Obsessive-compulsive disorder (OCD) is a chronic and relapsing anxiety disorder that is characterized by persistent obsessive thoughts and/or repetitive compulsive actions that impair daily functioning. The repetitive actions can be mental or physical acts, either of which is perceived by the individual as reducing anxiety. Individuals with OCD might recognize the irrationality of their anxiety-driven patterns, they feel helpless to resist the compulsive urges that serve as dysfunctional coping mechanisms to reduce anxiety. Many patients prefer to keep ritualistic compulsions such as repetitive checking of locks or repeated hand washing a secret because they are ashamed of their illogical behavior.
Definition:
Obsession: Repetitive thoughts, images and doubts which make a person absolutely senseless and irrational. Individual tries to resist but finds unable to do so because that restriction might increase the level of anxiety.
Compulsion: Repetitive actions are performed followed by obsession in order to avoid the marked distress even though the client knows that behavior is unrealistic, senseless and irrational.
Etiology/ Predisposing factors:
I. Biological Theories:
a) Neurotransmitters:
Studies have suggested that changes in brain serotonin(5-HT) function may contribute to anxiety symptoms and anxiety type behaviors. Among anxiety disorders, the most compelling evidence implicating 5-HT exists for OCD.
OCD patients were found to have higher plasma free 3-methoxy-4-hydroxy-phenylglycol and plasma norepinephrine levels. The maximum number of binding sites (Bmax) for tritiated clonidine was significantly greater in OCD patients than in normal people. There was a blunted growth hormone, cortisol and ACTH response to clonidine in OCD.
b) Genetics:
Family studies: 35% of first-degree relatives of OCD clients might suffer from this disorder.
Twin studies: Monozygotic twins are more prone to it as compared to dizygotic twins.
c) Electrophysiological Studies:
Electroencephalography: Many of the earlier reports suggested EEG abnormalities in OCD. Temporal lobe spikes and increased theta waves have been reported in sleep EEG or OCD subjects.
Evoked Potentials: Higher N60 amplitudes were found in somatosensory evoked patients in OCD. Obsessional patients are characterized by reduced amplitudes and decreased latencies of late EP component.
d) Brain Imaging:
Cranial CT and MRI scans: An increase in ventricular-brain ratio was found in cranial CT in OCD. Subsequent studies have shown similar results in caudate nuclei. Earlier reports found non-specific abnormalities on Magnetic Resonance Imaging of the brains in OCD.
Management:
IV. Psychosurgery:
There are various procedures that have been used in treatment of OCD. They are as follows;
• Prefrontal leucotomy
• Transorbital leucotomy
• Biomedical leucotomy
• Orbital leucotomy
• Rostral leucotomy
• Limbic leucotomy
• Subcaudate tractotomy
Obsessive-Compulsive Disorder (OCD) is a common, chronic, and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and/or behaviors (compulsions) that he or she feels the urge to repeat over and over.
Symptoms: Compulsive behavior
Obsessive-compulsive disorder is characterised by unreasonable thoughts and fears (obsessions) that lead to compulsive behaviours.
OCD often centres on themes such as a fear of germs or the need to arrange objects in a specific manner. Symptoms usually begin gradually and vary throughout life.
Treatment includes talk therapy, medication or both.
Consult a doctor for medical advice.
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 Disorder (OCD) is a common, chronic, and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and/or behaviors (compulsions) that he or she feels the urge to repeat over and over.
Symptoms: Compulsive behavior
Obsessive-compulsive disorder is characterised by unreasonable thoughts and fears (obsessions) that lead to compulsive behaviours.
OCD often centres on themes such as a fear of germs or the need to arrange objects in a specific manner. Symptoms usually begin gradually and vary throughout life.
Treatment includes talk therapy, medication or both.
Consult a doctor for medical advice.
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
The word delirium means “out of one’s furrow” which refers to the dramatic behavior changes that the person may experience. Some have called delirium "brain failure” because it may represent a variety of caused such as heart failure does in cardiac health.
Delirium is an outcome of a general medical condition, head injury and drug intoxication or withdrawal.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
The word delirium means “out of one’s furrow” which refers to the dramatic behavior changes that the person may experience. Some have called delirium "brain failure” because it may represent a variety of caused such as heart failure does in cardiac health.
