[PDF] Caring for a person experiencing delusions

Mesure et grandeur physique

Selon MAXWEL , une grandeur physique mesurable est le produit d’un nombre par une unité Elle est en général symbolisé par l’initiale de son nom Par exemple une masse est désignée par m , un volume par V B2)choix d’une unité Pour pouvoir évaluer une grandeur physique il est nécessaire de la comparer à

Chapitre 1 LES GRANDEURS ELECTRIQUES ET UNITES DE MESURE

Support de cours : Mesure électrique 5 Grandeurs Unités traditionnelles Unités légales Force 1 Kgf 0 102 Kgf 9 8 N 1 N Pression 1 Kgf/m2 0 102 Kgf/m2 1 Kgf/cm2 1 02 Kgf/cm2 1 mCE

Jean-Paul Bellier, ChristoPhe Bouloy, Daniel Guéant

1 2 Conditions pour qu’une grandeur soit mesurable D’après la définition, il faut qu’un seul nombre suffise pour caractériser la grandeur, ainsi un vecteur, par exemple, n’est pas mesurable De plus, on doit pouvoir comparer les grandeurs de même espèce donc l’ensemble des grandeurs d’une même nature doit être ordonné et

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grandeur physique à mesurer C’est le rapport entre la variation Y du signal électrique de sortie pour une variation donnée X de la grandeur physique d’entrée à mesurer : S= Y/ X La fidélité : Un capteur est dit fidèle si le signal qu’il délivre en sortie ne varie pas dans le temps pour

Caring for a person experiencing delusions

Several types of delusions exist These include delusions of grandeur (belief of exaggerated importance), persecutory delusions (belief of deliberate harassment and persecution), reference delusions (belief that the thoughts and behaviour of others are directed towards oneself) and somatic delusions

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Page 61Caring for a person

experiencing

Delusions

Case study

Lisa is 35 years old. She has been brought to hospital after being hit by a car on a pedestrian crossing. It has been established that she has no serious injuries apart from a severe laceration requiring stitches and a torn knee ligament. Lisa has paranoid delusions. She thinks that there are people who want to hurt her and that staff are involved in plotting against her with these people. Her care plan includes referral to community health for wound care and follow-up with mental health services on discharge. The following information could help you nurse a patient like Lisa.What are delusions? are beliefs that are not shared within the person's culture or religion. For other social circumstances such a belief would be viewed as a delusion. It is hockey team when in fact you are not. Delusions are held with total conviction and cannot be altered by the presentation of facts or by appeal to logic or reason. They may be understood delusions or disorganised thoughts) at some point in their lives.

Types of delusions

grandeur persecutory reference and behaviour of others are directed towards oneself) and somatic delusions

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For mor information also see the following MIND Essentials resources - 'Caring for a person experiencing hallucinations' and 'Schizophrenia fact sheet'.

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Delusions

Causes of delusions

problems with perception mood disorders Some reported reactions to people experiencing delusions Disregard Nurses may assume that complaints of actual physical discomfort are part of the delusions and so may not take the time to investigate the problem.

Confusion Sometimes a person with delusions will treat the nurse as though the nurse is someone else. Knowing how to respond appropriately can be challenging and confusing.

Anxietydelusions due to their unusual beliefs.

Inadequacy Nurses may feel that it is beyond the range of their skills to effectively intervene.

Avoidance

Goals for nursing a person experiencing delusions

Develop a relationship with the person based on empathy and trust. Promote an understanding of the features and appropriate management of delusions. triggers for a delusion. other substances). Promote the person's engagement with their social and support network. effective working relationships and communication.

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A person's perspective on what it is like to experience a delusion that the people behind me had machines that could read my mind. Everytime the people and I became even more distressed.'

Delusions

delusions. Guidelines for responding to a person experiencing delusions may be appropriate to undertake - see the MIND Essentials resource 'What is a mental health assessment'. and care plans. Indigenous mental health workers or multicultural mental health coordinators and the Transcultural Clinical Consultation Service from Queensland Transcultural Mental Health Centre are available for advice and assistance in understanding these issues. For more you.'. or impression of the situation. Listen quietly until there is no further need to discuss the delusion. you in the delusion. Let the person know that you recognise the feelings that can be evoked by the delusions. against you.' Respond to the underlying feelings and encourage discussion of these rather than the content of the delusion. problem-solving by helping the person work out ways in which he or she can cope more effectively with stressors. It may be useful to remove or substitute certain items in the room Develop a symptom management strategy. This could involve encouraging the person to talk about things that are based in the immediate reality. Suggest that it would be helpful to discuss other subjects based in the 'here and now'. Encourage participation in reality-based physical activities where possible. any medication and work with the person to develop appropriate actions to address any issues.

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Delusions

document any changes. Disorientation to time and place may suggest that the person sustained a brain injury. carers to look after themselves and seek help or support if required. occur with a clinical supervisor or an

Treatment of delusions

Psychosocial strategies and antipsychotic drugs may both be an important part of the person's provide close supervision. Discussion with the person about non-compliance may elicit suspicions.

Adverse effects

sedation agranulocytosis photosensitivity lowered seizure threshold altered consciousness can occur hours to months after commencing or increasing drug therapy. as dystonia) can be treated with an anticholinergic agent such as benztropine given IM or IV.

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charge to Queensland Health staff to assist them to resolve personal and work related Neuroleptic Malignant Syndrome needs to be treated as a

MeDICAl eMerGeNCy

Delusions

Discharge planning

GP

Community Child Health

Community Health

Private service providers

Further reading

Sources

Mental health for emergency departments - A reference guide.

Health Centre for NSW Health.

Psychiatric nursing made incredibly easy.

Psychiatric and mental health nursing.

Psychosocial nursing handbook for the nonpsychiatric nurse.

Psychiatric care planning

Psychiatric-mental health nursing

Foundations of clinical psychiatry

Handbook of psychiatric nursing

Principles and practice of psychiatric nursing

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