nursing care plan for hypochondriasis

2012 Oct. 80(5):817-28. Cochrane Database of Systematic Reviews 2007, Issue 4. Writing a care plan allows a team of nurses (as well as physicians, assistants, and other care providers) to access the same information, share opinions, and collaborate to provide the best possible care for the patient. Glen L Xiong, MD is a member of the following medical societies: AMDA - The Society for Post-Acute and Long-Term Care Medicine, American College of Physicians, American Psychiatric Association, Central California Psychiatric SocietyDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: SafelyYou, Blue Cross Blue Shield, Included Health
book co-editor for: Wolter Kluwer, American Psychiatric Publishing Inc. Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. Hollander E, Stein DJ, Decaria CM, Cohen L, Islam M, Frenkel M. Disorders related to OCD--neurobiology. Exercise can have calming effect therefore improving mood and improve physical symptoms. Since most of the symptoms are related to mental and psychological health, treatments often include psychotherapy. As a nurse, you will either follow doctors orders for nursing interventions or develop them yourself using evidence-based practice guidelines. As these patients are at risk for concurrent mood, anxiety, and personality disorders, a psychiatric admission may be necessary to manage episodic decompensation of the comorbid psychiatric conditions or suicidal ideation. You will consider the patients overall condition, along with their diagnosis and other relevant information, as you set goals for them to achieve desired and realistic health outcomes for the short and long term. Psychosomatics. 2012 Nov-Dec. 53(6):566-74. However, prospective treatment studies are urgently needed in this area. Compr Psychiatry. Noyes R Jr, Stuart S, Langbehn DR, Happel RL, Longley SL, Yagla SJ. Treat comorbid psychiatric disorders concurrently. Psychother Psychosom. For effective communication, keep in mind the following best practices when writing a care plan: Although you will learn communication skills in an undergraduate or graduate nursing program, you will also develop them over time and with practical experience. : Their goal should be possible to achieve. To help the patient become relaxed and feel comfortable. They also enable. This is essential in helping them cope up with the disorder better. As in the outpatient care model, patients should not be exposed to high-risk invasive procedures. [QxMD MEDLINE Link]. 26:367-77. Behav Res Ther. The treatment of hypochondriasis: exposure plus response prevention vs cognitive therapy. Unnecessary medical tests and potential test complications. Some people become severely depressed and even suicidal. DSM 5th edition. This article aims to enhance nurses' understanding of nursing care plans, reflecting on the past, present and future use of care planning. 0000003341 00000 n The student version is much longer, has a greater level of detail, and is exhaustively thorough. [QxMD MEDLINE Link]. Diagnosis is based on history, medical complaints, the doctors physical assessment and laboratory tests performed. You may be more prone to illness anxiety disorder if you have a family history of: People with illness anxiety disorder have ongoing but unrealistic fear about being seriously ill. Visser S, Bouman TK. Saunders comprehensive review for the NCLEX-RN examination. [QxMD MEDLINE Link]. The client will verbally express emotional feelings. Basic management principles include the following: Establish a firm therapeutic alliance with the patient Educate the patient regarding the manifestations of hypochondriasis Offer consistent. The implementation stage consists of performing the. 2001 Apr. [40, 41, 42, 43, 44] and may be the recommended treatment for patients with this disorder. Physical assessment and history taking include questions about mental health and alcohol and drug use. Magarinos M, Zafar U, Nissenson K, Blanco C. Epidemiology and treatment of hypochondriasis. olde Hartman TC, Borghuis MS, Lucassen PL, van de Laar FA, Speckens AE, van Weel C. Medically unexplained symptoms, somatisation disorder and hypochondriasis: course and prognosis. Oversharing your symptoms and health status with others. It also helps in reducing stress and preoccupation with health and physical symptoms. St. Louis, MO: Elsevier. Lifestyle changes. High level of anxiety about personal health. Am J Psychiatry. If youre considering earning a post-graduate degree in nursing, your main choice will be between a Master of Science in Nursing (MSN) and a Doctor of Nursing Practice (DNP) program. 