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3-year-old masturbates, FREUD's PSYCHOSOCIAL STAGES OF
play with self, says DEVELOPMENT - PHALLIC STAGE - 3-6 years old
naughty things - This is NORMAL for children this age.
PNEUMOIC - Old Age Parents Love Grandchildren
Oral (0-18 months)
Freud stages of
Anal (18 months - 3 years)
psychosexual
Phallic (3 years to 6 years)
development
Latent (6 to 12)
Genital (12 +)
Depression, dissociation, recurring nightmares, sleep
disturbances, problems in concentrations, reliving the
ACUTE STRESS
event, dreams, flashbacks -
DISORDER
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his Tell mom don't leave him alone with patient and call
brother sodomized him CPS implement crisis
Perform FURTHER ASSESSMENT and GATHER
Child is playing with doll in ENOUGH INFO BEFORE Calling CPS to report
a sexual way - You suspected Sexual Abuse - You HAVE to report but
SUSPECT sexual abuse you have to have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke ask him of his plan to stop smoking
, MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he
was normal from 30-25 yrs old, then deteriorated
MMSE/ FOLSTEIN
mildly from 24-21 yrs old, became moderately
demented from 20-13 yrs old, until he reached age 11
where it was too severe to stay at home.
Beck was 20 yrs old when he started medication &
Beck Depression
therapy. Unfortunately, at age 31 it became too
Inventory
SEVERE and was hospitalized.
Hamilton A started medication & therapy at 24 yrs old
HAM-A for moderate anxiety. Sadly, when he turned 27 yrs
old he was hospitalized for SEVERE anxiety.
Hamilton D began medication & therapy at 14 yrs old.
He later had a dose increase at age 17 for
HAM-D
MODERATE/SEVERE depression. But soon after, it
became SEVERE at age 23 & he was hospitalized.
Penelope Q was just 10 yrs old when she started
antidepressants & therapy. At age 15, she required a
PHQ-9 (Patient Health
dose increase due to moderate/severe depression. It
Questionnaire)
helped her until she turned 20 when it became
SEVERE, and she had to be hospitalized.
Gary was just 10 yrs old when he was treated with
meds & therapy for anxiety. Yet his symptoms still
GAD-7 scale
worsened and at 15 yrs old he was hospitalized for
SEVERE anxiety.
HAM-D score of 19? Severe. Assess for SI, treat with meds & therapy.
Moderate. Confirm diagnosis and treat with meds &
Beck score of 20
therapy.
PHQ-9 score of 15? Moderate. Confirm diagnosis & start therapy & meds
PHQ-9 score of 21? Severe. Assess for SI, start therapy & meds.
HAM-D score of 23? Severe. Assess SI, treat with meds & therapy.
ZUNG Score of 70? Severe. Assess SI, treat with meds & therapy
, 0 - 20 indicate dementia; 21 - 26 = mild neurocognitive
SLUM > Score disorder; 27 - 30 =
normal.
(World Health Organization Disability Assessment
Scale)? It is used instead of GAF.
Measures multiple disabilities in multiple areas
(cognition, work, social and interpersonal relations).
What is the WHODAS
The LOWER the number, the MORE SEVERE the
scale?
impairment.
For example, a score of 50 through 30 indicates SI
with intent; a score of 30 and under indicates the
need for
hospitalization.
Start symptom-treatment medication PRN at 8,
CIWA-Ar standing med at 15 (1st choice Diazepam lasts longer,
UNLESS liver compromised then give Ativan).
Start PRN meds (Clonidine) at 7, give suboxone or
COWS Score/treatment?
buprenorphine at 13.
Mydriasis (of pupil) Dilated pupils (withdrawal sign, give Clonidine)
Pinpoint pupils (intoxication/overdose, give
Miosis?
Naloxone)
-cut down, annoyed, guilty, eye opener
Have you ever felt you should Cut down on your
drinking?
Have people Annoyed you by criticizing your
CAGE questionnaire
drinking?
Have you ever felt bad or Guilty about your drinking?
Have you ever had a drink first thing in the morning to
steady your nerves (Eye-opener)?
How long to wait to take 12 hours
Disulfiram after alcohol
use?