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Med Surg II Final Exam > Body image > Flashcards

Body image Flashcards

1
Q

what two types of body image are there?

A

there is the body that I HAVE (anatomical)

there is the body that I AM (basic presence to the world)

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2
Q

What changes to body image occur from amputation?

A

relation to their body
relation to physical surroundings
relation to others

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3
Q

Pertaining to the Concept of Loss, pt feels physically?

A

Literally less than

Obvious physical change/loss

self stigma

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4
Q

Pertaining to the Concept of Loss, pt feels emotionally?

A

angry

bereavement

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5
Q

Pertaining to the Concept of Loss, pt feels socially?

A

isolated
different
loss of friends and family
Work Roles

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6
Q

Pertaining to the Concept of Loss, pt feels societally?

A

Financial participation

Being “Disabled”

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7
Q

what is the main result of the concept of loss?

A

FEAR

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8
Q

Physical loss ( 4 things)

A

length of limb
circumference
scar
physical body image/confidence

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9
Q

Self stigma ( 4 things )

A

embarrassment
shame
revulsion
may not want to look at the limb or the prosthesis

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10
Q

pertaining to physical and psychological adjustment, the person has issues with _______ and then works towards _____

A

Self image (bereavement of the lost limb)

Acceptance (emotional adjustment to having an artificial limb)

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11
Q

Self stigma can create a cycle of

A

self-conscious behavior

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12
Q

Self stigma is usually predicted by

A

depression

activity restrictions

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13
Q

Emotional loss

A

tied to who “ I am”
family/friends reactions
cause of amputation is a factor

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14
Q

What kind of social loss is there as a result from an amputation?

A

loss of identifying roles (work and family)

opportunity to get out of the house may be limited

physical limitations on participation in recreation activities ( getting together with friends or out into public places)

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15
Q

Amputees can be vulnerable to victimization such as

A

crime (mugging, violence, sexual victimization)

global fear of being taken advantage of

harassment

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16
Q

when feeling vulnerable to victimization: changes in behavior lead to?

A

depression

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17
Q

when feeling vulnerable to victimization: restriction of activities lead to?

A

deconditioning
excessive avoidance behaviors
poor health

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18
Q

when feeling vulnerable to victimization: social isolation leads to?

A

lower of quality of life

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19
Q

what are some societal losses pertaining to an amputation

A

ability to work and pay bills
medical expenses
devaluation
being “disabled”

20
Q

______ can lead to social stigma and pt will have better adjustment if negative bias is ________

A

discrimination

tuned out

21
Q

_______ and ______ are the people who are most likely to have an impact on the person with limb loss as they adjust to their situation

A

PT and prosthestists

22
Q

what are the 3 distinct body images

A

pre-amputation intact body
body with the newly lost limb
images of the body with a prothesis

23
Q

the pre-amputation body image contains:

A 
activity level
disease process
body image
age
socialization
24
Q

True or false

regarding amputees, impairments are not as important as functional limitations

A

true

25
Q

the post-amputation body contains:

A 
hospital course
healing process
family/friend support
peer support
environment
26
Q

amputation can occur from many precipitating factors that include:

A

trauma
congenital conditions
acute illness
chronic illness

27
Q

what determines success?

A

SELF efficacy

seeing the use of a prosthesis as a positive experience because of what it enables the person to do

28
Q

true or false
seeing the success of someone who already made a positive adjustment to their amputation can be supportive to person (peer support)

A

true

29
Q

True of false

the younger the person is the less prone to psychological adjustments problems (body image)

A

false, older are less prone

30
Q

true or false

the level of the amputation is a good predictor of adjustment

A

false

31
Q

A Long term positive predictor of adjustment to lower limb amputation is:

A
  • Social environmental factors
  • POSITIVE = Perceived social support
  • Associated with positive performance
32
Q

A solicitous response is a ______ predictor and contributes to feeling ______ leading to greater psychological distress and _____

A

negative
helplessness
depression

33
Q

a negative body image is related to poor _____ BUT Body image is not influenced by _____

A

psychosocial well-being

aging

34
Q

males are functionally happiness with a prosthesis was related to;

A

ability to continue providing financially for their family, and enabling strenuous activity

35
Q

women are functionally happy with a prosthesis when

A

positive body image

36
Q

Higher levels of overall satisfaction and functional satisfaction correlated with higher levels of ______.

A

hourly use per day

37
Q

true or false

Prosthesis does not literally fit into the place of the lost limb in the body schema

A

true

38
Q

At the beginning of walking training, the asymmetry of the weight load is the starting phase of the ______
but Within ______, the load of the two limbs has increased, indicating progress with adaptation into the body schema

A

adaptation process

two weeks

39
Q

symmetric load can take up to _______

A

two years

40
Q

physical therapy helps with

A
  • Independence with functional mobility
  • Freedom from “limiting” pain
  • Confidence with balance
  • ACTIVITY LEVEL!
41
Q

________ is a predictor of social activity

A

balance confidence

42
Q

balance confidence is influenced by:

A
  • Mobility device use
  • Need to concentrate while walking
  • Limitations in ADLs
  • Depression
  • Fear of falling
43
Q

prosthesis improves physical function by allowing pt:

A
  • To be as independent as possible in various activities of daily living
  • To be able to walk at a more normal speed
44
Q

prosthesis improves cosmoses by allowing pt:

A
  • To not attract unwanted attention
  • To have a gait pattern that is less mechanical
  • Flow of movement and decrease Sounds
45
Q

energy expenditure with prosthesis should allow:

A
  • To be able move from point A to point B with the least amount of energy
  • To reduce the degree of concentration when walking

Med Surg II Final Exam (9 decks)

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