Nursing 387 part 2

• author "Hanna "
• tags "Mental health"
• description ""
• fileName "Nursing 387"
• freezingBlueDBID -1.0
• What are somatoform disorder?
• A group of disorders in which physical symptoms suggests a physical disorder with no baseline base.

• Psychobiological factors
• Mind body interactions

Malingering or factitious disorders ( munchausens)

The expression of psychological stress through physical symptoms.

Complainta of physical sympotoms that can not be expalined by physiological test

Psychological factors and conflicts seem important in initiating, exacebrating, and maintain ing the disturbance.

Sympotoms not intentionally produced

Inablity to control sympotoms voluntary

• History of many physical sympotoms
• Four pain symptoms
• 2 GI sympotoms ( dygestive system)
• 1 sexual dysfunction ( reproductive system)
• 1 pseudoneurological sympotoms ( neurological symptoms)

• A. One or more sympotoms suggests of a neurological disorder
• B. Cannot be expalined by a know neurological or medical disorder
• C. Stress and exacerbation assosciated onset of sympotoms
• D. Moror symptoms: sensory defixot, seizure/convulsion

• A. Pain in one or more site is predominantly focused
• B. It causes distress or disruption in social, occupational, orother functioning
• Psycological factors have significant roles.

• A. Preoccupation with fear and idea of having a seriouse illness
• B. Misinterpretation of bodily symptoms.
• C. Not of delusional intensity
• D.Cause distress and disruption in functioning
• E. At least 6months

• Preoccupation with imganery defect in apperance
• Cause distress and disruption in functioning

• Substance abuse
• Economic dependency
• Social isolation
• Extensive stress in the family
• Pregnancy

• Neurological problem
• Social learning or role modeling
• Influence of media

Change, easily altered. Switching from one topic to another

Sad, angry, constricted, flat, blunted, labile, overly reactive

Depressed, irratable, anxious, angry, expabsive, euphoric ( intense

• depressive mood or a loss of interest or pleasure nearly all active
• Lasts at least 2weeks
• Impares social/ occupational functioning.

• 4 of the following
• -Disruption of appetite
• -Sleep disturbance
• -Disruption in concentrateion
• -Fatigue or loss of energy
• -Psychomotor agitation or retardation
• -Excessive guilt or feeling of worthlessness
• -Reoccurring thoughts of death or sucide

• Less sever form of depression but individual feels it all the time and most of the time
• For 2 years

4 to 9 months

• 1. MAOI
• 2. SSRI
• 3.Tryclics
• 4. Atypical/Novel

3 to 6 weeks

• Decrease the breakdown of serotonin, epinephrine, and norepinephrine, thereby increasing their concentrations.
• Not often prescribed because of dietary and OTc medication resriction.

Only persribed for treatment of resistant depreasion

Phebelzine, tranylcypromine

Chocolates and coffee

Cheese ( except cream or cottages), smoked, dried, pickled, cured, or presereved meat and fish, caviar, beans, avocado, yeast extract including beer containg yeast

TCA, prozac, denoral, amphetamine. Pain medications except Ibuprofen, aspirin, acetaminophen

• Headace, drowsiness, dry mouth and throat, blurred vision, weight loss, postutal hypotension, nausea, agitation, dizziness, constipation
• Hypertensive crisis
• Sudden, severe pounding Headace
• Raising pulse
• Flusing
• Stiff neck
• Chest pain
• Nausea and vomitting

Amitriptyline, doxepin, clomipramine

Sedation, drowsiness, tachycardia,prolonged Oat, ortiostatic hypotension, weight gain, memory disruption

Lethal

Fluoxetine ( prosac) , sertraline, fluvoxamine (Zoloft), paroxetine, citalompram, escitalopam

Prevents the reuptake of serotonin in the synaptic cleft (leaving more seritonin avaliable at the receptor sites)

• Efexor (venlafaxine)
• Buproprion