Delirium is an outcome of a general medical condition, head injury and drug intoxication or withdrawal.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
Obsessive-compulsive disorder (OCD) is an type of anxiety disorder , represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions.
Obsessive-compulsive disorder (OCD) is a mental ailment marked by a persistent, chronic anxiety state. It holds individual’s captive in an endless loop of repetitive obsessions and compulsions:
Obsessions associated with OCD: People who have OCD experience distressing and recurrent cravings or worries. Extreme anxiety is brought on by these obsessive thoughts.
An amateur PowerPoint Presentation prepared by me as an activity for work. It was not a challenge yet a challenge as this was my first ever presentation. The content of the PPT has been collected from the internet and is for basic knowledge and reference only. If anyone is indeed suffering from OCD they should consult a medicine expert right away.
In this presentation I have tried to discuss in brief about obsessive compulsive disorder and its treatment both pharmacological and non pharmacological.
Schizophrenia is a metal disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness and social interaction. Here the etiology, epidemiology, types, signs and symptoms, pathophysiology, complications, diagnosis as well as management of schizophrenia is explained.
Best Practices for Treating Obsessive-Compulsive Disorder Clinical Guidelines...Butterfly Learnings
OCD affects millions of people worldwide, causing significant distress and interference in daily life. It can manifest in various forms, such as contamination fears, excessive checking, or intrusive thoughts about harm or symmetry.
obsessive-compulsive disorder is a mental disorder whose main symptoms include obsessions and compulsions, driving the person to engage in unwanted, often-times distress behaviors or thoughts. The obsessions are usually related to a sense of harm, risk or injury. The common Obsessions include concern about contamination, doubt, fear of loss or letting go, fear of physically injuring someone.It’s treatment is done through a combination of psychiatric medications and psychotherapy.
Obsessive-Compulsive Disorder (OCD) is a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over.
An obsession is defined as an idea, impulse, or image which intrude into the conscious aware repeatedly.
Read this article to learn all about the various types of OCD. If you are suffering from OCD, there are treatment options available to help ease your symptoms and get your life back on track. Call now ☎️
https://pathwaysreallife.com/obsessive-compulsive-disorder-ocd-treatment-in-utah/
Archer USMLE step 3 Psychiatry lecture notes. These lecture notes are samples and are intended for use with Archer video lectures. For video lectures, please log in at http://www.ccsworkshop.com/Pay_Per_View.html
Obsessive compulsive disorder(OCD)
Characterized by obsessional thoughts and compulsive rituals.
Secondary to both depressive illness and Gilles de la Tourette syndrome.
OCD is an anxiety disorder characterized by intrusive thoughts that produce uneasiness, apprehension, fear or worry; by repetitive behaviours aimed at reducing the associated anxiety; or by a combination of such obsessions and compulsions
Similar to Obsessive Compulsive Disorder | Psychiatric Nursing | Juhin J (20)
Tips to reduce alcohol intake:
- Gradually reduce the number of drinks
- Use smaller glasses
- Substitute a glass of water in between alcoholic drinks
- Change triggering environment
- Change from your preferred alcoholic drink to one you do not like
- Don't stock up on alcohol
- Be realistic
- Find healthy coping mechanism
Digital Addiction | Psycho Education | Juhin JJuhin J
Digital Addiction:
---Signs & Symptoms---
- Unable to leave your house without phone
- Compelled to check the phone constantly for no particular reason
- Eating with your phone on the table
- Feeling anxious or depressed after using social media
- Obsessed over sending or recieving a text or posting a comment
- Feeling afraid of missing out
---Management---
- Start the day without mobile phone
- Turn off devices 30 minutes before bed
- Delete time setealing apps from your phone
- Turn off notifications
- Only respond to emails and texts at specific times of the day
Stress Management:
- Get enough sleep (6-8 hours)
- Be active
- Engage in meditation and yoga
- Eat well
- Take a break
- Talk to someone
- Practice deep breathing
Tips to improve Sleep Quality:
- Establish a regular bedtime and waking time
- Do regular exercise
- Use comfortable bed
- Make sure your bedroom is quiet, dark with good ventilation
- Switch off your electronic devices 30-60 minutes before bed
- Avoid taking heavy foods before sleep
- Reduce intake of water before bed
- Avoid coffee, alcohol & nicotine intake
Warning Signs of Mental Illness:
- Excessive sadness & anxiety lasting more than 2 weeks
- Sleeping or eating more/less than usual
- Inability to perform daily tasks
- Harming self
- Increased use of alcohol or other substances
- Unusual mood changes
- Decreased performance
- Believing things that aren't real
Rights of Special Groups | Constitution of Indian | Juhin JJuhin J
Rights are rules of interaction between people. These are legal, social, or ethical principles of freedom or entitlement and are the fundamental normative rules about what is allowed to people according to some legal system, social convention, or ethical theory.
