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somatiform disorders

nur 211 psych nursing

QuestionAnswer
dependency the reliance on others to meet physical and emotional needs
repressed anger unconscious defense mechanism where anger is pushed from consciousness where they remain dormant but operant - causes much anxiety.
secondary gain benefits derived from symptoms alone
assess for secondary gains If you felt well, what would you be able to do that you cannot do now
somatoform disorders no physiological basis, symptoms are ego-systonic
somatoform disorders person very distressed/worried
somatoform disorders exaggerate/ distort body sensations
comorbid other conditions present with primary diagnosis
somatiform disorders comorbid with anxiety, depression
somatization disorder history of many physical complaints before age 30
somatization disorder criterion: 4 pain symptoms, 2 GI symptoms, 1 sexual symptom, 1 psuedoneurologic symptom
undifferentiated somatiform disorder one or more physical complaints focus on SYMPTOM
Hypochondriasis preoccupation with fears of having or the idea that one has a serious disease based on misinterpretation of body symptoms, cliet focus of assumed DISEASE
conversion disorder la belle indifference - they are not bothered or upset by it
conversion disorder one or more symptoms or deficits affecting voluntary motor or sensory fx that suggest a neurological or other general med. condition
conversion disorder symptoms have symbolic meaning
conversion disorder fairly dramatic, suddenly cannot walk or see
pain disorder pain in one or more sites where there is no physiologic basis
Body dysmorphic disorder preoccupation w ith an imagined defect in appearance. slight physical anomaly causes excessive concern.
factitious disorder intentional production or feigning of physical or psychological s &s of illness
factitious disorder intentional, NOT unconscious
factitious disorder formally known as munchausen's syndrome
Munchausen's by proxy making it look like somebody else has an illness so you are the rescuer
malingering intentional production or feigning of physical or phychological s&s for external incentives
Type A driven, quick temper, always under pressure
Type A CAD
compulsive, rigid, passive-aggressive Colitis, headaches
perfectionistic migraines
dependent, sensitive to loss asthma, ulcers
seeks approval, represses rage essential hypertension
psychophysiological disorders psychological factors can affect the course or outcome of a disease
psychophysiological disorders actual physical disease with stress/anxiety playing a significant role in its development
repressed rage CAD essential htn
worry cancer/ immune system
sensitive to stress repiratory/asthma
tension migraine/headaches
stress as contributing factor GI peptic ulcer, ulceritive colitis
Created by: LisaRN2B on 2008-03-07



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