Exam 2 - Biopsychosocial Flashcards
what is sensory deprivation?
decrease or lack of stimuli that is meaningful or routine
what is affected from sensory deprivation?
Reticular articulating system (RAS)
how is the RAS affected in sensory deprivation?
unable to maintain normal stimulation in cerebral cortex
what are clinical manifestations of sensory deprivation? (5)
excessive yawning decrease attn span impaired memory confusion hallucinations or delusions
what is sensory overload?
unable to process or manage the amount of stimuli
what are clinical manifestations of sensory overload? (8)
fatigue sleeplessness irritability fatigue anxiety disorientation increase muscle tension racing thoughts
what are the different types of sensory receptors?
external: visual auditory gustatory tactile olfactory
internal:
visceral
kinesthetic
stereogenesis
what are barriers to perception?
physiological
environmental
psychological
what are the four dimensions of self concept?
self knowledge
self expectation
social self
social evalutation
what is self knowledge?
ones abilities, nature and limitation through ones own eyes
what is self expectation?
realistic or unrealistic expectations from ownself
what is social self?
how you are perceived by others and society
what is social evaluation?
appraisal of oneself in relationships to others, events and/or situations
four components of self concept
personal identity
body image
self esteem
role performance
personal identity
name, gender, age, race, culture, occupation and talents
body image
size, appearance, function
role performance
how do they perform in a specific role
role conflict
too many roles at once
role ambiguity
the unknowing of how to perform a role
role strain
overwhelming performance of a role
role mastery
behaviors meet society standards
self esteem
ones judgement of own worth
global (self esteem)
liking oneself as a whole
specific (self esteem)
approves of one part of self or particular part
change in physical appearance declining physical, mental or sensory abilities inability to achieve goals relationships concerns sexuality concerns unrealistic ideal self
all may be stressors of what concept?
identity
body part loss body function loss disfigurement unrealistic ideal self invasion of privacy pregnancy/puberty wt change sexual development
all may be stressors of what concept?
body image
lacking positive reinforcement from s/o repeat failures unrealistic expectations abusive relationships loss of finical security
all may be stressors of what?
self esteem
loss of parent loss of spouse loss of child loss of friend divorce illness ambiguous/role conflict inability to meet expectations
are all stressors to what concept?
role performance
identify ways to intervene with those in self concept stress
tell them and help identify strengths give positive and honest feedback help them evaluate selves positive thinking help set attainable goals
what are 5 classes of drugs that cause lowered sexual desire?
antidepressants antihypertensives diuretics hormonal prep chronic alcohol use
what are 4 classes of drugs that may cause decreased erectile function
antidysrythmias
anticholergenics
antipsychotics
chronic alcohol use
what are 4 drug classes that affect orgasmic or eject dysfunction?
antidepressants
antihypertensives
anxiolytics
chronic alcohol use
family religion culture personal ethics personal expectations health status developmental level
all play what role in sexual health?
they influence sexuality
what are the components of sexual health?
sexual self concept body image gender identity gender role behavior androgyny
androgyny
flexibility in gender roles
what are the types of losses
actual perceived anticipatory situational developmental
what is actual loss
loss that is recognized by others
what is perceived loss
experienced by one person and not verified
what is anticipatory loss
before loss actually occurs and may be actual or perceived
what is situational loss
loss of job, child, functional ability
what is developmental loss
child leaving home to go to college
what are the sources of loss
aspect of self
external object
familiar environment
loved ones
what are some PHYSICAL clinical symptoms of grief? (6)
tight throat and chest sighs and difficulty swallowing loss of appetite fatigue and dizziness sleep disturbances short of breath and headache
what are some EMOTIONAL clinical symptoms of grief? (7)
persistent saness crying isolation/separation mood changes review of the past guilt wishing to be dead
what are some COGNITIVE clinical symptoms of grief? (4)
irritability and concentration difficulties
wandering thoughts
forgetfulness
verbalization of loss
what are some BEHAVIORAL clinical symptoms of grief? (5)
hypersomnia or insomnia restlessness hyerpactive imagining things drug or alcohol use
what is KUBLER ROSS stages of grieving
- denial
- anger
- bargaining
- depression
- acceptance
the patient is refusing to believe that the loss is happening and is unready to deal with practical problems. What stage of grieving is the patient most likely in?
denial
the patient is angry at you and the rest of the staff about small weird things. what stage of grief is the patient most likely in?
anger
the patient says to you “let me just finish this episode of american idol and then we can go amputate my leg”. The patient is most likely in what stage of grief?
bargaining
the patient is fixated and extremely sad most of the day about what has happened with their loss of their leg and spends a lot of time in their room not talking. what stage of grief are they most likely in?
depression
the patient comes to terms with the loss of their leg and has stopped reaching out to her spouse to visit her everyday and has been very busy getting back to work on her laptop. what stage of grief is the patient most likely in?
acceptance
bereavement
subjective response by surviving loved ones
mourning
behavioral process through which grief is eventually resolved or altered
what are the two types of grief responses?
anticipatory and complicated grief
what are the three definitions of death
traditional
world medical assembly
legal definitions
what is the traditional definition of death
stoppage of apical pulse, BP and RR
what is the world med assembly definition of death
no response to external stimuli
no reflexes
flat encephalogram
no muscle movement
what is the legal definition of death
irreversible cessation of brain and brains them and all functions
what is the POLST form
the wishes that a patient has made regarding life sustaining treatment
advanced directive
oral or written instructions regarding future medical care in the event that they are unable to verbalize wishes
what are the two types of advanced directives?
health care directive (living will)
durable power of attorney
when can you use the health care directive?
terminal condition
what is the durable power of attorney
your choice to speak for you in the event that you are unable
hospice
service to those who are expected to die within 6 months
palliative care
helps with pain management
relax of facial muscles difficulty swallowing decrease in gag reflex decrease in GI tract mobility incontinence decrease body movement nausea/vomitting respiration changes confusion/agitation dreams and vision social withdrawal
are all examples of what?
clinical manifestations of impending death
what are some ways to help patient with dying?
restore and support their feelings of control
introduce available options
assist clients to manage events preceding death
therapeutic communication empathy and caring demeanor explain whats happening and what will happen encourage participation ask about organ donation
all are things you should do when?
to assist family of dying patient
how do you go about post mortem care?
autopsy!
follow culture and religious views
notify family to view body
how do you perform physical post mortem care?
place in supine position place 1 pillow under the head place hands peacefully to side or abdomen close eyelids wash soiled parts place absorbent pad underneath provide chairs soft lighting
what are the levels of treatment for chronic conditions?
maintenance
palliative
terminal
