Lesson Plan ON Dissociative Disorder: Submitted To: Submittted by
Lesson Plan ON Dissociative Disorder: Submitted To: Submittted by
Lesson Plan ON Dissociative Disorder: Submitted To: Submittted by
ON
Dissociative Disorder
Submitted to :
Submittted by :
Mr.Muthuvenkatachalam.S Ms. Ekata
Asst. Professor M.Sc
Nursing, Ist yr
HCN,SRHU
HCN,SRHU
LESSON PLAN
Date/Time 25.5.2014
Venue LT-3
General objective:
At the end of teaching students will be equipped with the knowledge regarding dissociative disorder, its types,clinical features, Diagnostic
evaluation, and nursing management of dissociative disorder .
Specific objectives:
At the end of teaching students will be able to:
Types of Dissociation:
1- amnesia
2- Derealisation
3- Depersonalization
4- Identity confusion
5- Identity alteration
1) Amnesia: Amnesia refers to the inability to recall
important personal information that is so extensive that it is
not due to ordinary forgetfulness, or when you can’t
remember incidents or experiences that happened at a
particular time. (Maldonado et al., 2002)
3) Derealisation:
The world around you seems unreal. You may see objects
changing in shape, size or colour, or you may feel that other
people are robots.
EPIDEMIOLOGICAL STATISTICS:
2)Neurobiological
4 ) Psychological Trauma
1) Dissociative Amnesia
2) Dissociative Fugue
3) Depersonalization Disorder
4) Dissociative Identity Disorder
5) Trance & possession Disorder
6) Ganser’s Syndrome
For example, you may abruptly leave home or work and travel
away, forgetting who you are and possibly adopting a new
identity in a new location.
Clinical Features:
Loss of control over one's actions.
Behaviour change or acting differently.
Loss of awareness of surroundings.
Loss of personal identity.
Change in tone of voice.
Wandering attention.
Trouble concentrating.
Students will be Loss of sense of time.
able to list down Loss of memory.
the clinical Belief that one's body changed in appearance
features of
dissociative 6) Ganser;s Syndrome : (hysterical pseudo dementia)
disorder.
Giving approximate answer to question or providing nonsensical
or wrong answers to questions. The answers given, usually so Discussed with PPT.
close to the question as to reveal that the patient has understood
the question. Also called - nonsense syndrome , balderdash
yndrome, syndrome of approximately .
Blunted affect
Lack of spontaneity
Loss of impulse control
Emotional passivity
Idiosyncratic communication
Loss of decision – making ability
Social withdrawal
PERCEPTUAL
Confusion
Distorted thinking
Disturbance of memory
Impaired judgment
Presence of separate personalities within the same
person
Time disorientation
COMPLICATION:
1) Psychopharmacology Treatment
- antidepressants
-anti-anxiety medications or
-tranquilizers
2) Psychotherapy
NURSING MANAGEMENT:
Assessment
-Physical assessment
-psychological test
-Collect information related to childhood trauma
-Physical assessment with psychosocial assessment to
determine behavioural alterations
Nursing diagnosis
EVALUATION
ASSIGNMENT ON:
Bibliography: