scenario part 3 psychiatric and alternative therapies cases case study 148 pain disorder

scenario part 3 psychiatric and alternative therapies
cases case study 148 pain disorder




How is criteria 1 tested in CAM - answerLook at patient's baseline mental status and compare it to the
patient in front of you OR look at the fluctuation of mental status in the last 24 hours



How is criteria 2 tested in CAM - answerAsk patient to squeeze hand when you say letter "A"

- Say CASABLANCA (4 squeezes)

What test evaluates cognitive impairment? - answerMini-Mental State Exam



MMSE <24 - answerdementia - abnormal result



MMSE 30-27 - answerNo cognitive impairment

, MMSE 26-25 - answerPossible cognitive impairment



MMSE 24-10 - answerMild to moderate cognitive impairment



MMSE 9-6 - answerModerate to severe cognitive impairment



Test for depression - answerHamilton test



Hamilton depression rating scale score of 10-13 - answerMild



Hamilton depression rating scale sore of 14-17 - answerModerate



Hamilton depression rating scale score of >17 - answerSevere



What scale is used to test for delirium? - answerCAM



What characteristics must be displayed in a patient to be diagnosed with CAM - answerMust have

1. Presence of acute onset and fluctuating course

AND

2. Inattention

Either

3. Disorganized thinking OR altered levels of consciousness



How is criteria 1 tested in CAM - answerLook at patient's baseline mental status and compare it to the
patient in front of you OR look at the fluctuation of mental status in the last 24 hours



How is criteria 2 tested in CAM - answerAsk patient to squeeze hand when you say letter "A"

- Say CASABLANCA (4 squeezes)