Management And Treatment And Psychosocial Aspects Of Pneumonia Biology Essay

Management And Treatment And Psychosocial Aspects Of Pneumonia Biology Essay This essay will explore the pathophysiology, management and treatment, and psychosocial aspects of pneumonia in an adult patient. Information has been obtained by the means of history taking, examination, and analysing the patients medical records to form a case study in which the sections mentioned will be considered in relation to the case study. Section A Case History VD is a 68 year old female who was admitted into the acute medical unit (AMU) on 29/1/11 following complaints of generally feeling unwell and chest pain. She had a history of feeling unwell since 25/1/11 coupled with chest pain. This pain was a sharp pain under her right breast which was intermittent and radiated around her chest to her back. The pain was worse on inspiration or when coughing, and was relieved by over-the-counter analgesia. She also felt sweaty, pyrexic (39.7  °C), had rigors and aches over her body, however she was not short of breath. She also had symptoms of a non productive dry cough, poor appetite and vomiting once in AMU (watery and colourless). She previously had no episodes of nausea and vomiting, no palpitations or headaches, no urinary symptoms and normal bowel movements. She has not had any recent contact with anyone who had similar symptoms. In her past medical history she was diagnosed with Sjà ¶grens syndrome and systemic sclerosis last year; both systemic autoimmune diseases. She was on two courses of antibiotics last year for associated pleuritic chest pain. Her family history consisted of her father having ischaemic heart disease (IHD) and her mother dying from lung cancer, although she was a heavy smoker. She currently lives with her husband at home and her occupation is as a shop assistant; this indicates that the infection she has is most likely to be community acquired. She has been a lifelong non-smoker and she does not drink alcohol. She was on no regular medication prior to being admitted, but is now on 1000mg of paracetamol four times a day (QDS) and 500mg of amoxicillin three times a day (TDS). She has no allergies. On examination in a respiratory ward, VD was apyrexial with a blood pressure reading of 95/65, a heart rate of 95 beats per minute and a respiratory rate of 18 breaths per minute. Oxygen saturations (SATS) were 96% in air and she was speaking in full sentences, whilst looking generally comfortable at rest. Her hands seemed dry and scaly on inspection but there were no abnormalities on her face. On palpation of her chest, there was equal chest expansion and no tracheal deviation. There were also no enlargement of cervical or supraclavicular nodes. On percussion, there were dull sounds that could be heard on both right and left lung bases. On ausculatation, coarse crackles could also be heard in the right and left lung bases. There were no abnormal heart sounds heard and her capillary refill time (CRT) was less than 3 seconds. Her abdomen was soft and non tender, and normal bowel sounds were heard. There was normal tone, power and reflexes in all 4 limbs and her Glasgow Coma Scale (GCS ) score was 15/15. Her arterial blood gas values were as follows: pH 7.43, pCO2 5.49, pO2 10.1, HCO3- 26.8, basal excess of 2.8 and glucose of 5.6; these values indicated that she was not in respiratory failure. She was also found to have a raised C reactive protein (CRP) of 210, with a high neutophil count of 10.1. Her chest x-ray film revealed consolidation in her right lung base and no pneumothorax. The impression from the x-ray was that it was right lower lobar pneumonia (Figure 1 is an example of what VDs x-ray would have looked like). 1 No blood cultures were recorded in her notes as it was assumed that due to the neutrophilia the likely source was bacterial. After being initially treated with intravenous (IV) antibiotics in hospital, her symptoms were relieved, no crackles could be heard and her chest was clearing up on 1/2/11. She was then discharged in the afternoon on 2/2/11 given the instructions to continue with her course of oral amoxicillin. Section B Pathophysiology Introduction Pneumonia can be described as an inflammation to the lungs distal airways, particularly the alveoli, usually with a bacterial infection being the origin. 2 3 It clinically presents as an acute illness which can include fever, cough and purulent sputum, although the latter was not present in VD. Pneumonias can be classified by the site of the consolidation (anatomically), or by the aetiology of the disease (see Table 1). 