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18 Cards in this Set
- Front
- Back
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What are the 3 stages of Bereavement?
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1. Shock
2. Preoccupation w/ deceased 3. Resolution |
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What are the 2 major components of Shock in bereavement?
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-Emotions (numb, unreality)
-Somatic (crying/abdominal pangs/empty/sighing/throat tight) |
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What types of thoughts in shock associated w/ bereavement?
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-Denial
-Disbelief |
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What are some signs that a patient in bereavement is in the preoccupation with deceased stage?
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-Emotions of GAS (guilt anger and sadness)
-WAIF weak/anorexic/insomnia and fatigued -Dreams/thoughts of the deceased |
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What will be the motivational stage of a person that is in the Preoccupied w/ Deceased stage?
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Anhedonic and Introverted
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What are signs that a patient is in the Resolution stage of bereavement?
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-Thoughts of the past with pleasure
-Regained interest in activities, new relationships |
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What are 4 common medication types used to treat depression?
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-TCA (tricyclics)
-SSRIs (selective serotonin reuptake inhibitors) -Atypicals -MAOIs |
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What are 3 common TCAs?
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-Imipramine
-Amitriptyline -Desipramine |
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What drug type is preferred by managed care?
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TCAs
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What is a downside to using TCAs?
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Compliance issues
-Dry mouth -Sedation -Orthostatic hypotension |
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What can happen in a TCA overdose?
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Cardiac arrythmia
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What are some common SSRIs?
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-Fluoxetine (prozac)
-Sertraline (zoloft) -Paroxetine (Paxil) -Citalopram (Celexa) -Escitalopram (Lexapro) |
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Which SSRI has not been approved for depression?
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Luvox - Fluvoxamine
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What is the disadvantage of SSRIs?
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They poop out so you have to up the dosage or else stop giving it.
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What are Wellbutrin, Zyban, Effexor, Cymbalta, and Xanax?
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Atypicals
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What are Phenelzine, Isocarboxazid, Tranylcypramine, and Selegiline patch?
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MAOIs
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What is the cheapest treatment for depression?
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Lithium
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What are the Five Rs of depression treatment outcome?
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-Response to drugs
-Remission -Relapse -Recovery -Recurrence |
