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Chapter 17 Somatic Symptom Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

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Presentation on theme: "Chapter 17 Somatic Symptom Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc."— Presentation transcript:

1 Chapter 17 Somatic Symptom Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2  Somatic symptom disorder (SSD)  Illness anxiety disorder (previously hypochondriasis)  Conversion disorder  Psychological factors affecting medical condition  Factitious disorder Clinical Picture 2 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3  Distressing symptoms  Maladaptive response  Without significant physical findings and medical diagnosis  Suffering is authentic  High level of functional impairment Somatic Symptom Disorder 3 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

4  Misinterpretation of physical sensations  Overconcerned for health and preoccupied with symptoms  Extreme worry and fear  Course of illness chronic and relapsing Illness Anxiety Disorder 4 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

5  Neurological symptoms in the absence of a neurological diagnosis  Presence of deficits in voluntary motor or sensory functions  Common symptoms—paralysis, blindness, movement and gait disorders, numbness, paresthesias, loss of vision or hearing, or episodes resembling epilepsy  “La belle indifférence” versus distress Conversion Disorder 5 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

6  Psychological factors present risk for medical diseases  Depression  Cardiovascular diseases and cancer Psychological Factors Affecting Medical Condition 6 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

7  Biological factors  Genetic  Psychological factors  Psychodynamic theories  Behavioral theories  Cognitive theories  Environmental factors  Cultural considerations Etiology 7 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

8  Assessment  Psychosocial factors  Coping skills  Spirituality and religion  Secondary gains  Cognitive style Application of the Nursing Process 8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

9  Assessment (cont.)  Ability to communicate feelings and emotional needs  Dependence on medication  Self-assessment Application of the Nursing Process (Cont.) 9 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

10  Nursing diagnosis  Ineffective coping  Outcomes identification  Interventions  Psychosocial interventions Promotion of self-care activities Assertiveness training Application of the Nursing Process (Cont.) 10 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

11  Interventions (cont.)  Psychobiological interventions Pharmacological interventions  Health teaching and health promotion  Case management  Advanced nursing practice interventions Application of the Nursing Process (Cont.) 11 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

12  Artificially, deliberately, and dramatically fabricate symptoms or self-inflict injury  Goal of assuming a sick role Factitious Disorders 12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

13  Self-directed  Other-directed  Malingering Examples of Factitious Disorders 13 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

14 1.Which problem does NOT fit the group? A.Conversion disorder (functional neurological disorder) B.Illness anxiety disorder (hypochondriasis) C.Munchausen syndrome by proxy D.Somatic symptom disorder Audience Response Questions 14 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.


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