• Save
Virtual Eli - Mental Health Nursing (Part 2)
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

Virtual Eli - Mental Health Nursing (Part 2)

on

  • 1,543 views

 

Statistics

Views

Total Views
1,543
Views on SlideShare
836
Embed Views
707

Actions

Likes
3
Downloads
0
Comments
1

2 Embeds 707

http://virtualeli.net 604
http://virtualeli.me 103

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
  • madam it is a good presentation.can u send a copy of this to me.thank you.my email id anniepayattuvila@gmail.com
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Prepared by: Elizalde D. Bana
  • Prepared by: Elizalde D. Bana

Virtual Eli - Mental Health Nursing (Part 2) Presentation Transcript

  • 1. COMPREHENSIVE MENTAL HEALTH NURSING (www.virtualeli.net) Prepared by: E. Bana
  • 2. PSYCHIATRIC DISORDERS
    • NEUROSIS  MILD
    • PSYCHOSIS  SEVERE
    Prepared by: E. Bana
  • 3. NEUROSIS PSYCHOSIS
    • Types:
      • ANXIETY
      • PHOBIC
      • CONVERSION
      • DISSOCIATIVE
      • DEPRESSIVE
      • OC
    • Types:
      • SCHIZOPHRENIA
      • MAJOR AFFECTIVE D/O
    Prepared by: E. Bana
  • 4. NEUROSIS PSYCHOSIS
    • MAJOR PERSONALITY ORGANIZATION REMAINS INTACT.
    • WITH MAJOR PERSONALITY DISORGANIZATIONS.
    Prepared by: E. Bana
  • 5. NEUROSIS PSYCHOSIS
    • Behavior is common
    • Aware of his/her personality
    • Self care management
    • Behavior is ODD
    • Not aware of his/her personality
    • Institutionalized is necessary
    Prepared by: E. Bana
  • 6. NEUROSIS PSYCHOSIS
    • Tx: PSYCHOTHERAPY
    • NO DETERIORATION
    • Tx: CHEMICAL and PSYCHOLOGICAL tx
    • DETERIORATION maybe present
    Prepared by: E. Bana
  • 7. ANXIETY
    • Vague sense of impending doom
    • FEAR OF UNKNOWN
    • SUBJECTIVE emotional response to stress
    Prepared by: E. Bana
  • 8. MILD MODERATE
    • INCREASED vital signs
    • Sweating
    • Fidgeting
    • Tapping
    • N & V
    • Anorexia
    • Diarrhea
    • Constipation
    • Restlessness
    • Shakiness
    Prepared by: E. Bana
  • 9. MILD MODERATE
    • INCREASED ATTENTION
    • LEARNING CAN OCCUR
    • NARROWED PERCEPTUAL FIELD
    • SLECTIVE INATTENTION
    Prepared by: E. Bana
  • 10. MILD MODERATE
    • MINIMAL USE OF DEFENSE MECHANISMS
    • USE OF ANY DEFENSE MECHANISM AVAILBLE
    Prepared by: E. Bana
  • 11. SEVERE PANIC
    • Physical manifestations become the FOCUS of attention
    • Somatic complaints
    • Hyperventilation
    • HYPERACTIVITY
    • PALLOR
    • S/Sx of exhaustion are ignored
    Prepared by: E. Bana
  • 12. SEVERE PANIC
    • PERCEPTUAL FIELD is NARROWED
    • Confusion occurs
    • PERCEPTUAL FIELD is CLOSED
    • Personality disorganization
    Prepared by: E. Bana
  • 13. SEVERE PANIC
    • AMNESIA and DISSOCIATION operate to prevent panic
    • Defense mechanism fail
    • Delusions and hallucinations occur
    Prepared by: E. Bana
  • 14. TYPES OF ANXIETY D/O
    • PANIC ATTACKS
    • AGORAPHOBIA
    • SOCIAL PHOBIA
    • SIMPLE PHOBIA
    • OBSESSIVE-COMPULSIVE
    • GAD
    Prepared by: E. Bana
  • 15. PANIC ATTACK
    • Sudden attacks of intense anxiety
    • INTERVENTIONS:
      • Relaxation exercise
      • Anti-anxiety agents like VALIUM.
    Prepared by: E. Bana
  • 16. AGORAPHOBIA
    • FEAR OF BEING ALONE IN PUBLIC PLACES
    • Interventions:
      • Social skills training
      • Provide and involve the client with activities that do not increase anxiety
      • Admin anxiolytic
    Prepared by: E. Bana
  • 17. SOCIAL PHOBIA
    • Fear of social situations where there is a possibility of embarrassment.
    • Interventions:
      • Anti-anxiety agents
      • Social skills training
    Prepared by: E. Bana
  • 18. SIMPLE PHOBIA
    • FEAR OF A SPECIFIC OBJECT or SITUATION
    • Intervention:
      • Anti-anxiety agents
      • Systematic training
    Prepared by: E. Bana
  • 19. OBSESSIVE-COMPULSIVE
    • Overwhelming need to carry out a stereotypical act to relieve anxiety precipitated by an obsessive thought.
    • Intervention:
      • Thought stopping
      • Provide time to rituals
      • Assess anxiety
    Prepared by: E. Bana
  • 20. NOTE:
    • Obsession  is just a repeated thoughts
    • Compulsion  is repeated actions
    • What to do:
      • Allow patient to do it but in a limit setting.
