Class 5 Stress Adaptation Flashcards
General adaptation Syndrome: 3 stages
Alarm reaction
Resistance stage
Exhaustion stage
GAS triggers: 2 types
Directly by physical event
Indirectly by a psychological event
GAS involves body systems: 2 systems
Autonomic nervous system
Endocrine system
GAS Alarm reaction: rising hormone levels result in?
Increased blood volume Increased glucose levels Increased epinephrine and nor-epinephrine Increased heart rate and blood flow Increased O2, mental awareness Pupils dilate
GAS Resistance stage: what happens?
Body stabilizes The following return to normal: hormone levels heart rate blood pressure cardiac output body repairs damage
GAS Exhaustion stage: what happens?
Increased physical response as in alarm reaction
Decreased energy to fight
Decreased physiological adaptation
Without proper rest/recover:
coma can occcur
death can occur
Local Adaptive Syndrome LAS: what is it? 2 types?examples?
Localized response of tissue, organ or system that occurs as a reaction to stress
- Reflex pain response: hand removed from hot surface, CNS response
- Inflammatory response: s/s of inflammation local response to injury and/or infection
Psychological General Adaptation Syndrome PGAS:
GAS activated indirectly for psychological threats
Intensity and duration/other stressors
Anticipation of stressors
Psychological General Adaptation Syndrome PGAS:
Personal Characteristics that influence response?
Level of control
Presence of a social system
Feelings of competence
Psychological Response to Stress:
Infant and toddler
Separation anxiety, 6-30 mo of age
Protest: cries
Despair: quiet, withdrawn
Detachment: plays, forms relationship with caregiver, may ignore parents. Occurs more in long term care\
NI: Prevention of separation anxiety: parental visiting should be encouraged around the clock
Psychological Response to Stress:
Preschooler
Fears mutilation, greater fear of surgery
Fears painful procedures such as injections, blood work
NI: perform procedures in treatment rooms
Psychological Response to Stress:
School age
Fears separation from friends
Fear of genital exam, asks questions about tests/procedures
Physical limitation increase feelings of helplessness and dependency.
NI: involve child in care, use distractions, allow them in decision making such as food selection
Psychological Response to Stress:
Adolescent
Separation from friends produces anxiety
Appearance is crucial, guards sexual areas of body
Control issues can cause a major conflict
May want parents to helps them and then refuses their help
NI: provide privacy, allow personal nightwear/clothes, allow favorite foods, encourage peer visitation, answer questions, communicate and include them in plan of care
Psychological Response to Stress:
Young adult
Stressors related to loss of income
College student behind in classes/missing exams
Separation from significant other, family, friends
Fear of loss of physical wellness, abilities, strength
NI: good communication, teaching, include them in goal planning and daily care.
Defense Mechanisms:
Ego-defense mechanisms
Ego-defense mechanisms regulate emotional distress and provide protection from anxiety and stress
