The document outlines the key aspects of conversion disorder including its definition, history, epidemiology, etiology, clinical features, diagnostic criteria, differential diagnosis, investigations, course and prognosis, and management. Conversion disorder involves symptoms or deficits affecting voluntary motor or sensory functions that are judged to have a psychological cause rather than a medical condition. It has been described since ancient Egypt and was further explored by Freud. Conversion disorder is more common in females and usually onset in late childhood to early adulthood.
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
Schizophrenia is a group of severe brain disorders in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and disordered thinking and behaviour.
Contrary to some popular belief, schizophrenia is not split personality or multiple personality. The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking (Mayo, 2013).
Schizophrenia is a chronic condition, requiring lifelong treatment.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
obsessive compulsive and related disorders (OCD)mamtabisht10
Obsessive-Compulsive and related disorders include obsessive-compulsive disorder (OCD), body dysmorphic disorder, hoarding disorder, trichotillomania (hair-pulling disorder), and excoriation (skin-picking) disorder.
SCHIZOPHRENIA:
slide 1: A long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation.
slide 14: Types:
• Paranoid-type schizophrenia is characterized by delusions and auditory hallucinations (hearing voices that don't exist) but relatively normal intellectual functioning and expression of emotions. People with paranoid-type schizophrenia can exhibit anger, aloofness, anxiety, and can be argumentative.
• Disorganized-type schizophrenia is characterized by speech and behavior that are disorganized or difficult to understand, and flattening or inappropriate emotions. People with disorganized-type schizophrenia may laugh inappropriately for no apparent reason, make illogical statements, or seem preoccupied with their own thoughts or perceptions. Their disorganized behavior may disrupt normal activities, such as showering, dressing, and preparing meals.
• Undifferentiated-type schizophrenia is characterized by some symptoms seen in all of the above types, but not enough of any one of them to define it as another particular type of schizophrenia.
• Residual-type schizophrenia is characterized by a past history of at least one episode of schizophrenia, but the person currently has no "positive" symptoms (such as delusions, hallucinations, disorganized speech, or behavior). It may represent a transition between a full-blown episode and complete remission, or it may continue for years without any further psychotic episodes.
Catatonic Schizophrenia
This type of schizophrenia includes extremes of behavior, including:
Catatonic excitement - overexcitement or hyperactivity, in which the patient may mimic sounds (echolalia) or movements (achopraxia) around them.
Catatonic stupor - a dramatic reduction in activity in which the patient cannot speak, move or respond. Virtually all movements stops.
Conclusion
It is clear now, through the use of genetic linkage studies and microbiology, that schizophrenia does indeed have a biological explanation. However, the biological explanation is only part of the story. A yet unknown combination of intense stress, sociocultural situations, and cognitive processes may lead to the actual onset of schizophrenia aided by natural precursors. The most compelling explanation seems to be that a genetically inherited biological abnormality gives rise to hallucinations/delusions as a result of intense stress and eventually leads to other negative symptoms in reaction to the hallucinations/ delusions. At any rate, the current understanding of schizophrenia explains that the symptoms, however easily identifiable, are the result of a complex interaction between nature and nurture that can be treated adequately through the use of atypical anti psychotic drugs and psychotherapy.
Sexual disorder - ICD10 gender identity disorders, disorders of sexual preference and sexual development and orientation disorders are listed under disorders of adult personality and behavior (f6), while sexual dysfunctions are listed under behavioral syndromes associated with physiological disturbances and physical factors (f5).
It is a disturbances in the sexual desire.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
obsessive compulsive and related disorders (OCD)mamtabisht10
Obsessive-Compulsive and related disorders include obsessive-compulsive disorder (OCD), body dysmorphic disorder, hoarding disorder, trichotillomania (hair-pulling disorder), and excoriation (skin-picking) disorder.
SCHIZOPHRENIA:
slide 1: A long-term mental disorder of a type involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation.
slide 14: Types:
• Paranoid-type schizophrenia is characterized by delusions and auditory hallucinations (hearing voices that don't exist) but relatively normal intellectual functioning and expression of emotions. People with paranoid-type schizophrenia can exhibit anger, aloofness, anxiety, and can be argumentative.