    Prepared by: E. Bana
  • 21. GENERALIZED ANXIETY DISORDER
    • Excessive ANXIETY for at least six months that interferes with a person’s life characterized by anxiety, motor tension, autonomic hyperactivity
    • Interventions:
      • Anti-anxiety
      • Psychotherapy
    Prepared by: E. Bana
  • 22. SALIENT POINTS
    • AGORAPHOBIC  client’s ability to tolerate being out of the house is an indication of improvement
    • PALM SWEATING, TACHYCARDIA and DIAPHORESIS  manageable symptoms of anxiety
    • COGNITIVE THERAPY  treatment of irrational thoughts
    Prepared by: E. Bana
  • 23. MASTERY DRILL
    • Choices: (Please answer)
    • MILD
    • MODERATE
    • SEVERE
    • PANIC
    Prepared by: E. Bana
  • 24. MASTERY DRILL
    • Restlessness, inability to concentrate, fidgeting, nail biting
    • Alert, attentive, able to focus on the problem, stress-related
    • Personality disorganization occur, loss of control
    • Gastric irritation, vomiting, headache becomes the focus of attention
    • Selective inattention occur
    Prepared by: E. Bana
  • 25. ADHD (Attention Deficit hyperactivity disorder)
    • MAIN PROBLEM
      • Decreases attention span
    • S/Sx:
      • Difficulty in remaining seated
      • Easily distracted by extraneous stimuli
      • Fidgets hands/feet
      • Interrupts others
      • Child exhibit hyperactivity
      • Talks excessively
    Prepared by: E. Bana
  • 26. ADHD
    • Nursing diagnosis
      • Risk for injury (CBQ)
    • Interventions
      • Give FINGER FOODS (CBQ)
      • Administer RITALIN (Methylphenidate)
      • Promote safety
      • Limit-caffeine containing foods
    Prepared by: E. Bana
  • 27. AUTISM
    • MAIN PROBLEM
      • Faulty social skills
    • S/SX:
      • Lacks eye contact (CBQ)
      • Preference for INANIMATE OBJECT
      • HAND FLAPPING
      • Insistence on sameness (CBQ) – Do not change the setting of your home.
      • ROCKING
      • ECHOLALIA
    Prepared by: E. Bana
  • 28. AUTISM
    • NURSING DIAGNOSIS
      • Impaired social interactions
    • INTERVENTIONS
      • Observe consistency in providing the care to the child kasi naa insistence to samness
      • If the child throws himself into head banging and tantrums, provide HELMET (CBQ)
      • Be CONSISTENT and FIRM (CBQ)
    Prepared by: E. Bana
  • 29. NOTE:
    • In AUTISM  CONSISTENCY counts and do matters a lot.
    Prepared by: E. Bana
  • 30. MENTAL RETARDATION
    • IQ less than 70 (CBQ)
    • Not a form of mental illness
    • CAUSES:
      • Maternal condition
      • Nutritional deficiency
      • Toxoplasmosis
      • Anoxia
    Prepared by: E. Bana
  • 31. MENTAL RETARDATION
    • CAUSES:
      • Lead poisoning
      • Recent infections
      • Environmental factors
      • Thyroid deficiency  CRETENISM (Hypothyroidism)
      • Alcohol mother
      • AIDS
      • Toxemia
      • Opiate intoxication
    Prepared by: E. Bana
  • 32. LEVELS OF MENTAL RETARDATION
    • MILD/MORON  utak pang grade 6!
      • IQ 50-70
    • DESCRIPTION
      • EDUCABLE
    • SKILLS
      • Can learn vocational and social skills (CBQ)
      • Can achieve academic skills of a 6 th grade
    Prepared by: E. Bana
  • 33. LEVELS OF MENTAL RETARDATION
    • MODERATE/IMBECILE  utak pang grade 2
      • IQ 35-50
    • DESCRIPTION
      • TRAINABLE (CBQ)
    • SKILLS
      • Can learn to take care of themselves
      • Can achieve academic skills of a 2 nd grade
    Prepared by: E. Bana
  • 34. LEVELS OF MENTAL RETARDATION
    • SEVERE/IDIOT
      • IQ 20-35
    • DESCRIPTION
      • Needs close supervision (CBQ)
    • SKILLS
      • May learn basic hygiene and simple tasks with close supervision
    Prepared by: E. Bana
  • 35. LEVELS OF MENTAL RETARDATION
    • PROFOUND
      • IQ Below 20-25
    • DESCRIPTION
      • Needs custodial care (CBQ)
    • SKILLS
      • Require constant care and supervision
    Prepared by: E. Bana
  • 36. NOTES: Common Board Question