2 3 VD was suspected to have lobar pneumonia after looking at her chest x-ray. The majority of lobar pneumonias are due to Streptococcus pneumonia and can affect a large part, or a whole lobe of the lung. 3 Lobar Pneumonia There are four stages to the pathology of lobar pneumonia, which is a classic example of acute inflammation; these are: congestion, red hepatisation, grey hepatisation and resolution. 3 Congestion is the first stage and lasts for approximately 24 hours. This is represented by protein-rich exudates leaking into the alveolar spaces and also causing venous congestion consequently causing the lung to become oedematous, heavier and redder in colour. 3 The next stage is red hepatisation which has a duration of a few days. Large numbers of polymorphs (neutrophils and basophils) accumulate in the alveolar spaces along with some lymphocytes and macrophages. 3 Many erythrocytes are extravasated from the distended capillaries into the lung tissue, along with the overlying pleura being covered with fibrinous exudates. 3 The lung is now solid and airless, resembling a fresh liver. Figure 1 supports the latter statement by showing a solid consolidation in the right lower lobe. When the lung become s grey and solid, this is grey hepatisation. This also lasts a few days and represents further accumulation of fibrin coupled with the destruction of leukocytes and erythrocytes. 3 The final stage is resolution, whereby the lung reverts to its normal condition. 4 This happens at approximately 8-10 days in cases which are untreated and is when the cells and fibrin in the alveoli undergo fatty degeneration. 3 4 This causes the exudates to be converted into an emulsion, producing a yellow pus-like appearance. 4 The exudates are now in a condition where they can be reabsorbed, whilst preserving the underlying alveolar wall structure. 3 4 The lungs would be softer but remain solid, and this would be confirmed on an x-ray by consolidation of the lungs. Co-morbidities VDs history also mentioned having a background history of Sjà ¶grens syndrome and systemic sclerosis; both systemic autoimmune diseases. Sjà ¶grens syndrome is an inflammatory disease that predominantly affects the exocrine glands with an association to HLA-B8/DR3, which usually causes dryness in the eyes and mouth. 2 5 However it can also cause extra glandular problems such as: Raynauds phenomenon, arthritis and lung inflammation, causing degradation of the lining of the bronchioles and alveoli consequently causing lung infections. 2 5 6 Systemic sclerosis, also known as systemic scleroderma, is a multi-system autoimmune disease in which the cause is unknown. 2 It mainly causes tightness and hardening of the skin (such as VDs hands) but other systems can also be affected, such as the lungs. 2 There is some destruction to the lungs in patients with scleroderma which can lead to right heart failure due to pulmonary hypertension. 7 Other complications that involve the lungs include pulmonary haemorrhage, pneumothorax and pneumonia. 7 Summary VD had come in with an acute infection and was diagnosed with pneumonia. Her right lower lobe was consolidated meaning that she has had it for a few days as protein exudates have leaked into the alveolar spaces and becoming fibrinous, showing up as solid on the chest x-ray, with her CRP (a marker of inflammation) also being raised. VDs medical history last year stated that she had suffered from two previous chest infections that required antibiotics for her to recover. This could possibly be due to the autoimmune diseases aforementioned that she had recently been diagnosed with, causing her to be more predisposed to contracting infections, especially in her respiratory tract. She is currently not on immunosuppressant drugs, but if she were to be for her autoimmune conditions it would then be detrimental to her immune system. This would leave her still being prone to acquiring infections, leaving her in quite a predicament. Section C Treatment and Management VD was on 1000mg of oral paracetamol QDS and 500mg of oral amoxicillin three TDS by the time she was moved to the respiratory ward. The main actions of these drugs were to improve her feverish symptoms and pain whilst also attempting to clear up her infection. Paracetamol Paracetamol (also known as acetaminophen in the USA) is one of the most widely used non-narcotic, analgesic and antipyretic over-the-counter drugs in the world. 8-11 It has properties resembling those of nonsteroidal anti-inflammatory drugs (NSAIDs) such as its analgesic and antipyrexic actions, which can be traced back to the inhibition of the central nervous systems prostaglandin (PG) synthesis. 