Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for the ‘NS 232 – Psych, Ger, CH’ Category

Mental Health Medications

Posted by Laura on October 14, 2010

As I am leaving Psych, I keep running across good sites and information I want to share.

HERE is a pdf on Mental Health Medications we have studied. This is provided by the National Institute on Mental Health and is available at the web site listed under my Links / Psych.

Posted in Drugs, NS 232 - Psych, Ger, CH, Semester III | 3 Comments »

Narcotic Withdrawal

Posted by Laura on October 14, 2010

Narcotic Withdrawal

(6-12 hrs after last dose, peak 2-3 days

subsides gradually over 7-10 days)

 

  • Anxiety
  • Irritability
  • Craving for the drug
  • Increased respiratory rate (rapid breathing)
  • Yawning
  • Runny nose
  • Salivation
  • Gooseflesh
  • Nasal stuffiness
  • Muscle aches
  • Nausea or vomiting
  • Abdominal cramping
  • Diarrhea
  • Sweating
  • Confusion
  • Enlarged pupils
  • Tremors
  • Lack of appetite

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Narcotic Withdrawal

Alcohol Withdrawal

Posted by Laura on October 13, 2010

Alcohol Withdrawal

(4-12 hours)

  • Coarse tremors of the hands (also tongue/eyelids)
  • N & V
  • Weakness and/or malaise
  • ↑ HR
  • ↑ BP
  • Sweating
  • Anxiety
  • Depressed mood
  • Irritability
  • Transient hallucinations
  • H/A
  • Insomnia

 

Progression to Alcohol Withdrawal Delirium

(2nd – 3rd day)

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Personality Disorders Chart

Posted by Laura on October 12, 2010

Personality Disorders Chart pdf

Posted in NS 232 - Psych, Ger, CH, Semester III | 2 Comments »

Personality Disorders

Posted by Laura on October 9, 2010

clusters personality do

by Brandi W.

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Terms – Mod 7

Posted by Laura on October 5, 2010

From Townsend, glossary

Cognition

  • mental operations relating to logic, intellect, language, awareness, memory and reasoning powers.

Delirium

  • a state of mental confusion and excitement characterized by disorientation for time and place, often with hallucinations, incoherent speech, and a continual state of aimless physical activity.

Dementia

  • global impairment of cognitive functioning that is progressive and interferes with social and occupational abilities.

Confabulation

Catastrophic Reactions

  • Disorganized behavior due to a severe shock or threatening situation with which the person cannot cope.

Confusion

  • Impaired orientation with respect to time, place, or person; a disturbed mental state.

Gerontology

  • study of the aging process

Geriatrics

  • branch of clinical medicine specializing in problems of the elderly

Geropsychiatry

  • branch of clinical medicine specializing in the psychopathology of the elderly population. What is elderly? 65-74

Sundowning

  • a phenomenon in dementia in which symptoms seem to worsen in the late afternoon and evening.

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Terms – Mod 7

Alogia

Posted by Laura on October 5, 2010

From Wikipedia:

In psychology, alogia (Greek α-, “without”, and λόγος, “speech”[1]), or poverty of speech, is a general lack of additional, unprompted content seen in normal speech. As a symptom, it is commonly seen in patients suffering from schizophrenia, and is considered as a negative symptom. It can complicate psychotherapy severely because of the considerable difficulty in holding a fluent conversation.

People can revert to alogia as a way of reverse psychology, or avoiding questions.

– I love this example!

Example of alogia
Alogia Normal speech
Q: Do you have any children?
A: Yes.
Q: How many?
A: Two.
Q: How old are they?
A: Six and sixteen.
Q: Are they boys or girls?
A: One of each.
Q: Who is the sixteen year old?
A: The boy.
Q: What is his name?
A: Edmond.
Q: And the girl’s?
A: Alice.
Q: Do you have any children?
A: Yes, a boy and a girl.
Q: How old are they?
A: Edmond is sixteen and Alice is six.

Posted in NS 232 - Psych, Ger, CH, Semester III | Tagged: , | Comments Off on Alogia

Personality Disorders

Posted by Laura on October 5, 2010

some nice charts on personality disorders here

(Histrio – from latin = actor)

Kathi’s Mental Health Review

GENDER BIASES IN DIAGNOSIS
Ford & Widiger -Provided clinical descriptions of clear (DSM criteria) cases of:    Antisocial; Histrionic
-Half of each set described the person as male, the other half as female
PERSONALITY DISORDERS
Prevalence Gender
Cluster A
Paranoid
Schizoid
Schizotypal
2%
<1%
4%
More males
More males
More males
Cluster B
Antisocial
Borderline
Histrionic
Narcissistic
3% males; <1% females
2.5%
2%
<1%
Far more males
Far more females
Equal
More males
Cluster C
Avoidant
Dependent
Obsessive/
compulsive
<1%
2%
4%
Equal
Equal
More males

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Personality Disorders

CAGE

Posted by Laura on October 2, 2010

CAGE Assessment (Alcohol Abuse)

info from https://www.merck.healthinkonline.com/merckTools/AssessMerckSourceCAGE.asp

