psych week 1 Flashcards
(118 cards)
Peplau (Peplau was aware)
Peplau (Nurse vs. friend roles) - be aware of your thoughts and feelings about patients. be empathetic, not sympathetic. focus on the patient - don’t tell them about your break up - focus on them.
one of the best ways to demonstrate respect is
with empathy
information giving
listener determines that client would benefit from concrete data thatthe listener has.
information giving can be useful
can be used to explain technical procedures, lab results, etc.
can be used to communicate resources the client mayfind useful, e.g. clinics, childcare centers, etc.
be careful not tso turn time with client into a lecture.
schizo - after 10 years
after 10 years, 25% fully recover, 25% improve, 25% need extensive help, 15% in and out of hospital. 10% die - cause of death is suicide.w
when does schizo develop for men and women?
Males - late teens, women late 20s early 30s.
Schizophrenia results in disturbances in (PTA is schizo)
thought processes, perception, and affect.
how many ppl develop schizo?
Approximately 1 percent of the population will develop schizophrenia over the course of a lifetime.
4 phases of schizo (just numbers)
I - IV
phase 1 - schizo - and what else?
The Prodromal (Prepsychotic) Phase: In this phase, the individuals are socially withdrawn, and have behavior that is peculiar or eccentric. Whether or not to intervene here pharmacologically is a hot area of research. Possible profalycitic meds.
phase 2 - schizo (and what is a big concern here?)
Acute: In the active phase of the disorder, psychotic symptoms are prominent. These include delusions, hallucinations, and impairment in work, social relations, and self-care. Often, safety is a big concern.
phase 3 - schizo
Stabilization: Symptoms are diminishing and pt is recovering. May be living at an ADU or L-facility.
phase 4 - schizo
Maintenance Phase: Pt is at baseline. Symptoms are greatly reduced, similar to the prodromal phase, or have disappeared. May be living independently.
schizo - Genetic Influences - what % is genetic?
A growing body of knowledge indicates that genetics play an important role (65-80%) in the development of schizophrenia. something turns on the genes - marijauna now bc it’s so much stronger. a little more common in males. females do a little better. may be more developmental for males, and more degenerative for females. hormones play a part.
schizo - Biochemical Influences (what hormones)
One theory suggests that schizophrenia may be caused by an excess of dopamine dependent neuronal activity in the brain. Abnormalities in the neurotransmitters norepinephrine, serotonin, acetylcholine, and gamma-aminobutyric acid, glutamate and cholecystokinine have also been suggested.s
schizo - Physiological Influences.
Several physiological factors have been implicated, including viral infection, brain abnormalities, and birth trauma.
schizo - Psychological Influences - when do first breaks happen?
“First breaks” (from reality) and relapses often occur during times of increased stress (e.g. leaving home to go to college).
schizo - Environmental Influences (your income is your environment)
Factors associated with lower SES (chronic poverty, high crime) have been linked to the development of schizophrenia…“downward drift” theory? (ppl who are schizo are more likely to be poor)
schizo - The Stress-Diathesis Model (stress the combo)
Schizophrenia is likely the result of a combination of psychological and environmental influences on an individual who is biologically vulnerable to the illness (could be starvation – concentration camp)
Schizotypal Personality Disorder.(frank is not typical)
Bizarre behavior and suspiciousness, but no frank psychosis. To be discussed more during lecture on Personality Disorders.
Delusional Disorder (delusional break in)
Nonbizarre delusions, without other sxs. they have dilusions, just not that bizarre. ie - house is being broken into, live in a bad neighborhood.
Brief Psychotic Disorder - how long do they last? (briefly one month)
Sudden onset of psychotic symptoms following a severe psychosocial stressor. Symptoms last less than one month, and the individual returns to the full premorbid level of functioning. ***not uncommon to go onto develop schizophrenia. higher risk for schizo.
Substance-Induced Psychotic Disorder - what drugs (and the weird one)
The presence of prominent hallucinations and delusions that are judged to be directly attributable to the physiological effects of a substance. drugs, alcohol, or medication. steroids. malaria drugs. stimulants. marjiuana, more than even psychedelics.
Schizophreniform Disorder (formed in 1 - 6 months)
same symptoms as schizophrenia with the exception that the duration of the disorder has been at least 1 month but less than 6 months. schizophrenia is more than 6 months.
