psychiatric disorders and physical health Flashcards
what is an adjustment reaction
states of subjective distress and emotional disturbance, usually inferring with social functioning and performance.
manifestions vary - depressed mood, social anxiety/worry, feeling of inability to cope,plan ahead, continue and some degree of disability in performance of daily routine
what is organic delusional disorder
disorder in which persistent/recurrent delusions dominate clinical picture. delusions may be accompanied by hallucinations
what might you see in post stroke psychosis
delusions, hallucinations
more common in right hemisphere strokes
common delusional themes: persecutory, jealousy, about environment
examples of physical illness associated with mental health problems
cvd - 3x risk of depression and anxiety
diabetes - 2x risk of depression
copd - 10x risk of panic disorder
msk disorders - 2x risk of depression
examples of physical illness causing discrete mental illness
thyrotoxicosis - anxiety,mania thyroid def - depression, dementia cushings disease - depression infections - psychosis cancer - depression parkinsons - depression,anxiety,dementia
what factors effect timely diagnosis of physical disorders in people with mental illness
illness behaviour
diagnostic overshadowing
stigma
lack of resources
what is delirium
organic cerebral syndrome characterised by concurrent disturbances of consciousness and attention,perception, thinking,memory,psychomotor behaviour,emotion and sleep wake schedule. duration is variable and degree of severity ranges from mild to very severe
what are some causes of delirium
infection changes in environment medication alcohol withdrawal surgery pain liver/renal impairment hypoxia hyponatraemia stroke encephalitis constipation urine retention dehydration
predisposing factors for delirium
advanced age dementia - often undetected impaired activity of daily living immobility sensory impairment urinary catheterisation malnutrition alcohol depression
management of delirium
anticipate modify risk factors if possible early diagnosis good nursing meds
what is stigma
refers to challenges faced by people with mental illness related to knowledge, attitudes and behaviour of people they meet
- poor understanding
- negative attitude
- social exclusion
how can stigma lead to discrimination
increases disability
creates disadvantage with personal relationships, education and work.
what is intrapersonal stigma
direct effect on individual
internalised discrimination
stigma coming from self
what is interpersonal stigma
family
friends
colleagues
what is structural stigma
poor resources and funding
access to physical healthcare
