Name that Medical Diagnosis
Excessive preoccupation with the fear that they have or will get a serious disease/illness
What is Illness Anxiety Disorder?
Involves unexplained, usually sudden deficits in sensory or motor function related to an emotional conflict the client experiences but does not handle directly
Your client who is diagnosed with Somatic Symptom Disorder, keeps stating they are in pain and need stronger pain medication, how do you respond?
What is respond with empathy and validation followed by helping client to identify current stressors and ways to cope?
Nausea, vomiting, diarrhea, insomnia, headaches
What are side effects of SSRI or SNRI?
Breathing, mindfulness, meditation, exercise
What are stress management techniques?
A factitious disorder where the person intentionally causes injury or physical symptoms to self to gain attention and sympathy from health care providers, family, and others
What is factitious disorder imposed on self? What is munchausen syndrome?
The transference of mental experiences and states into bodily symptoms
Somatization
A patient diagnosed with neurological symptom disorder states she suddently can't move or feel her left arm. What is the best therapeutic response?
Empathize and validate the concern
Identify primary gains of the physical symptom
Maintain non-judgmental attitude
Encourage verbalization of fears and anxieties
Category of medication used to treat Somatic symptom illnesses that can also be helpful with pain and depression.
What is SNRI?
What is internalization?
refers to multiple, recurrent physical complaints with no organic basis
What is Hysteria?
Preoccupation with the fear that one has a serious disease
What is disease conviction?
The patient asks the nurse what the doctor meant when they said she has a diagnosis of Illness anxiety disorder. What is the best therapeutic response?
What is a persistent concern that one has or will get a serious disease?
Ideal for somatic symptom disorders because it helps patients share feelings and normalize experiences
Group therapy
Techniques used to resolve or change a person’s behavior or situation or to manage life stressors
What is problem focused coping strategies?
Characterized by multiple, recurrent physical symptoms in a variety of bodily systems that have no organic or medical basis; also called somatization disorder
What is Somatic symptom disorder?
4 types of somatic symptom illnessess
What is Functional neurological symptom; pain disorder; somatic symptom disorder; and illness anxiety disorder?
A patient with SSD tells the RN about a pain in their chest. What therapeutic response would you provide?
Assess the pain as if it were physiological in origin
Identify gains that the physical symptom is providing
Provide medication as ordered but minimize time given to the physical complaint
This is helpful for reducing symptoms in patients with SSDs and generally rewards autonomy and independence and reframe cognitive distortions.
Cognitive Behavioral Therapy
The intentional production of false or grossly exaggerated physical or psychological symptoms
What is malingering?
Broad category that is characterized by symptoms that are not fabricated or induced. Pt has no intent of purpose or gain.
What are Somatic Symptom Illnesses
The patient with a previous cancer diagnosis insists they feel a lump under their skin. Provide a therapeutic response.
Convey empathy
Identify fears related to symptoms of cancer
Provide a limited amount of time to discuss the fear/symptom
The nurse knows to evaluate for this safety concern when a patient starts a new SSRI or SNRI
What is suicidal ideation?
Who is the Dean of the College of Nursing?
Dean Ahn