Schizophrenia Eric Ford Shadow health Objective data

Schizophrenia Eric Ford Shadow health Objective data

Objective Data Collection: 21 of 21 (100%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Assessed Vitals
1 of 1 point
Temperature (1/5 point)
  •  Normothermic
  •  Hyperthermic
  •  Hypothermic
Blood Pressure (1/5 point)
  •  Normotensive
  •  Hypertensive
  •  Hypotensive
Heart Rate (1/5 point)
  •  Normal
  •  Tachycardic
  •  Bradycardic
Respiratory Rate (1/5 point)
  •  Normal
  •  Tachypnea
  •  Bradypnea
O2 Saturation (1/5 point)
  •  Normal
  •  Hypoxemia
 Auscultated Breath Sounds
1 of 1 point
Breath Sounds (1/2 point)
  •  Clear in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (1/2 point)
  •  No adventitious sounds
  •  Wheezing
  •  Fine crackles
  •  Stridor
  •  Rhonchi
  •  Rales
 Auscultated Heart Sounds
1 of 1 point
Heart Sounds (1/3 point)
  •  S1 and S2 audible
  •  S1, S2, and S3 audible
  •  S1, S2, and S4 audible
  •  S1, S2, S3, and S4 audible
Extra Heart Sounds (1/3 point)
  •  No extra sounds
  •  Gallops
  •  Murmur
  •  Friction rub
  •  Valve clicks
Rate And Rhythm (1/3 point)
  •  Regular rate and rhythm
  •  Arrhythmia
 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
  •  Wound visible
  •  Scar visible
Location Of Visible Abnormality (1/3 point)
  •  No visible abnormality
  •  Right upper arm
  •  Right lower arm
  •  Right wrist
  •  Right hand
  •  Left upper arm
  •  Left lower arm
  •  Left wrist
  •  Left hand
 Inspected Involuntary Facial and Oral Movements
1 of 1 point
Observations Of Involuntary Movement (1/1 point)
  •  Normal
  •  Frowning, smiling, or grimacing
  •  Clenching or biting
  •  Puckering or smacking lips
  •  Lateral oral movement
  •  Excessive blinking
  •  Periorbital movement
 Inspected Involuntary Movements of Upper Extremities
1 of 1 point
Observations (1/1 point)
  •  Normal
  •  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
  •  Lateral knee movement
  •  Foot tapping
  •  Heel dropping
  •  Foot squirming
  •  Inversion and eversion of foot
  • Schizophrenia Eric Ford Shadow health Objective data
 Inspected Involuntary Movements of Torso
1 of 1 point
Observations (1/1 point)
  •  Normal
  •  Rocking
  •  Twisting
  •  Squirming
  •  Pelvic gyration
 Assessed General Appearance
1 of 1 point
Eye Contact (1/4 point)
  •  Direct eye contact
  •  Indirect or no eye contact
Posture (1/4 point)
  •  Upright posture without tension or rigidity
  •  Bent or hunched posture, tension, or rigidity
  • Schizophrenia Eric Ford Shadow health Objective data
Clothing (1/4 point)
  •  Clean clothing, appropriate to age, fit, season and occasion
  •  Dirty, disheveled, or inappropriate to age, fit, season, or occasion
  • Schizophrenia Eric Ford Shadow health Objective data
Grooming (1/4 point)
  •  Demonstrates an appropriate level of grooming
  •  Signs indicating 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
  •  Generally suspicious, guarded, or evasive
 Assessed Speech
1 of 1 point
Rate (1/3 point)
  •  Demonstrates appropriate or expected rate of speech
  •  Excessively slow or rapid rate of speech
Volume (1/3 point)
  •  Demonstrates appropriate or expected speech volume
  •  Excessively loud or soft speech volume
Articulation (1/3 point)
  •  No appreciable issues with articulation
  •  Issues with articulation, slurring, or stutters
 Assessed Mood and Affect
1 of 1 point
Mood (1/2 point)
  •  Stable mood with little or no fluctuation throughout the interview
  •  Frequent and appreciable mood changes throughout the interview
Affect (1/2 point)
  •  Expansive affect (excessively cheerful affect characterized by contagious laughter or smiling)
  •  Blunted or flat affect (little to no variation of expression regardless of conversation topic)
  • Schizophrenia Eric Ford Shadow health Objective data
 Assessed Thought Process
1 of 1 point
Thought Process (1/1 point)
  •  No presence of thought process disturbances
  •  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)
  •  No presence of thought content disturbances
  •  Presence of delusions, obsessive or intrusive thoughts, or suicidal or homicidal ideation
Perceptual Disturbances (1/2 point)
  •  No presence of perceptual disturbances
  •  Presence of auditory or visual hallucinations
 Confirmed Orientation
1 of 1 point
To Person (1/4 point)
  •  Oriented to person
  •  Not oriented to person
To Place (1/4 point)
  •  Oriented to place
  •  Not oriented to place
To Time (1/4 point)
  •  Oriented to time
  •  Not oriented to time
To Situation (1/4 point)
  •  Oriented to situation
  •  Not oriented to situation
 Assessed Serial Sevens
1 of 1 point
Serial Sevens (1/1 point)
  •  Able to complete the series
  •  Unable to complete the series
 Assessed Abstract Thinking
1 of 1 point
Abstract Thinking (1/1 point)
  •  Demonstrates abstract thinking with similarities test
  •  Demonstrates concrete thinking with similarities test
 Assessed Memory
1 of 1 point
Memory (1/1 point)
  •  Remote and immediate memory intact
  •  Remote or immediate memory not intact
 Assessed Visuospatial Ability
1 of 1 point
Visuospatial Ability (1/1 point)
  •  Visuospatial ability intact for interlocking shapes test
  •  Visuospatial ability impaired with 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
  • Schizophrenia Eric Ford Shadow health Objective data
 Assessed Judgment
1 of 1 point
Judgment (1/1 point)
  •  Demonstrates good judgment
  •  Judgment poor or impaired judgment
  • Schizophrenia Eric Ford Shadow health Objective data
  • Schizophrenia Eric Ford Shadow Health Objective Data

