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Post traumatic
 

Post traumatic

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    Post traumatic Post traumatic Presentation Transcript

    • Post Traumatic Stress Disorder
    • Definition
      • Posttraumatic stress disorder is a disturbing patter of behavior demonstrated by someone who has experienced
      • Example:
        • Natural Disaster
        • Combat
        • Assault
        • Rape
    • Antecedents of PTSD
      • Sexual Abuse
      • Assa ultive Violence
      • Accidents
      • Traumatic losses such as sudden death of spouse
      • Diagnosis of a life-threatening illness in self or loved ones
      • Acts of terrorism
      • Witnessing a violent act; natural disaster
    • Symptoms
      • Isolation secondary to self-perceived or actual feelings of rejection by peers
      • Unpredictable outburst of rage
      • Exaggerated startle response
      • Avoidance of feelings
      • Survival guilt
      • Sleep disturbance and nightmares
      • Intrusive thoughts of combat and lost buddies
      • Marital discord resulting in divorce
      • The presence of alcohol abuse and depression
      • Recurren t and intrusive d i stressing recollection
      • Recurrent distressing dreams
      • Acting or feeling as if the event were recurring
      • Intense psychological distress to internal or external cues symbolizing an aspect of the event
      • Physiologic reactions on exposure to stimu li that resemble an aspect of the event
      • Avoidance of thoughts, feelings or conversations associated with the trauma
      • Avoidance of activities, places or people associated with the trauma
      • Inability to recall an important aspect of the trauma
      • Feeling of detachment or estrangement from others
      • Restricted affect
      • Insomnia
      • Labile emotion
      • Decreased concentration
      • Hypervigilance
    • DSM-IV-TR Criteria for PSTD
      • Exposure to a traumatic event involving threat of death/ injury to self or others, or actual injury to self or others
      • Responses to horror, helplessness or fear (in children, might be seen as agitated or disorganized behavior)
      • Numbing response
        • Restricted affect
        • Sense of foreshortened future
        • Inability to recall aspects of the event
      • Re-experiencing or reliving traumatic event: ditressing thoughts, dreams, flashbacks, illusion, plus:
        • Hallucinations
      • Avoidance of stimuli related to trauma: feelings, thoughts, people, conversations, places and activities; distress when exposed to reminders of the event, plus:
        • Decreased participation and interest in activities
        • Estrangement and detachment from others
      • Increased arousal or anxiety: sleep disturbance, hypervigilance, startle response, irritability, restlessness, decreased concentration, plus:
        • Outbursts of anger
      • Impairment or distress in functioning- occupational, social or other important areas
      • Onset:
        • Acute: within 6 months after the event
        • Delayed: 6 months or more after the event
      • Duration:
        • Acute: 1 to 3 months
        • Chronic: 3 months or more
    • Treatment for PTSD
      • Monoamine Oxidase Inhibitors
      • Tricyclic antidepresant
      • SSRI’s
      • Exposure Therapies
        • Systematic desensitization
        • Prolonged exposure
        • Implosive therapy
    • NURSING PRIORITIES
      • 1.Provide safety for client/others. 2.Assist client to enhance self-esteem and regain sense of control over feelings/actions. 3.Encourage development of assertive, not aggressive, behaviors. 4.Promote understanding that the outcome of the present situation can be significantly affected by own actions. 5.Assist client/family to learn healthy ways to deal with/realistically adapt to changes and events that have occurred
    •