最新heMentalStatusExaminationMSEPalmerCollegeof精神状态检查MSE帕大学教学讲义ppt课件.ppt

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1、heMentalStatusExaminationMSEPalmerCollegeof精神状态检查MSE帕大学MentalStatusMentalstatusisthetotalexpressionofaperson’semotionalresponses,mood,cognitivefunction,andpersonalityItiscloselylinkedtotheindividual’sexecutivefunctioning,i.e.motivation,initiative,goalforma

2、tion,planningandperforming,self-monitoring,andintegrationoffeedbackQuickNeurologyReviewFrontallobeSpeechformation(Brocaarea)Emotions/affectDriveAwarenessofselfShort-termmemoryGoal-orientedbehaviorDementiaDementiaisaclinicalsyndrome,characterizedbydeteriora

3、tingcognition,behavior,andfunctionalindependenceItisusuallyrelatedtoobviousstructuraldiseaseofthebrain(mostcommonlyatrophy)Dementiaaffects3-11%ofadultsolderthan65MnemonicforcausesofdementiaD:drugsandtoxinsE:endocrineM:metabolicandmechanicalE:epilepsyN:nutr

4、itionalandnervoussystemT:tumorandtraumaI:infectionA:arterialDeliriumDeliriumisdifferentthandementiaItisanacuteconfusionalstateaccompaniedbyadisorderofperceptionSymptomsincludealterationsinmentalstatus(disorientation),attentionspan,sleeppatterns,andaffectSu

5、ddenandfluctuatingUsuallyreversibleMentalStatusExaminationTheMSEisonecomponentofanexamandmaybeviewedasthepsychologicalequivalentofthephysicalexamItisanimportantcomponenttoaneurologicalevaluationFactorsaffectingtheMSECultureandeducationalbackgroundofthepati

6、entWhatisabnormalforapersonwithhighintellectualabilitymaybenormalforapersonoflesseducationPatientswithESLmayhavedifficultywithsomecomponentsoftheexamMajorComponentsoftheMSEAppearanceMotorSpeechAffect&moodThoughtContentThoughtProcessPerceptionIntellectInsig

7、htAppearanceAgeGenderRaceBodybuildPostureEyecontactDressGroomingMannerAttentivenesstoexaminerEmotionalfacialexpressionAlertnessMotorBehavior:Pleasant?Cooperative?Appropriatefortheparticularsituation?HesitancyAgitationAbnormalmovementsGaitCatatoniaSpeechRat

8、eRhythmVolumeAmountArticulationSpontaneityAffectandMoodAffect:Howdotheyappeartoyou?StabilityRangeAppropriatenessIntensityMood:Dr.asksthepatientdirectlyhowhe/shefeelsThoughtContentSuicidalideationDeathwishesHo