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PTSD
psyc Exam 2
13
Nursing
Undergraduate 3
10/27/2012

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Term
PTSD
Definition
development of characteristic symptoms following exposure to an extreme traumatic stressor involving personal threat to physical integrity or physical integrity of others
-response is fear, hopelessness or horror
Term
general PTSD symptoms
Definition
more than one month
-re-experiencing of traumatic event
-sustained high level of anxiety or arousal (hypervigilance)
-general numbing of responsiveness
-intrusive recollections or nightmeres
-flash backs
Term
PTSD sx when exposed to stimulus
Definition
-altered sleep patterns
-outbursts of anger
-difficulty concentrating
-paranoia
-exaggerated startle response
Term
PSTD comobidities
Definition
-depresion
-survivors guilt
-dysfunctional greif.
-substance abuse
-dissociation and amnesia
-compassion fatigue ???
Term
what factors cause event to be traumatic?
Definition
-severity and duration of stressor
-extent of anticipatory preparation before onset
-exposure to death
-numbers affected by life threat
-amount of control over re-occurance
-location where trauma was experienced
Term
what personal factors influence PTSD
Definition
-degree of ego strength
-effectiveness of coping stratigies
-presence of preexisting psychopathology
-outcomes of previous stressors or traumas
-temperament of client
-developmental age
-demographics
Term
learning theory
Definition
-negative reinforcement: behavior leads to reduction in adverse event
-avoidance behavior and numbing
Term
cognitive theory
Definition
more likely to develop PTSD when event invalidates personal beliefs, incomprehensible
-hopelessness and helplessness results
Term
biological theory
Definition
previous trauma predisposes pt to PTSD and predisposes to future trauma because they are likely to reactivate behaviors related to original trauma
-dysregulation of opioid, glutamateric and serotonergic pathways
Term
post trauma diagnosis
Definition
related to distressing event that is considered outside the range of normal human experience
Term
complicated grieving
Definition
r/t loss of prior self perception or to actual or precieved losses during or after event
-event has changed you and you have lost things including personality
Term
nursing care focus
Definition
-integrate trauma into persona
-awareness of risk of self and others harm
-renew significant realtionships
-meaningful goals for the future
-finish grief process
-optimum hope for the future
Term
Meds
Definition
SSRI, TCA, MAOI's, trazodone
anti anxiety (xanax)
anti hypertensives
ect
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