BUSH FRANCIS CATATONIA SCALE PDF

Enter your email address and we'll send you a link to reset your password. Patients with or without psychiatric history with characteristic symptoms of catatonia e. May be used both for initial diagnosis and to monitor treatment response. The full scale is 23 items, with the first 14 questions comprising the screening instrument Bush-Francis Catatonia Screening Instrument. Many scale items require understanding of traditional psychiatric terminology and how to test them, such as the following:. Echopraxia: the provider will need to perform a dramaticized movement such as scratching their head.

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Enter your email address and we'll send you a link to reset your password. Patients with or without psychiatric history with characteristic symptoms of catatonia e. May be used both for initial diagnosis and to monitor treatment response.

The full scale is 23 items, with the first 14 questions comprising the screening instrument Bush-Francis Catatonia Screening Instrument. Many scale items require understanding of traditional psychiatric terminology and how to test them, such as the following:.

Echopraxia: the provider will need to perform a dramaticized movement such as scratching their head. Catatonia may be hypokinetic or hyperkinetic and occur in psychotic, affective, and general medical conditions. It is commonly underdiagnosed and undertreated. This scale can help identify this syndrome in daily practice, as well as rate the severity of catatonia and monitor response to treatment. Please fill out required fields. An accurate lorazepam trial is given as mg, then response is monitored over three h ours.

Monitor for respiratory depression, sedation, or further impairment in consciousness during medication management of catatonia. This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do. Calc Function Calcs that help predict probability of a disease Diagnosis. Subcategory of 'Diagnosis' designed to be very sensitive Rule Out. Disease is diagnosed: prognosticate to guide treatment Prognosis.

Numerical inputs and outputs Formula. Med treatment and more Treatment. Suggested protocols Algorithm. Disease Select Specialty Select Chief Complaint Select Organ System Select Log In. Email Address. Password Show. Or create a new account it's free. Forgot Password? Sign In Required. To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds.

Log In Create Account. The principal investigators of the study request that you use the official version of the modified score here. Log in to create a list of your favorite calculators! Log in. When to Use. Why Use. Takes roughly five minutes to complete. Many scale items require understanding of traditional psychiatric terminology and how to test them, such as the following: Echopraxia: the provider will need to perform a dramaticized movement such as scratching their head.

Extreme hyperactivity, constant motor unrest that appears non-purposeful; not attributed to akathisia or goal-directed agitation. Excessive motion; intermittent. Constant motion; hyperkinetic without rest periods.

Full-blown catatonic excitement; endless frenzied motor activity. Extreme hypoactivity, immobile, minimally responsive to stimuli. Sits abnormally still; may interact briefly. Virtually no interaction with external world. Stuporous; non-reactive to painful stimuli. Verbally unresponsive to majority of questions; incomprehensible whisper. Speaks No speech. Fixed gaze; little or no visual scanning of environment; decreased blinking. Poor eye contact; repeatedly gazes Gaze held longer than 20 sec; occasionally shifts attention.

Fixed gaze; non-reactive. Spontaneous maintenance of posture s , including mundane e. Repetitive, non-goal-directed motor activity e. Odd, purposeful movements hopping or walking tiptoe, saluting passers-by, or exaggerated caricatures of mundane movements ; abnormality inherent in act itself.

Repetition of phrases or sentences like a scratched record. Frequent; difficult to interrupt. Maintenance of a rigid position despite efforts to be moved; exclude if cog-wheeling or tremor present.

Mild resistance. Severe; cannot be repostured. Waxy flexibility. During reposturing of patient, patient offers initial resistance before allowing themselves to be repositioned, similar to that of a bending candle. Result: Please fill out required fields. Next Steps. Creator Insights. Critical Actions Monitor for respiratory depression, sedation, or further impairment in consciousness during medication management of catatonia.

About the Creator Dr. Andrew Francis. George Bush. Also from MDCalc

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The Detection and Measurement of Catatonia

Catatonia is a complex neuropsychiatric syndrome that occurs with primary psychiatric disorders or secondary to general medical conditions. Catatonia is often neglected when screening and examining psychiatric patients. Undiagnosed catatonia can increase morbidity and mortality, illustrating the need to effectively screen patients for presence of catatonia as well as their response to treatment. There are many barriers to the diagnosis of catatonia that may explain the low rates of diagnosis in modern psychiatry. This article will review the many barriers that exist in the detection, recognition, and diagnosis of catatonia. Various criteria and rating scales have been applied to catatonia. The lack of precise definitions and validity of catatonia has hindered the detection of catatonia, thus delaying diagnosis and appropriate treatment.

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Bush-Francis Catatonia Rating Scale (BFCRS)

For screening, items are marked as absent 0 or present 3. The presence of two or more of the screening items for 24 hours or longer meets the diagnosis for catatonia proposed by Bush et al. For severity, items are rated using a scale of The rating scale is accompanied by a standardised examination procedure consisting of nine steps. Sample procedures are: To assess for Echopraxia, the examiner scratches his head in an exaggerated way. I want to stick a pin in it.

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Prevalence of the catatonic syndrome in an acute inpatient sample

Psychomotor symptomatology in psychiatric illnesses View all 18 Articles. Objective: In this exploratory open label study, we investigated the prevalence of catatonia in an acute psychiatric inpatient population. In addition, differences in symptom presentation of catatonia depending on the underlying psychiatric illness were investigated. A factor analysis was conducted in order to generate six catatonic symptom clusters. Composite scores based on this principal component analysis were calculated. Interestingly, when focusing on the DSM-5 criteria of catatonia, 22 patients Furthermore, different symptom profiles were found, depending on the underlying psychopathology.

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