12
Nov
2011
Nursing inpatient psychiatric observation
Posted On November 12, 2011
By [email protected]
And has No Comment
Orientation: |
This scaling should be done twice daily and nursing staff should be well trained to perform .Here the nurse can scale the specified targeted mental function along the day.
| Knows where he is | yes = 10 | no = 0 |
| Knows surroundings |
Talk: |
| Short phrases | yes = 10 | no= 0 |
| Has usual speech | ||
| Refuses to speak | ||
| Takes part in conversations |
Mood: |
| Laughs and smiles while he is sitting alone | yes | no |
| Laughs and smiles at funny comments | ||
| Looks sad | ||
| Says that he is depressed |
Perception: |
| Hears things that are not there | yes |
no |
| Talks to himself | ||
| Sees things that are not there |