    • IDIOT  Close Supervision
    • PROFOUND  Custodial Care
    Prepared by: E. Bana
  • 37. SALIENT POINTS
    • Refer to SPECIAL EDUCATION CENTERS if the child is mentally retarded
    • Children with DOWN’s SYNDROME are usually mentally retarded
    • MENTAL RETARDATION is not a form of mental illness (CBQ)
    Prepared by: E. Bana
  • 38. MASTERY DRILL
    • Choices: (Please answer)
    • MILD
    • MODERATE
    • SEVERE
    • PROFOUND
    • NORMAL
    Prepared by: E. Bana
  • 39. MASTERY DRILL
    • IQ 60, able to achieve academic skills of a 6 th grade
    • IQ 45 , able to achieve academic skiills of a 2 nd grade
    • IQ 15 , unable to perform activities of daily living
    • IQ 90 able to acquire new skills
    • IQ 30, needs constant supervision in the performance of ADL’s
    Prepared by: E. Bana
  • 40. PERSONALITY DISORDERS
    • MALADAPTIVE behavior, inflexible pattern of functioning
    • However, remains functional to society
    Prepared by: E. Bana
  • 41. TYPES of PERSONALITY d/o
    • A. ECCENTRIC
      • PARANOID
      • SCHIZOID
      • SCHIZOTYPAL
    Prepared by: E. Bana
  • 42. TYPES of PERSONALITY d/o
    • B. DRAMATIC-ERRATIC
      • ANTISOCIAL
      • BORDERLINE
      • HISTRIONIC
      • NARCISSISTIC
    Prepared by: E. Bana
  • 43. TYPES of PERSONALITY d/o
    • C. ANXIOUS
      • AVOIDANT
      • DEPENDENT
      • OBSESSIVE-COMPULSIVE
    Prepared by: E. Bana
  • 44. TYPES of PERSONALITY d/o
    • Extreme suspiciousness and distrust
    • Ans: PARANOID
    • Social withrawal
    • Ans: SCHIZOID
    • Bizarre behavior such as “SILLY LAUGHING”
    • Ans: SCHIZOTYPAL
    Prepared by: E. Bana
  • 45. TYPES of PERSONALITY d/o
    • Lack of sense of guilt
    • With conduct problems
    • Impaired conscience
    • Ans: ANTISOCIAL
    Prepared by: E. Bana
  • 46. TYPES of PERSONALITY d/o
    • Impulsive
    • with suicidal tendencies
    • fear of being alone
    • manipulative
    • Ans: BORDERLINE
    Prepared by: E. Bana
  • 47. TYPES of PERSONALITY d/o
    • Dramatic
    • Attention-seeking
    • Excessively emotional
    • with temper tantrums
    • Ans: HISTRIONIC
    Prepared by: E. Bana
  • 48. TYPES of PERSONALITY d/o
    • Grandiosity
    • Needs constant admiration from others
    • Exaggerated sense of being important
    • Ans: NARCISSISTIC
    Prepared by: E. Bana
  • 49. TYPES of PERSONALITY d/o
    • Fears interpersonal rejections and criticisms
    • Ans: AVOIDANT
    • Submissive
    • with incessant demand for assistance
    • lack of self-confidence
    • Ans: DEPENDENT
    Prepared by: E. Bana
  • 50. TYPES of PERSONALITY d/o
    • Perfectionist
    • Rigid
    • Inflexible
    • Controlling
    • Moralistic
    • Ans: OBSESSIVE-COMPULSIVE
    Prepared by: E. Bana
  • 51. SALIENT POINTS (CBQ)
    • For client with OC  it is best to SUPPORT and limit his / her behavior
    • For client with OC  give them enough time to do RITUALS
    • The client with ANTI-SOCIAL PERSONALITY d/o  is unable to delay gratification
    Prepared by: E. Bana
  • 52. SALIENT POINTS
    • Clients with anti-social personality d/o  are unable to empathize with others
    • Client with personality disorder  are in contact with reality
    • Clients with personality disorder have impaired judgment and interpersonal skills
    Prepared by: E. Bana
  • 53. SALIENT POINTS
    • SET LIMITS and maintain CONSISTENCY in a client with personality disorder.
    Prepared by: E. Bana
  • 54. MASTERY DRILL
    • Choices:
    • SCHIZOID
    • DEPENDENT
    • HISTRIONIC
    • ANTI-SOCIAL
    • HISTRIONIC
    Prepared by: E. Bana
  • 55. MASTERY DRILL
    • A client has been submissive to his wife since they are married
    • A client acts as if she has always “on stage” with her attention-seeking outfits
    • A 20-year old child has always been charming and nice to his friends but his police records reveal numerous violations of the law and animal cruelty.