Special groups are those who need special attention such as children, women, HIV, handicapped, aged and mentally ill. To protect these groups, these rights have been formulated by the constitution.
Continuing Nursing Education(CNE) is the process directed towards the personal and professional growth of nurses and other personnel while they are employed by a health care agency. It is essential for the upliftment of personal as well as administrative field. CNE helps in updating the knowledge and practice of professional. It is applicable not only to nursing field but also to all the professional fields.
Socioeconomic Status Scale | Nursing Education | Juhin JJuhin J
Socioeconomic status(SES) is a combination of both social and economic variables. It is one of the most important social determinants of health and disease. It influences the accessibility, affordability, acceptability and actual utilization of available health facilities.
Alternative Systems of Medicine in Mental Health | AYUSH | CAM | Juhin JJuhin J
Alternative Systems of Medicine in Mental Health | AYUSH | Complementary Alternative Medicine CAM | Juhin J
Medical products and practices that are not part of standard care is called alternative medicine. Standard care is what medical doctors and allied health professionals, such as nurses and physical therapists, practice. Alternative medicine is used in the place of standard medical care.
HERBAL: The use of plants to heal is probably as old as human kind. Virtually every culture in the world has relied on herbs & plants to treat illness. Many people are seeking a return to herbal remedies because they perceive these remedies as being less potent than prescription drugs and as being free of adverse side effects.
UNANI: According to the principles of unani medicine, disease is a natural process. Its symptoms are the reactions of the body to the disease.
SIDDHA: Siddha System of Medicine in an ancient Science, which belongs to Dravidian culture. It is very useful in maintenance and restoration of good health. Siddha system accounted for total 4448 disease symptoms and its cure. Thousands of herbs and mineral were Included in Siddha system providing good and easy management of chronic to degenerative, viral to cardiac disease.
HOMEOPATHY: Homeopathic remedies are typically derived from plants, herbs, minerals, or animal products. After being crushed and dissolved in alcohol or water, the selected substance undergoes a long process of dilution and succession (a process that involves vigorous shaking of the solution). The solution is then stored.
ACCUPUNCTURE: Acupuncture technique means penetrating the acupoints with hair thin, sterile, disposable, stainless needles to dissolve the obstructions along the meridians.
ACCUPRESSURE: Acupressure is similar in practice to acupuncture, but no needles are involved.
Disorders of Thought and Perception | Mental Health & Psychiatric Nursing | J...Juhin J
The ideas or arrangement of ideas that result from thinking is called thought. Thinking represent the most common form of mental activity. All human achievements and progress are the products of thought. Thought disorder is a disorganized way of thinking that leads to abnormal ways of expressing language when speaking and writing. It is one of the most difficult disorders to diagnose.
Impulse Control Disorder | Psychiatric Nursing | Juhin JJuhin J
Impulse control disorder happens when a person often unable to resist the sudden, forceful urge to do something that may violate the rights of others or conflict with societal norms. These impulsive behaviors may occur repeatedly, quickly and without consideration of the consequences of the actions.
Personality means enduring qualities of a person in many circumstances. It includes perceptions, attitudes and emotions. These behaviors and characteristics are consistent across a broad range of situations and do not change easily. A person usually is not consciously aware of his/ her personality. Many factors influence personality; some stem from biologic and genetic makeup, whereas some are acquired as a person develops and interacts with the environment and other people. These qualities develop into personality traits(Characters).
