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Somatoform Disorders
psych nursing
| Question | Answer |
|---|---|
| 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) |
| summary | |
| 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
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