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【正文】 esions ? Demographics and culture: Age (60), education (9th grade), limited cultural experiences, and low socioeconomic status limit usefulness ? Screening questionnaires are less sensitive to cognitive impairments Do you have to be a DC amp。 a Psychiatrist/Psychologist? ? No. It is not realistic to expect that you evaluate a patient to the same level of a psychiatrist or a psychologist ? But, a large part of a person’s overall health is his or her mental health ? As subluxations may be caused by “thoughts”, a person’s mental status should be important to you Documentation of Mental Status ? Documentation of the patient’s mental status is not remarkably different than the documentation for the history exam or physical exam ? Include it in the Neurology section of your narrative history Example of normal: “The patient is alert and oriented x 3. Correct registration of 3 objects was noted. Attention and calculation are appropriate with serial 7 counting. Short term memory is intact. Language skills are demonstrated without evidence of agnosia, aphasia or apraxia.” Example of abnormal: ? “The patient is alert and oriented to person and time, but is unable to identify the location, believing she is in her childhood home in Omaha. Correct registration of 3 objects is noted. The patient’s attention and calculation are deficient, with the patient correctly counting backwards from 100 by 7s to 86. The patient correctly repeats the names of objects, without evidence of agnosia or aphasia. The patient is unable, however, to plete mands or purposeful actions and demonstrates difficulty pleting written or verbal mands. Apraxia is suspected. The MMSE and CPT ? The MMSE is considered a ponent of the neurological portion of the Eamp。M。 therefore, no separate CPT code is entered
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