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Educare

Educare

MAYO 2010 N° 5 Volumen 8

Nursing approach in psychosomatic disturbances

Section: TEACHING TO LEARN

Authors

Mª Concepción Moreno Calvete, Larraitz del Amo Icobalceta, Saida Martínez Mesa, Mª Lourdes Mesonero Barbero, Mª Teresa Reina López, Yolanda Robles Naranjo.

Position

Enfermeras del Hospital psiquiátrico de Zaldibar.

Contact email: kontxi.moreno@gmail.com

Abstract

The detection of organic problems in a psychiatric patient is a complex task because of the close relationship that exists between body and mind. The nurse must have the ability to listen, understand and respond to patient needs in an appropriate manner, without being judgmental, giving advice and losing their perspective.
The observation and monitoring, as well as the skills of nursing staff in verbal and nonverbal communication, foster an appropriate differentiation between the possible organic disorders and psychiatric disorders.
This work aims to:

- Describe the relationship between organic and psychological symptoms in a psychiatric patient.
- Describe the role of nursing in the patient's internal conflict facing a psychosomatic disorder.
- Explain the importance of correct verbal and nonverbal communication from a patient with a psychiatric disorder.
To carry out this work, an observational study based on the experience of nursing staff, the use of structured interviews with health personnel and literature were carried out.
The results and conclusions of the study show that nurses have a key role in observing, evaluating and monitoring psychiatric patients and when to intervene in the interaction between psychiatric and functional disorders. Through various forms of communication, the complicated task of distinguishing what is real organic symptom or if it relates to their mental pathology is improved. Communication with the patient, along with hard work, is a tool that helps professionals to intervene with a psychosomatic interaction and collaborate in the differentiation of symptoms in order to achieve a good nursing diagnosis and to assist in medical diagnosis.

Keywords:

communication; factitious disorder; psychosomatic disordersomatoform disorder

Versión en Español

Título:

Abordaje enfermero en turbulencias psicosomáticas