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ch 35 care psych pt

care of pt with psychiatric disorder

neurosis ineffective coping with stress that causes mild interpersonal disorganization
neurosis a person with neurosis redmains oriented to reality but will have some degree of distortion of reality manifested by a strong emototional response to trigger evednt
neurosis a person with neurosis has insight that they might have a psychiatric problem
complained symptoms of neurosis compaints of nervousness or emotional upset, compulsions, obsessiveness, and phobias
a person with neurosis will often exhibit poor self-esteem, and have social redlationship problems that suffer from the complaints noted
treatment for neurosis usually in outpatient facilities
psychosis out of touch with reality and has severe personality deterioration, impaired perception and judgement hallucinations and delusions
psychosis a psychotic person does not recognize the fact that they have a psychiatric illness
treatment for psychosis hospitilization with follow up regularly through an out patient facility
voluntary admission probating
involuntary admission has to be carried out by judge, clinical psychologist, or a physician only if the individual is thought to be a danger to self and others.
multiaxial system classifies mental disorders and outlines various disorders and descriptive references
how many categories of mutliaxial are there five axisI axisII axisIII axisIV axisV
who makes a diagnosis based on stated criteria for each psychiatric disorder the psychiatrist or physician
a holistic assessment useful for comprehensive care is based when all five axes used together
mental disorders organic, thought process disorder, mood disorders, anxiety disorders, personality disorders, psychophysiologic disorders eating disorders
organic mental disorders delerium, dementia identifiable brain disease or dysfunction is the basis of behavior
thought process disorders schizophrenia
mood disorders major depression, bipolar affective disorder
anxiety disorders generalized anxiety disorder, panic, phobias, ocd
personality dosorder addictive personality,dependant personality
eating disorders bulemia, anorexia
dementia an altered mental state secondary to cerebral disease, usually slow and progressive loss of intellectual function that is often irreversible
symptoms of dementia are often severe enough to interfere with adl's
alzheimers disease is diagnosed most often in the elderly and is the most common type of dementia
vascular dementia is the second most common
delirium is a rapid change in consciousness that occurs over a short time occurance is possible at any age
delirium is associated with reduced awareness and attention to surroundings disorganized thinking and sensory misinterpretation and irrelevant speech, sleep patterns are often disturbed
causes of delirium physical illness, such as fever, heart failure, pneumonia,azotemia or malnutrition... drug intoxification and anesthesia are possible too
treatment of delirium if you determine the cause you can correct it
organic affects cognitive or intellectual abilities effects range from mild lapses in memory to severe behavior changes
characterisitc of organic disorientation
nocturnal delirium sundowning
sundowning displays increased disorientation and agitation during the evening or night time
schizophrenia characteristic of thought process disorder bizarre and non-reality based thinking
schizophrenia affects young adulthood, equal in both sexes
how many in population will experience schizophrenia 1%
schizophrenia chronic disorder with residual disability in function
what devastation do the families of schizophrenic people have emotional and financial
what is the largest group of psychiatric disorders schizophrenia
characteristics of schizophrenia gross distortion of reality disturbance of language and communication disorganized or fragmentation of thought perception, emotional reaction, bizarre behavior, impaired communication, delusions inability to relate to others self-care deficit
how long are symptoms of schizophrenia present? 6 months with positive behavior 1month
delusion a false fixed belief that is not possible to correct by feedback and that others in the same cultural context do not accept as true
what are the differnt types of delusions granduer, ideas of reference, persecution, somatic delusions, thought broadcasting, thought insertion, thought withdrawal
granduer delusion belief of being someone with great powers "I am god"
ideas of reference belief that an event has special personal meaning "the lady on tv is telling me to buy the soap
persecution belief that someone is out to harm him or her " they put a transmitter in my tooth to monitor my every word"
somatic delusions false belief pertaining to bodily function or image "i have leprosy"
thought broadcasting belief that others know his or her ideas with out action on his or her part to convey the thoughts "you know all the thoughts i have been having today"
thought insertion belief that ideas are put in his or her mind " janie put these thoughts in my head for her own pleasure"
thought with drawal belief that thoughts are being removed from his or her mind "you have been stealing my thoughts"
what are the stages of schizophrenia prodromal, prepsychotic, acute, and residual
the stage that begins in adolescence and lack of energy or motivation with withdrawal prodromal stage
what are the symptoms of prodromal stage affect becomes blunted, beliefs and ideas become odd the person sometimes developos an excessive interest in philosophy or religion, self care and personal hygiene fall emotional liability is present speech difficult to follow and complaints about multipl
the stage that is quiet passive behavior and prefers to be alone prepsychotic phase
symptoms of prepsychotic phase hallucinations and delusions odd suspicious eccentric behavior patterns are present individual has changed
acute phase loses contact with reality and is unable to function in the most basic ways
symptoms of acute phase of schizophrenia disturbances in thought perception and emotion and behavior
residual phase of schizophrenia a group of symptoms similar to prodromal the remission phase
prognosis for residual phase of schizophrenia prognosis for recovery is poor because of the complexity of the disorder
treatment for schizophrenia psychotherapies to allow self-expression and antipsychotic drug therapy to control the symptoms and a therapeutic relationship maintained over years
hallucination a sensory experience with out a stimulus trigger
what type of hallucination are ecperienced most often auditory hallucinations
disordered thinking occurs when the individual is not able to interpret information being received in the brain
concreteness conversation does not flow logically "whatch the birdie patien looks up to look for bird instead of smiling for camera
negative/absent behavior patterns sometimes present with positive behavior patterns, includes apathy social withdrawal alogia blunted emotional responses and anhedonia
apathy a lack of energy or interest, an acceptance of just sitting and doing nothing
social withdrawal occurs in an attempt to reduce stimuli some are frightened or overwhelmed by experience of trying to communicate
alogia reduced content of speech sometimes as a part of the overload of information that occurs in the conversation
flat affect lack of expressed feelings expressed nonverbally facial expressions or tone of voice
anhedonia the inability to experience happiness or hjoy
Created by: sonjasig
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