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Two forms of depression occurring in the face of physical illness are
1. Mood disorder Due to the General Medical Condition
2. ???
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These disorders are typically diagnosed when organic dysfunction directly influences the client's feelings, for example a post stroke
Mood disorders
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Who led their country, England, through WWII partly through public speeches, which gave people courage despite the serious threat of defeat by Nazi Germany & the axis powers
Winston Churchill
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Assessment for client's undergoing tx for cancer
- Who are the significant people in your life?
- Do you have friends or family in town?
- Do you belong to a group?
- Can you ask others for help?
- What info would you like for Ca?
- Will it interfere with your goals?
- family functioning?
- How hopeful are you in recovery?
- Most important or powerful thing in life
- Has ca influenced your faith and belief
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How client's report coping with Ca?
- Writing (a letter, journal, poem)
- Obtaining info
- Regaining power
- Talking with others
- Crying
- Laughing
- Using humor (ptractical jokes)-relief
- Taking control of tx
- Regaining power
Hint: Wort Clu(s) t(e) r
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Clients are frequently depressed after a heart attack as they face ...
fear that resuming their preattack personal, vocational, and sexual activities may represent a physical risk of pain breathing difficulty, or even sudden death.
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Arisen the response to the increaesed recognition of the importance of psychophysiological interrelationships and their impact on physical illness, recovery, and wellness is
Psychiatric Consultation-Liaison Nursing (PCLN)
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Two nursing roles in regard to assisting clients wiht physicial illness who have strong emotional reaction are
- Liaison psychiatric nursing
- psychiatic nurse specialist in home care
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A field developed in the 1960s in which psychiatric professionals serve as consultants to health care providers in the general medial settings is
Liaison psychiatric nursing
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%Roles and knowledge of the charateristics of a PCLN in today's practice:
- Consultation to nursing staff and admin
- Education of client care team
- Direct, specialized care to clients and thier families
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What does PCLN stand for?
Psychiatric Consultation-Liaison Nursing
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%Knowledge and expertise of the characteristics of a PCLN in today's practice:
- 1. Expertise in psychiatric problems, normal and abnormal responses to illness, and adaptation responses
- 2. Knowledge of interrelationships between physiological and psychological states
- 3. Knowledge of systems theory and group process, nursing & pschological/psychiatric theories
- 4. Ability to provide liaison between and among disciplines
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All nursing theories call on nurse to view the client...
holistically
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Refer to the those processes by which thoughts, feelings, attitudes, and emotions converted by teh brain into the neurohormonal messenger molecules (Rossi, 1986)
Mind modulation
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