OBJECTIVES: To explore the associative structure between a screening test for dementia, the Mini-Mental State Examination (MMSE), and a neuropsychological battery for the detection of dementia, the Mental Deterioration Battery (MDB). DESIGN: A retrospective analysis. SETTING: Psychology unit of a general hospital in Rome, Italy. PARTICIPANTS: Three hundred consecutive outpatients and inpatients referred to our hospital on the basis of suspected cognitive impairment and evaluated between January 1999 and March 2000. MEASUREMENTS: MMSE and MDB. RESULTS: Of the 300 subjects evaluated by the MMSE score, 142 (47.3%) were considered to be cognitively healthy, and 116 (38.7%) were mildly and 42 (14.0%) moderately impaired. Factor analysis of MDB extracted three factors able to account for 75% of the total variance: a visuospatial factor, verbal memory ability, and a language skill. Using MMSE as an independent variable, a linear regression model could account for the visuospatial and language factors and a cubic regression model for the verbal memory factor. Within the normal MMSE boundaries (24-30), a dramatic decrease of verbal memory could be documented, whereas the slope is less steep in the mild impairment group (16-23). CONCLUSIONS: Our findings indicate the presence of a warning range within the normal MMSE interval. Thus, the traditional MMSE cutoff values may not be appropriate in detecting early phases of dementia. When patients score about 27 on MMSE, it should be of interest to check whether they fail only on long-term memory tests, because this could be a first signal of a preclinical condition heralding clear dementia (e.g., mild cognitive impairment). Mini-Mental State Examination and Mental Deterioration Battery: analysis of the relationship and clinical ...
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Assessment in the Mental Health Setting. Assessment is an important part of health care. For most health care professionals, their practice starts with assessment; the quality and effectiveness of their practice also often depends on an accurate and efficient assessment process.
It borders the Bouroughs of Lambeth to the east, Merton and the Royal Borough of Kingston Upon the Thames and others. It is surrounded by very wealthy Boroughs.
The 2001 Census gave the population of Wandsworth as 260,000 with 78% of the population as White, 9.6% Afro-Caribbean and 6.9% as being South Asian.
The processes involved are founded on basic theories and frameworks, as well as models of care which serve to establish basis for the practice and for the appropriate delivery of care. This paper shall be a client case study discussing a patient problem from the assessment which requires nursing intervention.
In order to do this they need to have knowledge of the health needs and inequalities that exist in the community they serve through the utilization of health needs assessment method (National Institute for Health and Clinical Excellence, 2005). According to Heffernan, a health needs assessment (HNA) is a systematic method of identifying unmet health and health care needs of a population and making changes to meet those unmet needs.
In addition, the impact of these problems and needs on health care providers are provided within the case study analysis. More importantly the assessment of the patient, the diagnosis of the co-morbid condition and the interventions that were employed in therapy are discussed, analyzed and evaluated.
At every contact with the client, the psychiatric nurse should be evaluating the client’s condition. Mental health care must be performed within the framework of the Care Programme Approach (CPA) which is still the foundation of the mental health policy of the UK government and is tasked to make sure “that all patients are assessed and that no one who might be vulnerable is missed” (Forster, 2001, p.
The author has discovered gaps in the knowledge and skills of the nurses in administering injections to mental health nurses. These gaps refer to skills and knowledge in the actual administration of injections, the establishment of rapport with mental health patients, the management of aggressive patients, and the application of sterile techniques.
Qualitative data consist of words and observations, not numbers. As with all data, analysis and interpretation are required to bring order and understanding. This requires creativity, discipline and a systematic approach. It is often called content analysis
of intervention information, which has to be provided to help the individual service users in the recovery from their mental health needs and areas of challenges (Lee 2006, pp.1376–1382).
Individualized nursing care helps the nurses in planning and evaluating patient
Additionally, his mental health status has reached a stage where he is also at risk of harming himself since he sometimes presents signs of trying to punch himself. This calls for an understanding of why Musti shows aggressive and violent
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