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Active learning template system disorder post traumatic stress disorder

ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS Posttraumatic Stress Disorder REVIEW MODULE CH
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Answer #1

Diagnosis

  • Ineffective coping mechanism related to post traumatic stress disorder as evidenced by lack of sleep ,agitation, fear,nightmares, palpitation,tachypnea,self harm

Pathophysiology

The exposure of an individual to an unpleasant incident will lead to a long term impact on the brain in its memory, cognition and physically.The amygdala is reduced in size and function as a result emotions are lost and triggers a fear.The cortisol levels are increased besides a high level of corticotropin release factor leading to release of norepinephrine and altering the normal sympathetic and autonomic system causing palpitations, tachypnea, increased blood pressure with other systemic changes. Along with this there us alteration in all neurotransmitters causing recollection of the incident and causing symptoms

Health promotion and disease prevention

  • Nearly screening and detection for earlier treatment
  • Health educating on how to handle stress at its first level

Assessment

Risk factors

  • Abuse (physical or emotional abuse )
  • Child abuse
  • Accidents
  • Natural disaster
  • Man made disaster
  • Living in an unsafe environment

Expected findings

  • Changes can be observed in physical examination
  • May have loss of belief on others ,anxious
  • Unwilling to socialize

Laboratory test

  • Serum cortisol levels
  • Hormone test
  • Basic blood tests to rule out other cause

Diagnostic procedures

  • Physical examination
  • DSM 5 criteria to rule out disease or underlying cause

Safety consideration

  • Avoid triggers
  • Provide a safe environment (to prevent self harm and to others)
  • Provide calm and quite environment

Patient centered care

Nursing care

  • Assess the patients mental status to plan for care
  • Provide positive approach by communication and removing negative emotions
  • Administer medication as per order
  • Monitor the patient for any adverse reactions or complications
  • Provide a hazard free environment

Medication

  • Serum serotonin reuptake inhibitor
  • Reducing the over secretion of corticotropin hormone
  • Anti anxiety medication to relieve stress
  • Antidepressants
  • Mild sedatives

Therapeutic procedure

  • Psychotherapy
  • Eye movement densitizationand reprocessing
  • Cognitive behavior therapy
  • Family therapy
  • Group therapy

Client education

  • Avoid triggers
  • Possible approach to situations
  • To complete the course of treatment and regulat follow up

Inter professional care

  • Psychologist to prescribe medication
  • Counsellor to counsel
  • Nurse to help in their daily activities and doing medical intervention

Complications

  • Use of substance abuse
  • Eating disorders
  • Social isolation ,depression
  • Suicidal tendency
  • Mood disorders
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