Psychiatric Nursing; Childhood,adolescence And Eating Disorders

Front 1

Development through the lifespan

Back 1

-trust vs mistrust(0-18m)
-autonomy vs. shame an doubt(18m-3yrs)
-initiative vs guilt(3-5)
-industry vs inferiority(6-12)
-identitiy vs identity deffusion)
-intamcy vs isolation(18-30yrs)
-generativity vs stagnation (30-65)
integrity vs despair(65+)

Front 2

Mental retardation

Back 2

-IQ of 70 or below
-impaired ability to function adaptively
-onset before 18
-not the same as menal illness
-but can co exist with it
=every child is different

Front 3

Pervasive developmenal diorders

Back 3

-coded on axis2

Front 4

Autism

Back 4

-impaired social interaction and communication
-occurs before age 3
-bizaare behavior
-left hemisphere losses

Front 5

Aspergers Syndrome

Back 5

-generalized, impaired restricted social ability

Front 6

COnduct disorder

Back 6

-< O2 i the fronal cortex when trying to focus-aggresive,estructive acts

Front 7

Oppositianl defiant disorder

Back 7

-pattern of negative, hostile behavior- not highly destructive acts

Front 8

rumination disorder

Back 8

-regurge and re chewing

Front 9

feeding disorder

Back 9

-persisant failure to eat enough

Front 10

tourrettes

Back 10

-distressful
-exasterbated by stress
-minimized when pt is absorbed in something

Front 11

Tourettes tx

Back 11

-atypicals
-behavioral therepy
-self esteem-anxiety reduction

Front 12

communication disorders

Back 12

-expressive language disorder
-mixed receptive/expressive language
-stuuttering
-phonological disorder

Front 13

elimination disorder

Back 13

-may be voluntary or intentiional
-enopresis
-enuresis

Front 14

reactive attachement disorder

Back 14

- failure in parental connection

Front 15

stereotypical movement disorder

Back 15

-non functional repeitive motor behavior

Front 16

selective mutism

Back 16

-selecive ability to speak. Interferes with ability to learn and function

Front 17

Psychosis

Back 17

-schizo can occur as youg as 5-8 yrs
-watch for adult s/s as well as severe anxiety, odd ways of speack, absense of freiends
-much caution with anti pshycotics

Front 18

-depression

Back 18

-primary(endognous)
-secondary (exogenous)
-major symptoms:anhedonia, apathy, anger
-much cauuin with meds

Front 19

Scuicidality

Back 19

-3rd leading cause of death fo adolecnets
asses:
-change in personal habits
-change in school behavior or perfomace
-behavioral changes

Front 20

adjustment disorder

Back 20

-stronger, longer lasting greif reaction
-emotional response to a stressor

Front 21

Nursing interventios

Back 21

-exercise
-keep pts informed
-developmental needs

Front 22

ANorexia
Criteria

Back 22

-refusal to maintain body weight over a minimum normal weight for age and height
-intense fear of gaining weight or becoming fat even though under weight
-disturbance in the way ones body weight shape or sixe is experienced
-in females; absense of at least 3 consecutive menstraul cycle
-either restricitive or bing eating/purgining type

Front 23

anorexia symptoms

Back 23

-low nergey
-hunger/ful confusion
-hyoptnsion
-constipation
-hypothermia
-lanugo
-dry skin
-pitting edema

Front 24

Anorexia
Biologcal theories

Back 24

-hypothalmus(regulates eating/sexual function)
-serotonin and neuroephinephrine (decreased in anorexia
-neuro hormones related to stress

Front 25

Anorexia
Psychodynamic theories

Back 25

-freud: appetite = labido
-fear of losing cotrol
-phobia of weigt
-fear of growing up
-secondary gain;dependency needs met

Front 26

Aorexia
nursing intervention

Back 26

-aimed at increasing self esteem
-increasing weight to at least 90%
-helping the pt re establish appropriate eating behavior

Front 27

Bulemia
criteria

Back 27

-recurrent epsodes of binge eating
-a feeling of lack of control over eating behavior
-aimed at preventing weight gain,such as making self vomit, using laxitives or diuretics, fasting
-persistant over concern with body shape and weight
-either purging or non purging type

Front 28

Binge

Back 28

-ther person considers the quanitiy of food to be excessive
-the eatingiis subjectively experienced as involuntar

Front 29

Bulemia
biological theorires

Back 29

-hypothalmic dysfunction
-carb craving d/ metabolic loop disturbance
-neurochemical changes of major depression
-

Front 30

Bulemia
psychodynamic theory

Back 30

-ambivilance vs worthiness
-rebellion against demands fo perfection-fear of intamcy

Front 31

bulemia
biopsychosocial theory

Back 31

-social, cultural,, psychodynamic forces
-eating to reduce anxiety
-psychologucal and physiological cycling