    Prepared by: E. Bana
  • 56. MASTERY DRILL
    • A 40-year old woman believes that she deserves special treatment because her family belongs to the “rich and powerful”
    • A 35-year old single woman has no close friends and dresses in an old fashion way. She is withdrawn and aloof
    Prepared by: E. Bana
  • 57. EATING DISORDERS
    • ANOREXIA NERVOSA
    • BULIMIA NERVOSA
    Prepared by: E. Bana
  • 58. ANOREXIA NERVOSA
    • MAIN PROBLEM
      • Fear of gaining weight
    • S/Sx:
      • AMENORRHEA (at least 3 consecutive months) (CBQ)
      • Thin but feels fat
      • Refusal to maintain ideal body weight
      • Epigastric discomforts
      • Intense fear of gaining weight
    Prepared by: E. Bana
  • 59. ANOREXIA NERVOSA
    • S/sx:
      • Always thinking about food
      • HIDING foods and collecting recipes (HOBBIES)
    • LABORATORY DATA:
      • HYPOKALEMIA (due to excessive vomiting)
    Prepared by: E. Bana
  • 60. ANOREXIA NERVOSA
    • Nursing Dx:
      • Body image disturbance
      • F & E imbalance
    • INTERVENTIONS:
      • Monitor weight (CBQ)
      • Institute family therapy since most parents are RIGID and PERFECTIONIST
    Prepared by: E. Bana
  • 61. BULIMIA NERVOSA
    • MAIN PROBLEM
      • BINGE-EATING and PURGING (CBQ)
    • S/SX;
      • WEIGHT LOSS
      • BINGE EATING
      • Under strict dieting and vigorous exercise
      • Lack of control over eating binges
      • INDUCED VOMITING
    Prepared by: E. Bana
  • 62. BULIMIA NERVOSA
    • S/SX:
      • Minimum of 2 binge eating episodes in a week for 3 months
      • Abuse of laxatives or diuretics
    • LABORATORY DATA:
      • HYPOGLYCEMIA
    • NURSING DX:
      • Same with ANOREXIA NERVOSA
    Prepared by: E. Bana
  • 63. BULIMIA NERVOSA
    • INTERVENTIONS:
      • Monitor weight
      • Stay with the client for at least 30 minutes to 1 hour after meals, to prevent self-induced vomiting (CBQ)
      • Encourage frequent oral hygiene
    Prepared by: E. Bana
  • 64. SALIENT POINTS
    • The most important initial nursing interventions for client with eating disorder is to establish TRUST . (CBQ)
    • CARDIAC ARRYHTMIAS  most life-threatening complication of ANOREXIA NERVOSA
    • AMENORRHEA  is the symptom that makes the client with AN visit the hospital
    Prepared by: E. Bana
  • 65. BULIMIA NERVOSA
    • SUPPRESSION  is the main defense mechanism utilized by clients with anorexia nervosa (CBQ)
    Prepared by: E. Bana
  • 66. MASTERY DRILL
    • Choices:
    • Anorexia nervosa
    • Bulimia nervosa’
    • Both
    • Neither
    Prepared by: E. Bana
  • 67. MASTERY DRILL
    • Body image disturbance
    • Amenorrhea
    • Purging
    • Hypokalemia
    • Auditory hallucination
    Prepared by: E. Bana
  • 68. MOOD DISRODERS
    • Group of disorders characterized by abnormal disturbance in mood
    • 2 types:
      • DEPRESSION
      • BBIPOLAR
    Prepared by: E. Bana
  • 69. DEPRESSION
    • MAIN PROBLEM
      • Mood state of gloom
    • TYPES
      • A. Major depression
        • severe last 2 weeks
      • B. Dysthymic depression
        • less severe, last 2 years or more
      • C. Depression not otherwise specified
        • last for 2 days to 2 weeks
    Prepared by: E. Bana
  • 70. DEPRESSION
    • TYPES
      • A. Major depression
        • severe last 2 weeks
      • B. Dysthymic depression
        • less severe, last 2 years or more
      • C. Depression not otherwise specified
        • last for 2 days to 2 weeks
    Prepared by: E. Bana
  • 71. DEPRESSION
    • S/SX:
      • Insomnia or hypersomnia daily
      • Depressed mood
      • Energy loss
      • Psychomotor agitation
      • Recurrent thoughts of death and suicide
      • Significant weight loss
      • Impairment in social functioning
    Prepared by: E. Bana
  • 72. DEPRESSION
    • S/SX:
      • Excessive or inappropriate guilt
      • Diminished interest or pleasure (ANHEDONIA)
    • LABORATORY DATA:
      • Decreased norepineprine levels
    Prepared by: E. Bana
  • 73. BIPOLAR
    • MAIN PROBLEM
      • Hyperactivity alternating with periods of depression
    • TYPES
      • A. MANIC
      • B. HYPOMANIC
      • C. BIPOLAR I
      • D. BIPOLAR II
      • E. CYCLOTHYMIA
    Prepared by: E. Bana
  • 74. BIPOLAR
    • TYPES
      • A. MANIC
        • severe last for at least 1 week
      • B. HYPOMANIC
        • less severe, lasts for at least 4 days
      • C. BIPOLAR I
        • depressed mood with history of mania
    Prepared by: E. Bana
  • 75. BIPOLAR
      • D. BIPOLAR II
        • Depressed mood with hypomanic episode but no history of mania
      • E. CYCLOTHYMIA
        • numerous episodes of hypomania and depressed mood that lasts for at least 2 years
    Prepared by: E. Bana
  • 76. BIPOLAR
    • S/SX:
      • Hyperactivity, rapid speech
      • Mood swings
      • Manic episodes
        • rapid speech
        • limited attention span
        • euphoria
        • delusion of grandeur
    Prepared by: E. Bana
  • 77. BIPOLAR
    • Bipolar depression
      • Hypersomnia
      • Hyperphagia
        • weight gain
        • paranoid thoughts
        • hallucinations
    Prepared by: E. Bana
  • 78. BIPOLAR
    • LABORATORY DATA
      • Increased levels of norepineprhine and serotonin in MANIA and decreased levels in DEPRESSION (CBQ)
    Prepared by: E. Bana
  • 79. MANIA DEPRESSION
    • COLORFUL
    • OVERLY DONE MAKE UP
    • HYPERACTIVE
    • HIGHLY DRIVEN
    • HYPERORALITY
    • HYPERSEXUAL
    • SAD
    • NO MAKE UP
    • PASSIVE
    • PSYCHOMOTOR RETARDATION
    • ANHEDONIA
    • WITHDRAWN
    Prepared by: E. Bana
  • 80. MANIA DEPRESSION
    • SHOT ATTENTION SPAN
    • TALKATIVE (flight of ideas)
    • TOO BUSY TO EAT
    • SHORT SLEEP
    • ELATED
    • RISK FOR INJURY directed to others
    • DIFFICULTY CONCENTRATING
    • MONOTONOUS SPEECH
    • LACKS OF APPETITE
    • INSOMNIA
    • MELANCHOLIC
    • Risk in injury: self directed
    Prepared by: E. Bana
  • 81. MANIA DEPRESSION
    • PRIORITY: SAFETY
    • Tx of choice: LITHIUM, acute mania may be treated with ECT
    • NON-stimulating environment
    • PRIORITY: SAFETY
    • Tx of choice: ECT
    • Stimulating environment
    Prepared by: E. Bana
  • 82. MANIA DEPRESSION
    • Quite type of activity
    • Avoid competitive activities
    • ATTITUDE THERAPY: Matter-of-fact (attitude casualness)
    • Monotonous activities
    • Ex: COUNTING  Do not stimulate the patient kasi depressed na nga eh.