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Week 8 Reading

Posted by Laura on October 2, 2010

Week 8 Reading 230&232

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Bi-Polar Disorders

Posted by Laura on October 1, 2010

Bi-Polar Disorders

From Merck Manual – Bipolardisorders are classified as

  • Bipolar I disorder: Defined by the presence of at least one full-fledged (ie, disrupting normal social and occupational function) manic or mixed episode and usually depressive episodes
  • Bipolar II disorder: Defined by the presence of major depressive episodes with at least one hypomanic episode but no full-fledged manic episodes
  • Bipolar disorder not otherwise specified (NOS): Disorders with clear bipolar features that do not meet the specific criteria for other bipolar disorders
“Hypomania: A hypomanic episode is a less extreme variant of mania involving a distinct episode that lasts ≥ 4 days and is distinctly different from the patient’s usual nondepressed mood. During the hypomanic period, mood brightens, the need for sleep decreases, and psychomotor activity accelerates. For some patients, hypomanic periods are adaptive because they produce high energy, creativity, confidence, and supernormal social functioning. Many do not wish to leave the pleasurable, euphoric state. Some function quite well, and in most, functioning is not markedly impaired. However, in some patients, hypomania manifests as distractibility, irritability, and labile mood, which the patient and others find less attractive.” According to Merck Manual, Oct 1, 2010

bi word .doc

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Difference between Postural and Orthostatic Hypotension

Posted by Laura on September 27, 2010

My understanding is when a patient has orthostatic hypotension they have a fall in blood pressure occurring when they stand up quickly after lying or sitting down. This is due to a temporary shortage of blood to the brain. The decrease in required blood, causes dizziness. 

When you have postural hypotension, it has a similar end effect on the brain – loss of blood and dizziness, but the cause is a little different. The cause is usally from blood pooling in dilated blood vessels, such as in an athlete after a good work out. Because the blood is pooling into these dilated/warm blood vessels as a person is just standing there, there is little blood returning to the heart. If they sit, it helps the blood perfusion back to the heart and therefore to the brain.

Orthostatic Hypotension is a side effect from Psychotropic drugs such as anitpsychotics: Phenothizaines

According to Tabers a way to determine orthostatic hypotension is by taking the BP:

“The measurement of blood pressure and pulse rate first in the supine, then in the sitting, and finally in the standing position. A significant change in both of these vital signs signifies hypovolemia or dehydration. A positive test result occurs if the patient becomes dizzy or loses consciousness; or if the pulse increases by 20 or more beats per minute and the systolic blood pressure drops by 20 mm Hg within 3 min of arising from supine to sitting position or from sitting to standing position.”

♥ ↑ 20+, or ↓ Sys BP 20+ w/in 3 min

Posted in Concepts, Day-to-Day, NS 232 - Psych, Ger, CH, Semester III | 1 Comment »

Week 7 Reading

Posted by Laura on September 26, 2010

Week 7 Reading 230&232

Posted in Reading Schedule 232, Semester III | Comments Off on Week 7 Reading

Dementia vs Delirium

Posted by Laura on September 25, 2010

We have been studying about Dementia and Delirium.The difference of acuteness or chronic. So it was interesting to read AJN’s article from Off the Charts called No Country for Old Women.

In this article the author shares a personal experience with her mother who has dementia, but turns into a suspected bi-polar personality. The author who sees this isn’t her mother’s norm, rightly questions the extremely hard situation and treatment from various doctors. This critical eye of knowing how there must be something else going on, proves to be the case.

To me, it restated the idea that people – all people, can have situations which are different than their chronic diagnosis. Various disease processes can cover up new, acute situations. Even with personalities.

As nurses, we need to always think about what is the main focus. In this particular situation it was the delirium. Delirium can be the symptom to many things – and not just the “Shes getting older” ideation.

Good timely article.

Posted in Day-to-Day, NS 232 - Psych, Ger, CH, Semester III | Tagged: , , , , | Comments Off on Dementia vs Delirium

Geriatric & Aging Exercise

Posted by Laura on September 24, 2010

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My Clinical Group NS232

Posted by Laura on September 24, 2010

Posted in Day-to-Day, Images, NS 232 - Psych, Ger, CH | Comments Off on My Clinical Group NS232

Glaucoma

Posted by Laura on September 20, 2010

Image found at:  http://www.medrounds.org/glaucoma-guide/2006/06/section-4-d-angle-closure-glaucoma.html

More on Glaucoma at on-line Merck Manual

Posted in Day-to-Day, NS 232 - Psych, Ger, CH, Semester III | Comments Off on Glaucoma

Module 7 Drugs

Posted by Laura on September 20, 2010

These Drug cards have information from Davis Drug Guide.

Disclaimer – this is only as a reference tool for my use while in nursing school. Any use of these otherwise (to get an A on your test – etc.), should be done so at your own risk. Please let me know if you see any update needed : )

drug cards mod 7 4×6  as .pdf

Mod 7 drugs in table

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Caffeine Drug Card

Posted by Laura on September 20, 2010

caffine drug card

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Psych cards updated

Posted by Laura on September 20, 2010

psychotropic drug cards 102910

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