Print

Resources >> Browse Articles >> How to

Resources >> Browse Articles >> On the Job

+2

How to Deal With PTSD Patients

How to Deal With PTSD Patients

Terri Polick | NursingLink

Medication

There are many medications that can help alleviate the symptoms of PTSD. Prazosin (Minipress, Vasofex) has been proven to help treat trauma-related nightmares. Hydroxyzine, an antihistamine, promotes sleep. Clonidine is helpful with alleviating hyper-arousal and general autonomic hyper-excitability. Benzodiazepines and beta-blockers like Propranolol,
Atenolol, and
Prazosin help relieve reactions to stress by blocking receptors associated with physiologic symptoms of anxiety. Selective Serotonin Reuptake Inhibitors (SSRIs), Tricyclic Antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs), and other antidepressants help improve concentration and uplift the patient’s mood.

Remember to avoid using narcotics when treating somatic pain associated with PTSD. Narcotics won’t relieve psychogenic pain and will only set the patient up for drug dependency.

Untreated PTSD

Untreated PTSD can create devastating consequences for patients and their family members. Patients with PTSD are at high risk for developing addiction issues and chronic depression. They also have poor concentration and difficulty retaining information, which becomes problematic as they try to go on with their lives. Other long-term side effects of PTSD include obsessive thoughts and an alarm reaction to noises resembling the sounds that the patient associates with the traumatic event.

A common example of an alarm reaction is when a combat veteran becomes startled by the noise of a car backfiring. Repeated instances of the alarm reaction tax the autonomic nerve system over time – which could result in decreased motor skills and coordination. The ultimate consequence of PTSD is when a patient takes his or her own life.

Patient Education

Patient education is often the first step to patient recovery, however it is important to remember that not everyone is ready to admit that they have PTSD. It’s not uncommon to see patients in denial about their illness, especially if they come from a military background. Although the military has made great strides in reaching out to soldiers with mental health issues, there is still an underlying culture within the military that views mental illness as a weakness.

It’s essential that patients learn stress management skills so that they can deal with their anxiety and alarm reactions appropriately. These skills help patients stay in the “here and now” when their minds start drifting back to traumatic events.

Proper patient education on how to use medications is necessary. For example:

• Inderal should not be taken when the patients pulse is below 60 beats per minute.
• Overusing benzodiazepines for the treatment of anxiety is very risky
• Overusing medications like Ativan and Valium can lead to substance abuse
• Give patients a list of local and national PTSD support organizations that can help after patients are discharged from a health care facility.

Nurses are playing a pivotal role in caring for patients with PTSD. The role is challenging, but knowledgeable nurses can change lives.

Next: How to Handle a Patient With Alzheimer’s Disease >>

Related Reads:


+2
  • Last_pic_max50

    HerbalNurse

    almost 4 years ago

    466 comments

    Thank you for this article. My son has PTSD from Iraq, and I am always reading and gaining more knowledge of this situation.

  • Louisefletcher_max50

    Motherjonesrn

    almost 4 years ago

    24 comments

    Sprin, thank you for catching that error. Indeed, patient should NOT take Inderal with their pulse is below 60!

  • Photo_user_blank_big

    sprin

    about 4 years ago

    2 comments

    Did you mean Inderal should NOT be taken when the patient's pulse is below 60?

    DS-RN St. Louis, MO

  • Last_pic_max50

    HerbalNurse

    about 4 years ago

    466 comments

    Thank you. This article was very helpful to me as my son has PTSD from his Iraq experience.

NursingLink School Finder

Save time in your search for a nursing or healthcare degree program. Use NursingLink's School Finder to locate schools online and in your area.

Get Info

* In the event that we cannot find a program from one of our partner schools that matches your specific area of interest, we may show schools with similar or unrelated programs.