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Lecture 21

PSY2301 Lecture 21: Disorders of Brain and Behaviour

11 Pages
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Department
Psychology
Course Code
PSY2301
Professor
Andra Smith

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Description
Disorders of Brain and Behaviour Wednesday, November 30, 2016 7:45 PM Psychiatric Neurologic Depression Stroke Head injury Alzheimer's Congenital Epilepsy Schizophrenia Bipolar Encephalitis Meningitis Panic Disorder Autism Multiple Sclerosis Drug Abuse Personality Disorders ADD - ADHD Tourettes Syndrome Scales Glasgow Coma Scale (3-15) Mini Mental Assessment (0-30) ICD-10 = The International Statistical Classification of Diseases and Related Health Problems DSM-IV = Diagnostic and Statistical Manual of Mental Disorder-4th Ed/ (Axis I, Axis II) Glasgow Coma Scale (3-15) Eye Opening None 1 = Even to supra-orbital pressure To pain 2 = Pain from sternum/limb/supra -orbital pressure To speech 3 = Non-specific response, not necessarily to command Spontaneous 4 = Eyes open, not necessarily aware Motor Response None 1 = To any pain; limbs remain flaccid Extension 2 = Shoulder adducted and shoulder and forearm internally rotated Flexor response 3 = Withdrawal response or assumption of hemiplegic posture Withdrawal 4 = Arm withdraws to pain, shoulder abducts Localizes pain 5 = Arm attempts to remove supra -orbital/chest pressure None 1 = To any pain; limbs remain flaccid Extension 2 = Shoulder adducted and shoulder and forearm internally rotated Flexor response 3 = Withdrawal response or assumption of hemiplegic posture Withdrawal 4 = Arm withdraws to pain, shoulder abducts Localizes pain 5 = Arm attempts to remove supra -orbital/chest pressure Obeys commands 6 = Follows simple commands Verbal Response None 1 = No verbalization of any type Incomprehensible 2 = Moans/groans, no speech Inappropriate 3 = Intelligible, no sustained sentences Confused 4 = Converses but confused, disoriented Oriented 5 = Converses and oriented Mini Mental Assessment (0-30) ORIENTATION one point for each answer Ask: What is the: (year)(season)(date)(day)(month)? ____ Ask: Where are we: (state)(county)(town)(hospital)(floor)? ____ REGISTRATION score 1,2,3 points according to how many are repeated Name three objects: Give the patient one second to say each. Ask the patient t: repeat all three after you have said them. Repeat them until the patient learns all three. ____ ATTENTION AND CALCULATION one point for each correct subtraction Ask the patient t: begin from 100 and count backwards by 7. Stop after 5 answers- (93, 86, 79, 72, 65) ____ RECALL one point for each correct answer Ask the patient t: name the three objects from above. ____ LANGUAGE Ask the patient t: identify and name a pencil and a watch. (2 points) ____ Ask the patient t: repeat the phrase No ifs, ands, or buts. (1 point) ____ Ask the patient t: Take a paper in your right hand, fold it in half, and put it on the floor (1 point for each task completed prope____ Ask the patient t: read and obey the following: Close your eyes. (1 poi____ Ask the patient t: write a sentence. (1 point) ____ Ask the patient t: copy a complex diagram of two interlocking pentagons. (1 point____ Example The patient fulfills a total of at least 6 criteria from the following 3 lists, distributed as indicated: Ask the patient t: write a sentence. (1 point) ____ Ask the patient t: copy a complex diagram of two interlocking pentagons. (1 point____ Example The patient fulfills a total of at least 6 criteria from the following 3 lists, distributed as indicated: Impaired social interaction (at least 2): -Markedly deficient regulation of social interaction by using multiple non-verbal behaviours such as eye contact, facial expression, body posture and gestures -Lack of peer relationships that are appropriate to the developmental level -Doesn't seek to share achievements, interests or pleasure with others -Lacks social or emotional reciprocity Impaired communication (at least 1): -Delayed or absent development of spoken language for which the patient doesn't try to compensate with gestures -In patients who can speak, inadequate attempts to begin or sustain a conversation -Language that is repetitive, stereotyped or idiosyncratic -Appropriate to developmental stage, absence of social imitative play or spontaneous, make-believe play Activities, behavior and interests that are repetitive, restricted and s
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