Type Of Illnesses 2 Flashcards
What are the symptoms of elevated mood in bipolar disorder?
Elevated + irritable mood, increased energy, inflated self-esteem, decreased need for sleep, more talkative, flight of ideas, distractibility, involvement in high-risk activities.
What are the treatment options for bipolar disorder?
Mood stabilisers (risk of toxicities), CBT, EV therapy.
What characterizes bipolar disorders?
Cycling moods of high and low, including manic vs hypomanic, bipolar 1, bipolar 2, and cyclothymic disorder.
What are psychotic disorders?
Distortions of perceptions with abnormalities in at least one domain; delusions, hallucinations, disorganized thinking + motor behavior, negative symptoms.
What is the lifetime prevalence of schizophrenia globally?
0.3-0.7% globally, 0.75% in Australia.
What is the common onset age for schizophrenia?
Commonly early to mid-20s.
What is disorganized thinking and behavior?
Conversation that lacks purpose or remains fixed on a specific issue; may switch from one topic to another (derailment or loose associations).
What are negative symptoms of psychotic disorders?
Diminished emotional expression, avolition, alogia, anhedonia (pleasure).
What is anosognosia?
Lack of insight / ability to understand illness, prevalent in schizophrenia.
What are the five symptom groups of a psychotic disorder?
Delusions, hallucinations, disorganized thinking + behavior, negative symptoms, and reduced personality/language.
What are the treatment options for psychotic disorders?
Psychopharmacology (antipsychotic medication, mood stabilisers), psychotherapy (CBT, ACT, motivational interviewing), case management, vocational therapy.
What are typical (1st gen) antipsychotics?
Examples include chlorpromazine; they have more side effects.
What are atypical (2nd gen) antipsychotics?
Examples include clozapine; they relieve positive and negative effects.
What are common side effects of antipsychotics?
Weight gain, type 2 diabetes, cardiovascular effects, sedation, hepatic effects.
What is the role of a nurse in caring for a person with a psychotic disorder?
Therapeutic communication, psychoeducation, physical health promotion, psychopharmacology support, social advocacy, relapse prevention, TIC, ROC.
What is risk assessment in mental health?
Essential factors to completing a risk assessment, process of risk assessment, risk areas for mental health, when to do a risk assessment.
What are risk factors in mental health?
Particular features of illness, behavior, or circumstances that lead to an increased risk.
What are risk areas in mental health?
Vulnerability, absence without approval, suicide, aggression; important to focus on safety, recognize strengths, and collaborate.
What is the process of risk assessment?
Use of clinical judgement, standardised scales, inclusion of MDT, individuals, and their caregivers.
When are risk assessments completed?
When presented to services, pre/post leave, fluctuations in mental states.