Pediatric emergency medicine trisk 4158 4158
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (99.83 KB, 1 trang )
TABLE 126.3
CHILDHOOD/ADOLESCENT PSYCHIATRIC EMERGENCIES:
CHILD MENTAL STATUS EXAMINATION
Orientation
Appearance
Memory
Cognition
Behavior
Speech
Mood and affect
Thought process
Thought content (including suicidal ideation, homicidal ideation,
obsessions, delusions, hallucinations)
Insight and judgment
Mental Status of the Child
Evaluation of the child’s mental status takes place throughout the entire ED
visit. The mental status examination provides a psychological profile of the
child and contributes to the assessment of psychiatric diagnoses. Frequently
much of the relevant data often emerge during the history, physical
examination, and interactions with the child and family members. The
emergency physician should have a systematic and thorough understanding
of the mental status examination and should follow up any areas of concern
with more specific questions. Table 126.3 lists the major categories of the
mental status examination, with a focus on the aspects most relevant to
emergency psychiatric assessment.
Family Evaluation
The mental status of the family can be assessed while observing the
presentation of the history and the interactions of caregivers with the patient
during the ED visit. The presentation of caregivers should be coherent and
logical and should follow a temporal sequence. Family members under the
influence of drugs or alcohol may not be fully alert and oriented. Depressed
parents may appear withdrawn and downcast and may be so preoccupied
