Emotional Responses - PowerPoint PPT Presentation

Loading...

PPT – Emotional Responses PowerPoint presentation | free to download - id: 118efe-ZjhhN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Emotional Responses

Description:

Psychodynamic defense. Adaptive emotional responses ... A detachment or denial of one's feelings. Suppression of emotions and a delayed grief reaction are ... – PowerPoint PPT presentation

Number of Views:445
Avg rating:3.0/5.0
Slides: 27
Provided by: tinag7
Learn more at: http://faculty.msmc.edu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Emotional Responses


1
Emotional Responses
  • Chapter 19
  • Rochelle Roberts RN MSN

2
Mood
  • A feeling state
  • An emotion

3
Adaptive functions of emotions
  • Social communication
  • Physiological arousal
  • Subjective awareness
  • Psychodynamic defense

4
Adaptive emotional responses
  • Implies an openness and awareness of feelings
  • An example is an uncomplicated grief reaction

5
Maladaptive emotional responses
  • A detachment or denial of ones feelings
  • Suppression of emotions and a delayed grief
    reaction are examples of a maladaptive response
  • Mania and depression are other examples.

6
Grief
  • Is the subjective state that follows loss
  • Two types of pathological grief reactions are
  • delayed grief reaction and distorted grief
    reaction (depression)

7
Lifetime Risk for Depression
  • For women 20-30 risk
  • For men 7-12 risk
  • Depression often occurs along with other medical
    and psychiatric illnesses

8
Bipolar Disorders
  • A depressive episode with previous or current
    manic episodes.
  • Mania is an elevated or irritable mood.

9
Depression
  • Behaviors may vary.
  • Key element here is change in assessing behavior
  • A change in usual behavior patterns
  • The most common behaviors are depressive mood,
    anxiety, and somatic complaints.

10
Risk Factors for depression
  • Prior episodes of depression
  • Fhx
  • Prior suicidal attempts
  • Female gender
  • Age at onset lt 40 years old
  • Medical comorbidity
  • Personal hx of sexual abuse
  • Substance abuse

11
Postpartum blues
  • Are brief episodes lasting 1-4 days that occur in
    50-80 of women within 1-5 days of delivery.
  • Postpartum depression occurs from 2-12 months
    after delivery, risk is 10-15.
  • Postpartum psychosis- low incidence, onset 2-3
    days post delivery.

12
Seasonal Affective Disorder (SAD)
  • Depression that comes with shortened hours of
    daylight in winter and fall and disappears during
    spring and summer.

13
Potential for suicide
  • 15 of severely depressed patients commit suicide
  • 25-50 of patients with bipolar disorder attempt
    suicide at least once.

14
Predisposing Factors of depression
  • Genetics in the case of recurrent depression and
    bipolar disorder.
  • Aggression turned inward theory (Freud)-anger
    turned inward
  • Object loss theory -ruptured tie between mother
    and child
  • Personality organization theory- poor
    self-concept
  • cognitive model-related to disturbed thinking
  • Helplessness/hopelessness model- no control over
    outcomes in life
  • Behavioral model- person affects environment with
    reinforcement variable

15
Biological Model
  • Mood disorders result from dysregulation in
    neurotransmitter systems, particularly serotonin.
    (5-HT)
  • And from mechanisms that control hormonal balance
    (cortisol, GH, and prolactin) and biological
    rhythms.

16
Precipitating stressors and mood disorders
  • Loss of attachment (death)
  • Life events ( physical and sexual abuse)
  • Role strain (gender related work home)
  • Physiological changes (meds and illnesses)

17
Coping Mechanisms
  • Mourning and bereavement Mourning begins with
    introjection-directing your feelings toward the
    mental image of a loved one. This serves as a
    buffering mechanism.

18
NANDA Diagnoses
  • Dysfunctional grieving
  • Hopelessness
  • Powerlessness
  • Spiritual distress
  • Risk for suicide
  • Risk for self directed violence

19
DSM-IV-TR diagnoses
  • Bipolar disorders
  • Cyclothymic disorders
  • Major depressive disorder
  • Disthymic disorder

20
Nursing outcome
  • Patient will be emotionally responsive and return
    to a pre-illness level of functioning

21
Planning care
  • Reduction and removal of maladaptive emotional
    responses
  • Restoration of the patients occupational and
    psychosocial functioning

22
Planning care cont.
  • Improvement in the patients quality of life
  • Minimization of the likelihood of relapse and
    recurrence

23
3 Phases of Treatment
  • Acute treatment- goal is to eliminate symptoms
    (6-12 weeks)
  • Continuation treatment- goal is to prevent
    relapse ( the return of symptoms) and to promote
    recovery (4-9 months)
  • Maintenance treatment-goal is to prevent
    recurrence- a new episode of illness (1 or more
    years)

24
Nursing Interventions address
  • Environmental issues- highest priority should be
    given to the potential for suicide.
  • Nurse-patient issues-supportive companionship
  • Physiological treatments-(meds, ECT,sleep
    deprivation, phototherapy)
  • Expressing feelings-encourage expression of hope
  • Cognitive strategies-help patient explore their
    feelings, increase positive thinking by reviewing
    strengths.

25
Nursing Interventions address
  • Behavioral changes- give reinforcement to
    accomplishing positive activities, occupational
    and recreational activities. Also encourage
    movement and physical exercise.
  • Social skills model effective social behaviors
    to increase self-esteem
  • Mental health education for patient and the
    family to increase family functioning and
    decrease symptomatology.

26
Mental Health Education cont.
  • Communicate that mood disorders are a medical
    illness, not a character defect
  • Recovery is the rule, not the exception
  • Mood disorders are treatable illnesses
  • Goal of intervention is not just to get better,
    but to get and stay completely well.
About PowerShow.com