Internship Report Writing

1. Introduction to the Organization :

In Bangalore, Spandana Hospital Pvt Ltd, Mysore Road,
Bangalore is a well known name in health care.
They are one of the recognized Hospitals with a vision to offer
the best in class patient care and are
equipped with technologically advanced healthcare facilities,
they are one of the emerging names in
the hospitals in Bangalore. Located at No.1/1, Near Bhel,
Panthara Palya, Mysore Road, Bangalore - 560039,
this hospital is easily accessible by various means of transport.
A team of well-disciplined, well-trained medical staff,
non-medical staff and experienced clinical technicians work
round-the-clock to offer various healthcare services.
Their professional behaviour and services differentiate them
and make them a sought after Hospitals in Bangalore.
They have a great team of doctors and specialists who are
equipped with the knowledge and expertise to handle
various types of medical cases.

care services forpatients suffering from complex psychiatric

disorders such as-Depression, Psychotic disorders,
Personality disorders, Substance misuse/abuse disorders,
Geriatric disorders, Co-morbid medical and psychiatric
problems,
pen-natal and post-natal care for women and also those
patients with mild to moderate learning difficulties having
 complex needs including challenging behaviour and mental
health problems, individuals with special needs, sensory
impairments and adults with Autism Spectrum Disorders.

CASE HISTORY
Number 1 `
Name : R
Age : 63 years
Sex : Male
Address: Banashankari 2nd Stage
Father : Anantha
Mother : Shantamma
Education : 10th fail
Occupation : Painter
Marital status : Unnmarried
Religon : Hindu
Since : 15 year
Income : nill
Informant
Primary : self paint
Secondary : shaking hands while talking
Chief complaint : he has the problem of hanging himself when
was felling depressed, body pain, when he is tensed he was
about to commit suicide
History of present illness:
Duration : 15 year
Mode of onset: acute, suicidal patient self suicide
Premodbid personality
Hobbies : singing, playing with ball
 Good relation with friends
 Self wariness- ware about his illness
 He informed that his IQ level is 30%(below average)
 He had mental retardation since birth, doctor had advised
him not to get married
 He likes to do walking and yoga
Mental retardation is present in about 2 to 3 percent of the
population. It can be defined as cognitive ability that is
markedly below average level and a decreased ability to adapt
to one's environment. The onset of the condition occurs during
the developmental period, i.e., gestation through age 18 years.
Categories of mental retardation
Mild Mental Retardation
Approximately 85 percent of the mentally retarded population
is in the mildly retarded category. Their IQ score ranges from 50
to 75 and they can often acquire academic skills up to the sixth
grade level. They can become fairly self-sufficient and in some
cases live independently, with community and social support.
Moderate Mental Retardation
About 10 percent of the mentally retarded population is
considered moderately retarded. Moderately retarded
individuals have IQ scores ranging from 35 to 55. They can carry
out work and self-care tasks with moderate supervision. They
typically acquire communication skills in childhood and are able
to live and function successfully within the community in a
supervised environment such as a group home.
Severe Mental Retardation
About 3 to 4 percent of the mentally retarded population is
severely retarded. Severely retarded individuals have IQ scores
of 20 to 40. They may master very basic self-care skills and
some communication skills. Many severely retarded individuals
are able to live in a group home.
Profound Mental Retardation
Only 1 to 2 percent of the mentally retarded population is
classified as profoundly retarded. Profoundly retarded
individuals have IQ scores under 20 to 25. They may be able to
develop basic self-care and communication skills with
appropriate support and training. Their retardation is often
caused by an accompanying neurological disorder. The
profoundly retarded need a high level of structure and
supervision

Causes of Mental Retardation

Prenatal causes (causes before birth)

 Chromosomal Disorders: Down’s syndrome, fragile X

syndrome, prader wili syndrome, klinfelter’s syndrome

 Single Gene Disorders: Inborn errors of metabolism like

galactosemia, phenyl ketonuria, hypothyroidism, muco

polysaccaridoses, tay sachs disease
 Neuro Cutaneous Syndromes: Tuberous sclerosis,

neurofibromatosis
 Dysmorphic Syndromes: Laurence Moon Biedl syndrome

 Brain Malformations: Microcephaly, hydrocephalus, myelo

meningocele
Abnormal maternal environmental influences
 Deficiencies: Iodine deficiency and folic acid deficiency,

severe malnutrition
 Substance use: Alcohol, nicotine, cocaine

 Exposure to harmful chemicals: Pollutants, heavy metals,

harmful drugs like thalidomide, phenytoin, warfarin

sodium etc.
  Maternal infections: Rubella, toxoplasmosis,
cytomegalovirus infection, syphilis, HIV
 Exposure to: Radiation and Rh incompatibility

 Complications of Pregnancy: Pregnancy induced

hypertension, ante partum hemorrhage, placental

dysfunction
 Maternal Disease: Diabetes, heart and kidney disease

During delivery
Difficult and /or complicated delivery, severe prematurity, very
low birth weight, birth asphyxia, birth trauma
 Neonatal period: Septicemia, jaundice, hypoglycemia,

neonatal convulsions
 Infancy and childhood: Brain infections like tuberculosis,

Japanese encephalitis, bacterial meningitis, Head trauma,

chronic lead exposure, severe and prolonged malnutrition,
gross under stimulation