What is the subjective way a person feels?
Mood
What is the observable response a person has to his or her own feelings?
Affect
1st pregnancy, ambivalence about the baby, Hx of mood disorders, lack of social support/supportive relationship w/ fam especially dad, eating disorders and body image probs are all what?
Risk factors for mood disorders
Hormonal changes, Hx of depression, overwhelmed parenting tasks, changes in fam dynamics, inadequate support, and isolation are all what?
Contributing factors for mood disorders
What is aimed at early detection w/ hopes of preventing serious consequences?
Edinburgh postnatal depression scale (EPDS)
What are persistent affective instability symptoms?
Insomnia, loss of energy, mood swings, crying, feelings of despair, lack of concern about personal appearance
What are postpartum psychosis symptoms?
Extreme confusion/anger, racing thoughts, excitability, talking fast, not trusting people. thoughts of harming the baby or self, hallucinations
What does CAGE stand for?
Cut down
Annoyed
Guilty
Eye opener
Who should you collaborate w/ if a pt. has a mood disorder?
Psych professionals and fam/support groups
What medications are used to treat mood disorders?
Antidepressants, antipsychotics
What are important key factors of antidepressants and antipsychotics?
Do not stop abruptly, may take several wks to achieve a therapeutic blood level
I have been able to laugh/see the funny side of things?
I have looked forward w/ enjoyment to things?
I have blamed myself unnecessarily when things went wrong?
I have been anxious or worried for no reason?
I have felt scared or panicky for no good reason?
1-5 of EPDS
Things have been getting on top of me?
I have been so unhappy that I have had a difficult time sleeping?
I have felt sad/miserable?
I have been so unhappy that I have been crying?
The thought of harming myself has occurred to me?
6-10 of EPDS
What priority comes into play when someone has a post-partum mood disorder that wouldn’t come into play w/ post-partum blues?
Safety
How long do symptoms of post-partum blues usually resolve?
10-14 days
When does post-partum blues usually begin?
Few days to a wk post-partum
When does post-partum mood disorders usually begin?
Up to a yr post-partum
True or false.
Post-partum mood disorders has a risk of suicide.
True
When does symptoms of mood disorders usually resolve?
6mon or longer
True or false.
Post-partum blues includes infanticide.
False. Post-partum mood disorder does
What is infanticide?
The crime of killing a child within a year of birth, especially own child
True or false.
Post-partum blues has mild mood swings.
True
Loss of pleasure, moody, sleep deprivation, change in appetite are all signs of what?
Post-partum blues and mood disorders
What is most important factor in treating post-partum blues and mood disorders?
Social Support, assisting w/ life demands
