Somatoform autonomic dysfunction ,Persistent somatoform pain disorder

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Somatoform autonomic dysfunction
      The patient presents the symptoms as if they were due to a physical disorder of a system or organ that is largely or completely under autonomic control
      Heart and cardiovascular system:
q  Cardiac neurosis
q  Da Costa’s syndrome
q  Neurocirculatory asthenia
      Upper gastrointestinal tract:
q  Gastric neurosis
q  Psychogenic aerophagy
q  Hiccough
q  Dyspepsia
q  pylorospasm
      Lower gastrointestinal tract:
q  Psychogenic flatulence
q  Irritable bowel syndrome
q  Diarrhoea
      Respiratory system:
q  Psychogenic forms of cough and hyperventilation
      Genitourinary system:
q  Psychogenic increase of frequency of micturition and dysuria




Persistent somatoform pain disorder
      The predominant complaint is of persistent, severe and distressing pain, which cannot be explained fully by a physiological process or a physical disorder
      Pain occurs in association with emotional conflict, or psychosocial problems that are sufficient to allow the conclusion that they are the main causative influences
Nursing Diagnosis
      Impaired adjustment related to fear of assuming adult responsibilities, as evidenced by multiple somatic complaints
      Impaired adjustment related to inability to express hostile and competitive feelings, as evidenced by hypertension
      Ineffective denial related to doubts about self worth, as evidenced by chronic, unresponsive respiratory symptoms limiting one’s work
      Chronic pain related to marital conflict, as evidenced by back problems
      Chronic pain related to work pressures, as evidenced by reports of headache
      Disturbed sleep pattern related to financial and familial concerns, as evidenced by difficulty falling asleep and frequent awakening during the night
Nursing Management
      Continuously monitor medical assessments, lab findings, and other report to assure absence of organic illness
      Recognize that physical symptoms are real to the client, and provide a means for meeting emotional needs
      Establish an ongoing, trusting relationship with the client
      Encourage expression of feelings, and relate them to stressors and symptoms
      Avoid focusing on the physical symptoms, disabilities or impairment unless the client needs assistance
      Observe and record the frequency and intensity of somatic complaints and related events
      Teach clients about the relationship of mind and body, anxiety and stressors, and basic body function
      Teach coping skills such as relaxation techniques, meditation and exercise
      Teach assertive communication
      Encourage participation in group activities
Clinical Management Tips
      Avoid reinforcing the somatic symptoms by focusing on the pain or other somatic symptoms
      Always ask the client what is going on emotionally when he is complaining of somatic symptoms
      Avoid assumptions that all somatic complaints are invalid
      Avoid a punitive attitude
      Recognize the value of supportive therapy that increases the client’s functional level rather than aim for cure


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notes.nursium.com: Somatoform autonomic dysfunction ,Persistent somatoform pain disorder
Somatoform autonomic dysfunction ,Persistent somatoform pain disorder
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