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 needs stronger pain medication. What is important for the nurse to identify and help the patient with?
What is identify current stressors that are causing the pain to increase and help client find ways to cope?
This/these medications used in somatic symptom illnesses cause nausea, vomiting, diarrhea, insomnia, headaches
What are side effects of SSRI or SNRI?
Breathing, mindfulness, meditation, exercise are examples of this type of technique.
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? otherwise kno was munchausen syndrome?
The transference of mental experiences and states into bodily symptoms
What is somatization?
DAILY DOUBLE: A patient diagnosed with neurological symptom disorder states she suddently can't move or feel her left arm. What are the concepts/ideas as it relates to therapeutic responses when giving a response?
WHAT IS:
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?
When a patient keeps stress, anxiety, or frustration inside rather than expressing them outwardly
What is internalization?
refers to multiple, recurrent physical complaints with no organic basis
What is Hysteria?
Specific name for a 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. How would you respond?
What is Illness anxiety disorder is a persistent concern that one has or will get a serious disease?
This type of therapy is ideal for somatic symptom disorders because it helps patients share feelings and normalize experiences and not feel alone.
What is group therapy?
This coping strategy is used to resolve or change a specific behavior, situation or life stressor.
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?
DAILY DOUBLE: list 4 types of somatic symptom illnessess
What are:
1. Functional neurological symptom
2. Pain disorder
3. Somatic symptom disorder
4. Illness anxiety disorder
List 3 non therapeutic techniques
What is: ADVISING/FIXING: telling the client what to do
GIVING APPROVAL/DISAPPROVAL: (that’s good/bad, Id rather you wouldn’t, I’m glad that)
AGREEING/DISAGREEING: (that’s wrong, I don’t believe that, I disagree with..)
BELITTLING/DISSMISSIVE: (we all get sad; well at least you still have…, It’s not that bad, everyone gets down in the dumps)
CHALLENGING THEM: (if your dead, why is your heart beating?, how can you be the president of the United States)
MAKING STEREOTYPED COMMENTS: (it will get better, keep your chin up, don’t worry about it)
REASSURING: (everything will be fine, things will get better)
REJECTING: (let’s not discuss.., I don’t’ want to hear about.)
JUDGING:
PROBING: (persistent questioning of the client)
“WHY” QUESTIONS
CLOSE ENDED QUESTIONS (YES/NO)
VERBAL OR NON-VERBAL COMMUNICATING DISINTEREST: (on phone, arms crossed, looking at watch or clock etc.)
INVADED BODY BOUNDARIES (eye contact if not appropriate for culture, touching, personal space)
ARGUING:
DENIAL: client “I’m nothing” nurse: “of course your something, everybody is something”
RESPONDING TO QUESTIONS THAT ARE RELATED TO ONE’S QUALIFICATIONS OR PERSONAL LIFE
CHANGING THE SUBJECT:
INTERPRETING: “what you really mean is”
This is helpful for reducing symptoms in patients with SSDs and generally rewards autonomy and independence and focuses on reframing cognitive distortions.
What is Cognitive Behavioral Therapy
This coping strategy helps the client reduce their negative feelings.
What is emotion-focused coping strategies?
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
A patient with a previous cancer diagnosis is hyperfocused and insists they feel a lump under their skin. Spend minimal amount of time on the fear, provide an therapeutic response to her concern.
What is: Convey empathy
Identify fears related to symptoms of cancer
An example: I can image this may feel overwhelming and you may be feeling scared the cancer has returned. Can you tell me more about what your concerns are?
The nurse knows to evaluate for this safety concern when a patient starts a new SSRI or SNRI
What is suicidal ideation?
This type of therapy is often used with Borderline Personality Disorder patients.
What is DBT?