OBSESSION By Dragan
Nikolic
•Obsession
Repetitive, invading, persistant beliefs/thoughts that are
imposible to be ignored by a person.
Most common Obe...
OBSESSION
Contamination: body fluids, germs, dirt…
Other: getting ill/disease, superstitious – numbers, colors…
Perfection...
COMPULSION
Checking that: did not/will not harm itself/others…
Mental Compulsions: mental review, praying to prevent…
Wash...
Causes
OCD
Because of changes in
one’s body natural
chemistry and brain
functions + it may have
some genetic
component, al...
Larger studies from multiple sites are needed to establish accurately the prognosis associated with
modern treatment metho...
Medications
OCD
Fluoxetine
(Prozac ®)
Sertraline
(Zoloft ®)
Clomipramine
(Anafranil ®)
Citalopram
(Celexa ®)
Fluvoxamine
(...
Medications (cont’d)
OCD
1
Stomach problems, sleep
disturbance, sweating and reduced
sexual interest.
Side effects
Suicida...
• Nurse is the person that creates therapeutic
environment and helps people to return to they
normal life as fast as its p...
Nursing Interventions (Cont’d)
OCD
Nurse is known as a pillar of stability and consistency
by working closely with clients...
Assisting the person with OCD to perform routine physical care include:
Handling inappropriate or dangerous behaviors.
Ass...
There are many ways in which nurse can be emotionally supportive such as:
Introduce himself/herself and offer to shake han...
Display empathy. It is very important to try to understand how clients feels.
Appreciate individual differences.
Set appro...
Create therapeutic and safe environment within the mental health setting.
Provide leadership in socialization activities w...
1. Alcohol usage is not
advised, especially in the initial phase
of medication therapy.
2. Driving is not advised during t...
The Nurse
Summary
OCD
As a pillar of stability nurse’s help is vital in helping clients and their needs in overcoming OCD’...
THANK YOU!
Dragan Nikolic
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Obsession

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Obsession

  1. 1. OBSESSION By Dragan Nikolic
  2. 2. •Obsession Repetitive, invading, persistant beliefs/thoughts that are imposible to be ignored by a person. Most common Obessive disorder: •Obsessive-Compulsive Disorder (OCD) Anxiety disorder of intrusive thoughts fear, apprehension, worry, and uneasiness. Combination of: - Obsession - Compulsion Obsessive – Compulsive - Disorder OBSESSION
  3. 3. OBSESSION Contamination: body fluids, germs, dirt… Other: getting ill/disease, superstitious – numbers, colors… Perfectionism: exactness, evenness, know, remember… Unwanted sexual thoughts: forbidden, perverse, aggressive… Loosing control: fear that one can hurt himself, others … Harm: fear of being responsible for wrong things happened… Religious: concerns of offending God, blasphemy, morality… ✓ 1 2 3 4 5 6 7
  4. 4. COMPULSION Checking that: did not/will not harm itself/others… Mental Compulsions: mental review, praying to prevent… Washing & Cleaning excessively: hands, bathing… Repeating: routine activities, body movements… Other: putting things in order, getting reassurance…✓ ✓ ✓ ✓ ✓ 1 2 3 4 5
  5. 5. Causes OCD Because of changes in one’s body natural chemistry and brain functions + it may have some genetic component, although specific gen is still not identified. Biology 1 Exact cause - Abusse, - Ilness, - Death of a family member or a friend, - Relationship worries, - Work or school stress or changes, - Changes in living situation. Environment According to multiple researches and many studies exact cause is still unknown unfortunately. 32
  6. 6. Larger studies from multiple sites are needed to establish accurately the prognosis associated with modern treatment methods. OCD Prognosis Usually begins before age of 25, childhood & adolescence. • According to 1988 research:  85% continuous course with waxing & warning symptoms,  10% deteriorative course,  2%episodic course. • According to 1995 research:  1.5y to 5y research – out of 23 children on medication, only 4 were free of OCD,  8 had subclinical symptoms,  11 remaining had chronic or episodic OCD.
  7. 7. Medications OCD Fluoxetine (Prozac ®) Sertraline (Zoloft ®) Clomipramine (Anafranil ®) Citalopram (Celexa ®) Fluvoxamine (Luvox CR ®) Parexotine (Pexeva ®, Praxile ®)
  8. 8. Medications (cont’d) OCD 1 Stomach problems, sleep disturbance, sweating and reduced sexual interest. Side effects Suicidal thought can increase in some cases in children, teenagers, and young adults under 25y/o. Suicide risk 3 Danger if interact with alcohol, other medications, foods, or some other substances. Interactions with other substances Medications that are used to help control OCD are most comonly antidepresants.  More than one is tried,  Combination with antipscyhotics,  Therapy not to be stoped before consultation with doctor,  Not addictive; however, physical dependance may happen. 2
  9. 9. • Nurse is the person that creates therapeutic environment and helps people to return to they normal life as fast as its possible, • Nurse must be emotionally available, able to listen, nonpunitive, supportive, understanding, and encouraging. OCD Nursing Interventions
  10. 10. Nursing Interventions (Cont’d) OCD Nurse is known as a pillar of stability and consistency by working closely with clients. Nurse is there to provide different types of assistances such as: Advising assistance Emotional assistance Physical assistance
  11. 11. Assisting the person with OCD to perform routine physical care include: Handling inappropriate or dangerous behaviors. Assisting sleep-deprived client to sleep. Assisting with ADL’s. Administering prescribed medications, observing for side effects, and teaching clients about medications. Administering physical treatment, as ordered by doctor. Nursing Interventions (Cont’d) OCD 1 2 3 4 5
  12. 12. There are many ways in which nurse can be emotionally supportive such as: Introduce himself/herself and offer to shake hands. Be even-tempered and uncritical – the person is ill. Establish rapport (harmonious relationship), and here are some aspects of positive nurse-client relationships: Be truthful but not brutally so. Have poise-it influence confidence in both nurse and client Nursing Interventions (Cont’d) OCD 1 * * * * * Be an interested listener. Sit down to visit the clients. Do not stand over them.
  13. 13. Display empathy. It is very important to try to understand how clients feels. Appreciate individual differences. Set appropriate limits. Concentrate on client’s strengths and not on weakness. Treat adults as adults Reward positive behaviors and step toward wellness. Nursing Interventions (Cont’d) OCD * * * * * * * Do not force client to have a long interview if it is uncomfortable…
  14. 14. Create therapeutic and safe environment within the mental health setting. Provide leadership in socialization activities with person or group. Conduct remotivation sessions. Provide emotional support to the client and family. Aid in group therapy sessions Assist the client and family to access other resources, such as Alcoholics Anonymous, a community drop-in center or community social worker. Nursing Interventions (Cont’d) OCD 2 3 4 5 6 7
  15. 15. 1. Alcohol usage is not advised, especially in the initial phase of medication therapy. 2. Driving is not advised during therapy because drowsiness, dizziness, or cognitive impairment can be present. 3. Alcohol can interact with other medications in negative way and may alter the therapy.. Advising assistance OCD Nursing Inteventions (Cont’d) Interaction with medications DrivingAlcohol
  16. 16. The Nurse Summary OCD As a pillar of stability nurse’s help is vital in helping clients and their needs in overcoming OCD’s and its symptoms, and as that nurse has significant role in taking care of mentally ill people. • OCD and its course can vary, • Symptoms can come and go (people can feel that symptoms are disappearing or becoming worse over time), • Avoiding triggering situations + medications may help in calming people with OCD, • Combinig multiple medications can be dangerous in some situations and people should be aware of that.
  17. 17. THANK YOU! Dragan Nikolic

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