Nursing and the Care of Adolescents with OCD
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The purpose of this paper is to discuss the role of the nurse in caring for the adolescent patient with obsessive-compulsive disorder (OCD) and their family members through therapeutic communications. The basic features of OCD, according to the DSM-IV-TR criteria are recurrent obsessions or compulsions (Criterion A) that are of sufficient severity to be time consuming (lasting more than one hour per day) or are severe enough to cause severe distress or impairment (Criterion C) (DSM, 2000, 456-457). If the person has realized at some point that these obsessions or compulsions are unreasonable, then this is Criterion B. Obsessions are defined as persistent thoughts and ideas, impulses or images that are persistent and intrusive enough to cause anxiety and distress. The most common obsessions in this disorder are repeated thoughts about contamination by shaking hands, or repeated doubts about leaving a door unlocked or a light on. Compulsion refers to repetitive behaviors such as hand washing, counting, repeating words silently, etc. A person with OCD feels driven to perform these compulsions to prevent the stress of an obsession about something bad happening if they don't. By definition, compulsions are not connected to the things they are supposed to prevent in a realistic way (DSM, 2000, 457). By definition, adults with OCD have at some point, recognized that their symptoms are unreasonable, but this is not necessarily the case with children because
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involves preventing individuals from engaging in repetitive functions. This therapy can be administered by nurses who have formal training in CBT and experience working with OCD patients.
Peplau's theory is that the therapeutic nurse-client relationship evolves through stages of orientation, working (identification and exploration) and resolution (Forchuck, 1994, 532). In a study of Peplau's method, it was found that the preconceptions of the nurse and the patient were important and that the client's interpersonal relationships are important to progress in a therapeutic relationship, but not those of the nurse. Anxiety in either party did not seem to play a role in the developing relationship, but nurses need to be aware of their thoughts and feelings towards the patients because positive or negative feelings tends to form early in the relationship and do not change, but have a significant effect on the length of the orientation stage (535-536).
It is important for the nurse not only to educate the client and their family about the client's illness and treatment, but also to teach them how to implement the therapeutic environment outside the treatment setting so that the family can support the client's needs (Anatol-Oto
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Some common words found in the essay are:
Wilson Trigoboff, Criterion Obsessions, OCD Exposure, Patients OCD, Strategies Recent, Anger Meyer, , Aksu Turksoy, OCD Geffken, Association Forchuck, wilson trigoboff, kneisl wilson, trigoboff 2004, wilson trigoboff 2004, kneisl wilson trigoboff, obsessive-compulsive disorder, nurse-client relationship, obsessions compulsions, relationship nurses, nurse patient, mental health services, relationship client, stengler-wenzke trosbach dietrich, client's illness, nursing mental health,
Approximate Word count = 1934
Approximate Pages = 8 (250 words per page)
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