Posttraumatic Stress Disorder: Diagnosis and Assessment

In response to the growing public's attention to the number of veterans who may face the risk of post-traumatic stress disorder (PTSD) by military service, Veterans Affairs (VA) psychologically to the Institute of Medical Research (IOM) Request studies to diagnose post-traumatic stress disorder. , Evaluation, treatment and compensation. Existing IOM committee, Gulf War and Health Committee: Since the expert knowledge is well suited to the task, the physiological, psychological and psychosocial influences by developing related stresses are diagnostic of research, Evaluation is necessary to do aspects of treatment. The specific task of the committee is to examine the scientific and medical literature related to the diagnosis and evaluation of posttraumatic stress disorder and to treat posttraumatic stress disorder (including psychotherapy and medication therapy) It is to investigate its effectiveness. In addition, the committee received a series of concrete questions about VA regarding diagnosis, evaluation, treatment and compensation.

Post traumatic stress disorder is not a detailed discussion of procedures and tools that can be used to diagnose and evaluate post traumatic stress disorder, but a brief explanation of the committee's response to VA questions. The Committee has decided to complete the task by separating diagnosis and evaluation from treatment and creating two reports. The first report focused on the diagnosis and evaluation of post-traumatic stress disorder. Given that the VA requires the report to be completed within six months, the committee chose to rely on reviews and other well-documented sources primarily. The second report of the committee is focused on the treatment of post-traumatic stress disorder and will be announced in December 2006. Another committee, the Veterans Compensation Committee for traumatic stress disorder, was established to conduct compensation studies; the report will be published in December 2006.

Contusion, Acute Stress Disorder (ASD) and Posttraumatic Stress Disorder (PTSD) are all associated with stress adaptation. Diagnostic criteria for posttraumatic stress disorder were first described in DSM-III in 1980. In 1995, the diagnosis of ASD was added to DSM - IV and later added to DSM - IV - TM. By definition, diagnosis of ASD applies only to symptoms occurring within one month of stressor. Post traumatic stress disorder requires symptoms of 1 month or more, so diagnosis of posttraumatic stress disorder can not be done during this month. Because all three conditions must be exposed to stress and their clinical outcomes may include helplessness (high level SI type) and psychological distress, the most important thing is that morale ASD and mental It is not to be confused with post-traumatic stress disorder.

Nurse is evaluating the diagnosis of rape victims as post-traumatic stress disorder (PTSD). The client tries to express and remember the trauma. Nurses have sometimes discovered that customers can not recall certain facts related to trauma. What does the nurse explain from this discovery? The nurse is looking at a man's client who is obese and wants to lose weight. The client is discussing why he wants to lose weight, how he perceives that obesity is unhealthy, and plans to continue working on a healthy lifestyle. Do nurses know what activities a customer is participating in?

Nurses are evaluating patients who received sexual assault several months ago and then suffered from post traumatic stress disorder (PTSD). The nurse noticed that the armpit of the customer was closed and the client was reluctant to deal with the nurse. How should a nurse best explain this customer's behavior? As a victim of attempts of sexual assault, college students pay attention because of unease. Anxiety affects every aspect of customer's life. Which features of the client's condition and customer's anxiety indicates a diagnosis of posttraumatic stress disorder (PTSD) rather than acute stress disorder?