Most people who have OCD lose up to how much time a day due to these rituals?
Over an 1
How is OCD described?
- Disabling disorder
- Obsessive thoughts
- Compulsive, repetitive behaviors
- Dominate one’s life
What type of infection may cause OCD?
Streptococcal infection
How many americans may have OCD?
2.2 million
What are the risk factors of OCD?
- Family history
- Major life stressor during childhood
What occurs in the brain when a patient has OCD?
Dysregulation of serotonin and abnormal imaging in basal ganglia and orbitofrontal cortex
What type of linkage is strongly supported when a patient is diagnosed with OCD?
Genetic
What are the clinical manifestations of OCD?
- Repeated thoughts about contamination, religious or sexual taboos
- Repeated doubts of fear (leaving door unlocked)
- Need to have things in certain order
- Awareness that obsessions are not irrational
- Ritualistic behavior
- Hoarding compulsions
What are the most frequently reported compulsions associated with OCD?
- Hand washing
- Ordering, checking, locking
- Mental activity such as praying or counting
- Excessive praying
- Requesting or demanding assurances
Why are patients with OCD driven to perform their compulsion?>
To reduce anxiety from obsession
What type of patients with OCD typically like social isolation?
Hoarders
What are the pharmacologic therapies used to treat OCD?
- SSRIs then TCAs
- Continue medication for 1-2 years
- Gradually taper while observing for worsening symptoms
What types of nonpharmacologic therapies are used to treat OCD?
- Psychotherapy
- CBT effective
- Deep Brain stimulation
What should the nurse focus on when treating an OCD patient?
- Promote new behavior patterns, coping mechanisms to make rituals unnecessary
- Maintain safety of patient
- Alleviate anxiety and distress
What needs to be involved in the assessment interview of an OCD patient?
- What is the client thinking
- What is the behavior in response to thoughts
- How much time out of day involved
- Suicidal thoughts
What nursing diagnoses are used for a patient with OCD?
- Anxiety
- Ineffective Coping
- Stress Overload
- Disturbed Sleep Pattern
- Fatigue
- Deficient Knowledge
- Risk for Caregiver Role strain
What are the goals for a patient with OCD?
- Patient will identify triggers
- Patient will create a quiet, restful environment
- Patient will identify strengths that can be used to reorder thinking
- Client will recognize that continues obsessive-compulsive behaviors are not an indication of failure
When treating a patient with OCD what should you make sure to do?
- Supportive, nonjudgemental demeanor
- Don’t interrupt client doing compulsive disorder
- Administer and evaluate medication therapy
Upon evaluation of a patient with OCD what should you want the patient to have done?
- Patient reports reduction in performance of ritualistic compulsive behaviors
- Client demonstrates adequate coping skills to control anxiety.
Which of the following medications would the nurse expect to administer to a client who is experiencing ritualistic behavior that interferes with job performance and activities of daily living?
- Diltiazem
- Fluoxetine
- Lorazepam
- Omeprazole
- Lorazepam