0000002769 00000 n 0000115475 00000 n b) His symptoms subside with appropriate medical treatment. Allow for time-limited structured discussions about somatic concerns. 0000106549 00000 n 1991 Mar-Apr. Increased physical activity. Pediatrics. Wesner RB, Noyes R Jr. Imipramine an effective treatment for illness phobia. 45 (4):259-69. A nursing diagnosis is based on Maslows Hierarchy of Needs pyramid ((Saul McLeod, Maslows Hierarchy of Needs, Simply Psychology, Dec. 29, 2020: https://www.simplypsychology.org/maslow.html)) (which identifies and ranks human needs) and helps prioritize treatments. Healthcare providers now use the term illness anxiety disorder. Uneasiness with healthy body functions like. Your provider may diagnose illness anxiety disorder if you have health anxiety (or other illness anxiety disorder symptoms) for six months or longer even after tests show that youre not sick. Somatic Symptom Disorder and Illness Anxiety Disorder. The University of St. Augustine for Health Sciences (USAHS) offers a Master of Science in Nursing degree (MSN), a Doctor of Nursing Practice degree (DNP), and Post-Graduate Nursing Certificates designed for working nurses. Facilitating patient acceptance of a psychiatric referral. Substance use can make symptoms worse. Participation in activities. Get useful, helpful and relevant health + wellness information. You can take steps to keep illness anxiety disorder symptoms in check. In clinical settings, both the availability of CBT and treatment adherence of patients with illness anxiety disorder to psychotherapy in general are major barriers to successful outcomes. This involves consideration of the central theories of nursing and discussion of nursing models and the nursing process. Financial struggles due to medical bills and missed work. 58(3):41-2. Speckens AE, Spinhoven P, Sloekers PP, Bolk JH, van Hemert AM. : CD006520. J Clin Psychiatry. It is possible that case management and integrated primary care and psychiatry programs may be especially suitable for patients with illness anxiety disorder and somatic symptom disorder. Provide comfort measures for the patient in terms of temperature of the room, positioning of the bed, provision of pillows. The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous authors Shayna L Marks, BA, MA; Dandan Liu, BA; and Celia Chang, MD to the development and writing of this article. 179(5):279-83. Couple reassurance statements of normal findings with statements that that the patient will not be abandoned. ((TigerConnect, How to Develop a Nursing Care Plan for Your Hospital: https://tigerconnect.com/blog/how-to-develop-a-nursing-care-plan-for-your-hospital/)), Finally, you will need to update your care plans often with the latest information. 0000212525 00000 n 2007. Nursing diagnoses handbook: An evidence-based guide to planning care. (4):3:323-38. 2010 Nov 26. Care plans are a way to strategically approach and streamline the nursing process. A person with somatoform disorder often seeks medical advice for the symptoms they are experiencing. You may be more familiar with the term hypochondria or health anxiety. Fallon BA, Schneier FR, Marshall R, et al. Although in some cases, it is vital to treat some of the symptoms such as severe pain. 0000117888 00000 n Having medical condition or is recovering from one, High risk of getting a condition due to strong family history, Financial issues due to frequent clinic visits. The MSN has several options to accelerate your time to degree completion. 0000107422 00000 n Registrations: (800) 241-1027, Copyright 2023 University of St. Augustine for Health Sciences, Care plans are a way to strategically approach and streamline the nursing process. ((Mariam Yazdi, 4 Steps to Writing a Nursing Care Plan, Nurse.org, March 23, 2018: : What does the patient suffer from? Weck F, Neng JM. 6:638-45. Focus on care of the patient with illness anxiety disorder, not exclusively on a cure for the disorder. Her work experiences include Nursing Local Board Examination Reviewer, Clinical Instructor, NC2 Examination Reviewer and Caregiver Lecturer. 0000004998 00000 n Stein EM. Personality disorders in hypochondriasis: prevalence and comparison with two anxiety disorders. This illness is a form of abnormal anxiety to health which can be mild or severe. Key results of professionalism include better overall care, improved team communication, and a more positive work environment. Appointments 866.588.2264 Appointments & Locations Request an Appointment Illness anxiety disorder (hypochondria) is extremely rare. 28(1-4):294-304. Pearce MJ, Mayou RA, Klimes I. 54(5):331-43. Monvale, NJ; 2004. [QxMD MEDLINE Link]. After the diagnosis is the planning stage. startxref [QxMD MEDLINE Link]. 