PERSONALITY TRAITS:
The most widely used system of personality trait is called Five- Factor Model. This includes, Openness, Conscientiousness, Extraversion, Agreeableness and Neuroticism. Each trait is further divided into several trait facets to analyse one’s personality clearly. Several theorists still argue that there are more traits which have not been captured by this five-factor model.
Openness people loves adventure, appreciate art, imagination and learn new things throughout their life time. Meanwhile low openness people avoid new experiences, stick to their habits and not adventure lovers.
Conscientiousness people are dependable, disciplined and achievement focused. Meanwhile low conscientiousness people are more spontaneous and careless, when extreme.
Extraversion people/ Extroverts are cheerful, sociable and draw energy from crowds. Meanwhile introverts love to be alone. Commonly people think introversion and shyness are same. They both are different. Shyness people has fear of social interaction meanwhile introverts are cheerful but they prefer solo or small group activities.
Agreeableness people are warmth, kind, helpful, compassionate and trust worthy. Meanwhile disagreeable people are cold and suspicious of others.
High Neuroticism people experience lot of negative emotion. Meanwhile low neuroticism people will be emotionally stable.
Personality disorder is defined as, “characteristic and enduring pattern of inner experience (or) behavior as a whole marked deviation for a level of exception and acceptable range of individuals’ culture”. – ICD 10
Persons with histrionic personality disorder are excitable and emotional and behave in a colorful, dramatic, extroverted fashion. Inability to maintain sincere, long-lasting attachments. They are unaware of their true feelings and cannot explain their motivations. With age, the symptoms of histrionic personality disorder will come down. But patients will feel hard to handle it because they lack the energy they had earlier.
Individuals with narcissistic personality disorder have a heightened sense of self-importance, lack of empathy and grandiose feelings of uniqueness. Underneath, however, their self-esteem is fragile and vulnerable to even minor criticism. Narcissistic symptoms diminish after 40 years of age.
Persons with avoidant personality disorder show extreme sensitivity to rejection and may lead socially withdrawn lives. Although shy, they are not asocial and show a great desire for companionship, but they need unusually strong guarantees of uncritical acceptance. We often describe this group as having an inferiority complex. Some marry, have children, and live their lives surrounded only by family members. If their support system fails, however, they are subject to depression, anxiety, and anger.
Primary sleep disorders:
Primary sleep disorders are those disorders not attributable to another cause, which includes dyssomnias and parasomnias.
Dyssomnias: are primary disorders of initiating or maintaining sleep/ excessive sleepiness, characterized by abnormalities in the amount, quality, or timing of sleep.
Insomnia:
Difficulty initiating or maintaining sleep or nonrestorative sleep that lasts for 1 month and causes significant distress or impairment in social, occupational, or other important areas of functioning.
Hypersomnia:
Excessive sleepiness for atleast 1 month that involves either prolonged sleep episodes or daily daytime sleeping that causes significant distress or impairment in social, occupational or other functioning.
Narcolepsy:
A rare sleep disorder in which a person, usually under the age of 20, has recurrent sudden episodes of irresistible sleep attacks of short duration 10 - 15 minutes (directly enters into REM sleep).
Breathing related sleep disorder:
Sleep disruption leading to excessive sleepiness or, less commonly, insomnia, caused by abnormalities in ventilation during sleep. These disorders include obstructive sleep apnea (repeated episodes of upper airway obstruction), central sleep apnea (episodic cessation of sventilation without airway obstruction), and central alveolar hypoventilation (hypoventilation resulting in low arterial oxygen levels).
Circadian Rhythm Sleep Disorder:
Persistent or recurring sleep disruption resulting from altered functioning of circadian rhythm or a mismatch between circadian rhythm and external demands. Subtypes include; delayed sleep phase, jet lag, shift work and unspecified.
Delayed sleep phase: A persistent pattern of late sleep onset and late awakening times, with an inability to fall asleep and awaken at a desired earlier time.
Jet lag: Sleepiness and alertness that occur at an inappropriate time of day relative to local time, occurring after repeated travel across more than one time zone.
