Somatic Sx Disorders Flashcards
Somatization
the expression of stress through physical Sxs (pain, paralysis, unexplained skin rashes)
List the somatic Sx and related disorders
- Somatic
- Illness anxiety disorder
- Conversion
- Psychological factors affecting medical condition
- Factitious disorder
This disorder manifests itself as neurological Sxs in the absence of neurological Dx
Conversion Disorder
What is conversion marked by?
the presence of deficits in voluntary motor or sensory fxns including paralysis, blindness, movement disorder, gait disorder, numbness, paresthesia, loss of vision or hearing, or episodes resembling epilepsy
La belle indifference
a lack of emotional concern about often dramatic concern is an aspect of conversion disorder
Illness anxiety disorder
characterized by extreme worry and fear about the possibility of having a disease
What is common in pts w/ illness anxiety disorder?
constantly talking about health and possible illnesses; obsessive as thoughts about illness
What may play a role in illness anxiety disorder? How is these being treated?
depression may play a role, ECT may be used as a form of treatment
What is characterized by a focus on physical Sx such as pain, fatigue to the pt of excessive concern, preoccupation and fear.
Somatic Sx Disorder
What are some c/o of a pt with somatic Sx disorder?
- chest pain
- fatigue
- dizziness
- headache
- swelling
- back pain
- SOB
- insomnia
- abdominal pain
- numbness
Which psychiatric disorder is major risk factor for CAD?
MDD
What is the highest priority when assessing a pt w/ somatic disorders? rationale?
assessment of nutrition, fluid balance, and elimination
Rationale: they often c/o of GI distress, diarrhea, constipation, and anorexia
T/F Somatic Sx are not under the individual’s voluntary control
true
What is the difference in somatic disorders when a pt is c/o of pain?
conversion disorders will be more of matter of fact while those w/ somatic Sx disorder and illness anxiety disorder will usually discuss their Sx more dramatically
What are secondary gains?
pts who benefits from the Sx alone
Laura says she has the flu so her husband cleans the house and takes care of the children. Her flu has subsided, but she still claims that she is sick. And has a hard time telling her husband she is better. What is the called?
secondary gains
What are some nursing dx for a pt with somatic disorders? Which is a nursing priority?
- Powerlessness
- Hopelessness
- Social Isolation
- Pain
- Alt family processes
- Risk for suicide
- Ineffective coping - priority
- Anxiety
What are some implementations for a pt with a somatic sx disorder?
- assess and understand pt’s psychosocial stressors
- Id needed coping skills
- teach stress-management techniques
Since there are no FDA approved meds, what meds can be given for those w/ somatic disorders?
- TCAs
- SSRIs
- SNRIs (Effexor and Cymbalta)
- Remeron
- short-term use of benzos
What is factitious disorder
consciously pretending to be ill to get emotional needs met and attain the status of pt
Describe factitious disorder
pts deliberately and dramatically fabricates Sx or self-inflict injury w/ the goal of assuming the sick role
T/F Factitious disorder is complusive and individuals consciously conceal the true nature of the illness through deception
True
What are the 2 types of factitious disorders?
- imposed on self
2. imposed on others
What is the purpose of factitious disorder imposed on others?
attention and excitement and to perpetuate the relationship w/ healthcare providers of that dependent
