Schizophrenia Eric Ford Shadow health Objective data

Temperature (1/5 point)

– Within the normal temperature range
– Hyperthermic (elevated temperature)
– Hypothermic (below normal temperature)

Blood Pressure (1/5 point)

– Within the normal blood pressure range
– Hypertensive (high blood pressure)
– Hypotensive (low blood pressure)

Heart Rate (1/5 point)

– Within the normal heart rate range
– Tachycardic (elevated heart rate)
– Bradycardic (slow heart rate)

Respiratory Rate (1/5 point)

– Within the normal respiratory rate range
– Tachypnea (rapid breathing)
– Bradypnea (slow breathing)

O2 Saturation (1/5 point)

– Within the normal oxygen saturation range
– Hypoxemia (low oxygen saturation)

Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/2 point)

– Clear breath sounds in all areas
– Diminished breath sounds in some areas
– Absent breath sounds in some areas

Adventitious Sounds (1/2 point)

– No abnormal sounds
– Wheezing
– Fine crackles
– Stridor
– Rhonchi
– Rales

Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/3 point)

– Audible S1 and S2 heart sounds
– Audible S1, S2, and S3 heart sounds
– Audible S1, S2, and S4 heart sounds
– Audible S1, S2, S3, and S4 heart sounds

Extra Heart Sounds (1/3 point)

– No additional heart sounds
– Gallops
– Murmur
– Friction rub
– Valve clicks

Rate And Rhythm (1/3 point)

– Regular heart rate and rhythm
– Arrhythmia (irregular heart rate and rhythm)

Inspected Upper Extremities for Self-harm or Abuse
1 of 1 point
Observations (1/3 point)

– No visible evidence of self-harm or abuse
– Evidence of self-harm
– Evidence of abuse

Wounds Or Scars (1/3 point)

– No visible wounds or scars
– Visible wounds
– Visible scars

Location Of Visible Abnormality (1/3 point)

– No visible abnormalities
– Abnormality on the right upper arm
– Abnormality on the right lower arm
– Abnormality on the right wrist
– Abnormality on the right hand
– Abnormality on the left upper arm
– Abnormality on the left lower arm
– Abnormality on the left wrist
– Abnormality on the left hand

DNP-815A Preconference Evaluation: Individual Success Plan (ISP)

Inspected Involuntary Facial and Oral Movements
1 of 1 point
Observations Of Involuntary Movement (1/1 point)

– Normal facial and oral movements
– Frowning, smiling, or grimacing involuntarily
– Clenching or biting involuntarily
– Puckering or smacking lips involuntarily
– Lateral oral movement involuntarily
– Excessive blinking involuntarily
– Periorbital movement involuntarily

Inspected Involuntary Movements of Upper Extremities
1 of 1 point
Observations (1/1 point)

– Normal involuntary movements of upper extremities
– Choreic movements (rapid, irregular movements)
– Athetoid movements (repetitive, rhythmic movements)

Inspected Involuntary Movements of Lower Extremities
1 of 1 point
Observations (1/1 point)

– Normal involuntary movements of lower extremities
– Lateral knee movement involuntarily
– Foot tapping involuntarily
– Heel dropping involuntarily
– Foot squirming involuntarily
– Inversion and eversion of foot involuntarily

Inspected Involuntary Movements of Torso
1 of 1 point
Observations (1/1 point)

– Normal involuntary movements of torso
– Rocking involuntarily
– Twisting involuntarily
– Squirming involuntarily
– Pelvic gyration involuntarily

Assessed General Appearance
1 of 1 point
Eye Contact (1/4 point)

– Maintains direct eye contact
– Maintains indirect or no eye contact

Posture (1/4 point)

– Maintains an upright posture without tension or rigidity
– Displays a bent or hunched posture, tension, or rigidity

Clothing (1/4 point)

– Wears clean clothing appropriate to age, fit, season, and occasion
– Wears dirty, disheveled, or inappropriate clothing for age, fit, season, or occasion

Grooming (1/4 point)

– Demonstrates an appropriate level of grooming
– Displays signs indicating a lack of grooming or self-care

Assessed Attitude Toward Medical Staff
1 of 1 point
Attitude Toward Medical Staff (1/1 point)

– Generally open and cooperative attitude toward medical staff
– Generally suspicious, guarded, or evasive attitude toward medical staff

Assessed Speech
1 of 1 point
Rate (1/3 point)

– Speaks at an appropriate or expected rate
– Speaks excessively slowly or rapidly

Volume (1/3 point)

– Speaks at an appropriate or expected volume
– Speaks excessively loudly or softly

Articulation (1/3 point)

– Has no appreciable issues with articulation
– Exhibits issues with articulation, including slurring or stuttering

Assessed Mood and Affect
1 of 1 point
Mood (1/2 point)

– Displays a stable mood with little or no fluctuation throughout the interview
– Exhibits frequent and appreciable mood changes throughout the interview

Affect (1/2 point)

– Demonstrates an expansive affect characterized by excessive cheerfulness, including contagious laughter or smiling
– Displays a blunted or flat affect, with little to no variation of expression regardless of the conversation topic

Assessed Thought Process
1 of 1 point
Thought Process (1/1 point)

– Shows no presence of thought process disturbances
– Exhibits presence of rapid thinking, disorganized or illogical flow of thought, “word salad,” neologisms, echolalia, or clanging associations

Assessed Thought Content
1 of 1 point
Thought Content (1/2 point)

– Shows no presence of thought content disturbances
– Exhibits presence of delusions, obsessive or intrusive thoughts, or suicidal or homicidal ideation

Perceptual Disturbances (1/2 point)

– Shows no presence of perceptual disturbances
– Exhibits presence of auditory or visual hallucinations

Confirmed Orientation
1 of 1 point
To Person (1/4 point)

– Is oriented to person
– Is not oriented to person

To Place (1/4 point)

– Is oriented to place
– Is not oriented to place

To Time (1/4 point)

– Is oriented to time
– Is not oriented to time

To Situation (1/4 point)

– Is oriented to the situation
– Is not

oriented to the situation

Assessed Serial Sevens
1 of 1 point
Serial Sevens (1/1 point)

– Is able to complete the series
– Is unable to complete the series

Assessed Abstract Thinking
1 of 1 point
Abstract Thinking (1/1 point)

– Demonstrates abstract thinking during the similarities test
– Demonstrates concrete thinking during the similarities test

Assessed Memory
1 of 1 point
Memory (1/1 point)

– Has intact remote and immediate memory
– Has either remote or immediate memory not intact

Assessed Visuospatial Ability
1 of 1 point
Visuospatial Ability (1/1 point)

– Has intact visuospatial ability for the interlocking shapes test
– Has impaired visuospatial ability with the interlocking shapes test

Assessed Insight
1 of 1 point
Insight (1/1 point)

– Demonstrates full awareness of illness and willingness to seek treatment
– Demonstrates limited or no awareness of illness and/or is unwilling to seek treatment

Assessed Judgment
1 of 1 point
Judgment (1/1 point)

– Demonstrates good judgment
– Demonstrates poor or impaired judgment