scholarly journals Why psychiatric discharge summaries do not contain the mental state examination at discharge

1992 ◽  
Vol 16 (4) ◽  
pp. 216-217
Author(s):  
Marco Akerman ◽  
Mark McCarthy
Keyword(s):  
Mental State ◽  
Clinical Notes ◽  
Institutional Incentives ◽  
State Examination ◽  
Discharge Summaries

In an era where computerised information is dominant, it may seem an eccentric enterprise to assess the quality of case-notes and to propose changes in the notekeeping process. There are no institutional incentives for clinicians to provide organised and standardised clinical notes (Casper, 1987) and there is no clear evidence that poor notekeeping means that satisfactory care has not been provided.

An audit of the care of 266 patients with schizophrenia in 16 general practices

1998 ◽  
Vol 15 (2) ◽  
pp. 61-63 ◽  
Author(s):  
John Holden
Keyword(s):  
Quality Of Life ◽  
Patient Care ◽  
Mental State ◽  
Family Care ◽  
Care Family ◽  
General Practices ◽  
Examination Quality ◽  
State Examination ◽  
Physical Care

AbstractSixteen general practices completed an audit of the care of their patients with schizophrenia. This resulted in improved levels of recording of six different aspects of patient care; family care, Mental State Examination, quality of life, preventive physical care, co-ordinated care and details of medication.

scholarly journals Efficacy of pramipexole combined with levodopa for Parkinson’s disease treatment and their effects on QOL and serum TNF-α levels

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052092244
Author(s):  
Jinzhong Huang ◽  
Wei Hong ◽  
Zhilong Yang ◽  
Jian Ding ◽  
Yi Ren
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Control Group ◽  
Study Group ◽  
Tnf Α ◽  
State Examination

Purpose To investigate the efficacy of combining the dopamine receptor agonist pramipexole with levodopa for Parkinson’s disease (PD) treatment and to measure their effects on quality of life and tumor necrosis factor (TNF)-α levels in PD patients. Basic Procedure In total, 160 PD patients who were admitted to our hospital were equally randomized into a control treatment group (levodopa alone) and the study group (pramipexole combined with levodopa). Both groups were treated for 12 weeks. Findings After treatment, scores from the Unified Parkinson’s Disease Rating Scales (1–3), the Hamilton Depression Scale, and the Parkinson’s Disease Questionnaire (PDQ-39) were significantly decreased in both groups, whereas Mini-Mental State Examination scores were significantly increased. After treatment, the study group had significantly lower scores for all scales except the Mini-Mental State Examination, for which those who received combined treatment had significantly higher scores than the control group. The incidence of adverse reactions was significantly lower in the study group than in the control group. Furthermore, after treatment, serum TNF-α levels were significantly decreased in both groups compared with pre-treatment levels. Conclusion Pramipexole combined with levodopa relieved PD symptoms and improved the quality of life of PD patients, potentially by suppressing serum TNF-α levels.

Quality of the Rating of Mini-Mental State Examination in a Well-Defined Population of French General Practitioners

2011 ◽  
Vol 59 (11) ◽  
pp. 2182-2184
Author(s):  
Karl Mondon ◽  
Saousen Ben Zid ◽  
Emilie Beaufils ◽  
Charlotte Eudo ◽  
Thierry Constans ◽  
...  
Keyword(s):  
General Practitioners ◽  
Mental State ◽  
Mini Mental State Examination ◽  
State Examination

scholarly journals QI project: Improvement in quality of Seclusion Medical Review

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S218-S219
Author(s):  
Shumaila Shahbaz ◽  
Richard Ward
Keyword(s):  
Side Effects ◽  
Physical Health ◽  
Patient Care ◽  
Mental State ◽  
Improve Patient Care ◽  
Medical Review ◽  
Record Keeping ◽  
Review Management ◽  
State Examination

AimsTo establish the improvements in the quality of seclusion medical review after introducing a template to complete the review.BackgroundThe Mental Health Act – Code of Practice outlines the standards of patient care while in seclusion. It also emphasis that supportive engagement/observation schedules should be reviewed in person and continued at the point an episode of seclusion was initiated.Furthermore, NICE also set up standards to monitor side effect profile while prescribing psychotropic for such patients and regular management review. It also gives importance to staff training to ensure these standards.To improve the quality of the seclusion medical review, we completed an audit in July 2019 to ascertain whether medics are following Trust Policy.We identified good results (above 90%) in the following areas:Time of seclusion reviewRecord keepingManagement planGood documentation of risk, mental state examination and physical health.We also noticed that the following areas can be improved:Prescribed Medications. (60%)Medication side effects. (40%)Physical Observations (40%)We used the following audit standards for our audit after our last audit and a template was designed and after discussion with medics incorporated into the existing documentation template.Time of reviewReason and duration for seclusionPsychiatric diagnosisMental State Examination/BehaviourPhysical health (including physical observations)/EnvironmentMedication (prescribed, rapid tranquilisation, side effects, or adverse effects)Risk (to self-DSH or accidental) (risks to others)Plan :(frequency of physical obs./medical review, management, restrictions, exit plan for terminating seclusion, patient's capacity to understand it)MethodWe considered the following aspects:Retrospective data collection from 01.03.2020 to 30.08.2020.Sample selection: random selection of mixture of clinicians on different times and days of the week.Data analysis was carried out by using Microsoft Excel.ResultWe noticed a marked improvement in the quality of seclusion medical review (between 95% and 100%) after introducing a template for it. There were no major concerns identified during the re-audit.ConclusionTo continue to use the template for Seclusion Medical Review which has shown significant improvement in the quality of the reviews which will improve patient care.It also helped us to deliver person centred care and safe practice.To continue teaching and training of doctors.This QIP project motivated nurses to do an audit on nursing seclusion review and made necessary changes.

