Prime Competence-For Cd_o1

8/9/2019 Prime Competence-For Cd_o1

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Prime CompetencePrime Competence

TrainingTrainingTraining

andandand

SeminarSeminarSeminar


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____INPUTS________INPUTS____


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LegendsLegends

S/sx: Signs and symptomsS/sx: Signs and symptoms

P.F.: Predisposing Factor(s)P.F.: Predisposing Factor(s)

MOT: Mode of TransmissionMOT: Mode of Transmission Dx Test: Diagnostic Test(s)Dx Test: Diagnostic Test(s)

Tx: TreatmentTx: Treatment

N.Mx: Nursing ManagementN.Mx: Nursing Management

P.S.: Pathognomonic Sign(s)P.S.: Pathognomonic Sign(s)


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OBSTETRICAL NURSINGOBSTETRICAL NURSING


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A.A. Abdominal Birth orAbdominal Birth orCesarian SectionCesarian Section

-- birth via transabdominalbirth via transabdominalincision:incision:

a. Transverse incisiona. Transverse incision

b. Lower uterine verticalb. Lower uterine verticalincisionincision

-- P.F.:P.F.:

a. Cephalopelvica. Cephalopelvicdisproportiondisproportion

b. Dystociab. Dystocia

c. Placenta previa &c. Placenta previa &abruptio placentaabruptio placenta

d. Multiple Births &d. Multiple Births &malpresentationsmalpresentations

e. Postmaturitye. Postmaturity

f. Growth within birth canalf. Growth within birth canal

g. Diabetes, PIH, activeg. Diabetes, PIH, active

herpes, Rh incompatibilityherpes, Rh incompatibility

h. Fetal distressh. Fetal distress

-- N.Mx:N.Mx:

a. Monitor for lochiaa. Monitor for lochia

discharges (maybe less thandischarges (maybe less than

vaginal birth & uterinevaginal birth & uterine

involution)involution)

b. Postb. Post--operative care.operative care.

c. Pain relief.c. Pain relief.


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B.AbortionB.Abortion

-- Termination of pregnancy before the age ofTermination of pregnancy before the age ofviability (20 weeks) or weight of 500g whichviability (20 weeks) or weight of 500g which

occur most in 2occur most in 2ndnd

or 3or 3rdrd

month.month.-- Types:Types:

a. Spontaneousa. Spontaneous-- termination due to natural causetermination due to natural cause

b. Inducedb. Induced-- termination due to therapeutic ortermination due to therapeutic orelective reasonselective reasons

c. Threatenedc. Threatened-- developing spontaneous abortiondeveloping spontaneous abortion

d. Inevitabled. Inevitable-- threatened loss that cannot bethreatened loss that cannot bepreventedprevented

e. Incompletee. Incomplete-- loss of some products ofloss of some products ofconception and retention of othersconception and retention of others

f. Completef. Complete-- loss of all products of conceptionloss of all products of conception

g. Missedg. Missed-- retention of products of conceptionretention of products of conceptionin utero after fetal deathin utero after fetal death

h. Habitualh. Habitual-- spontaneous abortion in 3 or morespontaneous abortion in 3 or moresuccessive pregnanciessuccessive pregnancies

-- P.F.:P.F.:

a. unknown (Idiopathic)a. unknown (Idiopathic)

b. embryonic or fetal problemsb. embryonic or fetal problemsc. chromosomal defectsc. chromosomal defects

d. faulty placental devtd. faulty placental devt

e. maternal problemse. maternal problems

g. Missedg. Missed-- retention of products of conceptionretention of products of conceptionin utero after fetal deathin utero after fetal death

h. Habitualh. Habitual-- spontaneous abortion in 3 or morespontaneous abortion in 3 or moresuccessive pregnanciessuccessive pregnancies

-- P.F.:P.F.:

a. unknown (Idiopathic)a. unknown (Idiopathic)

b. embryonic or fetal problemsb. embryonic or fetal problems

c. chromosomal defectsc. chromosomal defects

d. faulty placental devtd. faulty placental devt

e. maternal problemse. maternal problems-- S/Sx:S/Sx:

a. spontaneous vaginal bleedinga. spontaneous vaginal bleeding

b. uterine cramping/contractionsb. uterine cramping/contractions

-- Tx:Tx:

a. Bed rest.a. Bed rest.

b. D&C (dilatation and curretage)b. D&C (dilatation and curretage)

-- N.Mx:N.Mx:

a. Monitor signs of true labor anda. Monitor signs of true labor andbleeding.bleeding.

b. Provide fluid to prevent shock.b. Provide fluid to prevent shock.

c. Provide emotional support.c. Provide emotional support.


