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NEUROLOGICAL ASSESSMENT ( MENTAL STATE ) (Cognition (Memory: immediate,…
NEUROLOGICAL ASSESSMENT ( MENTAL STATE )
Orientation
Reason why they’re in the hospital
Person, place, time (month/year),
General appearance
Build, posture, dress, grooming,
Describe how the patient is appearing –
prominent physical abnormalities
Mood
The prevalent emotional state the patient tells you they feel
Often placed in quotes since it is what the patient tells you
Examples “Fantastic, elated, depressed, anxious, sad, angry, irritable, good
Thought and processes
Refers to the themes that occupy the patients thoughts and perceptual disturbances
preoccupations, illusions, ideas of reference, hallucinations, derealization
depersonalization, delusions
Cognition
Memory: immediate, short and long term
Level of consciousness
Attention and concentration: the ability to focus, sustain and appropriately shift mental attention
Abstraction: proverb interpretation
Judgement/Insight
Judgment: the ability to anticipate the consequences of one’s behavior and
Insight: awareness of one’s own illness and/or situation
make decisions to safeguard your well being and that of others
Affect
The emotional state we observe
Range: full (normal) vs. restricted, blunted or flat, labile
Congruency: does it match the mood(mood congruent vs. mood incongruent)
Type: euthymic (normal mood), dysphoric (depressed, irritable, angry), euphoric (elevated, elated) anxious
Stability: stable vs. labile
Speech
Rate: increased/pressured, decreased/monosyllabic, latency
Rhythm: articulation, prosody, dysarthria, monotone, slurred
Volume: loud, soft, mute
Content: fluent, loquacious, paucity, impoverished