![]() Ataxia, Nystagmus/Ophthalmoplegia/Dysarthria/Peripheral neuropathy. Also look out for neurological signs, i.e. ![]() Look for signs of withdrawal (tremor at rest/ tachycardia/ pallor/ perspiration.Do they use any psychoactive substances?.diurnal variation, sleep pattern, appetite, libido, lack of energy? ![]() Are there any biological symptoms, e.g.Are they currently experiencing any pain?.Has there been a comprehensive physical health assessment?.Has the patient stopped looking after themselves recently? Do they need help/prompting with personal hygiene?.Brisk/slow/hesitant/propulsive/shuffling/ataxic/uncoordinated?.Is their posture closed, slouched or open? Is there any sign of postural instability?.Cannabis leaf on the T-Shirt / Alcohol branding on clothing etc.). Do their clothes have any emblems or logo’s which may indicate substance misuse? (E.g.Are their clothes clean and in wearable condition?.Did they choose clothes that reflect their mood? (Bright/dark/dull). ![]()
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