    Objective Data Collection: 21 of 21 (100%)

    Assessed Vitals
    – Temperature: Normothermic
    – Blood Pressure: Normotensive
    – Heart Rate: Normal
    – Respiratory Rate: Normal
    – O2 Saturation: Normal

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    Auscultated Breath Sounds
    – Breath Sounds: Clear in all areas
    – Adventitious Sounds: No adventitious sounds

    Auscultated Heart Sounds
    – Heart Sounds: S1 and S2 audible
    – Extra Heart Sounds: No extra sounds
    – Rate And Rhythm: Regular rate and rhythm

    Inspected Upper Extremities for Self-harm or Abuse
    – Observations: No visible evidence of self-harm or abuse
    – Wounds Or Scars: No visible wounds or scars
    – Location Of Visible Abnormality: No visible abnormality

    Inspected Involuntary Facial and Oral Movements
    – Observations Of Involuntary Movement: Normal

    Inspected Involuntary Movements of Upper Extremities
    – Observations: Normal

    Inspected Involuntary Movements of Lower Extremities
    – Observations: Normal

    Inspected Involuntary Movements of Torso
    – Observations: Normal

    Assessed General Appearance
    – Eye Contact: Direct eye contact
    – Posture: Upright posture without tension or rigidity
    – Clothing: Clean clothing, appropriate to age, fit, season and occasion
    – Grooming: Demonstrates an appropriate level of grooming

    Assessed Attitude Toward Medical Staff
    – Attitude Toward Medical Staff: Generally open and cooperative

    Assessed Speech
    – Rate: Demonstrates appropriate or expected rate of speech
    – Volume: Demonstrates appropriate or expected speech volume
    – Articulation: No appreciable issues with articulation

    Assessed Mood and Affect
    – Mood: Stable mood with little or no fluctuation throughout the interview
    – Affect: Blunted or flat affect (little to no variation of expression regardless of conversation topic)

    Assessed Thought Process
    – Thought Process: No presence of thought process disturbances

    Assessed Thought Content
    – Thought Content: No presence of thought content disturbances
    – Perceptual Disturbances: No presence of perceptual disturbances

    Confirmed Orientation
    – To Person: Oriented to person
    – To Place: Oriented to place
    – To Time: Oriented to time
    – To Situation: Oriented to situation

    Assessed Serial Sevens
    – Serial Sevens: Able to complete the series

    Assessed Abstract Thinking
    – Abstract Thinking: Demonstrates abstract thinking with similarities test

    Assessed Memory
    – Memory: Remote and immediate memory intact

    Assessed Visuospatial Ability
    – Visuospatial Ability: Visuospatial ability intact for interlocking shapes test

    Assessed Insight
    – Insight: Demonstrates full awareness of illness and willingness to seek treatment

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    Assessed Judgment
    – Judgment: Demonstrates good judgment

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