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  • Nimhans Performa: Compalints and Their Duration

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    syamfox1508
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    This document contains sections to collect information for a patient assessment, including their identifying information, history of present illness, past medical and family history, personal history, mental status examination, case formulation, and treatment plan. The assessment is intended to gather social, medical, psychological, and psychiatric information over multiple domains to evaluate a patient in a comprehensive manner.

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    Original Title

    NIMHANS PERFORMA

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    This document contains sections to collect information for a patient assessment, including their identifying information, history of present illness, past medical and family history, personal history, mental status examination, case formulation, and treatment plan. The assessment is intended to gather social, medical, psychological, and psychiatric information over multiple domains to evaluate a patient in a comprehensive manner.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    12K views3 pages

    Nimhans Performa: Compalints and Their Duration

    Uploaded by

    syamfox1508
    This document contains sections to collect information for a patient assessment, including their identifying information, history of present illness, past medical and family history, personal history, mental status examination, case formulation, and treatment plan. The assessment is intended to gather social, medical, psychological, and psychiatric information over multiple domains to evaluate a patient in a comprehensive manner.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    NIMHANS PERFORMA

    NAME:

    EDUCATION:

    SES

    INFORMANT:

    AGE:

    SEX:

    OCCUPATION:

    COMPALINTS AND THEIR DURATION

    HISTORY OF PRESENT ILLNESS


    ONSET

    PRECIPITATING FACTOR

    COURSE OF ILLNESS

    ASSOCIATED DISTURBANCES

    PAST HISTORY

    FAMILY HISTORY

    PERSONAL HISTORY
    BIRTH AND EARLY DEVELOPMENT

    BEHAVIOUR DURING CHILDHOOD

    PHYSICAL ILLNESS DURING CHILDHOOD

    EDUCATIONAL HISTORY

    OCCUPATIONAL HISTORY

    MENSTRUAL HISTORY

    SEXUAL HISTORY
    MARITAL HISTORY

    USE AND ABUSE OF ALCOHOL, TOBACCO AND DRUGS

    PREMORBIND PERSONALITY
    ATTITUDE TOWARDS OTHERS

    ATTITUDE TOWARDS SELF

    MORAL AND RELIGIOUS ATTITUDE

    MOOD

    LIESURE ACTIVITIES

    COPING STYLE

    MENTAL STATUS EXAMINATION


    GENERAL BEHAVIOUR

    PSYCHOMOTOR ACITIVITY

    Talk

    Thought

    Mood

    PERCEPTION

    COGNITIVE FUNCTIONS

    OREINTATION

    MEMORY

    GENERAL INFORMATION

    INTELLIGENCE

    ABSTRACTIBILITY

    JUDGEMENT

    Personal

    Social

    Test
    CASE FORMULATION

    TREATMENT AND FOLLOW UP

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