8 9 It also shares some anti-inflammatory properties, however it does not produce the platelet or gastric side effects that the other NSAIDs do, thus causing argument as to whether it should even be classified as an NSAID at all. 8 It is commonly given orally and is metabolised in the liver, with a half life of approximately 2-4 hours, hence why VD was given it QDS to avoid toxic doses. Mechanism of Action It is considered that the main mechanism of paracetamol is the inhibition of the enzyme cyclooxygenase (COX), COX-2 in particular as studies have shown that it is highly selective towards it. Due to its high selectivity towards COX-2, its inhibition towards pro-clotting thromboxanes is limited. 9 It is said that paracetamol works centrally and is a weak inhibitor of PG synthesis in intact cells, if the concentrations of arachidonic acid available are low enough, through the inhibition of COX-1 and COX-2. 12 This concept was based on research that discovered that PG production in the brain was more sensitive to inhibition from paracetamol by tenfold compared to the spleen. 9 The COX enzymes are responsible for the metabolism of prostaglandin H2 from arachidonic acid. 9 This is an unstable molecule that can form many pro-inflammatory compounds; COX is highly active when oxidised. 9 12 The oxidised form of the COX enzyme is reduced by paracetamol, stopping it from creating pro-inflammat ory compounds. This lowers the amount of PGE2 in the central nervous system, therefore decreasing the set-point of the thermoregulatory centre in the hypothalamus. 9 Exactly how the mechanism of the inhibition of the COX enzymes is still in discussion. Due to the differences of activity between NSAIDs and paracetamol, it is thought that there may be another variant of the COX enzyme that paracetamol interacts with, COX-3 a splice variant of the COX-1 enzyme; however this is just a hypothesis and has yet to be proven. 8 9 12 Side Effects When paracetamol is given at therapeutic doses adverse effects are uncommonly seen, although allergic skin reactions are sometimes observed. 8 Fatal hepatotoxicity can be potentially caused by toxic doses of paracetamol (10-15 grams). 8 Initial symptoms are nausea and vomiting, followed by liver damage after 24-48 hours. 8 13 This happens when the enzymes in the liver, cytochrome P450, catalysing the normal conjugation reactions become saturated, and consequently causes the drug to be metabolised instead by mixed function oxidases. 8 A toxic metabolite, N-acetyl-p-benzoquinoneimine, is formed and inactivated by conjugation with glutathione. 8 13 However when glutathione levels are depleted, the toxic metabolite accumulates and reacts with nucleophilic constituents in the cell, causing necrosis in the liver and kidney tubules. 8 Contraindications Paracetamol is generally well tolerated by the liver when polypharmacy is involved. However, evidence has shown that chronic alcoholics are more susceptible to paracetamol hepatotoxicity, even at therapeutic levels. 13 Chronic alcohol ingestion induces hepatic microsomal enzymes (CYP2E1) by twofold and can increase paracetamol hepatotoxicity, due to increased amounts of the toxic metabolite. 13 Amoxicillin Amoxicillin is a moderate to broad spectrum, ÃŽÂ ²-lactam antibiotic that is commonly used to treat infections that are caused by susceptible bacteria, pneumonia being one of them. 8 14 A derivative of penicillin, this semi synthetic ÃŽÂ ²-lactam antibiotic is created by adding different side chains to the penicillin nucleus, causing it to become broad-spectrum. 8 It is sometimes combined with clavulanic acid in treatment to form co-amoxiclav, which is more effective in treatment nowadays due to the increase in antibiotic resistance; microorganisms are now developing a resistance to penicillins by secreting ÃŽÂ ²-lactamases and the addition of clavulanic acid inhibits this enzyme. 8 Pharmokinetic Aspects The routes of administration are quite vast: when given orally, amoxicillin is absorbed to a different degree compared to other penicillins as it depends on their stability in acid and their adsorption to foodstuffs in the gut. 8 It can also be administered through intramuscular or intravenous injections; however intrathecal administration is generally avoided as it can cause convulsions. 8 Elimination of amoxicillin is rapid and mainly due to the kindneys, with 90% being through tubular secretion. This however may be advantageous as the inhibition to cell wall synthesis is intermittent rather than continuous, and exposure to the drug is reduced. 