Body image

Question 1

what two types of body image are there?

Answer 1

there is the body that I HAVE (anatomical)

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

Question 2

What changes to body image occur from amputation?

Answer 2

relation to their body
relation to physical surroundings
relation to others

Question 3

Pertaining to the Concept of Loss, pt feels physically?

Answer 3

Literally less than

Obvious physical change/loss

self stigma

Question 4

Pertaining to the Concept of Loss, pt feels emotionally?

Answer 4

angry

bereavement

Question 5

Pertaining to the Concept of Loss, pt feels socially?

Answer 5

isolated
different
loss of friends and family
Work Roles

Question 6

Pertaining to the Concept of Loss, pt feels societally?

Answer 6

Financial participation

Being “Disabled”

Question 7

what is the main result of the concept of loss?

Answer 7

FEAR

Question 8

Physical loss ( 4 things)

Answer 8

length of limb
circumference
scar
physical body image/confidence

Question 9

Self stigma ( 4 things )

Answer 9

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

Question 10

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

Answer 10

Self image (bereavement of the lost limb)

Acceptance (emotional adjustment to having an artificial limb)

Question 11

Self stigma can create a cycle of

Answer 11

self-conscious behavior

Question 12

Self stigma is usually predicted by

Answer 12

depression

activity restrictions

Question 13

Emotional loss

Answer 13

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

Question 14

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

Answer 14

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)

Question 15

Amputees can be vulnerable to victimization such as

Answer 15

crime (mugging, violence, sexual victimization)

global fear of being taken advantage of

harassment

Question 16

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

Answer 16

depression

Question 17

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

Answer 17

deconditioning
excessive avoidance behaviors
poor health

Question 18

when feeling vulnerable to victimization: social isolation leads to?

Answer 18

lower of quality of life

Question 19

what are some societal losses pertaining to an amputation

Answer 19

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

Question 20

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

Answer 20

discrimination

tuned out

Question 21

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

Answer 21

PT and prosthestists

Question 22

what are the 3 distinct body images

Answer 22

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

Question 23

the pre-amputation body image contains:

Answer 23

activity level
disease process
body image
age
socialization

Question 24

True or false

regarding amputees, impairments are not as important as functional limitations

Answer 24

true

Question 25

the post-amputation body contains:

Answer 25

``` hospital course healing process family/friend support peer support environment ```

Question 26

amputation can occur from many precipitating factors that include:

Answer 26

trauma congenital conditions acute illness chronic illness

Question 27

what determines success?

Answer 27

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

Question 28

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

Answer 28

true

Question 29

True of false | the younger the person is the less prone to psychological adjustments problems (body image)

Answer 29

false, older are less prone

Question 30

true or false | the level of the amputation is a good predictor of adjustment

Answer 30

false

Question 31

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

Answer 31

* Social environmental factors * POSITIVE = Perceived social support * Associated with positive performance

Question 32

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

Answer 32

negative helplessness depression

Question 33

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

Answer 33

psychosocial well-being | aging

Question 34

males are functionally happiness with a prosthesis was related to;

Answer 34

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

Question 35

women are functionally happy with a prosthesis when

Answer 35

positive body image

Question 36

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

Answer 36

hourly use per day

Question 37

true or false | Prosthesis does not literally fit into the place of the lost limb in the body schema

Answer 37

true

Question 38

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

Answer 38

adaptation process | two weeks

Question 39

symmetric load can take up to _______

Answer 39

two years

Question 40

physical therapy helps with

Answer 40

* Independence with functional mobility * Freedom from “limiting” pain * Confidence with balance * ACTIVITY LEVEL!

Question 41

________ is a predictor of social activity

Answer 41

balance confidence

Question 42

balance confidence is influenced by:

Answer 42

* Mobility device use * Need to concentrate while walking * Limitations in ADLs * Depression * Fear of falling

Question 43

prosthesis improves physical function by allowing pt:

Answer 43

* To be as independent as possible in various activities of daily living * To be able to walk at a more normal speed

Question 44

prosthesis improves cosmoses by allowing pt:

Answer 44

* To not attract unwanted attention * To have a gait pattern that is less mechanical * Flow of movement and decrease Sounds

Question 45

energy expenditure with prosthesis should allow:

Answer 45

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