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Obsessive Compulsive Disorder (OCD)

Obsessive Compulsive Disorder (OCD) is characterized by perpetual sentiment and urges to act reiterated acts or rituals, usually as a resources of releasing tone or solicitude. The abundance and concentration of the ritualistic deportments, such as handwashing, ordering, or checking, are season consuming (commencement more than one hour per day) and purpose notable afflict, momentous debility, or interfere delay daily assistance.
  1. Obsession
    • The special experiences reiterated and perpetual sentiments, impulses, images that are obtrusive, exciting, irrelevant, and usually triggered by solicitude.
    • The sentiments, images, and impulses are not solely inordinate worries encircling legitimate existence problems.
    • The special recognizes the sentiments, images, and impulses are from delayin own desire.
  2. Compulsion
    • Repetitive deportments or supernatural acts that a special feels driven to act, which usually concur to a stiff and specifically defined stereotype.
    • The deportments and ideations are typically aimed at reducing solicitude or preventing some dreaded condition from occurring.
Specific Biological Factors
  • There is some deposition that indicates OCD is linked to a want in serotonin.
  • Clients own too been shown to own abnormalities in frontal lobes and basal ganglia; it is unclear what the implications are for clinical concern.
Signs and Symptoms
  • Obsessions – reiterated, perpetual ideas, sentiments or impulses, involuntarily hence to awareness.
  • Ruminations – firm forethought delay sentiments encircling a point theme, associated delay brooding and illogical weighing.
  • Cognitive rituals – concoct succession of supernatural acts the client feels compelled to finished.
  • Compulsive motor rituals – concoct rituals of unamazed functioning such as grooming, dressing, eating, washing or checking doors or appliances.
  • Other symptoms – constant solicitude, low self-esteem, difficulty expressing assured feelings and unflourishing humor.
Nursing Diagnoses
  • Anxiety
  • Powerlessness
  • Ineffective unwritten communication
  • Self-esteem disturbance
  • Impaired gregarious interaction
  • Risk for injury
  • Sleep exemplar disturbances
  • Ineffective subsisting exemplar
Nursing Interventions
  1. Limit, but do not stop, the compulsive acts.
  2. Teach the client to use be-undetermined coping methods to wane solicitude.
  3. Client’s deportment mayhap frustrating to staff and rise. Power struggles frequently development. Consistency to the vestibule to concern is censorious.
  4. Assess the client’s needs concernfully.
  5. Provide an environment that has constitution and predictability as a diplomacy to wane solicitude.
  6. Risk associated delay the use of alcohol and garbage affront.


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