0000003263 00000 n It can help improve social situations and build relationships. The American Psychiatric Association published the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria for the diagnosis of somatoform disorder. Nurses can gather data about the patients vital signs, physical complaints, visible body conditions, medical history, and current neurological functioning. Int J Psychiatry Med. 1989 Nov-Dec. 30(6):457-72. McManus F, Surawy C, Muse K, Vazquez-Montes M, Williams JM. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: : heart rate 100 bpm, dyspnea, restlessness, guarding behavior., : impaired gas exchange RT collection of mucus in airway., : patient must maintain optimal gas exchange., : assess respiration; encourage breathing and position changes., : respiration will indicate the level of lung involvement, as the patient will adjust their breathing to facilitate gas exchange; these will improve ventilation and allow for chest expansion., : the patient maintained good gas exchange, normal respiratory rate., Wrapping Up: Writing an Effective Nursing Care Plan, For example, one of the benefits of writing care plans is that it will allow you to develop. 1992. xref A community-based psychoeducational group approach to hypochondriasis. That implies checking in with patients frequently and recording data about how the patient is progressing toward their goals, which will be important in the evaluation stage of the care plan. 2015 Aug. 34:1-7. Illness coping strategies and hypochondriacal traits among medical inpatients. 0000003886 00000 n A) In somatic symptom disorder, clients consciously seek attention. If you aspire to a role in nursing leadership, whether at the clinical or administrative level, consider earning your Doctor of Nursing Practice degree (DNP degree). Psychosomatics. Escobar JI, Gureje O. Psychopharmacol Bull. N Engl J Med. What is Hypochondriasis? Medications to treat mood or anxiety disorders, if present, also may help. 0 What are the best ways to manage illness anxiety disorder? [QxMD MEDLINE Link]. [QxMD MEDLINE Link]. Somatoform disorder, also known as Somatic Symptom Disorder (SSD), is a mental health condition characterized by having significant physical symptoms brought about by psychological or emotional distress. However, their training and paths toward certification differ in significant. Our degrees are offered online, with optional on-campus immersions. 1992. Illness Anxiety Disorder (formerly Hypochondriasis), encoded search term (Illness Anxiety Disorder (formerly Hypochondriasis)) and Illness Anxiety Disorder (formerly Hypochondriasis), Pediatric Illness Anxiety Disorder (Formerly Hypochondriasis), Psychiatric Disorders Associated With Epilepsy, Fast Five Quiz: Generalized Anxiety Disorder. 1989 May. For example, one of the benefits of writing care plans is that it will allow you to develop professionalism, along with important values like accountability, respect, and integrity. But medical tests cant pinpoint a cause for the physical symptom. [QxMD MEDLINE Link]. Hiller W, Leibbrand R, Rief W, Fichter MM. Somatoform disorder can lead to the following: The goal of treatment for a patient with somatoform disorder is to improve quality of life and help the person function. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Bursztajn H, Barsky AJ. J Behav Ther Exp Psychiatry. If youre experiencing suicidal thoughts, call the National Suicide Prevention Lifeline at 1.800.273.8255. D) In factitious disorders, clients are . Please follow your facilities guidelines and policies and procedures. It is important to encourage the patient to verbalize any negative thoughts, feelings, and behaviors in order for the nurse and healthcare team to provide holistic care and keep him/her safe. J Nerv Ment Dis. Somatic Symptom and Related Disorders. 70(3):810-27. Vera., Nursing Care Plans (NCP): Ultimate Guide and Database, July 5, 2021: https://nurseslabs.com/nursing-care-plans/)) ((Medical Dictionary for the Health Professions and Nursing, Farlex, nursing care plan, 2012: https://medical-dictionary.thefreedictionary.com/nursing+care+plan)) ((Health Navigator, Care planning, April 6, 2021: https://www.healthnavigator.org.nz/clinicians/c/care-planning/)) ((Tammy J. Toney-Butler and Jennifer M. Thayer, Nursing Process, StatsPearls, July 10, 2020: https://www.ncbi.nlm.nih.gov/books/NBK499937/)). A persistent fear about having a serious illness or developing one is the top symptom of illness anxiety disorder. [QxMD MEDLINE Link]. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. 0000003573 00000 n [QxMD MEDLINE Link]. 