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19 Cards in this Set
- Front
- Back
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What are the characteristics of somatoform disorders?
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-Physical disorder with no medical explanation
- More common in females - Usually first noticed in adolescence - defense mechanism -primary gains- physical symptoms take place of emotional pain -secondary gains- getting attention |
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DEF
Factitious disorder |
pt deliberately makes up symtpoms
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Malingering |
Pt consciously creates or exaggerates false symptoms to avoid responsibilities
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What factors indicate somatization disorder?
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Onset before age 30 and pt has at least of the following:
- Pain symptoms (4 or more different sites) - GI symptoms (2 or more) - Sexual symptoms (at least 1 or more) ie erection or ejaculating dysfunction, excessive menstrual bleeding or vomiting during pregnancy - Pseudo-neurologic symptoms (at least 1) ie impaired balance/coordination, weak muscles, trouble swallowing, loss of voice, etc |
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What are the characteristics of undifferentiated somatoform disorder?
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-Pt has at least 1 physical complaint that last at least 6 mo
- does not meet criteria for other somatoform disorders - common complaints: fatigue, loss of appetite, GI disorder,urinary symptoms |
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Characteristics of Conversion disorder
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-loss of voluntary motor or sensory functioning related to psychological need
-Symptoms occur after traumatic event - Lack of affect when describing physical limitation (La Belle indifference) |
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Characteristics of hypochodriasis?
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-pt overreacts to physical signs and symptoms
- Unrealistic fears; preoccupation with having a serious medical condition -causes significant distress or impairment in functioning -symptoms last at least 6months |
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Characteristics of pain disorder?
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-Inexplicable physical pain
-frequent visits to healthcare facility -pt tends to abuse substances due to pain |
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Characteristics of body dysmorphic disorder
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-preoccupation with imagined defect in appearance or excessive obsession with slight physical anomaly
- Preoccupation causes significant distress or impairment in functioning |
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What is the nursing process assessment for somatoform disorders?
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-pt is always in crisis (excessive worry, restlessness,etc)
-Problem interferes with mood and affect -Pt very knowledgeable of illness -review all systems -elicit info regarding present/past medical history - Sleep and appetite -How have symptoms affected home life? |
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Characteristics of dissociative disorders
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-Altering self-awareness in an effort to escape an upsetting event or feeling
-Fragmented memory and extreme affective reactions -Thought to be a result from external trauma (strongly related to childhood abuse) |
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Depersonalization disorder |
pt feels detached from thoughts or body
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Dissociative amnesia |
loss of memory, not organic
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Dissociative fugue |
sudden travel away from home and ability to remember the past
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Dissociative identity disorder (DID) |
2 or more personalities (alters); each alter has own traits, behavior patterns, memories, etc
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Co-occurring diagnoses w/dissociative disorders |
addictive behaviors
eating disorders anxiety depression |
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What will be assessed w/dissociative disorders?
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- marked changes in hairstyle, handwriting, or voice
-finding self in locations with inability to recall how they got there - notes/artwork with no recollection of completing - memory gaps, frequently accused of lying -feeling outside of body -rapid change of mood/thought process in same interview |
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What are the goalsand outcomes of dissociative disorders?
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Goal: Control symptoms and stress; will require extensive therapy. Integration of all alters
Outcomes: decrease episodes of dissociations |
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What is the treatment of dissociative disorders?
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-refrain from self-mutilation; pt learns to control symptoms and distress
- Individual therapy may require hypnosis - Medication: anxiolytics, SSRIs for symptom management - Art therapy- allow pt to express self -Milieu management -Family education -Teach adaptive coping measures to prevent harm to self |