Shift work: Insomnia during the major sleep period or excessive sleepiness during the major awake period associated with night shift work or frequently changing shift work.
Parasomnias: are disorders characterized by abnormal behavioral or psychological events associated with sleep, specific sleep stages, or sleep–wake transition. These disorders involve activation of physiological systems, such as the autonomic nervous system, motor system, or cognitive processes, at inappropriate times during sleep.
Nightmare disorder:
Repeated occurrence of frightening dreams that lead to waking from sleep.
Sleep terror disorder:
Repeated occurrence of abrupt awakenings from sleep associated with a panicky scream or cry.
Sleepwalking disorder (Somnambulism):
Repeated episodes of complex motor behavior initiated during sleep, including getting out of bed and walking around.
Personality means enduring qualities of a person in many circumstances. It includes perceptions, attitudes and emotions. These behaviors and characteristics are consistent across a broad range of situations and do not change easily. A person usually is not consciously aware of his/ her personality. Many factors influence personality; some stem from biologic and genetic makeup, whereas some are acquired as a person develops and interacts with the environment and other people. These qualities develop into personality traits(Characters).
PERSONALITY TRAITS:
The most widely used system of personality trait is called Five- Factor Model. This includes, Openness, Conscientiousness, Extraversion, Agreeableness and Neuroticism. Each trait is further divided into several trait facets to analyse one’s personality clearly. Several theorists still argue that there are more traits which have not been captured by this five-factor model.
Openness people loves adventure, appreciate art, imagination and learn new things throughout their life time. Meanwhile low openness people avoid new experiences, stick to their habits and not adventure lovers.
Conscientiousness people are dependable, disciplined and achievement focused. Meanwhile low conscientiousness people are more spontaneous and careless, when extreme.
Extraversion people/ Extroverts are cheerful, sociable and draw energy from crowds. Meanwhile introverts love to be alone. Commonly people think introversion and shyness are same. They both are different. Shyness people has fear of social interaction meanwhile introverts are cheerful but they prefer solo or small group activities.
Agreeableness people are warmth, kind, helpful, compassionate and trust worthy. Meanwhile disagreeable people are cold and suspicious of others.
High Neuroticism people experience lot of negative emotion. Meanwhile low neuroticism people will be emotionally stable.
Personality disorder is defined as, “characteristic and enduring pattern of inner experience (or) behavior as a whole marked deviation for a level of exception and acceptable range of individuals’ culture”. – ICD 10
Hallucinogenic substances are capable of distorting an individual’s perception of reality. They have the ability to alter sensory perception and induce hallucinations. Substance induced hallucinations are usually visual.
The term opioid refers to a group of compounds that includes opium, opium derivatives, and synthetic substitutes. Opioids exert both a sedative and an analgesic effect, and used to relieve pain, cough and treatment of diarrhea. They induce a pleasurable effect on the CNS that promotes abuse. These drugs are capable of inducing tolerance and physiological and psychological addiction.
Inhalant disorders are induced by inhaling the aliphatic and aromatic hydrocarbons found in substances such as fuels, solvents, adhesives, aerosol propellants, and paint thinners. When inhaled, they cause euphoria, sedation, emotional lability, and impaired judgment.
Delirium is an organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behavior, emotion and sleep wake schedule.
Delirium Tremens is a psychotic condition caused by complications from alcohol withdrawal. It involves tremors, hallucination, anxiety and disorientation.
Mood stabilizers are medicines that treat and prevents highs(mania) and lows(depression). They also help to keep the mood from interfering with work, school or social life.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
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.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
2. OBJECTIVES:
At the end of this session, you’ll have clear understanding about;
Definition of OCD
Epidemiology
Onset and course
Classification of OCD
Etiology of OCD
Clinical features of OCD
Psychopathology of OCD
Diagnostic criteria of OCD
Differential diagnosis of OCD
Management of OCD
Nursing process of OCD
3. INTRODUCTION
Obsessive-compulsive disorder (OCD) is a chronic and relapsing anxiety disorder
that is characterized by persistent obsessive thoughts and/or repetitive compulsive
actions that impair daily functioning.
The repetitive actions can be mental or physical acts, either of which is perceived
by the individual as reducing anxiety.
