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What are the alternative methods (herbal) for depression?
St. Johns Wart
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What is the science behind acupunture?
It stimulates the body's own painkilling chemicals, the morphine like substances known as endorphins.
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What has accupunture been used to treat?
- Asthma
- Headaches
- Dysmenorrhea
- Cervical Pain
- Insomnia
- depression
- anxiety
- substance abuse
- stroke
- rehabilitation
- nausea of pregnacy
- postoperative and chemotherapy induced N&V
- tennis elbow
- fibromyalgia
- low back pain
- carpal tunnel sydrome
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Practices tht differ from, and are used instead of, the usual traditional practices are known as what?
Alternative Medicine-
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Practices that differ from, but used in conjunction with, traditional practices are known as what?
Complementary Medicine
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Characterized by a disturbance of consciousness and a change in cognition that develop rapidly over a short peirod of time
Delirium
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What are the signs and symptoms of alcohol withdrawl?
- course tremor of hands, tongue, or eyelids
- nausea or vomiting
- malaise or weakness
- tachycardia
- sweating
- elevated blood pressure
- anxiety
- depressed mood or irritability
- transient hallucinations or illusions
- headache
- insomnia
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What does AA base their concept on?
peer support- acceptance and understanding from others who have experienced the same problems in their lives. The sole purpose of AA is to help the members stay sober.
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What are the pharmacotherapy approaches to alcohol withdrawl?
- Disulfiram
- Naltrexone (ReVia)
- Acamprosate (Campral)
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Disulfiram (Antabuse)
What and Why?
A drug that can be administered as a deterrent to drinking to individuls who abuse alcohol.
Ingestion of alcohol while on it can produce a good deal of discomfort for the individual.
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Possible Nursing Diagnosis for withdrawl of alcohol
- Risk for injury
- (Risk for CNS agaitation: tremors, elevated blood pressure, nausea and vomiting, halluicinations, illusions, tachycarida, anxiety, seizures)
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Possible Nursing diagnosis for CNS Stimulant withdrawl
- Risk for suicide
- Risk factors: intense feelings of lassitude and depression; "crashing", suicidal ideation
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CNS Depressants
- Alcohol
- Seconal
- Nembutal
- Amytal
- Valium
- Librium
- Novtec
- Miltown
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Nursing diagnosis for OCD
- ineffective coping
- ineffective role performance
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Systematic desensitization with reciprocal inhibition
using relaxation techniques while gradually exposing the phobic stimulus, either in a real or imagined situation
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Implosion therapy
a therapeutic process in which the client must imagine situations or participate in real-life situations that he or she finds extremely frightening for a prolonged period of time. relaxation is not included as a part of this tech.
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Antianxiety drugs depress what
subcortical levels of the cns particularly the limbic system with reticular formation
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What are the contradictions of antianxiety drugs?
- They should not be taken in combination with other cns depressants and are contraindicated in pregnancy and lactation, narrow angle glaucoma, shock or coma.
- Caution should be taken in elderly or debilitated clients or clients with hepatic or renal dysfunction.
- Caution also required in individuals with history of drug abuse or if depressed or suicidal.
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antianxiety drug that has a 10-14 day delay
buspirone
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What are characterized by physical symptoms suggesting medical disease, but without demonstrable organic pathology or know pathophysiological mechanism to account for them
Somatoform disorders
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The splitting off of clusters of mental contents form conscious awareness, a mechanism central to hysterical conversion and dissociative disorder
Dissociation
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Primary gain
Secondary gain
Appearance of the pain enables the client to avoid some unpleasant activity
the pain promotes emotional support or attention that the client might not otherwise recieve
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A sudden unexpected travel away from or customary place of daily activities with inablility to recall some or all of ones past. Can not recall personal identiety and often assumes a new identitiy. They are able to provide details of their earlier life situation but have no recall form the beginning of the state
dissociative fugue
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The inablility to recall important personal information, usually of a traumatic or stressful nature, that is not due to the direct effects of substance use or a neurological or other general medical condition
dissociative amnesia
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name the 5 different types of dissociative amnesia
- 1. Localized amnesia- the inability to recall all incidents associated with the trauatic event for a specific time period following the event
- 2. Selective amnesia- The inablitity to recall only certain incidents associated with a traumatic event for a specific period after the event.
- 3. Continuous amnesia- the inability to recall events occurring after a specific time up to and including the present
- 4. Generalized amnesia- forgetting everything
- 5. Systematized amnesia- individual cannot rememtber events that relate to a specific category of info (family) or to one particular person or event
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Ineffective coping
Deficient knowledge (psychological causes for physical symptoms)
Nursing diagnosis for somatization disorders
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Chronic Pain
Social Isolation
ND for pain disorders
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Fear ( of having a serious disease)
Chronic low self-esteem
ND for hypochondriasis
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Disturbed sensory perception
Self-care deficit
ND Conversion disorder
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Disturbed thought processess
Powerlessness
loss of memory- dissocicative amesia ND
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Risk for other-directed violence
Ineffective coping
ND for dissociative fugue
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abreaction
"remembering the feeling" - DID therapy
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Sexual disfuctions vs sexual disorders
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