DIAGNOSIS: Robert Eliot, an in-demand physician, lecturer, and researcher has displayed many characteristics with a type-A behavior pattern. He shows signs of hostility, competitiveness, and impatience throughout his daily routine (Eliot & Breo, 1998, p.100). His aggressive nature in combination of stress had caused his blood pressure to rise to unhealthy levels. He often has trouble remembering important details from sleep deprivation due to the nature of his job. According to DSM-5, symptoms that are related to stress that cause difficulties in daily functioning for more than 6 months is a sign of a conversion disorder: Coronary Heart Disease. CRITICAL THINKING QUESTIONS: What led to the diagnosis of coronary heart disease can be pinpointed …show more content…
From a biological dimension, the lack adequate sleep and exercise due to having to devote all of his time to work, resulted in the buildup of plaque in his cardiac arteries, causing hypertension (Krantz, Whittaker, & Sheps, 2011). From a social viewpoint, being a medical doctor itself is a very stressful profession since the workload takes up most of your time. And finally from a sociocultural viewpoint, being half Lebanese, he is determined to make a name for himself since opportunities are not readily available to minorities as his father had told him before (Eliot & Breo, 1998). Overall, his excessive determination to rise to the top of being a world-renowned cardiologist had not just only affected his health, but it also reduced the quality of his relationship with his family as he never has time for …show more content…
TREATMENT & PROGNOSIS: The treatment that might be most effective for Robert Eliot’s psychophysiological disorder is relaxation training and cognitive-behavioral therapy. Over time, the client’s quality of life will greatly improve since he will be able to control his stress by relaxation and suppression of excessive thoughts about work. And in regards to his physiological symptoms, his blood pressure would return to healthy levels as long as stress is being well managed (Davidson, Mostofsky, & Whang,
The primary concern for Mr. Miller would be preventing further ischemia and necrosis of the myocardial tissues, preventing serious complications such as cardiac dysrhythmias and heart failure, as well as relieving his chest pain that radiates to his left arm. Preventing further ischemia and necrosis of the myocardial tissue will help prevent the development of heart failure due to myocardial infarction, whereas relieving his pain will help reduce his episodes of shortness of breath, and will also help to reduce any anxiety and restlessness he may be having from being in pain and short of breath.
When considering the 5 D’s of abnormality, he possesses characteristics of them all. For dysfunction, he experiences social dysfunction by being unable to create and maintain relationships. He also experiences emotional dysfunction by having a fear of being alone, bouts of crying, and feelings of low self-worth. Physiological symptoms such as insomnia,
It occurs because of repetitive electrical activity. This can occur in a patient with early or late heart failure, because there is damage to the heart tissue and the heart beats faster to try to supply the body with blood. Recommended treatment is elective cardioversion. Drugs used include an antidysrhythmic such as Mexitil or Sotalol (Ignatavicius &Workman, p. 728-729).
The death of his friend made him having the desire to be a doctor. However,
It was to this respect that, the search could detect ‘’hypertension’’ as the leading risk factor for heart disease. And this preceded three quarters of heart failures cases as compared to coronary artery disease, which led to most heart failures in less than 40% of the cases. Also, an increase in left ventricular end-diastolic diameter became a mirror to the Framingham study as incident heart diseases in the individuals who are free from myocardial infarction. Although studies have shown that, the manifestation of heart failures can be present without the left ventricular systolic dysfunction, other risk factors could lead to that. Also, they (Framingham study) were able to detect ‘’too much of cholesterol’’ as a link to cardiovascular diseases. Moreover, research believed that has elevated among certain heart diseases such as coronary heart often leads to stroke, too high blood pressure among numerous patients. Having said that, the search discovered ‘’obesity’’ also as a concomitantly with hypertension which elevates lipids and diabetes versus questions on smoking behavior. Having said that, these risk factors are believed to have attributed to heart diseases. Therefore, it became a national concern to the general US population and that of the fourth director of Framingham heart study, William Castelli
on some particular symptom, as cardiac or gastric problems; which is related to his fear of his
This assignment is a case study that aims to explore the biospychosocial impacts of a myocardial infarction on a service user. It will focus on the interventions used by healthcare professionals throughout the patient’s journey to recovery. To abide by the NMC’s code of conduct (2015) which states that all nurses owe a duty of confidentiality to all those who are receiving care, the service user used in this case study will be referred to as Julie. Julie is a 67 year old lady who was rushed to her local accident and emergency following an episode of acute chest pain and was suspected to have suffered from a myocardial infarction. Julie who lives alone reported she had been experiencing shortness of breath and
Richard Lazarus was a highly educated (PhD), award winning, book writing, Professor of Psychology. He specialized in, “emotion theory and research, health psychology or behavioural medicine, personality and social psychology, research clinical psychology, stress and coping theory” (Lazarus, Richard S., 2002). Several influences from Lazarus span from research, to checklists to projects that all relate to stress. He worked with several others during the research phase of his career. For instance, “…he did research on autonomic discrimination without awareness (which McCleary and he called subception), hunger and perception, projective tests, perceptual defense (with Eriksen), and motivational and cognitive f...
