Wiki Exam ???

[grandmacora]

What can i count for this???? On exam the pt is a very pleasnt male. He is alert and oriented times 3 and very cooperative.
Can i count constitutional and psychiatric?? Thanks

 

[SuzanBerman]

Psych: Pleasant
Neuro: Awake, alert, and oriented x 3

Hope that helps.
Suzan

 

[FTessaBartels]

Psych

In the 1997 guidelines "orientation to time, place and person" is listed under the psychiatric system. Although I know every doctor I speak with says it is a measure of neurological function.

1997 guidelines indicate that "mood and affect" are considered a bullet under psychiatric as well.

F Tessa Bartels, CPC, CEMC