Unit 15 Flashcards
What is the definition of mood, affect, and psychosis?
Mood - patient reported, internal feeling
Affect - observational, outward expression
What are cues/risk factors of a mood disturbance?
Cues: lack of attachment, poor grooming (lack of function), sad/withdrawn, overwhelmed, anger
Risk Factors: history, environment, trauma (abuse/neglect), chemical, late 20s/early 30s or 60+
What are interventions to minimize impact of mood disorders?
Safety
Allow them to vocalize
Be direct
Look for eye contact
Ask open-ended questions
What is the priority action for psychosis?
Safety
What are causes of psychosis?
Primary = no cause, diagnosed with mental health problem
Secondary = response to event (traumatic brain injury, electrolyte imbalances, sleep impairment, UTI, medication, alzheimers)
What are nursing care and collaboration for fetal and neonatal loss?
Explanation regarding the nature of the loss, expected procedures, and possible future implications
Allow family to say goodbye and to stay with baby until done
Each person grieves differently
Keep sake boxes
Offer resources
What are the signs of postpartum blues?
Sadness
Anxiety
Overwhelming feeling
Loss of appetite
Difficulty sleeping
Only lasts around 10 days
What are risk factors for postpartum depression?
Rapid change of hormones
Nutritional intake
Changes in cortisol, oxytocin, melatonin, and thyroid hormones
*Adverse/stressful life event (partner violence)
Hx of psychiatric disorders (self or family)
*Age (<24 or >35)
*Unintended pregnancy
Complications during pregnancy or birth
What are signs of postpartum depression?
Same as the blues, but lasts longer (2+ weeks)
Thoughts of harming self or baby
Not having an interest in the baby
What is the management of postpartum depression?
Safety (assessment, screening, education)
Medications
Patient education
What education does postpartum depression patients receive?
Let others know how you feel
Don’t isolate
Don’t over commit
Let others help
Exercise and time for daily relaxation
Uninterrupted sleep benefits
Medication isn’t instant
What are risk factors for postpartum psychosis?
Family hx of bipolar or schizophrenia
Older than age 35
Bipolar or schizophrenic
Traumatic birth or loss
What are signs of postpartum psychosis?
elevated energy levels, cognition, and mood (mania)
depressive episodes
What is management of postpartum psychosis?
inpatient psychiatric care
antipsychotics
mood stabilizers
benzodiazepines