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C.Abruptio PlacentaC.Abruptio Placenta

-- Partial,marginal,or completePartial,marginal,or complete

premature separation of normallypremature separation of normallyimplanted placenta in theimplanted placenta in the 33rdrd

trimester.trimester.

-- P.F:P.F:

aa..older gravidasolder gravidas

b. Hpnb. Hpn

c. fibrin defectc. fibrin defect

d. previous hxd. previous hx

-- S/sx:S/sx:

a. Painful vaginal bleedinga. Painful vaginal bleeding

b. boardb. board--like enlarge abdomenlike enlarge abdomen

c. DICc. DIC

-- Tx|:Tx|:

a. Emergency CS.a. Emergency CS.

-- N.Mx:N.Mx:

a. Bed rest (Left laterala. Bed rest (Left lateralrecumbent)recumbent)

b. Monitor forbleeding and DIC.b. Monitor forbleeding and DIC.

c. Maintain fluid.c. Maintain fluid.


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D.Assisted BirthD.Assisted Birth

-- Use of forceps or vacuum to facilitate deliveryUse of forceps or vacuum to facilitate delivery

-- P.F.:P.F.:

a. ineffective pushinga. ineffective pushing

b. malpositionb. malposition

c. large infantsc. large infants

-- Effect to fetus:Effect to fetus:

a. caput succedanuma. caput succedanum

-- N.Mx:N.Mx:> same as intra and post partal period> same as intra and post partal period


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E.DystociaE.Dystocia

-- Difficult birthDifficult birth

-- P.F.:P.F.:

a. cephalopelvic disproportiona. cephalopelvic disproportion

b. contracted pelvisb. contracted pelvis

c. malpresentation or positionc. malpresentation or position

d. multiple gestationd. multiple gestation

-- S/Sx:S/Sx:a. hypertonic contractionsa. hypertonic contractions

b. hypotonic contractionsb. hypotonic contractions

-- Tx:Tx:

a. Induction of labor or CS.a. Induction of labor or CS.

-- N.Mx:N.Mx:

a. Apply sacral pressure to relieve pain.a. Apply sacral pressure to relieve pain.

b. Observe mother for exhaustion (dehydration & alkalosis/acidosis)b. Observe mother for exhaustion (dehydration & alkalosis/acidosis)

c. Ready the resuscitation equipment.c. Ready the resuscitation equipment.


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F.Ectopic PregnancyF.Ectopic Pregnancy

-- Pregnancy that occurs in thePregnancy that occurs in the

extrauterine area with implantationextrauterine area with implantation

usually occuring in ampulla ofusually occuring in ampulla of

fallopian tube.fallopian tube.

-- P.F.:P.F.:

a. PIDa. PID

b. Endometriosisb. Endometriosis

c. prolonged use of IUDc. prolonged use of IUDd. congenital defectsd. congenital defects

-- S/Sx:S/Sx:

a. sudden lower right or lefta. sudden lower right or left

abdominal radiating to shoulderabdominal radiating to shoulder

b. spotting after 1or2 missed

b. spotting after 1or2 missedmenstrual periodmenstrual period

c. concealed bleeding from sitec. concealed bleeding from site

rupture leads to sudden shockrupture leads to sudden shock

-- Effects to fetus and mother:Effects to fetus and mother:

a. fetal deatha. fetal death

b. maternal deathb. maternal death

c. residual scarringc. residual scarring

d. infertility of motherd. infertility of mother

-- Tx:Tx:

a. Laparotomy and removal ofa. Laparotomy and removal of

pregnancy and tubepregnancy and tube

b. repair of tubeb. repair of tube

-- N.Mx:N.Mx:

a. Monitor for signs ofbleeding.a. Monitor for signs ofbleeding.

b. Monitor for signs of infection.b. Monitor for signs of infection.

c. Monitor for signs of shock.c. Monitor for signs of shock.


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G. Placenta PreviaG. Placenta Previa

-- Improperly implanted placenta inImproperly implanted placenta in

lower uterine segment. Most commonlower uterine segment. Most commoncause ofbleeding in late pregnancy.cause ofbleeding in late pregnancy.