    • ATTITUDE THERAPY: KIND FIRMNESS (assist to follow rules)
    Prepared by: E. Bana
  • 83. MASTERY DRILL
    • Choices:
    • MANIC
    • DEPRESSION
    • BOTH
    • NEITHER
    Prepared by: E. Bana
  • 84. MASTERY DRILL
    • Utilizes reaction formation
    • Utilizes introjections
    • Treated with ECT
    • Priority intervention involves ensuring safety
    • Finger foods are appropriate
    Prepared by: E. Bana
  • 85. SUICIDE
    • Self-imposed death stemming from depression
    • Peaks during recovery from depression since the client is having enough energy (CBQ)
    • A suicidal client may indicate a plan to commit suicide (CBQ)
    Prepared by: E. Bana
  • 86. RISK FACTORS
    • Gender (more common on men)
      • Men  Suicide
      • Women  suicide attempt
    • Unsuccessful previous attempts
    • Chronic Illness
    • Loss of loved one
    • Depression
    • Age (between 18 and 25 and above 40years)
    Prepared by: E. Bana
  • 87. SIGNS of IMPENDING suicide
    • Presence of a definite suicide plan (CBQ)
    • Giving away of valued depression
    • Loneliness (“no one cares”)
    • Worthlessness (“I’m not good”)
    • ANGER
    Prepared by: E. Bana
  • 88. PRINCIPLES OF CARE (CBQ)
    • 1. All suicidal behavior should be taken seriously. Suicide is a possibility for depressed clients
    • 2. Majority of successful suicide attempts are committed by persons who are not psychotic
    • 3. Most people do talk about their suicide intention before making a suicide attempt
    Prepared by: E. Bana
  • 89. PRINCIPLES OF CARE (CBQ)
    • 4. Suicidal clients are often ambivalent
    • 5. Suicide risk increases as depression improves
    Prepared by: E. Bana
  • 90. SUICIDAL PRECAUTIONS (CBQ)
    • Keep the door of the client’s open
    • make UNSCHEDULED or IRREGULAR visit every 15 minutes. If the client is on maximum precautions, keep one-on-one supervision
    • Stay with the client while all medications are being taken with the client
    Prepared by: E. Bana
  • 91. SUICIDAL PRECAUTIONS (CBQ)
    • Search the belongings of the client and keep hazardous items out of reach
    • Avoid the use of glass and metal silvers when serving the client’s food
    Prepared by: E. Bana
  • 92. VIOLENCE AGAINST WOMEN & CHILDREN
    • Violence against women
      • an act or a series of acts committed by any person against a woman who is his wife, former wife or a woman whom he has had a sexual or dating relationship
    Prepared by: E. Bana
  • 93. ABUSE
    • TYPES:
      • PHYSICAL VIOLENCE
      • SEXUAL VIOLENCE
      • PSYCHOLOGICAL VIOLENCE
    Prepared by: E. Bana
  • 94.
    • PHYSICAL VIOLENCE
      • refers to act that includes body or physical harm
    • SEXUAL VIOLENCE
      • refers to an act which is sexual in nature, committed against a woman or her child
    • PSYCHOLOGICAL VIOLENCE
      • refers to acts or ommission causing or likely to cause mental or emotional suffering of the victim
    Prepared by: E. Bana
  • 95.
    • BATTERY
      • inflicting physical harm upon the woman or her child
    • BATTERED WOMAN SYNDROME
      • Refers to a scientifically defined pattern of psychological symptoms found in women living in battering relationships as a result of cumulative abuse.
    Prepared by: E. Bana
  • 96.
    • NURSE RESPONSE TO ABUSE
      • documents the victim’s injuries
      • record observation, victim’s suspicions and circumstance
      • SAFEGUARD the records of the victims and make them available upon the victim’s request
      • provide immediate and adequate notice of the victim’s rights and remedies
    Prepared by: E. Bana
  • 97. CHILD ABUSE
    • Maltreatment of person below 18 years of age or those above 18 yo but unable to protect themselves from abuse due to disablity.
