Depression/Anxiety/Abuse

What are constitutional symptoms?

indicate a general effect of a disease that can effect the general wellbeing of an individual

List some constitutional symptoms

fever, unexplained sweating, nausea, diarrhea, pallor, weight loss

What are some physical symptoms that manifest from anxiety?

headache, nausea, diarrhea, tachycardia, HTN, chest pain, joint pain

What measure can be used to test for anxiety?

Beck anxiety inventory

What indicates a low level of anxiety on the Beck Anxiety Inventory

0-21

What indicates a moderate anxiety level on the Beck Anxiety Inventory?

22-35

What indicates a high level of anxiety on the Beck Anxiety inventory?

36+

What are physical symptoms that manifest from depression?

insomnia/fatigue, headache, chronic pain, diarrhea, weight fluctuation, inflammation

How can we screen for depression?

PHQ-9

Which of the following is an individual risk factor for suicide?

impulsive & aggressive tendencies

What are some relationship risk factors of suicide?

bullying, family hx, high conflict/violent relationships. social isolation

What are some community risk factors of suicide?

lack of healthcare, suicide cluster, stress of acculturation, historical trauma/discrimination

Which of the following is an individual protective factor of suicide?

effective coping/ problem solving skills

What are some warning signs of suicide?

talking about being a burden, being isolated, increased mood swings, sleeping too little/much

What is the difference between abuse and neglect?

abuse is purposeful infliction of injury or deprivation of needs, neglect is a failure to provide essential needs

What is intimate partner violence?

pattern of coercion perpetuated by current or former intimate partner that includes physical, sexual, or psychological assaults

What is material exploitation?

Unreasonable use of a person/power of attorney/guardianship to obtain control of someone’s money, assets, or property by means of deception, fraut, menace

What are some signs & symptoms of abuse/neglect

central pain patterns, injuries in hideable areas, bruises/burns/pressure ulcers, multiple ED trips, substance abuse, psychological issues

What is the role of a physical therapist in terms of abuse or neglect?

screen all patients for s/s of abuse, educate, advocate, treat sx of abuse, report