-- P.F.:P.F.:

a. multiparitya. multiparity

b. failure of upper segment to haveb. failure of upper segment to have

required vascularityrequired vascularity

c. presence of myomasc. presence of myomas

-- S/Sx:S/Sx:

a. painless bleeding as early as 7a. painless bleeding as early as 7

monthsmonths

b. anemiab. anemia

c. soft uterusc. soft uterus

--Tx:Tx:

a. CS ifbleeding persists.a. CS ifbleeding persists.b. Betamethasone to increase fetalb. Betamethasone to increase fetal

lung maturity.lung maturity.

--N.Mx:N.Mx:

a. Monitor FHR (FHR is normal ifa. Monitor FHR (FHR is normal if

placenta is functioning).placenta is functioning).

b. Monitor forbleeding.b. Monitor forbleeding.

c. Bed rest.c. Bed rest.

d. Avoid vaginal exam if withd. Avoid vaginal exam if with

bleeding.bleeding.

e. Maintain fluids.e. Maintain fluids.

f. Prepare for CS if necessary.f. Prepare for CS if necessary.


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H. Preterm LaborH. Preterm Labor

-- Dilation and effacement of cervixDilation and effacement of cervix

after 20after 20thth week and before 38week and before 38thth week.week.

-- P.F.:P.F.:

a. Risky lifestylea. Risky lifestyle

b. multiple gestationb. multiple gestation

c. maternal illness with feverc. maternal illness with fever

d. heroin and opiate used. heroin and opiate use

-- S/sx:S/sx:a. 2 contractions lasting 30 secondsa. 2 contractions lasting 30 seconds

b. cervical dilation Betasympathemetics--

ritodrine,terbutaline sulfate,ritodrine,terbutaline sulfate,

MgSO4,prostaglandin inhibitors,CaMgSO4,prostaglandin inhibitors,Ca

Channel BlockerChannel Blocker

b.Glucocorticoid therapyb.Glucocorticoid therapy

> betamathasone> betamathasone--24 to 48 H24 to 48 H

before birth if inevitable to enhancebefore birth if inevitable to enhance

surfactantsurfactant

-- N.Mx:N.Mx:

a. Bed rest (left side).a. Bed rest (left side).b. Avoid vigorous activity (no nippleb. Avoid vigorous activity (no nipple

stimulation, no sex, stressful events).stimulation, no sex, stressful events).

b. Empty bladder regularly and ifb. Empty bladder regularly and if

contractions occur.contractions occur.

c. Monitor hypotension & tachycardiac. Monitor hypotension & tachycardia

with tocolytic therapy.with tocolytic therapy.


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MEDICAL SURGICAL NURSINGMEDICAL SURGICAL NURSING

A.A. AnemiaAnemia--Types:Types:

a. Iron Deficiency Anemiaa. Iron Deficiency Anemia

b. Pernicious Anemiab. Pernicious Anemia

c. Folate deficiencyc. Folate deficiencyd. Aplastic Anemiad. Aplastic Anemia

e. Hemolytic Anemiae. Hemolytic Anemia

f. Polycythemia Veraf. Polycythemia Vera

G. Thrombocytopenia PurpuraG. Thrombocytopenia Purpura

--S/Sx:S/Sx:

a. fatigue, h/a, paresthesia, dyspnes,a. fatigue, h/a, paresthesia, dyspnes,edemaedema

b. beefy red tongue, posiyiveb. beefy red tongue, posiyiveromberg test for pernicious anemiaromberg test for pernicious anemia

c. purple red complexion forc. purple red complexion forpolycythemia verapolycythemia vera

--Dx Test:Dx Test:

a. CBCa. CBC

--Tx:Tx:

a. Improve diet, include ascorbic acida. Improve diet, include ascorbic acid

b. Vit supplements: iron, B12, Folicb. Vit supplements: iron, B12, Folicacidacid

c. Corticosteroidsc. Corticosteroids

--N.Mx;N.Mx;

a. dietary modificationa. dietary modification

b. explain need of prevention ofb. explain need of prevention ofbleedingbleeding


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B. AneurysmB. Aneurysm

-- Distention at the site of a weaknessDistention at the site of a weakness

in the arterial wall.in the arterial wall.--Types:Types:

a. Sacculara. Saccular

b. Fusiformb. Fusiform

c. Mycoticc. Mycotic

d. Dissectingd. Dissecting

--S/Sx:S/Sx:

a. pain, hoarseness, lougha. pain, hoarseness, lough

b. sensory changes in lowerb. sensory changes in lowerextremities, hpn, palsating abdl massextremities, hpn, palsating abdl mass

