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Electroconvulsive Therapy

Electroconvulsive therapy Steps of application summarised. Step-1:  Preparing the patient Obtain consent, pass intravenous line, perform a physical examination. Get the patient nil -by-mouth at midnight. Before shifting the patient to the electroconvulsive therapy room, Check case notes including the medication chart for medications that affect seizure threshold or interact with anaesthesia, the outcome of earlier electroconvulsive treatments, especially seizure duration and complications. Check for the placement—whether unilateral or bilateral—agreed. Confirm there is a valid consent form.  The nursing staff checks vital signs, have the patient void, remove dentures, jewelry, hairpins, eyeglasses, and change into a gown.  Step-2: Pre-p rocedure When the patient enters the treatment room, introduce yourself, put the patient at the ease, and confirm their identity. Also, confirm the patient has been nil-by-mouth for at least 5-hours. Confirm the patient continues to consent. Check vital

Disorder of intellectual development mild, according to ICD 11

(this is a text to speech note automatically transcribed so expect mistakes) ICD 11 describe disorder of intellectual development mild mild source of intellectual development business condition originating during the development in period characterized by significantly below average intellectual functioning and adaptive behaviour that approximately 2 to 3 standard deviations below the mean based on appropriately norms individually administered standardized test by comparible behaviour indicators been standardized testing is unavailable affected persons of an exhibit difficulties in that position and comprehension of complex language concepts and academic activitie. most master basic selfcare domestic and practical activity affected by a mild disorder of intellectual development can generally achieve relatively independent 11 and Employment as well but may require appropriate support

Premorbid Personality Assessment in Urdu

The following history is structured on the assumption that his demographics including his age, marital status, occupation are already known. Shaksiyyat ke baary mai kya janty han? Shakhsiyyat se murad insaan ke wo munfarid khusoosiyaat or adaaat hain jin kee waja se log un ko pehchanty han. Imtehan ke silsily mai mujhe aap ki shakhsiyyat ke baary mai aap se kuch malomaat chahiyen. Nafsiyatee bemarion ka insaan kee tabiyyat, mizaaj or adaat waghera par asar parh sakta hai, iss liye bemari se pehle aap kee jo shakhsiyyat tee, mai oss ke bary ma jan’na chanhunga or mere sawalon ke jawab bhe aap ne ossi waqt ke hisaab se deny hain. Acha, to sabb se pehle aap khud he, apne alfaaz mai, mujhe apnee shakhsiyyat ke baary mai bataaen. Relationships Ab mai ap ke talukaat ke bary mai ap se tafseelaat pochunga. Kya ap samjhty han ke aap ko talukaat mai kuch mushkilaat ka saamna taa? Aasani se taluqaat ban jaty ty yaa iss mai sharmaaty ty? Kitne dost ty aap ke? Un ke saath gehri dosti hoti tee ya ai

Hamilton Scale for Depression

Hamilton Scale for Depression HAMD or HDRS was developed by Max Hamilton in 1960 ● Clinician-rated, unlike Beck scales which are self-rated ● It starts with an item on depression and ends with one on obsessive-compulsive symptoms. ● The most widely used clinician-administered depression assessment scale. ● The original version contains 17 items (HDRS17) pertaining to symptoms of depression experienced over the past week. The HDRS was originally developed for hospital inpatients, thus the emphasis on melancholic and physical symptoms of depression. A later 21-item version (HDRS21) included 4 items intended to subtype the depression, but which are sometimes, incorrectly, used to rate severity. ● Only the first 17 should be used to measure the severity ● A limitation of the HDRS is that atypical symptoms of depression (e.g., hypersomnia, hyperphagia) are not assessed. Scoring  ● The method for scoring varies by version. For the HDRS17, a score of 0–7 is generally accepted to be wi