Add trait in the Patient Progress Report

Aug 6th, 2022
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How to add trait in the Patient Progress Report

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Attention deficit and hyperactivity disorder, is characterised by difficulties with sustaining attention, over activity and poor impulse control. For a diagnosis, these core symptoms should be present by the age of seven years, even if theyre not recognised until later in the childs life. They should also be severe enough to affect the childs learning, school and family life. About 1.5 % of children aged between five and fifteen, will be correctly diagnosed with ADHD. It is more common in boys. In children with learning disabilities, the rates go up to 20 %, and in those with an autism spectrum disorder the rates of ADHD can be found in about a third of them. Difficulty maintaining attention is a key symptom of ADHD in children. This is characterised by listening difficulties, not following instructions and making careless mistakes in their work. A child will be very easily distracted, daydreaming, forgetting and losing things, not finishing tasks and easily bored. Children with ADH

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A patients affect is defined in the following terms: expansive (cheerfully contagious), euthymic (normal), constricted (limited variation), blunted (minimal variation), and flat (no variation). Mood. Mood refers to the underlying emotional atmosphere or tone of the persons answers.
Affect is the patients immediate expression of emotion; mood refers to the more sustained emotional makeup of the patients personality. Patients display a range of affect that may be described as broad, restricted, labile, or flat.
Welcome Providers! Progress notes record the date, location, duration, and services provided, and include a brief narrative.
Quality of affect: sad, angry, hostile, indifferent, euthymic, dysphoric, detached, elated, euphoric, anxious, animated, irritable.
Basic progress note Donts x Do not document info that is not pertinent to your service or the case (ex. disclosure about sexual preferences, etc.)
Range: Affect can be described as within normal range, constricted, blunted, or flat. In the normal range of affect can be variation in facial expression, tone of voice, use of hands, and body movements. When affect is constricted, the range and intensity of expression are reduced.
How to Write Nursing Progress Notes: A Cheat Sheet Date and time. Patients name. Nurses name. Clinical assessment, e.g. vital signs, pain levels, test results. Details of any incidents. Changes in behaviour, well-being or emotional state. Changes in the care provided. Instructions for further care.

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