--tx:tx:

a. resectiona. resection

--N.Mx:N.Mx:

a. Neurovascular assessment ofa. Neurovascular assessment ofextremitiesextremities

b. Record I&Ob. Record I&O

c. Narcotics, Prevent flexion of kneesc. Narcotics, Prevent flexion of kneesand hipsand hips


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C. Cushings SyndromeC. Cushings Syndrome

-- Result from excess secretion ofResult from excess secretion of

adreno cortical hormone.adreno cortical hormone.--S/Sx:S/Sx:

a. obese, hpn, hyperglycemia, protwina. obese, hpn, hyperglycemia, protwin

wastingwasting

b. Na & water retentionb. Na & water retention

--P.S:P.S:

a. moonface, buffalo humpa. moonface, buffalo hump

--Dx Test:Dx Test:

a. bld glucose and electrolytes, U/Aa. bld glucose and electrolytes, U/A

--Tx:Tx:

a. Reduce dosage of externallya. Reduce dosage of externally

administered corticostiroidsadministered corticostiroids

b. surgical excision of adrenal tumorb. surgical excision of adrenal tumor

c. adrenal enzyme inhibitorsc. adrenal enzyme inhibitors

d. K supplementsd. K supplements--N. Mx:N. Mx:

a. Monitor VSa. Monitor VS

b. daily weightb. daily weight

c. I&Oc. I&O

d. Bld Glucose & electrolyted. Bld Glucose & electrolytee. Protect from exposure to infectione. Protect from exposure to infection

f. minimize stress from thef. minimize stress from the

environmentenvironment


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D. Gastroesophageal Reflux Dse. (GERD)D. Gastroesophageal Reflux Dse. (GERD)

-- Backflow of gastric contents into theBackflow of gastric contents into the

esophagusesophagus--S/Sx:S/Sx:

a. Heartburna. Heartburn

b. Waterbrashb. Waterbrash

c. dysphagiac. dysphagia

d. burning pain after mealsd. burning pain after meals--Dx Test:Dx Test:

a. Endoscopya. Endoscopy

b. esophageal pHb. esophageal pH

--Tx:Tx:

a. Histamine receptor agonista. Histamine receptor agonistb. antacidsb. antacids

--N.Mx:N.Mx:

a. Small frequent feedingsa. Small frequent feedings

b. Avoiding spices, fats and alcoholb. Avoiding spices, fats and alcohol

c. Avoid eating before lying down toc. Avoid eating before lying down to

diminished refluxdiminished reflux

d. avoid eating or drinking 2d. avoid eating or drinking 2--3 hrs3 hrs

before bed timebefore bed time


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E. Guillain Barre SyndromeE. Guillain Barre Syndrome

-- Changes in motor cells of spinal cordChanges in motor cells of spinal cord

and medulla with areas ofand medulla with areas of

demyelinationdemyelination

--S/Sx:S/Sx:

a. weaknessa. weakness

b. muscle painb. muscle pain

c. diplopiac. diplopiad. paralysis begins in lowerd. paralysis begins in lower

extremitiesextremities

--Dx Test:Dx Test:

a. CSF & electrophysiologic studiesa. CSF & electrophysiologic studies

b.A

BGb

.A

BG

--Tx:Tx:

a. IV Therapy with IgGa. IV Therapy with IgG

b. plasmapharesisb. plasmapharesis

c. support of vital functionsc. support of vital functions

--N.Mx:N.Mx:

a. Monitor VS and ABGsa. Monitor VS and ABGs

b. Maintain airway and keepb. Maintain airway and keep

tracheostomy set at bedsidetracheostomy set at bedside

c. skin carec. skin care

d. ROM exercisesd. ROM exercises

e. DBEe. DBE


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F. Herniated Nucleus PulposusF. Herniated Nucleus Pulposus

-- Protrusion of central part ofProtrusion of central part of

intervertebral disc into spine causingintervertebral disc into spine causingcompression of spinal nerve roots.compression of spinal nerve roots.