8 Mechanism of Action Î’-lactam antibiotics inhibit the synthesis of the bacterial cell wall peptidoglycan leading to lysis of the bacterium; this peptidoglycan is crucial for the structural integrity of the cell wall in bacteria, particularly organisms that are Gram-positive. 8 In the synthesis of a peptidoglycan, the final stage is transpeptidation which involves transpeptidases known as penicillin binding proteins (PDPs). Î’-lactam antibiotics attach to these PDPs on bacteria and inhibit the transpeptidases that cross-link the peptide chains attached to the backbone of the peptidoglycan. 8 15 16 The ÃŽÂ ²-lactam antibiotics are closely related to D-alanyl, the terminal amino acid of the peptidoglycan layer. 15 16 The similarity between these two structures allows for the antibiotic and the amino acid to promote their binding to the PDP. 15 The binding of the ÃŽÂ ²-lactam nucleus to the residue of the PDP is irreversible, and it is this irreversible binding of the PDP that disr upts the final transpeptidation of the peptidoglycan layer and consequently inhibits bacterial cell wall synthesis. 8 15 16 The inhibition of transpeptidation due to the ÃŽÂ ²-lactams causes an accumulation of peptidoglycan precursors, which initiates autolytic enzymes to lyse the excess peptidoglycan. 8 Under normal circumstances, the peptidoglycan precursors inhibit the autolytic enzymes; however the ÃŽÂ ²-lactams inactivate this and halt the process. 8 Unwanted Effects Penicillins are mainly free from toxic effects. The main side effects are hypersensitivity reactions caused by by-products of the breakdown of penicillin, which combine with the host protein and become antigenic. 8 Skin rashes and fever are common but much more serious is acute anaphylactic shock which can be fatal in some cases. 8 When administered orally, penicillins, particularly broad-spectrum types such as amoxicillin, can disturb the bacterial flora in the gut; this can be associated with gastrointestinal (GI) disturbances. 8 Summary VD had no complications and responded well to the treatment that she was given. It was suspected that she had community acquired pneumonia and that the treatment would be a broad-spectrum antibiotic to fight the infection. Paracetamol was also prescribed to alleviate her symptoms. As paracetamol and amoxicillin work on different receptors, there were no contraindications to her treatment. She was given medication intravenously, but once she moves onto oral amoxicillin, she must be aware of GI side effects that may occur. Section D Psychosocial Aspects and Public Health Psychosocial Aspects Although initially there may not be many psychosocial aspects to pneumonia, VD could be suffering indirectly from it. A sufferer of Sjà ¶grens syndrome, VD is susceptible to fatigue which can be physically and mentally exhausting. This can lead to depression, emotional stress and general lethargy. As VD is susceptible to getting infections such as pneumonia due to Sjà ¶grens syndrome, it can also further impact on her psychologically whilst dealing with those infections as her quality of life may be significantly reduced. 17 It is important that a patient with Sjà ¶grens syndrome can address these issues to a health professional if they are ever in distress as psychosocial factors may lead to non-compliance in their treatment. Epidemiology There have been many population studies that have been investigating the annual incidence rate of community acquired pneumonia (CAP). In adults, this can vary from, 2.6-13.4 per 1000 inhabitants, with somewhat higher figures in males and at the extreme ages of life. 18 19 Rates of hospitalization range between 22-51%, with annual mortality rates between 0.1-0.7 per 1000 patients. 20 In approximately 50% of patients with CAP, a pathogen of cause was determined. Streptococcus pneumoniae is found in 20-75% of the cases followed by Mycoplasma pneumoniae at 1-18%, Chlamydia pneumoniae at 4-19% and other viruses from 2-15%.20 C. pneumoniae, however, has arisen as a noteworthy pulmonary pathogen in adult pneumonia patients requiring hospitalization. 