scholarly journals SENAM GERAK LATIH OTAK (GLO) MAMPU MENINGKATKAN FUNGSI KOGNITIF LANJUT USIA

2020 ◽  
Vol 11 (1) ◽  
pp. 70
Author(s):  
Ibnu Abas ◽  
Agus Setiawan ◽  
Widyatuti Widyatuti ◽  
Raden Siti Maryam
Keyword(s):  
Quality Of Life ◽  
Cognitive Function ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
T Test ◽  
P Value ◽  
State Examination ◽  
Paired T Test

Abstrak  Populasi lansia saat ini mengalami peningkatan dan diharapkan kualitas hidupnya pun harus tetap baik. Salah satunya dengan memelihara fungsi kognitif melalui senam Gerak Latih Otak (GLO). Tujuan penelitian adalah melihat pengaruh senam GLO terhadap fungsi kognitif lansia. Metode penelitian menggunakan kuasi eksperimen tanpa kontrol dengan intervensi senam GLO 30 menit per sesi, tiga kali seminggu selama satu bulan. Fungsi kognitif dinilai dengan Mini Mental State Examination (MMSE). Jumlah sampel sebanyak 39 lansia. Uji statistik menggunakan paired t test. Hasil uji menunjukkan ada perbedaan rata-rata fungsi kognitif setelah intervensi dengan mean MMSE = 22,95 (SD = 1,413) menjadi  27,95  dengan SD = 1,297 (p value = 0,000). Senam GLO mampu meningkatkan fungsi kognitif lansia sehingga diharapkan menjadi salah satu latihan fisik yang dapat dilakukan di panti. Kata Kunci : fungsi kognitif,  kualitas hidup lansia,  senam GLO   Abstract The population of the elderly is currently increasing and it is expected that the quality of life must also be good. One of them is by maintaining cognitive function through Senam Gerak Latih Otak (GLO exercise). The aim of the study was to see the effect of GLO exercise on cognitive function in the elderly. The research method used quasi-experimental without control with GLO gymnastics intervention 30 minutes per session, three times a week for one month. Cognitive function is assessed by Mini Mental State Examination (MMSE). The number of samples is 39 elderly. Statistical test using paired t test. The test results showed there was a difference in the average cognitive function after the intervention with the mean MMSE = 22.95 (SD = 1.413) to 27.95 with SD = 1.297 (p value = 0,000). GLO exercise can improve cognitive function of the elderly so that it is expected to be one of the physical exercises that can be done in Panti. Keywords: cognitive function, elderly quality of life, GLO exercise

Mini-Mental-State

2009 ◽  
Vol 22 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Andreas Kaiser ◽  
Renate Gusner-Pfeiffer ◽  
Hermann Griessenberger ◽  
Bernhard Iglseder
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Oder Nicht ◽  
State Examination

Im folgenden Artikel werden fünf verschiedene Versionen der Mini-Mental-State-Examination dargestellt, die alle auf der Grundlage des Originals von Folstein erstellt wurden, sich jedoch deutlich voneinander unterscheiden und zu unterschiedlichen Ergebnissen kommen, unabhängig davon, ob das Screening von erfahrenen Untersuchern durchgeführt wird oder nicht. Besonders auffällig ist, dass Frauen die Aufgaben «Wort rückwärts» hoch signifikant besser lösten als das «Reihenrechnen». An Hand von Beispielen werden Punkteunterschiede aufgezeigt.

Zur Anwendung der CES-D bei älteren Menschen: Dimensionsstruktur und Meßartefakte

Diagnostica ◽  
2000 ◽  
Vol 46 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Herbert Matschinger ◽  
Astrid Schork ◽  
Steffi G. Riedel-Heller ◽  
Matthias C. Angermeyer
Keyword(s):  
Mental State ◽  
Latent Class ◽  
Mini Mental State Examination ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Partial Credit ◽  
Examination Score ◽  
State Examination

Zusammenfassung. Beim Einsatz der Center for Epidemiological Studies Depression Scale (CES-D) stellt sich das Problem der Dimensionalität des Instruments, dessen Lösung durch die Konfundierung eines Teilkonstruktes (“Wohlbefinden”) mit Besonderheiten der Itemformulierung Schwierigkeiten bereitet, da Antwortartefakte zu erwarten sind. Dimensionsstruktur und Eignung der CES-D zur Erfassung der Depression bei älteren Menschen wurden an einer Stichprobe von 663 über 75-jährigen Teilnehmern der “Leipziger Langzeitstudie in der Altenbevölkerung” untersucht. Da sich die Annahme der Gültigkeit eines partial-credit-Rasch-Modells sowohl für die Gesamtstichprobe als auch für eine Teilpopulation als zu restriktiv erwies, wurde ein 3- bzw. 4-Klassen-latent-class-Modell für geordnete Kategorien berechnet und die 4-Klassen-Lösung als den Daten angemessen interpretiert: Drei Klassen zeigten sich im Sinne des Konstrukts “Depression” geordnet, eine Klasse enthielt jene Respondenten, deren Antwortmuster auf ein Antwortartefakt hinwiesen. In dieser Befragtenklasse wird der Depressionsgrad offensichtlich überschätzt. Zusammenhänge mit Alter und Mini-Mental-State-Examination-Score werden dargestellt. Nach unseren Ergebnissen muß die CES-D in einer Altenbevölkerung mit Vorsicht eingesetzt werden, der Summenscore sollte nicht verwendet werden.

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