Assignment: Atrial fibrillation assessment for preoperative Paper

Assignment: Atrial fibrillation assessment for preoperative Paper

Assignment: Atrial fibrillation assessment for preoperative Paper

The Psychiatric Evaluation and Evidence-Based Rating Scales

The three most essential components of the psychiatric interview are Psychiatric and medical history, substance use and abuse history, and mental status examination (MSE). Psychiatric and medical history is vital because it helps identify the patient’s past emotional or mental disturbances, Psychosomatic disorders, medical conditions, and neurologic disorders often associated with psychiatric disorders (Tatayeva et al., 2022). Besides, identifying past psychiatric and medical conditions guides the practitioner on the appropriate treatment interventions. 

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The substance use and abuse history since mental disorders are linked with substance use disorders (SUDs). Substance use triggers changes in brain structure and function, increasing the risk of a person developing a mental disorder Patients with mental disorders, like anxiety, depression, or post-traumatic stress disorder (PTSD), often take drugs or alcohol as a form of self-medication (Kaswa, 2021). Besides, drugs and alcohol worsen symptoms of mental disorders like schizophrenia and depression. The MSE is crucial since it provides information about a patient’s appearance, speech, actions, and thoughts (Martin et al., 2020). It helps to assess the patient’s thinking, feeling, and behavior, which guides in making a psychiatric diagnosis.

The Simple Delusional Syndrome Scale (SDSS) comprises seven items: Logical organization, stability, systemization, conviction, influence on the action, extension, and insertion. The scale is scored from 1-5. Forgácová (2008) performed a statistical analysis that found good psychometric characteristics of the SDSS with a Cronbach coefficient alpha=0.8327. The SDSS has been designed to measure the level of intensity of the delusional syndrome in patients whose clinical examination has established the delusional syndrome. The scale’s structure and the selection of the scale’s items are determined by clinical experience and the theoretical fundament obtained from essential works. The SDSS can help the NP assess changes in delusional syndromes based on the therapeutic effect of psychopharmacological agents.

References

Forgácová, L. (2008). Delusion assessment scales. Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 10(1), 23–30.

Kaswa, R. (2021). Primary healthcare approach to substance abuse management. South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 63(1), e1–e4. https://doi.org/10.4102/safp.v63i1.5307

 Martin, A., Jacobs, A., Krause, R., & Amsalem, D. (2020). The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients. MedEdPORTAL : the journal of teaching and learning resources, 16, 10947. https://doi.org/10.15766/mep_2374-8265.10947

Tatayeva, R., Ossadchaya, E., Sarculova, S., Sembayeva, Z., & Koigeldinova, S. (2022). Psychosomatic Aspects of The Development of Comorbid Pathology: A Review. Medical journal of the Islamic Republic of Iran, 36, 152. https://doi.org/10.47176/mjiri.36.152

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For Preopidentify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply.

• Explain why you selected these tests or tools as being appropriate to the scenario.