388: Week 9 - Somatoform Disorders

Question 1

What assessment should be completed for an individual with a somatoform disorder?

Answer 1

• identify symptoms of unmet needs
• assess individuals voluntary control of symptoms
• identify if there is any type of secondary gain resulting from the expression of symptoms
• assess cognitive style
• what is the pt ability to comm feelings/emotional needs
• is the pt dependent on meds?
• is the pt self-aware?

Question 2

What nursing interventions can be implemented for those with a somatoform disorder?

Answer 2

• est therapeutic relationship/communication -> help to promote insight
• CONSISTENCY!
• address how to meet needs w/o resorting to somatotization
• avoid reinforcement of complaints after initial assessment
• spend time w/ pt apart from when they complain of symptoms
• show concern in a matter of fact approach
• avoid arguing about the legitimacy of a physical complaint
• teach assertive communication
• teach relaxation/stress reduction

Question 3

What 2 types medical interventions can be used to treat somatoform disorders?

Answer 3

Psychotherapies

Psychopharmacology

Question 4

What psychotherapies can be used to treat somatoform disorders?

Answer 4

• insight oriented therapy
• family therapy
• behavioral therapy
• cognitive restructuring (CBT)

Question 5

What psychopharmacologies can be used to treat somatoform disorders?

Answer 5

• SSRI’s -> increase concentration, may stimulate insight into what is causing symptoms of pain
• careful w/ use of benzo’s, anxiolytics and analgesics and sedatives

Question 6

What is a factitious disorder?

Answer 6

an intentional production or feigning of physical or psychological signs or symptoms -> motivation is to assume a sick role, external incentive is to gain attention of health care professionals etc.