Psychosocial Integrity Flashcards
List Maslow steps
Physiological- oxygen,water,food,sleep Safety-physical,security, Love and belonging- affection,companion Esteem- status,success Self actualization- self fulfillment
What are examples some therapeutic response? Give examples
Using silence- eg remain seated,maintain eye contact
Using general leads- “what can you tell me about your family”
Clarification- “ tell me more”
Reflecting- “It sound like you ‘re feeling angry
Responses to avoid in therapeutic communication
Closed ended Giving advice Responding to question related to ones personal life Arguing Reassuring Asking why Judgemental responses
Type of treatment modalities
Biological Psychoanalytical Milieu therapy Group therapy Family therapy Activity therapy Play therapy Behavioral therapy
Focus of treatment
Biological- medication,ect
Psychoanalytical- aware of unconscious thought
Milieu- structured group,one on one intervention
Group- members learn new ways to cope with stress
Family- therapist treat whole family
Activity- organized group activity to promote socialization
Pllay- observe plays, toys to interact with child
Behavioral- desentization(treat phobias)
Anxiety assessment
Inc pulse,BP and resp Cold hands and feet Nausea and vomitting Inc musle tension and tendon reflex Poor comprehension Poor concentration Unable to communicate Feeling of helplessness Feeling of inc threat,anger, Withdrawal
What are predisposing conditions?
Prolonged unmet needs of dependency,love,attention
Stress threatening security or self esteem
Unacceptable thoughts to consciousnes
Levels of anxiety
Mild- high degree of alertness, mild uneasiness
Moderate- heart pounds,cold skin and poor comprehension
Severe- hallucination,delusion
Panic- severe anx plus inability to see and hear
Nursing intervention in anxiety
Assess level of anxiety- look at body lang,facial express,defence mech
Low environmental stimuli- brief orientation, unclutterd environ,
Assess client to cope with anxiety
Maintain accepting and helpful attitude
Dont attempt to remove a defence mech
Types of anxiety disorders
Phobia
OCD
Functional neurologic disorder
Anxiety assessment
Apprehension,anxiety helplessness when confronted with phobic object
Obsession- repetitive uncontrollable thoughts. Compulsion uncontrollable act
Physical symptoms with no organic basis
Implementation
Decrease anxiety Recognize anxiety Identify precipitants of anxiety Coping mechanism Inc self esteem Institute measure to dec anxiety Adm antanxiety meds Use realistic measurable objectives
Stages of dying
Denial Anger Bargaining Depression Acceptance
Depressive disorder assessment
Low señf esteen,feeling of hopelessness Unkept appearance,lack of energy Insomnia Weightloss,poor appetite,weightgain Constipation amenorrhea,lackbof sex drive Dec attention span Withdrawan
Suicide potential
Has plan and means to carry out plan
Identifies others who may be involve in plan
