Dsm iv tr05

1. DSM IV TR
and nursing diagnosis

2. What is the DSM-IV TR?
The diagnostic and statistical manual of mental
disorders.
Used to diagnose mental disorder
 Created by Healthcare professionals containing
categories of diagnoses with symptoms for each, to aid
in diagnosis and treatment.

3. Comparison with nursing diagnoses
DSM -IV-TR - disease focused
Nursing focused on treatment of human responses
Actual or potential
Individual
Family
Community

4. Multiaxial System
Axis I
Clinical Disorders
Other Conditions that May Be A Focus of Clinical
Attention.
Conditions that do not meet precise diagnostic criteria
are designated "NOS" [Not Otherwise Specified]

5. Multiaxial System
Axis II
Personality Disorders
Mental Retardation

6. Multiaxial System
AXIS III
General Medical Conditions

7. Multiaxial System
Axis IV
Psychosocial and Environmental Problems

8. Multiaxial System
Axis V
Global Assessment of Functioning
codes indicate level of functioning
Range 0 – 100
Low score indicates poorer functioning
High score indicates superior functioning or no symptoms

9. Culture and DSM-IV-TR
Clinical variations for each disorder
Culture-bound syndromes