Somatoform Disorders ejn

Somatoform Disorders ejn - N311:MentalHealthNursing...

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Click to edit Master subtitle style  6/21/11 N311: Mental Health Nursing Somatoform, Factitious and  Evelyn J. Norton RN, DNP, CNL, NEA- BC
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 6/21/11 Psychosomatics is the study of the mind-body connection. “A blush is no language: only a dubious flag-signal Which may mean either of two contradictions” George Eliot (Mary Ann Evans Cross) Mind-Body
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 6/21/11 Objectives Describe key characteristics of  somatoform disorders Differentiate between somatization  disorders, hypochondriasis, factitious  disorders, malingering and pain disorders Formulate nursing interventions for clients  with somatoform disorders, factitious 
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 6/21/11 Objectives Describe 5 psychosocial interventions that  are appropriate for a client with somatic  complaints. Describe disorders that are conscious  attempts to fool health care professionals Explain the key symptoms of dissociative  disorders.
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 6/21/11 Somatoform Disorders Mental Disorders in which physical  symptoms or preoccupations present as  physical disorders Considered primarily psychological in  origin Multiple, vague physical complaints No demonstrated organic cause
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 6/21/11 Somatization Emotional distress is experienced as a  physical symptom Normal experience Examples:  “Butterflies in stomach,” “gut  reaction,” “ants in pants” 
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 6/21/11 Five Main Somatoform  Disorders Somatization Disorder Hypochondriasis Conversion Disorder Body Dysmorphic Disorder Pain Disorders
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 6/21/11 Somatoform Disorders Onset before age 30  Multiple vague or exaggerated complaints More than one organ affected Interfere with functioning Long term, recurring, unexplained physical  complaints Multiple physicians More common in older clients and in women 
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 6/21/11 Incidence & Prevalence 14 of 1000 men 26 of 1000 women Global prevalence about 2.7% Malingering is estimated to be prevalent in  29% of personal injury cases 30% of disability cases 19% of criminal cases
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 6/21/11 Hypochondriasis Excessive fear of illness despite negative test and exam results Persistent, unrealistic perception that they are ill Poor insight Interferes with functioning Unrelated to affective or anxiety disorders
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 6/21/11 Conversion Disorder Physical symptoms are present Often motor or sensory deficits, or seizures Caused by unconscious psychological conflicts May present as: Conversion disorder with motor symptom or deficit Sensory symptom or deficit Seizures or convulsions 
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