极端的精神状态改变:意识障碍的行为评估
Neha Dhadwal1, Kyle Cunningham2, William Pino2
1Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, Pennsylvania.
Seminars in neurology
|August 5, 2024
概括
评估意识障碍,包括昏迷和极小意识状态,在急性护理中具有挑战性. 本综述考察了神经行为评估工具,如昏迷恢复量表-修订,以改善患者的评估.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 临界护理医学 临界护理医学
背景情况:
- 意识障碍 (DoC) 代表精神状态的严重变化,从昏迷到从最小意识状态出现.
- 准确评估DoC对于患者管理至关重要,但在急性护理环境中具有挑战性.
- 像格拉斯哥昏迷量表这样的传统方法在敏感跟踪患者康复方面存在局限性.
研究的目的:
- 对急性护理中意识障碍的当前评估方法进行审查.
- 探索用于精细评估的其他神经行为测量方法.
- 突出跨学科的战略,以实施改进的评估实践.
主要方法:
- 评估常见的床边神经学检查和格拉斯哥昏迷表.
- 检查神经行为评估工具,特别是昏迷恢复量表-修订.
- 关于急性护理中各种评估指标的优点和弱点的文献综述.
主要成果:
- 经典的评估工具已经确定了准确确定意识水平的局限性.
- 神经行为评估尺度提供了更详细的见解,但也有自己的局限性.
- 对于在急性情况下进行精确评估,可能需要结合多种方法.
结论:
- 精细的神经行为评估对于准确评估有意识障碍的患者至关重要.
- 跨学科的合作是实施有效和一致的评估策略的关键.
- 优化评估实践可以改善患者的治疗结果和护理规划.
更多相关视频
相关概念视频
Altered States of Awareness
165
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
165
Introduction to Psychological Disorders
352
Abnormal behavior, often referred to as mental illness, results from changes in brain function that influence thought patterns, behaviors, and social interactions. Psychologists and psychiatrists typically assess abnormal behavior using three primary criteria: deviance, maladaptation, and personal distress, particularly when these traits persist over long periods.
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
Deviant Behavior
Deviance in behavior refers to actions or thought patterns that significantly diverge from societal norms or...
352
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
69
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
69
High-Level and Low-Level Awareness
258
Controlled processes in human consciousness represent high-alert mental states where individuals deliberately focus their attention on achieving specific goals. Controlled processes can be seen in situations like mastering new technology, where a person might become so absorbed that they ignore surrounding distractions. Such processes involve selective attention, requiring one to concentrate on particular elements of experience while disregarding others. These are governed by executive...
258


