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Somatoform Disorders
Somatoform Disorders OLOL
| Question | Answer |
|---|---|
| _________ _______ are characterized by physical complaints made over several years that can't be explained by pathology or a general medical condition. | Somatoform disorders |
| What is often explained as the transference of mental experiences into bodily sensations? | Somatoform disorders |
| Which patients have highly elaborated self -diagnosis & symptoms that are refactory to reassurance, explanation and standard treatment. | Somatoform disorder patients |
| What is the most important thing to understand about somatoform disorders patients? | These patients really experience the symptoms and they describe and can not voulentarily control them. There is no consious deception. |
| Somatroform disorder pt.s attribute common somatic symptoms to serious _______ _______. | abnormal conditions |
| What are somatoform disorders characterized by? | Physical complaints made over several years that can't be explained by pathology or a genearal medication. |
| Multiple physical symptoms begining by age 30 and extend over several years and inludes combination of pain, GI, sexual, and pseudoneurologic symptoms. | Somatrization disorders |
| unexplained sudden deficiets in sensory motor functions which is preceded by conflicts on other stressors. La Belle indifference is characteristic (lack of affect or concern) | Conversion disorder |
| Unwarrented fear and preoccupation that she/he has a serious disease without pathology . Misrepresents body sensations as medical problems | Hypochondriasis |
| Primary physical symptoms of pain which is unrelieved by analgesics and whose onset, severity, and excerbation is greatly affected by physical factors. | Pain disorder |
| preoccupation with a certain part of your body that you feel isn't normal | Body Dysmorphic disorder |
| intentional production of false or exaggerated symptoms for gain( to avoid work, evade criminal prosecution) | Malingering |
| type of facetious disorder which intentionally produces symptoms to gain attention. May hurt self or others (by proxy) to be a hero or gain attention. | Munchausen's syndrome |
| What is an example of a psychosomatic mind body connection? | Tension headache- manisfestatin of stress rather than a symptom of an underlying medical problem. |
| What are some characteristics of someone with a somatoform disorder? | persons that keep stress, anxiety, or frustration inside rather than expressing it outwardly (internatlization), when under stress symptoms worsen & this helps them meet this phychological needs for security, attention through primary and secondary gain |
| Main benefit a person derives from sick role- blocking of psychological conflict from consious awareness | Primary Gain |
| Benefits a person derives from sick role, receives attention from others ex. back rub, being released from responsibility | Secondary gain |
| What is a patient with a somatoform disorders behavior like? | pt usually gives colorful exaggerated description of physical problems. |
| What are some nursing interventions for handling the behavior of someone with a somatoform disorder? | acknowlege pt's distress, promote a trusting relationship, focus on how the pt. recieves gratification, nutrance, & attention. |
| What would the nurse assess for when assesing the mood and affect of a person with a somatoform disorder? | assess for mood disorder, depression, anxiety, fear. Emotons may be labile, sad when talking about symptoms, happy when talking about outcomes ( going back to the hospital) Observe for conversion disorder ( la belle indifference) |
| What is the thought process like for a somatoform disorder? | usually ordered but when asked about feelings pt discusses their illness. Ex. how do you feel about quiting your job? answer: you know I thought I'd feel better, but my back hurts more. |
| How is the intellectaul and cognitive processing of a pt with somatoform disorders? | usually intact |
| Describe the insight and judgement of a pt. with a somatoform disorder | little or no insight, exaggerated sence of urgency & fear, may want to assess what preceeds exacubations, how emotional needs are met, what are the pts strengths and weaknesses |
| What would the nurse asses in roles and relationships of a pt with a somatoform disorder? | Assess family support, home life (chaotic, unpredictable), how family of origin expresses emotions. |
| What are the physiological concerns of a pt with a somatoform disorder? | often gets little sleep, imparied nutrition, decreased exercise, maybe on pain meds which cause constipation, ect. |
| What is one of the most important things to remember about a pt with a somatoform disorder? | DO NOT DISMISS FUTURE COMPLAINTS! |
| Does a pt with a somatoform disorder have suicidial ideations? | It's rare |
| What are some nursing diagnosis for a pt with a somatoform disorder? | Ineffective Individual coping, Imparied social Interactions, Anxiety, Powerlessness, Altered sleep pattern, Pain |
| What are important nursing interventions for a pt with a somatooform disorder? | encourage verbalization of feelings about his/her life, stressors, & physical symptoms. Acknowlege pt's symptoms, but focus on feelings, mk pt. aware that you are interested in them as a person not just their physical symptoms. |
| If the Pt insist on making complaints the sole topic of conversation what should you do? | Withdraw your attention and tell the pt, your reason for leaving and that you will return later to discuss the topic. |
| How are somatoform disorders treated? | With SSRI and Anti-psychotics |
| What are some other nursing interventions for pts with a somatoform disorder? | eliminate over use of medications for treatment of complaints, disccuss alternative methods of dealing with stress, assist pt in identifying dynamics of complaints including secondary gains. |
| If a pt with somatoform disorders complaint is not acute, what should the nurse do? | Ask the pt to wait until the next day and notify the MD. |
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