    Prepared by: E. Bana
  • 98. CHILD ABUSE
    • Types:
      • Psychological and physical
      • Deeds or words that debase, degrade the child
      • Unreasonable deprivation of the child’s basic needs
      • Failure to immediately give medical treatment to an injured child resulting impairment in growth
    Prepared by: E. Bana
  • 99. CHILD ABUSE
    • Complaints maybe filed by any of the ff:
      • Offended party
      • Relatives within the third degree of consanguinity
      • Social worker or a representative of a licensed “child caring” institution
      • DSWD
      • Barangay Captain (CBQ)
    Prepared by: E. Bana
  • 100. CHILD ABUSE
    • Characteristics of abusive patterns:
      • usually from violent families
      • Were also abused by their parents
      • Have inadequate parenting skills
      • Socially isolated
      • Emotionally immature
      • Have negative attitude towards the management of abused
    Prepared by: E. Bana
  • 101. CHILD ABUSE
    • Common indicators:
      • Serious injuries with various stages of healing
      • Depression
      • Apathy
      • Excessive knowledge of sex
      • Self-esteem is low
      • Healthy hair in various length
    Prepared by: E. Bana
  • 102. CHILD ABUSE
    • RAPE (R.A. 8353)  is committed when a person has sexual intercourse with a WOMAN.
    Prepared by: E. Bana
  • 103. SALIENT POINTS
    • The initial information to elicit in a rape victim is  PERCEPTION of what occurred.
    • DATE RAPE and ACQUAINTANCE RAPE  the rapist is known to the victim. It may occur on the first date or after the victim and the rapist have known each other for months. (CBQ)
    Prepared by: E. Bana
  • 104. MASTERY DRILL
    • Choices:
    • Powerlessness
    • Altered family process
    • Risk for injury
    • Risk for violence directed to others
    Prepared by: E. Bana
  • 105. MASTERY DRILL
    • Victim
    • Other family members
    • The family as a whole
    • Abuser
    Prepared by: E. Bana
  • 106. PARAPHILIAS
    • Abnormal or divergent expression of sexuality.
    • The condition maybe related to unresolved oedipal complex
    Prepared by: E. Bana
  • 107. PARAPHILIAS
    • Recurrent desire to publicly show the genitals
    • Ans: EXHIBITIONIST
    • Inanimate objects which are intimately associated with the human body
    • Ans: FETISHISM
    • Sexual arousal from wearing apparel of the opposite sex
    • Ans: TRANSVESTIC FETISHISM
    Prepared by: E. Bana
  • 108. PARAPHILIAS
    • Recurrent desire fro sex with a child 13 years old and below
    • Ans: PEDOPHILIA
    • Recurrent and intense sexual desire to experience pain
    • Ans: SEXUAL MASOCHISM
    • Recurrent and intense sexual desire to inflict pain
    • Ans: SEXUAL SADISM
    Prepared by: E. Bana
  • 109. PARAPHILIAS
    • Recurrent preoccupation with seeing others nude
    • Ans: VOYEURISM
    • Rubbing the genitals against the body parts of a fully clothed woman
    • Ans: FROTTEURISM
    • Sexual relation with animals
    • Ans: ZOOPHILIA
    Prepared by: E. Bana
  • 110. PARAPHILIAS
    • Desire to defecate on the partner or to be urinated on by the partner
    • Ans: COPROPHILIA
    • Sexual stimulation with use of enema
    • Ans: KLISMAPHILIA
    • Desire to experience hypoxia during orgasm
    • Ans: HYPOXYPHILIA
    Prepared by: E. Bana
  • 111. PARAPHILIAS
    • Desire to eat feces
    • Ans: COPROPHAGIA
    • Desire to urinate on the partner or to be urinated by the partner
    • Ans: UROPHILIA
    • Sexual gratification from cadavers
    • Ans: NECROPHILIA
    Prepared by: E. Bana
  • 112. PARAPHILIAS
    • Sexual activity is concentrated on only one part of the body
    • Ans: PARTIALISM
    • Sexually provocative and obscene phone calling made to another person
    • Ans: TELEPHONE SCATOLOGIA
    • Sexually explicit messages are sent through the computer
    • Ans: COMPUTER SCATOLOGIA
    Prepared by: E. Bana
  • 113. SALINT POINTS
    • FETISHIM  usually occur in men only
    Prepared by: E. Bana
  • 114. SCHIZOPHRENIA
    • A group of psychotic disorders characterized by aggression, thought disturbance, bizzare behavior and abnormal motor behavior.
    • ALTERED THOUGHT PROCESS  is the main problem (CBQ)
    • The usual age of onset is ADOLESCENCE or EARLY ADULTHOOD
    Prepared by: E. Bana
  • 115. SCHIZOPHRENIA
    • NEGATIVE sx
      • Affective disturbances
      • Avolition
      • Autism
      • Ambivalence
      • Psychomotor retardation
    • POSITIVE sx
      • Hallucinations
      • Increased psychomotor activity
      • Delusion
    Prepared by: E. Bana
  • 116. TYPES of SCHIZOPHRENIA
    • CATATONIC
    • DISORGANIZED
    • PARANOID
    Prepared by: E. Bana
  • 117. CATATONIC
    • ACUTE
    • Waxy flexibility
    • REPRESSION
    • Impaired motor activity
    • PRIORITY: Circulation and NUTRITION (CBQ)
    • PROGNOSIS: GOOD
    Prepared by: E. Bana
  • 118. DISORGANIZED
    • INSIDOUS
    • Bizarre behavior
    • REGRESSION
    • Impaired social functioning
    • PIORITY: Assistance with ADL
    • PROGNOSIS: Poor
    Prepared by: E. Bana
  • 119. PARANOID
    • ABRUPT
    • Suspiciousness and ideas of reference
    • PROJECTION
    • Potential for injury directed to others
    • PRIORITY: Safety and Nutrition
    • Prognosis: GOOD
    Prepared by: E. Bana
  • 120. SALIENT POINTS
    • SCHIZOPHRENIA  is a form of PSYCHOSIS
    • the pre-morbid personality of schizophrenia  is SCHIZOID
    • In schizophrenia  there is no physical change in the brain. The operation/
    Prepared by: E. Bana
  • 121. MASTERY DRILL
    • Choices:
    • Disorganized
    • Catatonic
    • Paranoid
    • Undifferentiated
    • Residual
    Prepared by: E. Bana
  • 122. MASTERY DRILL
    • Assess circulation
    • Maintain adequate nutrition
    • Assist with activities of daily living
    • Frequent reality orientation
    • Referral to community resources
    Prepared by: E. Bana
  • 123. SUBSTANCE ABUSE
    • SUBSTANCE ABUSE
      • Use of substance for other than its legitimate medical purpose
    • SUBSTANCE DEPENDENCE
      • Physiological and psychological dependence of the body on a substance
    • TOLERANCE
      • Refers to the declining effect of the drug.
