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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