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NSG221 Module 8 - Section notes
Mental Health Nursing (NSG221)
Herzing University
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NSG221.08.01 Introduce Somatic Symptom Illness and Identify Related Disorders Conversation disorder sometimes called conversion reaction, involves unexplained, usually sudden deficits in sensory or motor function (e., blindness, paralysis). Illness anxiety disorder is preoccupation with the fear that one has a serious disease (disease conviction) or will get a serious disease (disease phobia) Fabricated or induced illness people feign or intentionally produce symptoms for some purpose or gain. Pain disorder has the primary physical symptom of pain, which is generally unrelieved by analgesics and greatly affected by psychological factors in terms of onset, severity, exacerbation, and maintenance. hysteria multiple physical complaints with no organic basis; the complaints are usually described dramatically. somatization the transference of mental experiences and states into bodily symptoms. psychosomatic convey the connection between the mind (psyche) and the body (soma) in states of health and illness. hypochondriasis is preoccupation with the fear that one has a serious disease, or will get a serious disease. la belle indifference a seeming lack of concern or distress, about the functional loss. Munchausen syndrome by proxy occurs when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a “hero” for saving the victim. Munchausen syndrome common term for factitious disorder imposed on self malingering
the intentional production of false or grossly exaggerated physical or psychological symptoms; it is motivated by external incentives such as avoiding work, evading criminal prosecution, obtaining financial compensation, or obtaining drugs. Medically unexplained symptoms physical symptoms and limitations of function that has no medical diagnoses to explain their existence Factitious disorder, imposed on self occurs when a person intentionally produces or feigns physical or psychological symptoms solely to gain attention.
NSG221.08.01 Examine Onset, Clinical Course, and Etiology of Somatic Symptom Illness Internalization is what psychosocial theorists believe that people with somatic symptom illnesses keep stress, anxiety, or frustration inside rather than expressing them outwardly. Treatment focuses on managing symptoms and improving quality of life. The health care provider must show empathy and sensitivity to the client’s physical complaints
NSG221.08.01 Identify Key Nursing Diagnoses and Interventions treatment outcomes for clients with a somatic symptom illness: The client will identify the relationship between stress and physical symptoms. The client will demonstrate alternative ways to deal with stress, anxiety, and other feelings. The client will verbally express emotional feelings. Nursing diagnoses commonly used when working with clients who somatize include: Ineffective coping Ineffective denial Impaired social interaction Anxiety Disturbed sleep pattern Fatigue Pain
Involves conditioned arousal associated with the thought of sleep (i., the bed, the bedroom). Inadequate sleep hygiene Engaging in behaviors not conducive to sleep or interfering directly with sleep. Included are consuming caffeine or nicotine before bed time, excessive emotional or physical stimulation just prior to bedtime, daytime naps, and wide variations of daily sleep–wake routines.
NSG221.08.02 Discuss and Describe Sleep Hygiene Measure Sleep Hygiene Measures
Establish a regular schedule for going to bed and arising. Avoid sleep deprivation, and the desire to “catch up” by excessive sleeping. Do not eat large meals before bedtime; however, a light snack is permissible, even helpful. Avoid daytime naps, unless necessitated by advanced age or physical condition. Exercise daily, particularly in the late afternoon or early evening, as exercise before retiring may interfere with sleep. Minimize or eliminate caffeine and nicotine ingestion. Do not look at the clock while lying in bed. Keep the temperature in the bedroom slightly cool. Do not drink alcohol in an attempt to sleep; it will worsen sleep disturbances and produce poor-quality sleep. Do not use the bed for reading, working, watching television, and so forth. If you are worried about something, try writing it down on paper and assigning a designated time to deal with it—then, let it go. Soft music, relaxation tapes, or “white noise” may be helpful; experiment with different methods to find those that are beneficial for you.
NSG221.08.02 Medications to Aid in Sleep & Rest Ambien Lunesta Sonata Rozerem Hetlioz
6 (females) PO at bedtime 2mg PO at bedtime 10mg PO at bedtime 8mg PO at bedtime 20mg PO at bedtime Nonbenzodiazepine sedative–hypnotics Produce sleep Diazepam Has a long half-life (20–100 hours) if the contribution from metabolites is included Kava Adverse effects include impaired thinking, judgment, motor reflexes, and vision Melatonin Influences sleep–wake cycles; it is released during sleep, and serum levels are very low during waking hours. Valerian Is a perennial flowering plant, and the root has been used for centuries as a treatment for anxiety and insomnia.
NSG221 Module 8 - Section notes
Course: Mental Health Nursing (NSG221)
University: Herzing University