--S/Sx:S/Sx:

a. backpaina. backpain

b. weakness of lower extremitiesb. weakness of lower extremities

c. numb

ness of footc. numb

ness of footd. absent DTRd. absent DTR

--P.S:P.S:

a. Laseques Signa. Laseques Sign-- positive SLR testpositive SLR test

--Dx Test:Dx Test:

a. MRIa. MRIb. Myelogramb. Myelogram

--Tx:Tx:

a. bedresta. bedrest

b. tractionb. traction

c. anti inflammatory agentsc. anti inflammatory agents

d. muscle relaxantsd. muscle relaxants

e. heat applicatione. heat application

f. cervical collarf. cervical collar

g. chemonucleolysisg. chemonucleolysis

--N.Mx:N.Mx:

a. Prevent complication of imobilitya. Prevent complication of imobility


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G. Hodgkins DseG. Hodgkins Dse

-- Proliferation of malignant cells ( reedProliferation of malignant cells ( reed--

sternberg cells) within lymph nodessternberg cells) within lymph nodes--S/Sx:S/Sx:

a. Pruritusa. Pruritus

b. anorexiab. anorexia

c. dyspneac. dyspnea

d. enlargement of lymph nodesd. enlargement of lymph nodese. anemiae. anemia-- thrombocytopeniathrombocytopenia

--Dx Test:Dx Test:

a. histologic exam of lymph nodea. histologic exam of lymph node

--Tx:Tx:

a. Radio therapya. Radio therapy

b. chemotherapyb. chemotherapy

c. surgeryc. surgery

--N.Mx:N.Mx:

a. Protect from infectiona. Protect from infection

b. Monitor temperatureb. Monitor temperature

c. Observe for signs of jaundice andc. Observe for signs of jaundice and

anemiaanemia


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H. Meniers DseH. Meniers Dse

-- Chronic inner ear dse.Chronic inner ear dse.

--S/Sx:S/Sx:

a. whirling vertigoa. whirling vertigo

b. nauseab. nausea

c. H/Ac. H/A

d. Tinnitusd. Tinnitus

e. sensitivity to loud soundse. sensitivity to loud sounds

--Dx Test:Dx Test:

a. Positive weber testa. Positive weber test

b. Auditory testingb. Auditory testing

--Tx:Tx:

a. diureticsa. diuretics

b. antib. anti--histamineshistamines

c. diazepamc. diazepam

d. surgical destruction of labyrinth ord. surgical destruction of labyrinth or

vestibular nervevestibular nerve

e. low Na diete. low Na diet

--N.Mx:N.Mx:

a. teach self protection from injurya. teach self protection from injury

during attacksduring attacks

b. avoid sudden movementsb. avoid sudden movements


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I. Reyes SyndomeI. Reyes Syndome

-- Acute encephalopathy following viral infectionAcute encephalopathy following viral infection

--S/Sx:S/Sx:

a. Persistent vomitting 1 to 7 days after onset of viral illnessa. Persistent vomitting 1 to 7 days after onset of viral illness

b. extreme sleepinessb. extreme sleepiness

c. Disorientation to LOCc. Disorientation to LOC

d. History of aspirin used. History of aspirin use

--N.Mx:N.Mx:

a. Supportive carea. Supportive care

b. Prevention of complicationb. Prevention of complication


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J. SclerodermaJ. Scleroderma

-- Systemic dse. That causes fibroticSystemic dse. That causes fibrotic

changes in connective tissue thru outchanges in connective tissue thru outthe bodythe body

-- CREST SYNDROMECREST SYNDROME-- Ca deposits,Ca deposits,

Raynauds phenomenon, esophagealRaynauds phenomenon, esophageal

dysfunction, scleroductyly,dysfunction, scleroductyly,

telangiectasiatelangiectasia

--S/Sx:S/Sx:

a. Hard Skin that adheres toa. Hard Skin that adheres to

underlying structuresunderlying structures

--Tx:Tx:

a. Corticosteroidsa. Corticosteroids

b. Salicylatesb. Salicylatesc. Vasodilatorsc. Vasodilators

d. PTd. PT

--N.Mx:N.Mx:

a. use mild soaps and lotions for skina. use mild soaps and lotions for skin

carecare

b. encourage DBEb. encourage DBE

c. Teach the client the importance ofc. Teach the client the importance of

observing the side effects ofobserving the side effects of

corticosteroids or other immunocorticosteroids or other immunosuppressive drugssuppressive drugs


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K.Raynauds DiseaseK.Raynauds Disease


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PSYCHIATRIC NURSINGPSYCHIATRIC NURSING


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A.A. Alcohol AbuseAlcohol Abuse