20 Cost-effectiveness of Patient Care On average there are roughly 4.5 million visits annually to outpatient clinics, emergency departments and physicians offices due to CAP. 21 However, there has been very little in terms of studies gathering national data on the costs of CAP treatment. One study showed that there was, a total cost of $4.8 billion for treating patients aged à ¢Ã¢â‚¬ °Ã‚ ¥65 years and $3.6 billion for treating patients aged Conclusion VD was an elderly woman who was admitted into hospital complaining of acute chest pain and fever for the last few days. After taking a detailed history and examination from her, and with confirmation from a chest X-ray she was diagnosed with right lower lobe community acquired pneumonia. Due to the high neutrophil count in her alveolar spaces, the causative pathogen was most likely to be bacterial and so VD was promptly treated with intravenous amoxicillin, a broad spectrum ÃŽÂ ²-lactam antibiotic that works by inhibiting peptidoglycan synthesis in bacterial cell walls. Paracetamol was also prescribed to alleviate her feverish and chest pain symptoms by inhibiting COX enzymes and PG synthesis in the CNS. Having been diagnosed with chronic autoimmune diseases that can lead to increased susceptibility to chest infections, this can lead to psychological issues such as depression. Recurrent admissions will also be costly to the NHS; if alternative treatments that can allow patients to be treated in an outpatient setting are possible, then there could be significant reductions in cost, particularly for patients over 65.

Revolutionary road Essay

Revolutionary Road was a profound movie. This film portrays the malaise that had lied behind the American Dream during the mid-1950s. During that era, the image of the nuclear family living in suburbia where the man is the bread-winner and the woman as the domesticated housewife was considered as the dominant idea constructed by a patriarchal society. This film tracks the unraveling of April and Frank Wheeler, a couple who had unwantedly settled with two children living in suburbia unable to get themselves out of the empty and meaningless life they have. April had thought she and Frank were different than everyone else around them that had fallen victim to conformity. She thought they were deserving of a more exciting life and so convinces Frank to move to Paris rather than being stuck as a chance to escape from being a lonely unfulfilling housewife. But as soon as April realizes she is pregnant for the third time, plans to move Paris had to be abandoned which then really sends April over the edge. Both Frank and April are individuals in their own right, the suffering and inflicting suffering eventually leads to a tragic end to April’s life through a self-induced abortion. As well gender stereotypes, gender discrimination, androcentrism are well indicated within this film and era which will be further discussed. This film expresses the suffering of how many domesticated women had felt in the era of the 1950s. It reveals the sickness of a culture that tends to shut down a woman’s feelings in the self-serving illusion that a nice home with a yard, committed stay at home mom and a bread-winning husband were the answer for a happy and fulfilling life. Evidence of female discrimination were depicted when April is shown to take out the garbage and realizes all the trash is perfectly lined up along with one and another along the streets and during the scene where Frank is shown to be standing in the train having a breath of fresh air while having a cigarette (Orawan, 2010). These two scenes basically show the difference in the amount of freedom and choices that a man and woman had, where married women are shown to be confined to their home with their household and childrearing duties, meanwhile the man gets the freedom and choice of going about whatever they like outside their home (Orawan, 2010.). In another scene showcasing the gender discrimination that was placed on women was the topic on abortion. Besides being a high-risk mortality procedure, it was also illegal during the 50s as a way  to prevent women’s autonomy and restrict them to their traditional child-bearing role (Gordon, 1990). As such this was portrayed when April attempts to take abortion into her own hands as a desperate attempt to get her life back in hopes to take control of her life and so to be free to pursue to her dreams (Orawan, 2010). April had no rights over the choice to reproduce due to the standards set by society which had led to her taking the abortion into her own hands (Tas, 2010). It is evident that society at the time had preceded the belief about women’s duty to be subservient to their man and become a baby producing machines plus the ambivalence felt towards women that had led to discrimination of women (Matlin, 2012, p. 39) The movie clearly presents androcentrism in one particular scene for me, when Frank makes his way to work and all the people around him were men with very