Assessment
What would a patients mood be like under the umbrella of somatic symptom illness?
would be extremely sad, hopeless, helpless, scared, angry (because nobody can figure out what’s going on).
The number 1 cause of somatic symptom illness is? Name 2 and 3 as well.
The number one cause of somatic symptom illness is family stress, the next is dependency, and the next is interpretation of stimuli.
Attention received from being in a sick role
What is secondary gain?
What is something as a nurse we do not want to promote with somatic symptom illness umbrella?
Not to promote secondary gain. You want to reinforce the behavior of the pt not calling out in pain, so go in there when they are not calling out in pain.
What would a patients communication be like under the umbrella of somatic symptom illness?
ruminating thoughts, constantly focused on their symptoms. To the point to where when someone asks them a question it’s all they talk about.
mind & body connection
Psychosomatic
Pain in one or more sites, that is of predominant focus, disrupts social/occupational functioning, not intentionally feigned, pain is not accounted for by other medical illness disorders.
What is pain disorder?
What pharmacological interventions are used with somatic symptom illnesses? What will you not use?
-NSAIDS, -Hold/cold therapy, -Physical therapy but NO NARCOTICS
What would a patients physical symptoms be like under the umbrella of somatic symptom illness?
They are going to say “I’m in pain and it’s a 8-9/10” you may see HR elevated and SOB.
transferring mental and unexpressed emotions as physical symptoms
Somatization
What are the three disorders under somatic symptom illness umbrella?
-Pain disorder, -Conversion disorder, -Somatic symptom disorder
Name the nursing interventions you would do for these clients and name some alternative positive coping skills.
Interventions: -Encourage journaling, -Talking to the family, -Promoting independence, -Encouraging verbalization of feelings in a non-threatening environment, -Reinforce good behavior, -Tell them they HAVE to go to group no secondary gain, -Alleviate & minimize physical symptom's. Alternative: -deep breathing, -guided imagery, -go plant a garden
What would a patients sociality be like under the umbrella of somatic symptom illness?
They aren’t going to work. Maybe out on FMLA, may have quit their jobs, aren’t focused on their roles in life. Not doing the things they love to do.
Does somatic symptom illness happen concisely or unconsciously?
This happens unconsciously the person is unaware that it is happening.
A history of physical complaints beginning before 30 (no physical cause), significant impairment, history of 4 different pain sites, history of 2 GI symptoms, one sexual symptom (menstruation or erectile dysfunction), symptoms cannot be explained.
What is somatic symptom disorder?
What is the 1st thing the patient needs to understand before getting help with this illness?
That it is a MIND BODY CONNECTION
Relief of anxiety achieved by performing the specific anxiety-driven behavior, such as staying in the house to avoid the anxiety of leaving a safe space
What is primary gain?
Multiple physical complaints with no organic basis
what is hysteria
1 or more symptoms or deficits affecting voluntary motor function, initiation is preceded by conflicts, not intentionally feigned, cannot be explained by a medical condition. Signs and symptoms arise quickly and go away within 2 weeks, s/s go with underlying conflict, tests come back normal, and they have a La Belle indifference. Also- what are you going to encourage and promote?
What is Conversion disorder and encourage and promote INDEPENDENCE!
When a patient has the blindness, what are we going to do to not reinforce the secondary gain?
We are going to do the clock. Paralysis, use the other arm. PROMOTE INDEPENDENCE NOT DEPENDENCE.