PTSD

_______ is a disturbing pattern of behavior demonstrated by someone who has experienced, witnessed, or been confronted with a traumatic event such as a natural disaster, combat, or an assault

ptsd

four subcategories of symptoms in PTSD include

intrusion

avoidance

cognition

arousal

s/s ptsd

insomnia
hyperarousal
hypervigilance
irritability
angry outburst
loose connect to life

symptoms occur _______ months or more after the trauma

3

what else may develop with PTSD

depression
anxiety
substance abuse

_______ is a reaction to a stressful event that causes problems for the individual

adjustment disorder

when do symptoms develop for adjustment disorder

one month

when do symptoms end for adjustment disorder

six months

PTSD is a disorder associated with _______

event exposure

_______ or _______ may prevent the progression to PTSD

counseling or therapy

_______ treatment is needed when client is suicidal or has flashbacks

inpatient

what is the main treatment for PTSD

cbt

types of therapies for PTSD

exposure
adaptive
cognitive

_______ designed to combat the avoidance behavior that occurs with PTSD, help the client face troubling thoughts and feelings, and regain a measure of control over their thoughts and feelings

exposure therapy

_______ developed by the military to offer an intense, specific, short-term therapy for active-duty military personnel with PTSD

adaptive disclosure

in adaptive disclosure, the participants say whatever they need to say to anyone _______ or _______

alive

dead

_______ structured sessions that focus on examining beliefs that are erroneous or that interferer with daily life, such as guilt and self-blame

cognitive processing therapy

meds may be used to deal with these symptoms

insomnia
anxiety
hyperarousal

_______, _______, _______, and _______ are related to increased PTSD rates

age
gender
type of trauma
repeated trauma

adolescents with PTSD are at increased risk for what

suicide
substance abuse
poor social support
academic problems
poor health

children develop PTSD when there is a history of _______ and _______

parental major depression
childhood abuse

older adults who fall and fracture a hip can experience _______

ptsd

chronic PTSD may be associated with _______ and _______

premature aging
dementia

assessment data for plan of care

flashback
nightmares
sleep disturbances
depression
numb
anger
low self esteem
frustration
fears
anxiety

expected outcomes for plan of care

s/s down 2-3 days
sleep 4 hrs 3-4 days
down anxiety,fear,guilt 4-5 days
participate treatment 30 mins 4-5 days

_______ is extremely distressing experience causing severe emotional shock

trauma

_______ of men and _______ of women

60%
50%

only _______ of victims develop PTSD

10%

_______ induced these flashbacks

triggers

cope with the event in order to overcome it

ptsd goal

ptsd could have what

anxiety
depression
repression
question religion

predisposing factors of PTSD

experience
individual
recovery

experience

severity
duration
anticipation
exposure to death
number
control
location

individual

ego strength
coping
MH D/P
previous stress/trauma
temperament
developmental
demographic

recovery

social support
family/friends
cultural
society

potential causes of PTSD

DV
war
abuse
mass disasters
accident
bullying
procedure
death
robbery
adoption/separation

_______ needs to be involved to help identify s/s

family

intrusion s/s

memories
nightmares
flashbacks
distress after exposure

you should avoid trauma-related

thoughts
feelings
people
places
conversations
activities
objects
situations

cognition and mood changes s/s

can't recall key features
negative beliefs
distorted blame
fear/horror/anger/guilt/shame
down activities
alienated
can't feel positive emotions

arousal s/s

aggressive
irritable
self destructive
hypervigilance
problems concentration
sleep problems
exaggerated startle response

PSTD nursing intervention

stay
trust
encourage verbalization
coping

PSTD patients are at an increaser risk for what

SI
HI

stay

assess SI/HI

build trust

same staff as often as possible
no trust = change nurse
know triggers

encourage verbalization

give time
don't rush

always _______ with client during flashback or nightmares

stay

if meds are needed during a flashback or nightmares, call another _______ to get them

nurse

coping skills

grounding
breathing
music therapy
assist comprehension trauma
assess maladaptive coping

SSRI

paxil
zoloft
prozac

beta blockers

inderal

inderal helps with

palpitations
s/s

anxiolytic

buspar

why is buspar not used

takes too long

benzos

xanax

do not give benzos because of _______

substance abuse

outcomes for PTSD

verbalize feelings
denies self harm
realistic goal
down s/s
progress through grief

verbalize feelings

build trust/rapport

denies self harm

risk of SI
if at home, go to hospital

realistic goals

small

decreased s/s

flashbacks
can get through flashbacks

progress through grief

overcomeable

principles of trauma-informed care

safety
trust
choice
empowerment
collaboration
respect

does adjustment disorder have any triggers

no

adjustment disorder nursing interventions

assess grief stage
build trust
encourage verbalization
coping
cbt

build trust AD

empathy

encourage verbalization AD

express anger
ex: yell in pillow

coping skills AD

large motor activity
walk

CBT AD

group and family