Body System Grouping



|Body System Grouping |What to assess? |Questions to ask / Things to look for |Record observations here |

|Signs and Symptoms |Facial Movements |Brief contractions of a large section of the face (i.e. , grimacing or brow | |

|Related to Tardive | |arching) | |

|Dyskinesia | |Brief muscle spasms or contractions of a small section of the face know as “tics.” | |

| | | | |

|Tardive Dyskinesia | | | |

|(is a variable | | | |

|combination of abnormal, | | | |

|involuntary movements | | | |

|associated with the | | | |

|long-term use of | | | |

|antipsychotic agents | | | |

|(psychotropic | | | |

|medications)) | | | |

| | | | |

|Types of TD | | | |

|Persistent TD is when | | | |

|symptoms have been | | | |

|noticeable for at least | | | |

|three months or longer. | | | |

| | | | |

|Masked TD is when the | | | |

|symptoms are masked or | | | |

|covered up by the use of | | | |

|prescribed medication. | | | |

| | | | |

|Withdrawal TD is | | | |

|witnessed during the | | | |

|reduction or | | | |

|discontinuation of | | | |

|antipsychotic medication | | | |

|and the movements | | | |

|dissipate within three | | | |

|months. | | | |

| |Eye Movements |Bursts of rapid blinking | |

| |Mouth Movements |Chewing | |

| | |Lip smacking | |

| | |Puckering | |

| | |Sucking | |

| | |Trusting the lower lip (like pouting) | |

| |Tongue Movements |Quickly thrusting the tongue out of the mouth | |

| | |Placement of the tongue on the inside of the cheek ( so that it looks like a wad of| |

| | |gum) | |

| | |Moving the tongue from side to side inside or outside of the mouth | |

| | |Twisting or snake like movement of the tongue inside or outside of the mouth | |

| | |Tremoring or jerking of the tongue inside or outside of the mouth | |

| | |Hanging the tongue outside of the mouth (like panting) | |

| |Trunk Movements |Contractions of the muscles of the neck that result in the head bending back or to | |

| | |the side | |

| | |Twisting or rolling movements that can affect the shoulder or hips | |

| |Upper Extremity Movements |Rolling and twisting movements of the fingers, wrists or arms | |

| | |Twitching or jerking movements of the fingers, wrists or arms | |

| | |Pill rolling, which is circular movement of the thumb against the fingers | |

| |Lower Extremity Movements |Foot tapping | |

| | |Bending or jerking movements of the toes | |

| | |Circular, back and forth, or up and down movements of the ankle or foot. | |

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