3. Loss or alteration in physical functioning, with no organic Environmental infl● 1. Any physical symptom for which there is no organic basis 2. Depressed mood is common. are predominantly seen in Western societies. In Middle Eastern and Asian cultures, depression is almost exclusively suggested that a tendency toward somatization appears to be manifested by somatic or vegetative symptoms.^ AND OBJECTIVE DATA)SYMPTOMATOLOGY (SUBJECTIVE predisposition to somatization disorder. Some studies have more common in individuals who have low socioeconomic, occupational, and educational status. h. Akinesia or dyskinesia d. Aphonia (inability to speak) g. Pseudocyesis (false pregnancy) i. Anesthesia or paresthesia c. Anosmia (inability to smell) b. Paralysis f. Coordination disturbances e. Seizures a. Blindness or tunnel visionbasis. Examples include the following:logical factors.but for which evidence exists for the implication of psycho- uences may be signifiSomatoform Disorders cant in the ●^179
2506_Ch09_176-190.indd Sec1:179 2506 Ch 09 176 - 190 .indd 10. Psychosexual dysfunction (impotence, dyspareunia [painful S 11. Excessive dysmenorrhea^ 12. Excessive preoccupation with physical defect that is out of 5. “Doctor shopping”Common Nursing Diagnoses and Interventions(Interventions are applicable to various health-care settings, such as inpatient and partial hospitalization, community outpatient clinic, home health, and private practice.) 6. Excessive use of analgesics 7. Requests for surgery 8. Assumption of an invalid role 9. Impairment in social or occupational functioning because 4. “La belle indifference”—a relative lack of concern regard-ec 1 :of preoccupation with physical complaintscoitus], sexual indifference)situation). 1 person is suddenly blind but shows little anxiety over the ing the severity of the symptoms just described (e.g., a proportion to the actual condition 79 1 10/1/10 9:35:17 AM 0 / 1 / 10 9 : 35 : 17 AM
