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Somatoform Disorders

psych nursing

Somatoform dirsorders definition physical symptoms w/out medical cause. ****The physical symptom is connected to a pshycological conflict
Psychoanalitic theory believes that _____ lead to innefective personality development. poor coping mechanism (deny, repress, or redirect anxiety)
Biologic theory genetic predisposition
Dx r/o no physical organic cause present. THe symptoms will determine the dx.
5 types 1. conversion 2. Hypochondrias 3. Dysmorphic disorders, 4. somatoform pain disorder 5. somatization disorder
Conversion defense mechanism : convert amxiety into physical symptom. Usualy paralyses or blindness
onset for the convertion type adolescents and early adulthood
in ther conversion type Denial is common. Why? b/c symptoms allow the person to avoid what causes anxiety
primary gain reliefe anxiety
secondary gain feed from the support during the "sickness" (Sympathy, love, fincial benfits)
malingering pretending to be sick for your own profitable gain. "faking"
munch housing by proxy making someone else sick to profit from it
2 type hypocondriacs
Hypochondriacs are also called "professional patients" b/c .... of the beleif and fear of becoming seriously ill. Constant preocupation that they are or will become serously ill and won't be able to get help. they are NOT faking
difference between Hypochondriac and conversion disorder pts. conversion disorder = preocupied w/ symptoms. Hypochondriacs = preocupied w/ getting a serious dz
conversion focus on a symptom
hypocondriacs focus on the dz
3rd type Body dismorphic disorder (onset <30, usually teens)
what type of surgeries do these pts usually get? cosmetic surgeries (usually facial)
4th type
Symptoms seen in somatization disorders free-floating anxiety, emotional turmoil that manisfest as physical symptom ,pain that changes location, suicidal thoughts, depression
Why do these pt have unnecesary surgeies? to remove the possible "cause" of the illness
5th type: Somatoform pain disorder more women more than men (hormonal)
incoherence between stated pain and ... physical condition. (ex: may have an scruciating pain to a paper cut)
psychalgia emotional pain that manifests as physical pain pain DOES NOT change location
S/S psychalgia, pain not consistent w/ neuropaths, pain doesn't change location.
what is different about the pain in somatoform pain disorder and somatization disorder? somatization = pain changes location. In this one pain DOESN'T change location
tx for somatoform disorders hypnosis relaxation tecq, find underlying cause (stressor), stress managment, behavior modification
be careful w/ meds for these pts. Why? these pts are already medicating themselves
DOC classification of Rx for somatoform disorders? SSRI's
nrsg management 1. honest communication that doesn't promisse cure and states the inability to find a life-threatening illness r/t to the pain expirienced. 2. therapy ( keep clients focus on other things). 3. support (pay attention to person but don't reinforce symptoms)
conversion disorder S/S paralysis and blindness/ primary and secondary pain
nrsg intervention for conversion disorder therapeutic communication / OT and PT / emotionla support
Hypochondriasis S/S professional pt / fear of becomming ill / preocupied with being sick and not being helped
nrsg intervention for Hypochondriasis don't reinforce symptoms / be nonjudgemental
body dysmorphic disorder onset teens / preocupied with facil appearance or defect / OCD behaviors
nrsg interventions for body dysmorphic disorder matter-of-fact intake of info / report all findings to MD
somatization disorder S/S around 30 / 13 symptoms present out of 35 / free-floating anxiety/ emotional turmoil in physical symptoms / pain that changes location / depression and suicidal thoughts
nrsg intervention for somatization disorder tx symptoms / assess underlying cx / maintain effective communication
somatoform pain disorder S/S women/ teens/ psychalgia/ pain not consistent with findings / pain location unchanged
nrsg intervention for soatoform pain disorder make sure pt knows there is no life-threatening condition and that staff will do their best to help pt.
All body related symptoms in SOMATOFORM DISORDERS are a result of ... deeply rooted ANXIETY
the defense mechanisms used in SOMATOFORM DISORFDERS are conversion and denial
what classification of drugs are given to these pts? antienxiety and antidepressants
meds are usually given w/ ..... caution (pts usually overmedicated)
drug names Elavil, Welbutrin, Sinequan, Prozac (fluoxetin), Paxil, Zoloft (Sertraline), Desyrel
Created by: luwetherrbee