    Prepared by: E. Bana
  • 124. SUBSTANCE ABUSE
    • WITHDRAWAL
      • Syndrome or a group of symptoms experienced by the amount of the susbtance is reduced or when the intake is stopped
    • ALCOHOLISM
      • A chronic disease or a disorder characterized by excessive alcohol intake and interference in the individual's health
    Prepared by: E. Bana
  • 125. ALCOHOL WIHTRAWAL SYNDROME
    • DELIRIUM TREMENS
    • KORSAKOFF’s PSYCHOSIS
    • WERNICKE’s PSYCHOSES
    Prepared by: E. Bana
  • 126. DELIRIUM TREMENS
    • CAUSE: Faulty metabolism of alcohol
    • ONSET: Acute
    • FEATURE: Delirium
    • Other s/sx:
      • increased v/s
      • Visual and tactile
      • Hallucinations
      • Coarse tremors
    Prepared by: E. Bana
  • 127. KORSAKOFF’s PSYCHOSIS
    • CAUSE: Thiamine and Niacin deficiency
    • ONSET: Chronic
    • FEATUR: Memory disturbances (Confabulation)
    • Other s/sx:
      • RETROGRADE AMNESIA (past)
      • ANTEROGRADE AMNESIA (recent)
      • THIAMINE and NIACIN deficiency
    Prepared by: E. Bana
  • 128. WERNICKE’s PSYCHOSIS
    • CAUSE: Thiamine deficiency
    • ONSET: Chronic
    • FEATURE: None
    • S/sx:
      • Confusion
      • Ataxia
      • Thiamine deficiency
    Prepared by: E. Bana
  • 129. SALIENT POINTS (CBQ)
    • SUBSTANCE DEPENDENCE  includes characteristics of TOLERANCE and WITHDRAWAL
    • Methamphetamine HCL  is commonly known as “SHABU”
    • Marijuana produces dilated pupils “Blood shot eyes”, flight of ideas
    • Alcoholics Anonymous (AA) the help given to a member comes from the members themselves
    Prepared by: E. Bana
  • 130. SALIENT POINTS
    • Most drug abusers also ABUSE ALCOHOL (polysubstances users)
    • IM administration of thiamine is used as initial treatment fro WERNICKE’s ENCEPHALOPAHTY.
    • Erneshment refers to the over involvement of the client’s family members.
    Prepared by: E. Bana
  • 131. SALIENT POINTS
    • CO-DEPENDENCE  is a form of maladaptive behavior in which the family of the substance abuser adapts and adjusts to the behavior of the abuser.
    Prepared by: E. Bana
  • 132. MASTERY DRILL
    • STIMULANT
    • DEPRESSANT
    • HALLUCINOGEN
    Prepared by: E. Bana
  • 133. MASTERY DRILL
    • Alcohol
    • Amphetamine
    • Cocaine
    • Opioids
    • Marijuana
    Prepared by: E. Bana
  • 134. MASTERY DRILL
    • AMPHETAMINE
    • ALCOHOL
    • COCAINE
    • OPIOIDS
    • MARIJUANA
    Prepared by: E. Bana
  • 135. MASTERY DRILL
    • Slurred speech, incoordination, unsteady gait
    • Euphoria, dilated pupils, hypertension, hostility
    • Euphoria, dilated pupils, hypertension, paranoid thinking
    • Euphoria, pinpoint pupils, hypothermia, respiratory depression
    • Hallucination, dilated pupils, sweating , blood shot eyes
    Prepared by: E. Bana
  • 136. SOMATORM DISORDER
    • BODY DYSMORPHIC DISORDER
    • CONVERSION DISORDER
    • HYPOCHONDRIASIS
    • SOMATIZATION DISORDER
    • UNDIFFERENTIATED SOMATOFORM d/o
    • MALINGERING
    Prepared by: E. Bana
  • 137. BODY DYSMORPHIC D/o
    • Imagined belief that there is a defect in appearance of all or a part of the body.
    • S/SX:
      • Complaints of defect, e.g. hair loss, small overt penis, grossly excessive concern over physical anomaly
    Prepared by: E. Bana
  • 138. CONVERSION d/o
    • Involuntary alteration or limitation of physical functions as a result of psychologic conflict or need.
    • S/SX:
      • Motor abnormalities: paralysis, ataxia, dysphagia, vomiting, aphonia, blindness
    Prepared by: E. Bana
  • 139. HYPOCHONDRIASIS
    • Morbid fear or belief that one has a serious disease even though none exist.
