Concept Map - Psychobiologic Disorders

,.. . ...Concept Мар СН 20: Somatic Symptom & Related Disorders ...- --. SDMATI[ SYMPTDM DISDRDER Psycho1ogical strcss through physical manifestations. Can not Ье explained Ьу pathology. Clients diagnose with this disorder spend а significant amount of their time worrying about physical thшgs where 1t consume the1r ble Anx1ety and 1 L_ PSПHDLDБl[AL FA[TDRS ILLNESS ANXIEТY Misinterprets physical manifestation as evidence of serious disease process. Hypochondriasis, obsessive fear about illness. Client who research the illness Ьу themselves and sше themselves rough scarching obscssively [ [DNVERSIDN DISDRDER 1 �ven link between а clients psy;;��gical statc and thcir physica1 condition. Heart disease and cancer J iinked to cl1ents who have depress1ve and anx1ety d1sorders 1 - г--;::ologic disorder, transmit . ·;;·otюnal or psychological stressors into physical manifestation .Сап cause extreme anxiety and distress or lack of otion. Deficits in vo1untary motor or sensory L: т 1 г т 1 т1 т 1 ASSESSMENТ ASSESSMENТ RISK FACТORS • relative with disorder, decrease leve1 of serotonin and endophins, depressive, personality disorder, and anxiety, childhood trauma/neglect. ЕХРЕСТЕD FINDJNG • disrupt clients daily life. Present for 1onger than 6 months. Over medication of analgesic and antianxiety. LABORA TORY/DIAGNOSTIC TEST • СТ, MRI- rule out underlying pathology • Paticnt Hca1th Questionnairc 15commonly reported somatic manifestations RISK FACТORS • relative who has illness such as anxiety disorder, feeling of losses or disappointment. Childhood trauma, abuse, or ncglcct, major life strcssor, and low self esteem ЕХРЕСТЕD FINDINGS • Anxiety prescnts morc than 6 months, prcoccupation with pcrformance. • Health seeking type- frequently seeking medical care and diagnostic test. • Саге avoidance- avoids all medical treatment and carc. LABORATORY/DIAGNOSТIC TEST • СТ scan & MR!s PAТIENJ--CENTEREP CAR E NURSJNG CARE • Assess for SJ or thought of self harm • Limit time allowed to discuss somatic manifestation • Encourage patient to verbalize feeling and exerciseoften MEDICATIONS • Ana1gesic, antidepressant, anxiolytics PATIENТ-CENTERED CARE NURSING CARE • build rapport & trust w/ clicnt • encourage independence L_ ASSESSMENТ RISK FACTORS • First dcgree relative with Disordcr. • childhood physical or sexua) abuse. • Comorbld conditions such as depressive, anxiety, PТSD, personality disorder RISK FACTORS • chronic stressors, malfunction of neurotransmitters ЕХРЕСТЕD FINDINGS • confirm medical diagnosis ЕХРЕСТЕD flNDINGS • Alteration of voluntary motor or sensory function. t"or examples pseudocyesis LAВORATORY/DIAGNOSTIC TEST • СТ scan & MR!s ЕХРЕ • Rc) pS) • ст LАВО LABORATORY /DIAGNOSTIC TEST • СТ scan & MR!s PAUENТ-CENТERED CARE NURSING CARE • Assess for S!, thoughts of sclf harm. • Allow the client time to express their fcelings. • Educate client on assertive techniques. • Administered pгescгibed 1 _J Гr PAТIENТ-CENТERED CARE NURSING CARE • Build rapport, encourage vcrbalization, educate on coping mechanism, and stгess management • Understand гemission l�E D��ATIONS " depressant and anxiolytics L MEDICATIONS • Antidepressant & anxiolytics REAТТRIBUTION TREATMENТ • Work with provider, identify link between physical manifestation and psychological factors while promoting а sense of caring & understanding. FOUR ST AGES: • Stage 1-Feeling understood- therapeutic communication, active listening, and empathy • Stage 2-Broadening the agenda- acknowledgment of the clients concern and provide feed back • Stage З- making the link- acknow1edge lack of physical cause for the manifestation • Stage 4- negotiating further treatment- work with provider to develop treatment plan. RISK • Ьо, De1 ho, ' -�)'"' : �' � • .:.. -· ·- ; . jiw. -;., . • ,.,, - _,;! ,! NU •] 1 l