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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Documentation of Nursing Diagnosis01:10

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Formulating and Validating Nursing Diagnosis I01:26

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A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Diagnostic Narrative in the DSM-IV Casebook.

Mary Elene Wood

    Clio Medica (Amsterdam, Netherlands)
    |November 28, 2013
    PubMed
    Summary

    This case study highlights a patient exhibiting disorganized thinking and shallow affect, presenting with tangential and irrelevant responses during a psychiatric evaluation. Further investigation is needed to understand the underlying psychiatric condition.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Mental Health

    Background:

    • Psychiatric evaluations are crucial for diagnosing mental health conditions.
    • Understanding patient presentation is key to accurate diagnosis.

    Purpose of the Study:

    • To present a clinical case of a patient with unusual thought patterns during psychiatric assessment.
    • To illustrate the diagnostic challenges posed by idiosyncratic responses.

    Main Methods:

    • A single psychiatric case was documented.
    • Clinical interview techniques were employed to assess the patient's mental state.

    Main Results:

    • The patient displayed a shallow affect and guarded demeanor.
    • Responses to questions were increasingly tangential, irrelevant, and idiosyncratic.

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  • The patient denied delusions or hallucinations but exhibited disorganized thought processes.

    • Conclusions:

    • The patient's presentation suggests potential underlying thought disorder.
    • Further comprehensive psychiatric assessment is warranted for diagnosis and treatment planning.