MEDRADSC 3DH3 Lecture Notes - Lecture 6: Anxiety Disorder, Endocrine Disease, Adjustment Disorder
8 Jun 2020
School
Department
Course
Professor
Document Summary
Hospice pc examines how the mind deals with the threat of death, processing death, death itself, & how mental processes affect the person & family. Psychiatric issues are nor recognized as physical symptoms (brescia) Depression, anxiety, & psych distress cause great suffering & decreased qol. Sources of distress for the patient & family. Practical issues like financial concerns, care of children. Maladaptive reaction to an identifiable psychosocial stressor (ie incurable diagnosis, progression of disease) that occurs within 3 months of the onset of the stressor & doesn"t persist for longer than 6 months. Most common behaviours &/or moods = severe nervousness, worry, jitteriness. Most patients respond to supportive counselling (ie assurance, validate, listening, relaxation therapy) Altered physiologic states such as hypoxia (lack of oxygen), delirium, bleeding. Abnormal metabolic states (electrolyte imbalances, b 12 deficiency) endocrine disturbance, poor pain control, substance withdrawal, substance toxicity, and structural lesions in the brain.
