient using criteria from the first two DSM axes. Some intake interviews include a mental status examination [2] During the intake interview, the clinician may determine a treatment plan. In some cases, particular clinician may feel that he or she lacks the expertise to best help the client.
Let’s be honest, no one likes going to the doctor (even if it’s for an annual physical). And when you’re a Black, Indigenous and/or person of color (BIPOC...
Different sources include different questions to be asked while conducting an HPI. Several acronyms have been developed to categorize the appropriate questions to include. The Centers for Medicare and Medicaid Services has published criteria for what constitutes a reimbursable HPI. A "brief HPI" constitutes one to three of these elements.
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
Psychiatric nurses are trained to ask patients relevant questions to ascertain what condition they may have, and they may also talk to relatives and friends. [12] This is the primary tool for a psychiatric nurse in working out what treatment is appropriate. [ 12 ]
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