OBSESSIVE COMPULSIVE DISORDERS Flashcards
Intrusive or persistent thoughts that cause anxiety
OBSESSIONS
Repetitive behaviors or ritualistic actions that you do to decrease anxiety
Compulsions
TRUE OR FALSE
Obsessions and Compulsions are uncontrollable.
True. Especially if it already affects ADL
NURSING DIAGNOSIS for OCD
powerlessness.
Defense mechanisms used by the patient
Undoing and Displacement
a person tries to cancel out or remove an unhealthy, destructive or otherwise threatening thought or action by engaging in contrary behavior
UNDOING
when a person has unexpressed emotions, he/she will direct it to other things. Ex. Handwashing`
DISPLACEMENT
TREATMENT FOR OCD
ORAL MEDICATIONS AND COGNITIVE BEHAVIORAL THERAPY (CBT)
TREATMENT: OCD
ORAL MEDICATIONS
Antianxiety and antidepressants - ( S S R I for OCD is
Clomipramine and Fluoxamine.)
pertains to our cognition or thoughts.
Problematic thoughts of patient with OCD are
Obsession. Hence, the target of the therapy.
Cognitive
is targeting the patients actions or behavior
that is related to their cognition and thoughts.
Behavioral
2 PARTS OF TREATMENT
EXPOSURE AND RESPONSE PREVENTION
Cognitive part that targets obsession
- Expose the patient what is causing the obsession.
- After exposure, teach patient to perform relaxation techniques
EXPOSURE
Targets compulsion
- The obsession is triggered but we delay or does not allow the patient to perform rituals
- Performs deep breathing exercises and guided imagery.
RESPONSE PREVENTION
If the patient is not undergoing cognitive behavioral therapy
DO NOT INTERRUPT THE RITUALS
The patient uses the ritual to decrease the anxiety If the ritual is affecting ADL, the nurse can:
- Adjust the schedule of the patient
- Minimize the time for ritual performance
NURSING DIAGNOSIS
ANXIETY
anxiety for 6 months
GENERALIZED ANXIETY DISORDER (GAD)
persistent panic attacks followed by 1 month of excessive worry
PANIC DISORDER:
- Anxiety
- neffective Coping
- Ineffective Role performance o Social isolation
- Powerlessness Fear
OCD
NURSING INTERVENTIONS FOR GAD
CALMER Approach Calm Manner - Use low pitched, calm and soothing voice
Give the specific medications for GAD
- Antianxiety
- Antidepressants
- Antihypertensive medications
- Antianxiety (clonazepam, diazepam)
- Antidepressants - Selective serotonin reuptake inhibitors and Tricyclic antidepressants (SSRI, TCA)
- Antihypertensive medications (clonidine)
Best way to alleviate the patient’s anxiety: GAD
verbalization of feelings
How would you minimize environmental stimuli?
Quiet environment
- Far from the nurses’ station because it is a busy are
of the ward
Ensure safety - if a patient is in a severe or panic attack of anxiety
do not leave the patient.
If these are all ineffective for calming the patient and can be seen as danger to others or self, the last resort then will be
RESTRAIN
Persistent acquisition of stuff
- Can be a collector but it becomes abnormal when you got indebted because of this, no space at home. Picking up stray cats or birds to the point that it affects home sanitation.
HOARDING DISORDER
CHEMICAL RESTRAINTS
Tranquilizer
- fast acting within 30 mins but short acting
lorazepam
CHEMICAL RESTRAINTS
Tranquilizer
- prolong 4-6 hours
haloperidol
in between of exposure therapy and response prevention, what should the nurse do?
deep breathing/relaxation techniques and guided imagery
