Assessment


First Impressions

  • Age.
  • Appearance.
  • Contact.
  • Distinctive postural characteristics.
  • Presentation of complaints feelings and reactions induced in the physician by the patient.

Cognitive Domain

Consciousness
Level of consciousness (neurological classification).

Attention
Is it possible to attract and sustain the patient’s attention?

Concentration
To what level is the capacity of mental effort maintained?

Orientation
To time, place and person.

Memory
Immediate recall, short-term and long-term memory.

Intellectual Functions
Judgments and abstract reasoning, disease awareness, insight into the disease, executive functions, intelligence.

Perception
Impact and experienced reality of sensory perceptions and sensations.

Thought
Formal thought and content-related thought.


Affective Domain

Mood
The patient’s perceived basic mood of their affective life.

Affect
The visible and audible expression of emotions.

Somatic Affective
Physical signs of tension, such as muscle strain, flushing, tachycardia.

Signs
Breathlessness, perspiring, clammy hands, etc.

Vegetative Signs
Inability to maintain sleep, intra-day fluctuations, loss of appetite, weight loss, loss of libido.

Suicidality
The wish or thought of ending one’s life.


Conative Domain

Psychomotor Functions
Movements that express emotions.

Motivation And Behaviour
Instincts.


 

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