PTSD NCM105 MIDTERMS 2-1-14

1/31/2014 7:29:00 PM

Post-traumatic stress disorder PTSD can occur acutely (soon after the trauma) or in ad elayed onset months after ASSOCIATED WITH EXPOSURE TO AN EXTREMELY TRAUMATIC, MENACING EVENT SUCH AS MILITARY COMBAT, RAPE, ASSAULT, KIDNAPPING, TORUTRE, DISASTERS, LIFE-THREATENING ILLNESS ptsd MAY ALSO RESULT FROM WITNESSING SUCH EVENTS OR LEARNING THAT A LOVED ONE HAS EXPERIENCED SUCH EVENTS lasts longer than 1 montha nd consists of persistent re-experiencing of the event, persistent avoidance of associated stimuli and persistent symptoms of increased arousal individuals with PTSD use denial, repression, suppression to cope with anxious feelings acute PTSD o less than 3 months after event Chronic PTSD o 3 months or more after the event Delayed PTSD o atleast 6 months after the event clinical manifestations o flashbacks o nightmares o acting or feeling as if the events were recurring o intense physiological idsterss to internal or external cues symbolizing an aspect of the event o physiologic reactions on exposure to stimulit hat resemble an aspect of the event o avoidance of thoughts, feelings or conversations associated o o o o o o witht eh trauma avoidance of activities, palces, or people associated with the trauma inability to recall an important aspect of the trauma feeling of detachment or estrangmenet from others restricted affect insomnia labile emotion

o decreased concentration o hypervigilance o exaggerated startle response nursing diagnosis o posttrauma syndrome related to the traumatic experience o risk for self-directed violence related to anger ans elf-blaem over the event o disturbed sleep pattern related to persistent dreams about the event o anxiety related to feelings of insecurity and being unsafe nursing interventions o encourage the patient to recall the traumatic event; remain nonjudgmental and accept what the patient is saying o provide a secure environment for the patient to promote a sense of safety, o remain with the patient, especially one whos extremely anxious; re-experiencing the traumatic event can trigger severe or panic anxiety o institute suicide precautions if the pt manifests suicidal tendencies o facilitate grieving by encouraging the pt to express emotions generated from the event o teach the pt and family about post traumatic behavior,a dn refer them to support groups for additional help treatment o psychotherapy (directed toward helping the pt achieve cognitive mastery over the traumatic situation) o benzodiazepine therapy (may be prescribed to manage uncontrollable anxiety) o anti-depressant therapy o

1/31/2014 7:29:00 PM

1/31/2014 7:29:00 PM