    • AGGRESION towards others turned against self through a particular body part.
    • S/SX:
      • GI and CARDIOVASCULAR manifestations are most common
    Prepared by: E. Bana
  • 140. SOMATIZATION D/o
    • Multiple somatic complaints involving various organs, NOT CAUSE BY KNOWN MEDICAL DISORDERS.
    • S/SX:
      • Vomiting, abdominal pain, diarrhea, intolerance to foods, amnesia, loss of voice, deafness, deafness
    Prepared by: E. Bana
  • 141. UNDIFFERENTIATED SOMATOFORM D/O
    • Unexplained physical symptoms with 6 months or less in duration.
    • S/SX:
      • Multi-system complaints
    Prepared by: E. Bana
  • 142. SALIENT POINTS
    • SOMATOFORM D/O  the a=individual accepts the symptoms as real as these are not within his/her conscious control
    • Attempt to LIMIT the behavior but do not STOP  let the client give up
    • Help the to handle anxiety  by PROBLEM SOLVING
    Prepared by: E. Bana
  • 143. MASTERY DRILL
    • BODY DYSMORPHIC d/o
    • HYPOCHONDRIASIS
    • PAIN DISORDER
    • CONVERSION d/O
    • MALINGERING
    Prepared by: E. Bana
  • 144. MASTERY DRILL
    • Morbid fears of illness
    • Deliberate feigning of an illness
    • Excessive concern about physical defects
    • Preoccupation with pain without organic basis
    • Sudden blindness after witnessing a murder
    Prepared by: E. Bana
  • 145. THE ELDERLY
    • WHO classify:
      • YOUNG OLD  65-74 yo
      • MIDDLE OLD  75 – 84 yo
      • OLD OLD  85-100
      • ELITE OLD  over 100 years
    Prepared by: E. Bana
  • 146. ELDERLY
    • The life expectancy for FILIPINOS:
      • FEMALE  72.8 years
      • MALE  67.5 years
      • AVERAGE  69.9
    Prepared by: E. Bana
  • 147. DEMENTIA
    • PROGRESSIVE condition characterized by deterioration of intellectual functioning
    • The client’s consciousness is not included
    Prepared by: E. Bana
  • 148. TYPES OF DEMENTIA
    • ALZHEIMER’s DISEASE
    • PICK’s DISEASE
    Prepared by: E. Bana
  • 149. ALZHEIMER’S PICK’s
    • Named after ALOIS ALZHEIMER
    • PROBLEM: Presence of PLAQUES and NEUROFIBRILLARY TANGLES
    • Named after ARNOLD PICK
    • PROBLEM: Presence of PICK BODIES, ballooned appearance of the neurons
    Prepared by: E. Bana
  • 150. ALZHEIMER’S PICK’s
    • Affects most parts of the brain
    • Early onset  30-40 yo
    • Late onset  >50 yo
    • S/SX:
      • MEMORY LOSS
    • Affect the frontal-temporal lobes of the brain
    • Onset  40 yo
    • S/SX: Personality changes
    Prepared by: E. Bana
  • 151. ALZHEIMER’S PICK’s
    • S/SX:
    • Aphasia
    • Anomia
    • Apraxia
    • Agnosia
    • Amnesia
    • S/SX:
    • Aphasia
    • Anomia
    • Apraxia
    • Agnosia
    • Amnesia
    Prepared by: E. Bana
  • 152. ALZHEIMER’S PICK’s
    • GOAL: MACIMIZE THE CLIENT’s QUALITY FO LIFE
    • DRUGS: ARICEPT and COGNEX (tacrine hcl)
    • GOAL: MACIMIZE THE CLIENT’s QUALITY FO LIFE
    • DRUGS: ARICEPT and COGNEX (tacrine hcl)
    Prepared by: E. Bana
  • 153. ALZHEIMER’S PICK’s
    • DRUGS: ARICEPT and COGNEX (tacrine hcl)
    • NOTE:
      • Best taken with food at night to decrease or eliminate GI upset
      • Overdose can cause cholinergic crisis
    Prepared by: E. Bana
  • 154. SALIENT POINTS
    • The best approach in helping a confused elderly client is to provide an environment with a TRUSTING RELATIONSHIP.
    • Group setting  it facilitates the creation of a new therapy
    • CONFUSION  occurs early in the morning on client with dementia
    Prepared by: E. Bana
  • 155. MASTERY DRILL
    • EXPRESSIVE APHASIA
    • AGNOSIA
    • ANOMIA
    • APRAXIA
    • RECEPTIVE APHASIA
    Prepared by: E. Bana
  • 156. MASTERY DRILL
    • The client brushes her hair with her toothbrush
    • The client says “ What do you call that? Pointing to a handkerchief.
    • The client nods his head in response to a question
    • The client holds the doorknobs ad does not know what to do next
    Prepared by: E. Bana
  • 157. MASTERY DRILL
    • The client is unable to understand the instructions.
    Prepared by: E. Bana
  • 158. ALHEIMER’S DISEASE
    • Alzheimer’s disease
    • Pick’s disease
    • Huntington’s disease
    • Parkinson’s disease
    Prepared by: E. Bana
  • 159. MASTERY DRILL
    • Deficiency of acetylcholine
    • Genetic transmission
    • Deficiency of dopamine
    • Atrophy of the frontal lobe of the brain
    • Atrophy of the temporal lobe of the brain
    Prepared by: E. Bana