Biopsychosocial approach Flashcards
______________ is the ventilation of emotions leads to better lung functioning (connection between medical and psychological health)
Catharsis
Why do workers with little decision-making latitude have more heart attacks and GI disorders than their supervisors?
o supervisors have more control of the situation; workers don’t more stressful o leads to heart conditions and even gastrointestinal disorders such as dyspepsia
the Biopsychosocial model refers to a position spelt out most clearly by ________ _______
George Engel
“Health and illness are determined by the interaction of ___________, ______, and _____________ factors (Engel, 1977; 1980; Schwartz, 1982).”
biological, social, and psychological
The Biopsychosocial (BPS) model tends to personalize and humanize medicine while emphasizing _______ ____
patient care
T/F Medical diagnosis should always consider the interaction of biological , psychological, and social factors in order to assess a person’s health and to make recommendations for treatment
T
T/F In the BPS, treatments will interact with each other as well as with the person and his or her environment
T
T/F the BPS considers diseases in isolation
F
_______ ______ is the foundation of the BPS model. All levels of organization/processes in an individual’s life are interlinked to each other hierarchically such that change in one level will effect change in all the other levels
Systems Theory
True about systems theory a. Lower levels of organization are not necessary for higher ones to exist b. Lower levels of organization are not sufficient to describe or explain the nature of higher ones c. Higher levels have characteristics absent in lower levels d. A and B e. B and C
E
Arrange the following levels in Engel’s Systems of Hierarchy in ascending order Cellular, Community, Tissue, NS, Two-person, Organ, Person, Family
Cellular, Tissue, Organ,NS, Person, Two-person, Family, Community,
Identify which systems level the following events happen in a coronary artery occlusion
A. tissue – ischemia, infarction
B. cellular – myocardial cell damage
C. NS – activation of emergency systems, mobilization of learned patterns
D. organ – CVS reaction & adjustment
E. Person – symptoms (chest pain); reaction: uncertainty, alarm, rationalizes
F. Two-person – disengages (person is alone in office)
B. cellular
A. tissue
D. organ
C. NS
E. Person
F. Two-person
Identify which systems level the following events happen in an unsuccessful attempt at arterial puncture
A. increased cell damage
B. increased ischemia, infarction, VF
C. hyper & hypocirculatory responses
D. fight-flight reaction
E. strain, altered tasks
F. mobilization of medical resources
G. pain, anger, frustration, giving up
H. disengages
A. Cellular
B. Tissue
C. Organ
D. NS
G. Person
H. Two person
E. Family
F. Community
Enumerate psychosocial risk factors (4)
o Depression
o Social isolation
o Romantic relationship stress
o Socioeconomic status as a child
Enumerate psychosocial protective factors (4)
o Buffers (reduce negative effects of risk factor)
o Social support
o Self-efficacy
o Optimism
Identify which systems level the following events happen in a Cardiac Arrest
A. Anoxic Damage
B. obliteration of awareness & organized behavior
C. Cerebral Ischemia
D. disrupted
E. disorganized responses
F. reaction to threat of loss by death
A. Cellular, Tissue, Organ
C. NS
B. Person
D. Two Person
F. Family
E. Community
Identify in which systems level the following events happen in a successful defibrillation
a. Improved cell functioning
b. Restore pumping action
c. Restore circulatory support
d. Recovery of functions
e. Return of awareness & reintegration of
behavior
f. Recovery to relate
g. Relief
h. Satisfaction of medical team
a. cellular
b. tissue
c. organ
d. NS
e. Person
f. two-person
g. family
h. community
Identify in which systems level the following events in cardiac rehabilitation occur
A. Cellular - Repair, Regeneration
B. Compensating CVS function
C. Healing & scar formation
D. Compensation
E. Self-image, goals, needs, concerns, all in
flux
F. Realignment
G. Changing relationships
H. Social policies on rehab
A. Cellular
C. Tissue
B. Organ
D. NS
E. Person
G. Two-person
F. Family
H. Community
Identify in which system hierarchy level the ff intrachange system belongs
Rehabilitation services Support from the medical team Diabetic club
Community
Identify in which system hierarchy level the ff intrachange system belongs
Total dependency on wife Conflicts may arise due to inability to relate with
family members
2-person
Identify which system hierarchy the ff intrasystem change belongs to
Necrosis
Debridement
Tissue
Identify which systems hierarchy the following intrasystem change belongs to
Peripheral neuropathy:“Phantom limb”
Nervous System
Identify which systems hierarchy the ff intrasystem change belongs to
Difficulty ambulating
Depression
Realization of ability to
regain functions in ADL
Person
Identify which systems hierarchy the ff intrasystem change belongs to
Role shifts among
members
Reassignment of tasks –
breadwinner
Taking turns in care-giving
Family
Identify which systems hierarchy the ff intrasystem change belongs to
Gangrenous diabetic foot
Amputation and scar
formation
Organ
Cancer affects the ff EXCEPT
a. cognition
b. emotions
c. behavior
d. AOTA
e. NOTA
E
In women with cancer, when would depression most likely hit?
when they lose their hair
GIve 2 side effects of radiation therapy
nausea and fatigue
What types of cells are most likely affected by chemotherapy
a. normal cells
b. cancer cells only
c. fast growing cells (fast-growing cancer cells, hair, blood cells)
C
What are the side effects of chemotherapy?
low WBC and RBC
low platelet
vomiting
fatigue
hair loss
infertility
The ff statements are true about cancer pain EXCEPT
a. The cause of pain in cancer can be treated by analgesics
b. Spinal analgesia should only be administered if a specialist is available and if analgesics fail
c. local measures for cancer pain treatment include cold, heat, position, local application of anaesthetics or opioids in painful ulcerations
A