• Disorganized-type schizophrenia is characterized by speech and behavior that are disorganized or difficult to understand, and flattening or inappropriate emotions. People with disorganized-type schizophrenia may laugh inappropriately for no apparent reason, make illogical statements, or seem preoccupied with their own thoughts or perceptions. Their disorganized behavior may disrupt normal activities, such as showering, dressing, and preparing meals.
• Undifferentiated-type schizophrenia is characterized by some symptoms seen in all of the above types, but not enough of any one of them to define it as another particular type of schizophrenia.
• Residual-type schizophrenia is characterized by a past history of at least one episode of schizophrenia, but the person currently has no "positive" symptoms (such as delusions, hallucinations, disorganized speech, or behavior). It may represent a transition between a full-blown episode and complete remission, or it may continue for years without any further psychotic episodes.
Catatonic Schizophrenia
This type of schizophrenia includes extremes of behavior, including:
Catatonic excitement - overexcitement or hyperactivity, in which the patient may mimic sounds (echolalia) or movements (achopraxia) around them.
Catatonic stupor - a dramatic reduction in activity in which the patient cannot speak, move or respond. Virtually all movements stops.
Conclusion
It is clear now, through the use of genetic linkage studies and microbiology, that schizophrenia does indeed have a biological explanation. However, the biological explanation is only part of the story. A yet unknown combination of intense stress, sociocultural situations, and cognitive processes may lead to the actual onset of schizophrenia aided by natural precursors. The most compelling explanation seems to be that a genetically inherited biological abnormality gives rise to hallucinations/delusions as a result of intense stress and eventually leads to other negative symptoms in reaction to the hallucinations/ delusions. At any rate, the current understanding of schizophrenia explains that the symptoms, however easily identifiable, are the result of a complex interaction between nature and nurture that can be treated adequately through the use of atypical anti psychotic drugs and psychotherapy.
Sexual disorder - ICD10 gender identity disorders, disorders of sexual preference and sexual development and orientation disorders are listed under disorders of adult personality and behavior (f6), while sexual dysfunctions are listed under behavioral syndromes associated with physiological disturbances and physical factors (f5).
It is a disturbances in the sexual desire.
Brain fag syndrome,hypochondriasis and conversion disorderDr.Emmanuel Godwin
Brain fag syndrome,hypochondriasis and conversion disorder are forms of somatoform disorder....This are disorders that present with Physical symptoms with an unexplained cause.
Schizophrenia is a significant mental disorder in which people interpret reality abnormally & it may result in some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning. Through this period Anti psychotic & Psycho social treatment improve the condition.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
2. Presentation outline
Definition
History
Epidemiology
Etiology
Clinical features
Diagnostic criteria
Differential diagnosis
investigations
Course and prognosis
management
3. Definition
An illness of symptoms or deficits affecting
voluntary motor or sensory functions, suggesting
another medical condition, but judged due to
psychological factors because of preceding
conflicts or other stressors.
Symptoms or deficits are not intentionally
produced, not due to substance, and not limited to
pain or sexual symptomatology.
Gain is primarily psychological, and not social or
monetary or legal.
4. History...cont
Clinical descriptions of conversion disorder date to almost
4000 years ago; the Egyptians attributed symptoms to a
"wandering uterus
In the 19th century, Paul Briquet described the disorder as a
dysfunction of the CNS
Sigmund Freud introduced the term conversion (based on
his work with Anna O); and Hypothesized that the
symptoms of conversion reflect unconscious conflict.
