• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Pysch Exam

D

dawn1170

Networker
Messages
48
Location
Greencastle, FL
Would someone assist me with the elements in a pysch exam below is what was documented:
Appearance:WNL
Behavior: Immature Easily distracted
Afffect:Blunted
Mood:Congruent with affect
Eye contact:poor
Motor:WNL
insight: insight lacking
Judgement: impaired
Reliablity:impaired
Speech:Non-verbal
Orientation:Passage of time

This is different than what I have printed from the 1997 Specialty exam for Pysch
 
While he does not need to follow the bullets in the 97 guidelines he does need to document much more to determine if a bullet is met, the WNL for appearance I would not count as it tells us nothing about the true appearance of this patient, what is normal?
you get a bullet for mood and affect
a bullet for behavior
insite and judgement and reliability I gave no credit as it needs further description
WNL for motor does not count
and orientation needs a better descriptive.
so being rather generous I give it 2 bullets for exam.
 
You must log in or register to reply here.
Top