Trastornos del movimiento psicógeno

Abstract

IntroductionPsychogenic movement disorders are generally rare (10% of the population who have a non-Parkinsonian movement disorder). It is more frequent in women, and the most common symptom is trembling, followed by dystonia, and lastly myoclonias. ObjectiveThe primary objective is to adapt the Nursing Care Plan to the needs of the patient with this disorder. Method-clinical caseA 25-year old woman, from Cadiz who lived in Gijon two months ago, preparing for the entry examination for the National Police Force, with no personal or family history of interest. Description of the caseShe mentioned that the trembling began in the upper limbs, and was variable (days, hours), with occasional worsening during the week that it persisted and was combined with occasional spasms in the arms and legs, as well as the trunk. She did not have falls. She had a more or less normal life, although the trembling increased with exercise and she had occasional dizzy spells. She also mentioned being tired at the end of the day and found it difficult to fall asleep. Nursing CareThe following diagnoses were made from the nursing assessment on admission: 00092, activity intolerance; 00198, disturbed sleep pattern; 00161 readiness for enhanced knowledge; 00069 ineffective coping; 00146 anxiety. Conclusion/DiscussionNursing staff must be aware of rare neurological disorders, although the care is provided according to the needs of the patient on admission in order to develop a safe and effective care.