Saturday 3 October 2009

HISTORY TAKING PSYCHIATRY

ID – nama,age,sex,occupation,marital status,duduk dengan siapa

History of presenting illness(OPQRST)

- Mood change – ada rasa lemah semangat?(depression)
- Anxiety-worry-stress – ada rasa resah?
- Panic – ada rasa panic?
- Sleep pattern- ada kurang tidur?mania
- Obsessive compulsive disorder – ada rasa suatu benda tu macam suatu kewajipan?
- Post traumatic stress disorder – penah rasa suatu pengalaman yang menakutkan?rasa trauma?
- Appetite – sy tgk badan awk kurusla, awk makan tak tadi?eating disorder
- Hallucination-delusion –ada tak org ckp dengan awk bile xder org kat sekitar awk? skizophrenia
- Delirium –dementia – tau tak hari ni hari ape?
- Somatisation disorder – ada x rase sakit yang dr lain x Nampak?
- Drug usage –amphetamin(skizo),
- Alcohol and caffeine –women - major depression, anxiety, panic disorder, bulimia, post-traumatic stress disorder (PTSD), or borderline personality disorder. Men with alcohol-use disorders more often have co-occurring diagnosis of narcissistic and antisocial personality disorders, bipolar disorder, schizophrenia, impulse disorders and attention deficit/ hyperactivity disorder.[74]
- Experience yang effect patient( post traumatic disorder)
- Ada rasa xberguna tak hidup kat dunia ni?if yes, ada rasa macam nak bunuh diri x? pernah ada problem relationship? Personality disorder

Past history

- Treatment yang dah buat
- Pernah kena tak benda yang sama dulu?
Social history
- Background? Pernah kena dera masa kecik?
- Head injuries?infection
- Parents divorce? Macammana tangani benda tu?
- Relationship?friends?academic?
- Type of job?wut do u really do?
- Camne handle stress?
- Suruh patient describe diri dia sendiri?

Family history

- Ada family ade sakit jiwa?
- Ada family yang penah bunuh diri?
- Ada family ambil ubat sakit jiwa?
- Background family?family tree?
- Mcm mana hubungan family dengan awak atau adik beradik awk?

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