62(1):55-8. Fallon BA, Javitch JA, Hollander E, Liebowitz MR. Hypochondriasis and obsessive compulsive disorder: overlaps in diagnosis and treatment. Patients who are hypochondriacal may be reluctant to follow this advice, but many patients greatly increase their physical activity as treatment progresses. For patients, having clear goals to achieve will make them more involved in their treatment and recovery. [QxMD MEDLINE Link]. J Clin Psychiatry. Illness anxiety disorder can affect all ages and genders. Br J Psychiatry. Therefore, while such treatments may be indicated at some time (in the future), prematurely offering a diagnosis or psychiatric treatment may, in fact, impair the establishment of a trusting patient-physician relationship. 1977. 0000107836 00000 n Debra Kahn, MD is a member of the following medical societies: Academy of Psychosomatic Medicine, American Psychiatric Association, Association of Women Psychiatrists, California Psychiatric Association, Central California Psychiatric SocietyDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Otsuka Pharmaceutical Development & Commercialization, Inc. Glen L Xiong, MD Associate Clinical Professor, Department of Psychiatry and Behavioral Sciences, Department of Internal Medicine, University of California, Davis, School of Medicine; Medical Director, Sacramento County Mental Health Treatment Center When illness anxiety disorder is suspected in a medical or surgical inpatient, a psychosomatic medicine consultation should be performed to elucidate the diagnosis and address psychiatric comorbidity. Cogn Behav Ther. ((M. The specific illness(es) that they worry about often changes. 1. A care plan ensures collaboration among nurses, patients, and other healthcare providers. 2008 May 10. Bouman TK. Treatment goals focus on improving quality of life by minimizing symptoms. a) No physiologic cause has been found for his symptoms. Search for underlying medical and psychiatric disorders potentially amenable to treatment. 54(5):200-1. As with the other somatoform disorders, inpatient psychiatric hospitalization for the somatoform disorder itself is rarely necessary. Spend sufficient time on health care maintenance issues such as diet, experience, smoking cessation, and cancer detection. 1991 May-Jun. Barsky AJ. Somatization: a borderland between medicine and psychiatry. : You need to set certain metrics to measure the patients progress toward these goals. Accessed 1/13/2021. Acta Psychiatr Scand. Anxiety and Depression Association of America. 0000003808 00000 n ((M. Axelsson E, Andersson E, Ljtsson B, Wallhed Finn D, Hedman E. The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder. Anna Curran. Assess the patient's developmental needs. 1992 May. J Affect Disord. 156:379-83. [QxMD MEDLINE Link]. Avoidance of alcohol and drugs. 0000108042 00000 n Toone BK. 69:841-845. 0000309569 00000 n 1996. Psychosom Med. Nursing care plans are structured to capture all the important information for the nursing team in one place. The symptoms of hypochondriasis are the following: Diagnosing hypochondriasis can be difficult since clients with this disorder are convinced that their symptoms are caused by a medical illness. Behav Res Ther. for: Medscape. 0000296661 00000 n Whipples Disease Nursing Diagnosis and Nursing Care Plan. Promote behavior modification by acknowledging the patients efforts to positively cope with his/her current condition, as well as giving more attention and time discussing positive changes in his/her symptoms. Should I look out for signs of complications? 0000113110 00000 n A clinical study. Fallon BA, Harper KM, Landa A, Pavlicova M, Schneier FR, Carson A. 2001 May. Holder-Perkins V, Wise TN, Williams DE. J Nerv Ment Dis. 11 Geriatric Nursing Care Plans (Older Adult) Learn about the essential components of geriatric nursing care plans, including the importance of personalized care, addressing the specific needs of the elderly, and ensuring their comfort and well-being. Avia MD, Ruiz MA, Olivares ME, Crespo M, Guisado AB, Snchez A. Donald M Hilty, MD, MBA is a member of the following medical societies: American Association for Technology in Psychiatry, American Psychiatric Association, American Telemedicine Association, Association for Academic PsychiatryDisclosure: Nothing to disclose. The client will follow an established daily routine. 140(3):273-83. A sick person usually gets more attention; hence the experience gives them a positive emotion of being looked after. American Psychiatric Association. [QxMD MEDLINE Link]. The major nursing care plan goals for patients with somatoform disorders are: The client will identify the relationship between stress and physical symptoms.

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