Personality Disorders
Characteristics of this Disorder:
-Emotional lability
-Impulsivity
-Self destructive behaviors
-Splitting- primary defense or coping mechanism that views people, objects or situations in extreme terms (all good or all bad)
Borderline Personality Disorder
Characteristics of this disorder:
-intense fear of gaining weight
-distorted body image
-restricted calories with low BMI
Anorexia
The main characteristics of this disorder are hyperactivity, impulsivity, and inattention
ADHD
What are the 2 skills of the art of presence
listening
observing
the loss of language ability
aphasia
Characteristics of this disorder:
-Antagonistic behaviors = Deceitful and manipulative for personal gain or hostile if needs are blocked
-Disinhibited behaviors = high risk taking, disregard for responsibility, and impulsivity
Antisocial Personality Diosorder
Characteristics of this disorder:
-recurrent episodes of uncontrollable binging
-compensatory behaviors: laxatives, vomiting
-self image largely influenced by body image
Bulimia Nervosa
Characteristics of this disorder are
-vocal and motor tics
-Vocal-coprolalia-involuntary use of obscene words
-more frequent in males
Tourette's
What are the stages of grief? (5)
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
the loss of purposeful movement in the absence of motor or sensory impairment
apraxia
Characteristics of this Disorder:
-Rigidity
-Inflexible standards of self and others
-Persistence to goals even when it is self-defeating
Obsessive-Compulsive Personality Disorder
Characteristics of this disorder:
-Recurrent episodes of uncontrollable binging without compensatory behaviors
-Binging episodes induce guilt, depression, embarrassment, or disgust
Binge Eating
Characteristics of this disorder:
-Impairment in communication and imaginative activity
-Impairment in social situations-lack of friendships
-Markedly restricted stereotypical patterns of behavior
Autistic Disorder
What is this type of grief
•Distress accompanying bereavement fails to follow normative expectations
•Manifests in functional impairment, which may compromise health
Complicated Grief
the loss of sensory ability to recognize objects
agnosia
Characteristics of this Disorder:
-Self centeredness, low frustration tolerance and excessive emotionality, “drama mama”
-Critical/demands the best
Life Threatening Complications of Eating Disorders
-severe underweight
-dehydration
-dysrhythmias
-vitamin deficiencies
-gastric rupture
Mood Disorders
-Depression
-Dysthymic
-Bipolar
What is this type of grief?
•Grief experience not congruent with a socially recognized and sanctioned relationship
•Examples: Loss of a lover, a pet, a caregiver, or an abortion; loss of a patient for a health care worker
Disenfranchised Grief
4 cardinal features of delirium
1. Acute onset and fluctuating course
2. Reduced ability to direct, focus, shift, and sustain attention
3. Disorganized thinking
4. Disturbance of consciousness
What are some nursing interventions for aggression, manipulation, impulsivity
-establish consequences
-communicate expectations
-refrain from arguing or bargaining with patient
-identify triggers & patterns
-encourage patient to express self productively
2 medications currently used to treat eating disorder (anorexia)
Olanzapine (Zyprexa)- which helps a person gain weight.
Fluoxetine (Prozac)- which can only be used one weight hits 90% of normal
ADHD Medications
Stimulant: Methylphenidate HCL (Ritalin), Adderall, Dextroamphetamine (Dexedrine)
NonStimulant: atomoxetine (Strattera)
can begin at the time of diagnosis and continue throughout the treatment of the illness
optimizes quality of life anticipating, preventing, and treating suffering
palliative care
What are the 5 most common medications to treat dementia?
-Galantamine (Razadyne)
-Donepezil (Aricept)
-Revastigmine (Exelon)
-Memantine (Namenda)
-Donepezil/Memantine (Namzaric)
(P. 445 in book)