5. Epidemiology..cont
Some symptoms, but not severe enough to warrant
diagnosis in 1/3 of general population at some time
Lifetime risk by some studies of 33% for either transient or
longer-term disorder
Range in general population of 11-300/100,000
25-30% of admissions to hospitals
Onset at any age, but most common in late childhood to
early adulthood (rare before 10 years of age, or after 35, but
reported as late as the ninth decade of life)
6. Epidemiology..cont
Ratio of women to men
Range of 2/1 to 10/1 in adults
Increased female predominance in children
Symptoms in women more common on left side of body
Women with conversion symptoms more likely to
subsequently develop somatization disorder
Association in men between conversion disorder and
antisocial personality disorder
Men with conversion disorder often involved in occupation
or military accidents
8. Etiology…cont
Psychoanalytic Factors
Repression of unconscious intrapsychic conflict (instinctual
impulse, e.g. aggression/sexuality, and prohibitions of expression)
Conversion of anxiety into a physical symptom-”the symptom binds
anxiety”
9. Etiology…cont
Learning Theory
Conversion disorder considered as piece of classically
conditioned learned behavior
Symptoms of illness, learned in childhood, are called
forth as a means of coping with an otherwise impossible
situation.
10. Clinical features
Biological Factors
Brain imaging
Hypo-metabolism of dominant hemisphere
Hyper-metabolism of non dominant hemisphere
? Impaired hemispheric communication
Corticofugal feedback
? Excessive cortical arousal setting off negative feedback loops
between the cortex and reticular formation w/ inhibition
Neuropsychological tests
Subtle cerebral impairments in verbal communication, memory,
vigilance, affective incongruity, and attention
Increased incidence with head trauma/organicity
11. Clinical features
Sensory symptoms
Anesthesia and paresthesia common, especially in
extremities (although all sensory modalities can be
involved)
Distribution of the neurological deficit inconsistent
with either central or peripheral neurological disease
(e.g. stocking-and-glove anesthesia, and hemianesthesia
beginning precisely along the midline)
Possible involvement of organs of special sense
(deafness, blindness, tunnel vision)
Classic dermatomes in patients with numbness usually
are not followed
12. Clinical features
Motor symptoms
Abnormal movements (gait disturbance, weakness/paralysis)
Movements generally worsen with calling of attention
Possible gross rhythmical tremors, chorea, tics, and jerks
Astasia-abasia (wildly ataxic/staggering gait, gross irregular/jerky
truncal movements, thrashing/waving of arms-rare falls w/o injury)
Paralysis/paresis involving one, two, or all four limbs (w/o
conformation to neural pathways)
Reflexes remain normal
No fasciculations/muscle atrophy (except chronic conversion)
Normal electromyography
13. Clinical features
Seizure symptoms
Pseudoseizures
Differentiation from true seizure difficult by clinical observation
alone
1/3 of those with pseudoseizures have coexisting epileptic
disorder
Tongue biting, urinary incontinance, and injuries after falling can
occur (although generally absent)
Pupillary and gag reflexes retained
14. ICD-10 diagnostic criteria
F44 Dissociative [conversion] disorders
(a)the clinical features as specified for the individual
disorders in F44.-;
(b)no evidence of a physical disorder that might
explain the symptoms;
(c)evidence for psychological causation, in the form of
clear association in time with stressful events
and problems or disturbed relationships (even if
denied by the individual).
16. Differential diagnosis
The most important conditions in the differential
diagnosis are neurological or other medical disorders
and substance-induced disorders.
Dementia and other degenerative disorders
Brain tumors, subdural hematoma
Basal ganglia disease, myasthenai gravis, multiple sclerosis
Polymyositis, acquired myopathies
Schizophrenia
Depressive disorders
Anxiety disorders
17. Investigations
Laboratory Studies ie Electrolyte, disturbances,
hypoglycemia, hyperglycemia, renal function test,
systemic infection, toxins, Other drugs
Imaging Studies ie CXR, CT scan or MRI
Electroencephalography
Lumbar puncture
NB. Avoid unnecessary, painful or invasive test if
possible as they can results in reinforcement and fixation
of symptoms
18. Course and prognosis
Initial symptoms resolve within a few days to < a
month
in 90 to 100% (95% remit spontaneously, usually by 2
weeks)
75% have no further episodes, with 20-25% recurring
within a year during periods of stress
25 to 50% present later with neurological disorders or
nonpsychiatric medical conditions affecting the
nervous system
19. Management
No well-established treatment regimens for
conversion disorder
Neurologic consultation may help if the
neurological examination is equivocal
Reassurance/appropriate rehabilitation
suggestive therapy
Behavior-oriented treatment strategies
Pharmacotherapy (Anxiolytic or antidepressant
medications)