What questions should be asked during the exam for tardive dyskinesia (TD)?

Updated: Oct 17, 2018
  • Author: James Robert Brasic, MD, MPH; Chief Editor: Selim R Benbadis, MD  more...
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Answer

In each patient position, inquire about the presence of a sensation of inner restlessness and an urge to move. After the patient has maintained the designated position for a full minute, ask, “Do you feel restless inside? Do you have the urge to move? Are you able to keep your feet still?” If the patient responds that these sensations are present, ask him or her to quantify the magnitude of the urge to move as mild, moderate, or severe. [47, 48, 49]

In addition, ask if the urge to move is distressing. If the patient is experiencing distress, ask him or her to quantify the feeling as mild, moderate, or severe. For clinical assessments, the patient may be assessed in the sitting and standing positions only; assessment in the lying position may be omitted. Score the evaluation at the conclusion of the assessment session. [47, 49] Perform this assessment at the initial evaluation and then regularly throughout the course of treatment to determine beneficial and adverse effects. [47, 49]


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