The obsession and compulsion can cause intense stress and impairement of functioning. Fear of losing control, fear of losing the self esteem, overly conscientious, perfectionistic, have trouble to being spontaneously and filled with self-doubt are common experiences by client. Frequently the client will use defence mechanisms of denial, reaction formation, isolation and undoing.
likely because childhood trauma, multiple stressors, lack of role model to teach coping skills and brain lesions. Common obsessions are self doubt, germs and illness with common compulsions like checking, washing, avoiding and counting.
Assesment finding for obsessive-compulsive disorder;
- Social impairment
- Obsessive thought (repetitive worries, repeating and counting images or words)
- Compulsive behaviour (repetitive activity, like touching, counting, doing or undoing)
- Behavioral therapy and individual therapy
- Monoamino oxidase inhibitor (nardil, parnate)
- Benzodiazepine (ativan, klonopin)
- Trycyclic antidepresant (norpramin, tofranil)
- Selective serotonin reuptake inhibitor (paxil)
- Chronic low self-esteem
- Ineffective individual coping
- Learn coping strategis to decrease obsessive thinking and compulsions
- Verbalize sign and symptoms of increasing anxiety
- Develop and maintain an enhanced self esteem and increased sense of the competency
- Encourage to express the feeling, in order to decrease the level of stress
- Help the client to assess how the compulsive behavior affect his functioning
- Help the client to engage in anticipatory planning, to feel in control of potentially anxiety-producing situations
- Help the client to identify expectation of self an others
- Instruct the client to keep a daily journal of thought, feeling and actions to identify immediately the onset of his obsessive compulsive
- Work with client to develop appropiate coping skills
- Encourage the client to identify situations that produce anxiety and precipitate obsessive compulsive behavior
- Identifies situations and activities that may precipitate obsessive compulsive
- Able to verbalize thoughts openly and has realistic expectation self and others
- Demonstrate a decreased reliance on negative coping mechanism such ritual, and will demonstrate the new coping strategies
Management Nursing Care Plans @ 12:48 AM,
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- At July 31, 2014 at 3:46 AM, Dolores Brown said...
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