13 Flashcards
main areas requiring capacity
- finance
- welfare (health)
- property
criteria for detention
- mental health disorder
- significant impairment to decision making ability
- significant risk to health, safety or welfare of them/ others
- treatment available
- order necessary
how long can nurses hold patients for
3 hours
CTO length
6 months
cluster A personality disorders
- schizotypal
- schizoid
- paranoid personality disorder
3rd line management OCD in PC
clomipramine (TCA)
describe mood disorders in people with learning disabilities
increased incidence
less likely to complain of mood changes
noted change in behaviour e.g. sleep disturbance
in the absence of verbal communication, what indicated psychiatric disorders in LD patients
- sleep disturbance
- change mood
- weight loss
- withdrawal
- agitation
- tearfulness
- behavioural disturbance
presentation of delirium
- impairment of consciousness and attention
- global disturbance of cognition (delusions/ hallucinations)
- psychomotor changes
- disturbance of circadian rhythm
- emotional disturbance
associations with learning disability
- cerebral palsy
- epilepsy
- sensory impairment
- obesity
- swallowing problems
- reflux oesophagitis
- constipation
- chest infections
- aspiration pneumonia
- dental problems
presentation opiate withdrawal syndrome
- dilated pupils
- craving
- insomnia
- yawning
- muscle pain and cramp
- increased secretions
- piloerection
management catatonia
benzodiazipines
ECT
catatonia
abnormality of movement and behaviour arising from a disturbed mental state
catatonia differentials
- eclampsia
- neuroleptic malignant syndrome
- encephalopathy
presentation catatonia
repetitive or purposeless overactivity
resistance to passive movement
why does alcoholism cause thiamine deficiency
- poor intake and absorption
- poor hepatic function
- increased requirement for alcohol metabolism
presentation Korsakoffs psychosis
- prominent impairment of recent and remote memory
- preservation of immediate recall
- no general cognitive impairment
- impaired learning and disorientation
- nystagmus
- ataxia
criteria for learning disability
- intellectual impairment
- social or adaptive dysfunction
- onset in the developmental period
affect of alcohol problems on mental health
- addiction
- anxiety
- depression
- dependance
- morbid jealousy
- alcoholic hallucinations
- deliberate self injury
- suicidal thoughts/ acts
examples of delusion
- grandiose
- paranoid
- hypochondriacal
- self-referential
medical management immediate alcohol withdrawal
benzodiazepines
side effects anabolic steroids
- striae
- infertility
- gynaecomastia
- weight gain
- aggression
- depression
- acne
- hypercholesterolaemia
- baldness
- hypertension
- hirsitusim
- clitoral enlargement
- growth deficits
- cholestatic jaundice
- irritability and anger
- hypomania
- mania
