Chapter 19 Flashcards
Trauma and Stressor-related disorders
This chapter will discuss about trauma and stressor-related disorders from the study guide information and the long blackboard powerpoints
All of us experience stress in our daily lives, and responses to these stress vary from person to person.
one may develop a severe emotional reaction ( strong agitation of feelings ) and another resilient individual may be harder aware of a traumatic event.
sometimes, emotional problems and mental disorders develop as the response to trauma
physical trauma
- resulting from bodily injury
psychological trauma
- emotional injury caused by an overwhelmingly stressful event that threatens survival and sense of security
not everyone that experiences a traumatic event develops emotional injuries ; this can be explained by the concept of ?
resilience
what does resilience mean?
the capacity to withstand stress and catastrophe
resilience develops overtime when there are what?
positive self-concept and measured self-worth and when problem solving, communication and coping skills have been learned
the strong the resilience the more likely the individuals will be able to ?
withstand the negative impact of a potentially traumatic event
notes
exposure to a traumatic or stressful event can lead to trauma - and stressor related disorders such as
reactive attachment disorder
disinhibited social engagement disorder
post traumatic stress disorder
acute stress disorder
adjustment disorder
notes
trauma and stressor related disorders can develop at any time throughout a lifespan
- in children, exposure to trauma can cause enduring emotional problems that lead to any one of these associated disorders
- one of the most traumatic losses for children is an unexpected death of a loved one, which can lead to multiple psychiatric disorders
- childhood psychological and physical abuse, including sexual abuse, can lead to life-long struggle with a trauma and stressor-related disorder
we use something called the CDC-Kaiser ACE study which helps us categorize adverse childhood experiences into 3 groups
- abuse
- household challenges
- neglect
what is the most diagnosed trauma and stressor-related disorder?
and why do you think that is?
post traumatic stress disorder
(PTSD)
war veterans, domestic violence, sexual assaults, people who witness violence or natural disasters
post traumatic stress disorder usually develops _____after the event
3-6 months
what is our biggest safety concern with patients who have PTSD?
suicide/homicide/aggression/violence
symptoms of PSTD fall into 4 categories, which are?
intrusive symptoms, avoidance
negative mood and cognition
hyperarsoual
sleep disturbances or hypervigliance
what does intrusive symptoms/avoidance mean?
avoidance of persons, places, objects that are reminder of the traumatic event
what does negative mood and cognition mean ?
negative thoughts associated with the event
what is hyperarousal mean ?
characterized by aggressive, reckless or self-destructive behaviors
what is sleep disturbances or hyper vigilance mean?
literally can’t sleep
or stay away too long
in the blackboard powerpoint it mentions how patients with PTSD will go through
derealization
and
depersonalization of emotions
what does both of these terms mean
derealization - feelings of unreality
depersonalization - the experience of self or the environment as strong or unreal
notes
nursing care focuses on assessing symptoms of PTSD, building strengths and collaborating with the patient in counseling interventions, administration of medication, psychoeducation and family support
what is the medication treatment for patients who have PTSD? (4)
SSRI ( Paxil and Zoloft )
SNRI
benzodiazepines
Beta blockers
what are the main medication we will use however,
these are the ones that are highlighted and bolded in the study guide for the treatment for ptsd?
off label use of prazosin
( an alpha 1 inhibitor )
notes
you may use psychodynamic, cognitive behavior, eye movement, desensitization therapy to help aid patients
