Psychiatric
[*] Description of speech including: rate; volume; articulation; coherence; and spontaneity with notation of abnormalities (eg, perseveration, paucity of language)
[*] Description of thought processes including: rate of thoughts; content of thoughts (eg, logical vs. illogical, tangential); abstract reasoning; and computation
[*] Description of associations (eg, loose, tangential, circumstantial, intact)
[*] Description of abnormal or psychotic thoughts including: hallucinations; delusions; preoccupation with violence; homicidal or suicidal ideation; and obsessions
[*]Description of the patient's judgment (eg, concerning everyday activities and social
[*]situations) and insight (eg, concerning psychiatric condition)
Complete mental status examination including
Orientation to time, place and person
• Recent and remote memory
• Attention span and concentration
• Language (eg, naming objects, repeating phrases)
• Fund of knowledge (eg, awareness of current events, past history, vocabulary)
• Mood and affect (eg, depression, anxiety, agitation, hypomania, lability)
"Alertness is a global observation of level of consciousness i.e. awareness of, and responsiveness to the environment, and this might be described as alert, clouded, drowsy, or stuporose"
Concentration: act or process of concentrating, especially the fixing of close, undivided attention.
Attention span: The length of time during which a person can concentrate on a subject or idea.
How does the statement "Alert" tell us their ability to concentrate and the length of time they can pay attention to something?
In all the auditing courses I have been too, both private and given by Medicare carriers, and the audits I have been thru A&Ox3 is 1 bullet under 97. Alert tells us they are conscious and that is not a bullet.
Laura, CPC, CPMA, CEMC