Individuals with OCD might recognize the irrationality of their anxiety-driven
patterns, they feel helpless to resist the compulsive urges that serve as
dysfunctional coping mechanisms to reduce anxiety.
Many patients prefer to keep ritualistic compulsions such as repetitive checking of
locks or repeated hand washing a secret because they are ashamed of their illogical
behavior.
4. DEFINITION
Obsession: Repetitive thoughts, images and doubts which make a person
absolutely senseless and irrational. Individual tries to resist but finds unable to do so
because that restriction might increase the level of anxiety.
Compulsion: Repetitive actions are performed followed by obsession in order to
avoid the marked distress even though the client knows that behavior is unrealistic,
senseless and irrational.
5. EPIDEMIOLOGY
• OCD was found to have a lifetime prevalence of 2.5%.
• The overall prevalence of OCD is equal in males and females.
• Symptoms of OCD usually begin in individuals aged 10-24 years.
• The incidence of OCD is higher in dermatology patients and cosmetic
surgery patients.
• OCD ranks tenth in leading causes of disability and, in the case of
women aged 15–44 years, it occupies the fifth position.
6. ONSET & COURSE
• OCD can start in childhood, mostly in males.
• Onset is usually gradual, although there have been cases of acute onset with
periods of waxing and waning symptoms.
• Nearly 30% of OCD patient have current or past tic disorder.
• Average time between onset and treatment is 11 years.
• Nearly one-third of patients with OCD refuse treatment, stop treatment, or
do not respond to treatment.
• Half of patients who have successful treatment experience residual
symptoms.
• Up to two-thirds of patients with OCD have suicidal thoughts at some point
and 10-13% attempt suicide.
7. CLASSIFICATION
According to ICD 10, OCD is classified into three; they are;
➢ Predominantly ObsessionalThoughts
➢ Predominantly Compulsive Acts (Obsessional rituals)
➢ Mixed ObsessionalThoughts and Acts
8. ETIOLOGY/ PREDISPOSING FACTORS
The etiology of OCD is classified under few subheadings, they are;
Biological theories
o Neurotransmitters
o Genetics
o Electrophysiological studies
o Brain imaging
Behavioral theories
Psychodynamic theories
9. CLINICAL FEATURES
Obsessions include the following:
• Contamination
• Safety
• Doubting one's memory or perception
• Scrupulosity (Religious obsession)
• Need for order or symmetry
• Unwanted, intrusive sexual/aggressive
thoughts
Compulsions include the following:
• Cleaning/washing
• Checking (eg, locks, stove, iron, safety
of children)
• Counting/repeating actions a certain
number of times or until it "feels right"
• Arranging objects
• Touching/tapping objects
• Confessing/seeking reassurance
• List making
10. PSYCHOPATHOLOGY
OCD is thought to result from a disruption in the serotonin system
of the brain; abnormalities in dopaminergic transmission and overactivity of certain
brain regions (e.g., the orbitofrontal cortex) might also be involved. OCD can
coexist with or be part of a spectrum of other brain disorders, includingTourette
syndrome, and is often accompanied by depression, eating disorders, substance
use disorders, or other anxiety disorders.
Both OCD and generalized anxiety disorder (GAD) are characterized
by excessive worry and anxiety.The difference is that anxiety in GAD is typically
realistic but excessive, and in OCD the anxiety is typically unrealistic and irrational.
11. DIAGNOSTIC CRITERIA
The diagnostic criteria for OCD in DSM-5 require the presence of obsessions
and/or compulsions that are time consuming (e.g., take more than 1 hour per day) or cause
clinically significant distress or impairment in social, occupational, or other important areas
of functioning.
The signs and symptoms must not be better accounted for by substance
use/abuse or other mental health disorders such as an eating disorder, trichotillomania,
body dysmorphic disorder, tic disorder,Tourette syndrome, hypochondriasis, or paraphilia.
12. DIFFERENTIAL DIAGNOSIS
• It is important to distinguish the obsessional thinking of OCD from the
delusional thinking of schizophrenia or other psychotic disorders.