few that were women. This just shows the freedom and normalcy of men being able to work and be able to be out during the day. The very few women depicted to be working or on the city streets are only women that were unmarried. To me, this showed that women still had their individual identity until they became married where the women adopts the identity of her husband to become his supportive and obedient wife. Another issue is that even though unmarried women were able to obtain work, but because women were also considered as second class human due to androcentrism they were limited in options as well. Unmarried women were discriminated from higher employment positions with the choices of only low-levels jobs such as administrative or secretarial jobs (Tas, 2014). As it is suggested by Matlin (2012), there are negative attitudes to wards women’s competence especially from men of traditional views; as such women during the 50s were seen only capable of dull, mind-numbing jobs. Gender stereotypes were particularly evident when the Wheelers had told their friends, Miley and Shep Campbells, that they were moving to Paris and that April would take on the bread-winning role making Frank a dependent. In reaction to the news, Shep had thought their plan was immature imposing the stereotypical idea again that married women should not be working and that the man should be the one bringing home the money to support the family; this was the norm. This is clearly evidence of benevolent sexism as it shows  the assumption that women should not be held with so much work responsibility and should be taken care of by the man (Matlin, 2012, p. 58). When Shep asked Miley to confirm his opinion about the Wheeler’s being immature, she hesitantly agreed and begins to cries. This scene was of huge significance as this reveals the suffering that Miley feels as a housewife and by her husband’s comment she realizes that her life is hopeless in that she will remain i n her current position for the rest of her life. I can see that Miley is just a bit jealous of the Wheelers for making the move to Paris, she desperately wants out but is afraid to tell Shep what she feels inside. The consequences of internalizing gender stereotypes are represented in the same scene where Miley does not reveal her real thoughts and so allows her husband to further oppress her. Miley is influenced by the gender stereotypes that is presented in society and assumes the role of a subservient housewife. Miley did not say anything to act or rebel against her husband as she is afraid to appear to be a disobedient wife and accepts her husband’s comments about the Wheelers, revealing the fact that she has given up on her own principle. Additionally, Miley cries to let out her emotional frustration in that she then realizes the hopeless and empty life that she holds and inability to express her feeling shows her acceptance of her role in life; this in some way I feel is abusive to oneself psychologically and physically. Revolutionary Road is definitely a blast from the past taking on a Feminist approach to revealing all the negative effects of women living in suburbia during the 1950s. Due to androcentrism being the main idea of society, many negative attitudes and beliefs about women were expressed in this revealing the gender stereotypes and discriminations that were experienced. The character April Wheeler had revealed the sufferings of living a life with no choices bounded by her house, husband and children. With the women’s movement of the 1970s much of the negative attitudes and discrimination towards women have decreased in North America (Silverstein, 2008). However, I believe the idea of the nuclear family, the American Dream is still seen as for many, such as my family, is still the ideal way of life. References Gordan, L. (1990). Woman’s Body. Woman’s Right. Retrieved from http://www.feminist.com/resources/ourbodies/abortion.html Matlin, M. W. (2012). The Psychology of Women. (7th Edition). Belmont, CA: Wadsworth, Cencage Learning. Orawan, C. (2010, March 9). Revolutionary Road: Feminist Liberation in Post-War Suburban Prison. Retrieved from http://blog.nationmultimedia.com/print.php?id=8050 Silverstein, M. (2008, December 26). Feminism & Revolutionary Road. Retrieved from http://www.huffingtonpost.com/melissa-silverstein/feminism-revolutionary- ro_b_153604.html Tas. (2010, April 14). Was ‘Revolutionary Road’ about Feminism? Retrieved from http://metrac.wordpress.com/2010/04/14/was-revolutionary-road-about-feminism/

Breaking Away From Society A Doll’s House by Henrik Ibsen...