--S/Sx:S/Sx:

a. intoxicationa. intoxication

b. habitual excessive drinkingb. habitual excessive drinking

c. alcohol addictionc. alcohol addiction

d. frequent drinking spreesd. frequent drinking sprees

e. increase intake of alcohole. increase intake of alcohol

f. occurrence ofblack outsf. occurrence ofblack outs--Tx:Tx:

a. grp, family, & indl counselinga. grp, family, & indl counseling

b. self help grpsb. self help grps

c. disulferam (antabuse)c. disulferam (antabuse)

d. nartrexone HCLd. nartrexone HCL

--N.Mx:N.Mx:

a. never give disulferam withouta. never give disulferam without

the clients full knowledge &the clients full knowledge &

consentconsent

b. Client taking disulferam shouldb. Client taking disulferam should

not ingest or use any alcoholicnot ingest or use any alcoholic

products or any food containingproducts or any food containing

alcoholalcohol

c. provide a well controlledc. provide a well controlledalcohol free envtalcohol free envt

d. support clt w/o criticism ord. support clt w/o criticism or

judgmentjudgment


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B. Communication DisordersB. Communication Disorders

-- Interruption in normal patterns ofInterruption in normal patterns of

speech in the absence or presence ofspeech in the absence or presence of

physiogic causesphysiogic causes

--Types:Types:

a. Clutteringa. Cluttering-- rapid, erratic,rapid, erratic,

dysrhythmic speech patterns thatdysrhythmic speech patterns that

make communication very difficult tomake communication very difficult to

followfollow

b. Stutteringb. Stuttering-- frequent repetition offrequent repetition of

sounds or syllables impairing speechsounds or syllables impairing speech

fluencyfluency

--S/Sx:S/Sx:

a. faulty speech patternsa. faulty speech patternsb. anxietyb. anxiety

c. loss of self esteemc. loss of self esteem

--Tx:Tx:

a. speech therapy & counselinga. speech therapy & counseling

--N.Mx:N.Mx:

a. Verbalization of feelingsa. Verbalization of feelings

b. dont complete word or sentenceb. dont complete word or sentence

when pt is talkingwhen pt is talking

c. avoid non verbal behaviorc. avoid non verbal behavior


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C. Conversion DisorderC. Conversion Disorder

-- Anxiety unconsciously inverted toAnxiety unconsciously inverted to

physical symptoms that are not underphysical symptoms that are not undervoluntary controlvoluntary control

--S/Sx:S/Sx:

a. la Belle indifferencea. la Belle indifference

b. conflicts or stressors precedeb. conflicts or stressors precedeexacerbation of symptoms ( paralysis,exacerbation of symptoms ( paralysis,

blindness, deafness)blindness, deafness)

--Tx:Tx:

a. psychotherapya. psychotherapy

b. antidepressantb. antidepressant

--N.Mx:N.Mx:

a. Recognize pattern of multiplea. Recognize pattern of multiple

recurring clinically significantrecurring clinically significant

somatic complaintssomatic complaints

b. Accept physical symptoms butb. Accept physical symptoms but

dont emphasize of call attention todont emphasize of call attention to

thatthat


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D. HypochondriasD. Hypochondrias

-- Preoccupation with thePreoccupation with the belief that one has a serious illness because of how physicalbelief that one has a serious illness because of how physical

sx are interpreted.sx are interpreted.

-- S/sx:S/sx:

a. misinterpretation and exaggeration of physical sxa. misinterpretation and exaggeration of physical sx

b. doctor shoppingb. doctor shoppingc. duration of disturbance is atleast 6 monthsc. duration of disturbance is atleast 6 months

-- N.Mx:N.Mx:

a. Recognize pattern of multiple recurring clinically significant somatic complaintsa. Recognize pattern of multiple recurring clinically significant somatic complaints

b. Accept physical symptoms but dont emphasize of call attention to thatb. Accept physical symptoms but dont emphasize of call attention to that


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E.BodyDysmorphic BehaviorE.BodyDysmorphic Behavior

-- Preoccupied with a defect in appearance either imagined or exaggerated if a slightPreoccupied with a defect in appearance either imagined or exaggerated if a slightdefect is present.defect is present.

-- S/sx:S/sx:

a. history of multiple visits to plastic surgeon to correct imagined defecta. history of multiple visits to plastic surgeon to correct imagined defect

b. preoccupation of imagined deficits causes avoidance in social and occupationalb. preoccupation of imagined deficits causes avoidance in social and occupational

relprelp

-- N.Mx:N.Mx:

a. Recognize pattern of multiple recurring clinically significant somatic complaintsa. Recognize pattern of multiple recurring clinically significant somatic complaints

b. Accept physical symptoms but dont emphasize of call attention to thatb. Accept physical symptoms but dont emphasize of call attention to that


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WELCOMETOOURWORLD!!WELCOMETOOURWORLD!!

GOOD LUCK FUTUREGOOD LUCK FUTURE

RN.RN.

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