• Obsessions are usually unwanted, resisted, and recognized by patients as
coming from their own thoughts. whereas delusions are generally regarded as
distinct from patients' thoughts and are typically not resisted.
• For example, patients with depression often experience obsessive ruminations
that can be distinguished from obsessions because they are transient, not
considered unwanted, and not resisted.
13. MANAGEMENT
I. Pharmacological Management:
a) Benzodiazepines: - Clonazepam, Lorazepam,Alprazolam
b) Antidepressants:
Selective Serotonin Reuptake Inhibitors (SSRI)
• Fluoxetine 20-80 mg/ day
• Clomipramine 75-300 mg/day
• Fluvoxamine 50-200 mg/ day
• Sertraline 50-200 mg/ day
c) Antipsychotics: - Haloperidol,Olanzapine, Risperidone, Pimozide
d) Anti-anxiety: - Buspirone
14. MANAGEMENT
II. Non- Pharmacological Management:
a) Psychotherapy
b) Behavior therapy
• Thought stopping technique
• Rubber band method
• Exposure and response prevention
• Systematic desensitization
• Modelling
Cont.
15. MANAGEMENT
III. Electro ConvulsiveTherapy:
• Refractory patients may benefit from a trial of 8-10 ECTs.
• Improvement is observed in patients, who have agitation
and lack of premorbid anankastic traits.
IV. Psychosurgery:
• Limbic Leucotomy
• Subcaudate tractotomy
Among psychiatric syndromes, OCD is the second-best responder to
stereotatic psychosurgery.The first responder is sexual perversions.
Cont.
16. NURSING PROCESS
Risk for suicide
Panic Anxiety
Ineffective coping
Ineffective impulse control
Ineffective role performance
17. JOURNAL DISCUSSION
A study was conducted in Australia to find the association between OCD and eating disorders. 320
females with eating were selected as samples. Information was collected using semi-structured EATATE
interview and Eating Disorder Inventory-2. Results revealed that ascetism, social insecurity, ineffectiveness
and impulsivity had highest influence over OCD and eating disorders. (Giles et.al, 2022)
A study was conducted to investigate the differences in empathy, compassion, andTheory of
Mind in individuals with OCD as a possible cause for social functioning deficits. 64 individuals diagnosed
with OCD and 62 healthy individuals were selected as samples. Data collection was done using naturalistic
behavioral task(EmpaToM) and self-report measure(Interpersonal Reactivity Index). Results revealed that
people with OCD exhibited higher empathy levels like increased sharing of others suffering compared to
healthy individuals; Compassionate caring for others was high among OCD patients. (Salazar et.al, 2021)
A study was conducted in Brazil to describe the relationship between family accommodation of
relatives of OCD patients and their perceptions about the obsessions and compulsions of the patient. Data
was collected through interview method using Family Accommodation Scale for Obsessive-Compulsive
Disorder - Interviewer Rated (FAS-IR). Results revealed that the level of family accommodation was higher
in those family members who lived with the patient when compared to those who did not live with them.
(Matos et.al, 2020)
20. REFERENCES
Books:
Lalitha.(2015). Mental Health and Psychiatric Nursing. P. 367-373
Mary C.Towsend.(2015). Psychiatric Mental Health Nursing (8th ed.). P. 543,878,909
Norman, Lee, Carol. Psychiatric Nursing (5th Edition). P. 396-403
Prakash.(2020). Mental Health and Psychiatric Nursing. P.229-231
Sheila L.Videbeck.(2015). Psychiatric - Mental Health Nursing (5th ed.). P. 243-245
Subash Indra Kumar.(2014). Psychiatry and Mental Health Nursing. P. 386-390
Journals:
European Eating Disorders Review, Bridging of childhood obsessive-compulsive personality disorder traits and
adult eating disorder symptoms: A network analysis approach,Vol 30(2), 2022, P. 110-123
Psychology and Psychotherapy: Theory, Research and Practice, Empathy, compassion, and theory of mind in
obsessive-compulsive disorder,Vol 95, Issue 1, 2021, P. 1-17
International Journal of Social Psychiatry, Family perception of the symptoms of obsessive-compulsive disorder
patient and the family accommodation,Vol 68(1), 2020, P. 73-81