Modern interpretations of â€Å"A Doll’s House† and â€Å"Trifles† portray that these dramas are solely works of feminism, when in fact they address a more important issue of the time: marriage ideals. During this time, marriages were nothing but a masquerade. Husbands and wives hid behind their commitment, and were overly focused on the appearances and opinions of society. Society played a key role in the formation of the attitudes and opinions of marriage in the late 1800’s and early 1900’s. â€Å"A Doll’s House† by Ibsen was written in 1879 and focuses on the problems within the traditional marriage of the time. â€Å"Trifles† was written several years later in 1916 by Susan Glaspell and was also a story that brought the issues with marriage ideals to the†¦show more content†¦Their marriage is strained mostly because of Torvald’s inability to see the wrong in society. Torvald treats Nora as if she were a young child. He patronizes her by calling her nicknames such as, â€Å"Little Miss Sweet Tooth†, â€Å"little pigheaded miss†, and â€Å"my little featherbrain†. (Ibsen 1602, 1599, 1625). While some may argue that Torvald’s patronizing and demeaning attitude is the sole cause of the deterioration of their marriage, the real reason behind the fall out is a collection of much deeper issues. From early on in the story we can tell that there are more problems with their marriage than Nora leads on. When Nora sees her old friend Mrs. Linde, she acts as if her life is going perfectly as planned. Nora brags about her husband exclaiming, â€Å"Just imagine, my husband’s been appointed manager of the bank!† (Ibsen 2604). Nora only reveals the positive parts of her marriage and keeps her hardships and struggles locked away. Later on in the story it becomes very apparent that in the late 1800’s, secrecy was a key part of matrimony. 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Obsessive Compulsive Disorder ( Ocd ) - 1382 Words

Abstract The purpose of this research is to define Obsessive-compulsive disorder (OCD) and describe the course of illness from onset to prognosis. This research will discuss the stressful events of the family unit that may occur dealing with a child with OCD. It will also discuss the role of the nurse; the different consumer groups to help families cope; and strategies to promote optimal wellness. Obsessive-compulsive disorder (OCD), defined as a set of recurrent obsessional ideas or compulsive actions. It is a mental disorder that occurs in about 2-3% of the population. The study will discuss what is happening in the brain of children with this disorder and also different therapeutic managements. There are many different types of therapies for both the child and their families, with cognitive behavior therapy being the most recommended. Cognitive behavior therapy focuses on changing behaviors and on developing more positive thinking patterns as alternatives to the negative thoughts that cau se symptoms. These therapy approaches can enable people with OCD to tolerate their worries, without having to perform their rituals. (Townsend, 2012, pp. 644-663) Imagine being unable to control your thoughts and feeling until you perform specific acts or rituals every day. This has to be very stressful to someone and this is what people with OCD deal with on a daily basis. The true cause of OCD is unknown, and it appears to be not limited to just a mental disorder, but alsoShow MoreRelatedObsessive Compulsive Disorder (OCD)1756 Words   |  8 Pages Obsessive Compulsive Disorder (OCD) is a disorder that can affect children and adults. In order to fully understand OCD, many different areas of the disorder must be reviewed. First, OCD will be defined and the diagnosis criteria will be discussed. Secondly the prevalence of the disorder will be considered. The different symptoms, behaviors and means of treatment are also important aspects that will be discussed in order to develop a clearer understanding of the implications of obsessive compulsiveRead MoreEssay on Obsessive Compulsive Disorder (OCD)875 Words   |  4 Pagessevere Obsessiv e Compulsive Disorder. Obsessive-compulsive disorder is an anxiety disorder that triggers people to have unwanted fixations and to repeat certain activities again and again. Everyone has habits or certain ways of doing something with Obsessive Compulsive Disorder these habits severely interrupt the way they live their lives (Familydoctor.org Editorial Staff). About one in 40 people suffer from some form of Obsessive Compulsive Disorder (ABRAMOWITZ). Obsessive Compulsive Disorder oftenRead MoreLiving With Obsessive Compulsive Disorder (OCD)1190 Words   |  5 Pagesdifferences between both symptoms and experiences of six different authors who have been personally affected by obsessive-compulsive disorder (OCD).   