Age: Mrs. Hudson is a 37-years old Haitian American woman who lives with her husband of 10 years and two children, ages 8 (son) and 2 (daughter).Mrs. Hudson worked as primary care doctor . Mr. Hudson is a firefighter. She has come to therapy to discuss recent problems; she has been having when leaving her home. Mrs. Hudson describes a pattern of behavior that began four months ago while shopping with her children. She began to experience the following symptoms: heart racing, shortness of breath, sweating palm, and tightness in the chest.
In conclusion, somatoform disorders must be treated with caution. Upsetting a patient or even digging too far to find information or a cause of a disease could potentially make the patient even worse. Those professionals using the DSM-V on a regular basis must be aware the changes and the progression the DSM will continue to make. Different symptoms may include pain, gastrointestinal complaints, sexual symptoms and neurological problems. Different disorders include somatization, hypochondriasis, conversion, body dysmorphic disorder, pseudocyesis, and both pain and undifferentiated somatization in conjunction with PTSD.
Since 1960 the age-adjusted mortality rates for cardiovascular disease (CVD) has declined steadily in the U.S. due to multiple factors, but still remains one of the primary causes of morbidity and premature mortality worldwide. Greater control of risk factors and improved treatments for cardiovascular disease has significantly contributed to this decline (Centers for Disease Control and Prevention, 2011). In the U.S. alone it claims approximately 830,000 each year and accounts for 1/6 of all deaths under the age of 65 (Weiss and Lonnquist, 2011). Based on the 2007 mortality rate data an average of 1 death every 37 seconds is due to cardiovascular disease (Lloyd-Jones et al., 2009). Controlling and reducing risk factors is crucial for saving lives. There are a number of contributing risk factors for cardiovascular disease, which may appear in the form of hereditary, behavioral, and psychological, all of which ultimately converge in social or cultural factors.
“The disorder that doctors fear most,” or borderline personality disorder as it is known throughout the medical community, is only one of several personality disorders plaguing society today (qtd. in Aldhous). Unfortunately most people suffering from personality disorders do not attempt to seek psychiatric help and go undiagnosed and the bulk of those who do contact medical professionals are already in the midst of a problem or only search for help following a reckless act (Aldhous). Personality disorders are one of the most prevalent diagnoses of the psychiatric community, with thirty-six to sixty-seven percent of patients in psychiatric hospitals or facilities diagnosed with some sort of personality disorder (Yeandle 21). Even in an age full of so many technological advances in the psychiatric field, an understanding of personality disorders is not common among non-medical personnel, and it is important for people to take a closer look at the types of personality disorders and their respective symptoms, the diagnostic process and its need for reform, and the existing therapies and treatments available for those living with the heavy burden of a personality disorder.
Just as breast cancer is killing our African American women, heart disease is also one of the major diseases killing our women. Heart disease is one of the nation’s leading causes of death in both woman and men. About 600,000 people die of heart disease in the United States (Americas heart disease burden, 2013). Some facts about heart disease are every year about 935,000 Americans have a heart attack. Of these, 610,000 are a first heart attack victim. 325,000 happen in people who have already had a heart attack. Also coronary heart disease alone costs the United States $108.9 billion each year. This total includes the cost of health care services, medications, and loss of productivity. Deaths of heart disease in the United States back in 2008 killed about 24.5% of African Americans.
This week we went over chapter 14 on stress & health and chapter 15 on personality. Stress is the process by which we perceive and respond to certain events, called stressors. Stressors are appraise as threatening or challenges. When it is a threat you will usually panic and get distracted while if it’s challenging you will focus and see what you should do about it. We talked about General Adaptation Syndrome this is Selye’s concept of the body’s adaptive response to stress in three stages or phases. The first stage is being alarmed, the second is resistance, and the third stage is when you are exhausted giving up physically and mentally. Stress can be harmful throughout the years. There’s the Coronary Heart Disease which is the clogging of
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal Of Nursing Terminologies & Classifications,21(2), 82-88. doi:10.1111/j.1744-618X.2010.01150.x