Since OCD is not very well understood by many members of the public (Escape), I hope that the experiences of the authors that I researched will be able to paint a vivid picture of what life with OCD is like. Obsessive-compulsive disorder involves a chemical imbalance in the brain. This chemical imbalance is thought to be the main reason for obsessionsRead MoreObsessive Compulsive Disorder (OCD) Essay2901 Words   |  12 Pages   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Obsessive Compulsive Disorder, or OCD, affects an average 1.7% of the population according to the Stanford University School of Medicine.  Ã‚  The recognition of this psychological disorder has grown in the recent years.  Ã‚  As the knowledge of this disorder becomes more prevalent, those suffering have become more willing to seek help (OCDA).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  OCD is a condition â€Å"in which people experience repetitive and upsetting thoughts and/or behaviors† (OCDA).  Ã‚  While there are many variationRead MoreObsessive Compulsive Disorder (OCD) Essay800 Words   |  4 Pages Obsessive Compulsive Disorder And Its Effect On Life Obsessive-compulsive disorder, or OCD, involves anxious thoughts or rituals one feels and cant control. . For many years, OCD was thought to be rare. The actual number of people with OCD was hidden, because people would hide their problem to avoid embarrassment. Some recent studies show that as many as 3 million Americans ages 18 to 54 may have OCD at any one time. This is about 2.3% of the people in this age group. It strikes men and women inRead More Obsessive Compulsive Disorder (OCD) Essays2616 Words   |  11 Pagesis a very powerful piece of structure; it is truly limitless when speaking about its potential. With a functional organ comes a dysfunctional possibility. Obsessive Compulsive Disorder, (OCD), for instance, is nervousness in the mind. OCD is an anxiety disorder caused by repetitive intrusive thoughts and behaviors. It is a mental disorder marked by the involvement of a devotion to an idea or routine. Essentially, it is a false core belief which is believing that there is something wrong, causingRead MoreEssay on Obsessive Compulsive Disorder (OCD)3370 Words   |  14 Pages Obsessive compulsive disorder is a disease that many people know of, but few people know about. Many people associate repeated washing of hands, or flicking of switches, and even cleanliness with Obsessive Compulsive Disorder (OCD), however there are many more symptoms, and there are also explanations for those symptoms. In this paper, I will describe what obsessive compulsive disorder is, explain some of the effects of it, and explain why it happens. I will also attempt to prove that while medicationRead More Obsessive Compulsive Disorder (OCD) Essay1758 Words   |  8 PagesOCD: Whats in Control? Obsessive Compulsive Disorder (OCD) is an anxiety disorder that is the fourth most common mental illness in the U.S. (8). OCD affects five million Americans, or one in five people (3). This is a serious mental disorder that causes people to think and act certain things repetitively in order to calm the anxiety produced by a certain fear. Unlike compulsive drinking or gambling, OCD compulsions do not give the person pleasure; rather, the rituals are performed to obtainRead MoreObsessive Compulsive Disorder (OCD) Essay examples1375 Words   |  6 PagesObsessive Compulsive Disorder â€Å"I know my hands are clean. I know that I have touched nothing dangerous. But†¦ I doubt my perception. Soon, if I do not wash, a mind numbing, searing anxiety will cripple me. A feeling of stickiness will begin to spread from the point of contamination and I will be lost in a place I do not want to go. So I wash until the feeling is gone, until the anxiety subsides. Then I feel defeated. So I do less and less, my world becomes smaller and smaller and more lonelyRead MoreEssay about Obsessive Compulsive Disorder (OCD)474 Words   |  2 Pages Obsessive Compulsive disorder (OCD) is a mental illness that effects nearly 5 million Americans, and half a million children. Its a disease that fills the brain with unwanted ideas, and worries. OCD is a diseases that effects the Cerebral frontal cortex. Unfortunately there is no cure for OCD. Obsessive compulsive disorder can start developing as early as age five. In most cases OCD controls your life. Through out the rest of this paper I hope to inform you on Obsessive compulsive Disorders