Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Block 4 Week 2 Meg > Human Behavior: Burns > Flashcards

Human Behavior: Burns Flashcards

1
Q

What are the three stages of recovery for burn victims?

A
  1. Resuscitative or critical stage
  2. Acute stage
  3. Long term rehabilitation stage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F: Different stages of recovery have different psychological characteristics and treatment issues

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In stage 1, or the resuscitative stage, the patient is in the ICU. What are some psychosocial issues the patient may experience?

A

stressors of the ICU
cognitive challenges: drowsiness, confusion, disorientation
delirium and brief psychotic reactions can result from infections, drugs, withdrawal from alcohol, or metabolic complications
intubation may limit communication
pain
sleep disturbance
family is anxious or distressed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Treatment issues in resuscitative/critical stage: What is the primary goal? What can be used to cope with ICU stressors? What can be used to manage pain? What things should be done with patient and family members?

A

primary goal is physical survival; use existing defense mechanisms/coping skills to cope with the ICU stressors; use medications and non-pharm methods like hypnosis and relaxation; comfort patient and educate/support family members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In stage 2, or the acute stage, what is the medical focus on? Two types of pain.

A

restorative care; resting and procedural pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F: Treatment in the acute stage can be painful and retraumatizing.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

In the acute stage, patients are starting to understand the impact of their injuries. What kinds of psychosocial issues might arise?

A 
guilt/anger
grief around losses
may involve loss of faith
depression
generalized anxiety
sleep disturbance
premorbid psychopathology
acute stress disorder and PTSD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What percentage of burn patients experience depression? What is the severity of depression correlated with?

A

23-61%

Severity correlated with level of resting pain and with level of social support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What percentage of burn patients experience generalized anxiety?

A

13-47%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Exposure to trauma
Event involved threat of harm
Response involved intense fear, helplessness, or horror
3 or more dissociative symptoms
Numbing, detachment, absence of emotional responsiveness
Reduction in awareness of surroundings
Derealization
Depersonalization
Dissociative Amnesia
Reexperiencing (recurrent thoughts, images, dreams, flashbacks; distress on exposure to reminders of trauma)
Lasts 2 days – 4 weeks after traumatic event

A

acute stress disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Exposure to trauma
Event involved threat of harm
Response involved intense fear, helplessness, or horror (disorganization and agitation in children)
1 or more intrusion symptoms
1 or more symptoms of avoidance of stimuli (internal or external)
2 or more symptoms of negative alterations in cognitions and mood
2 or more symptoms of increased arousal and reactvity
Lasts more than one month

A

PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long does ASD last compared to PTSD?

A

ASD lasts 2 days - 4 weeks

PTSD lasts more than 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How many intrusion symptoms must a patient experience to have PTSD? Symptoms of avoidance of stimuli? Symptoms of negative alterations in cognitions and mood? Symptoms of increased arousal and reactivity?

A

1 or more; 1 or more; 2 or more; 2 or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute stage treatment issues:

A

Psychoeducation that symptoms resolve on their own
Psychotherapy for depression, anxiety, anger, grief, pain
Pharmacotherapy for sleep, depression, anxiety, pain
Social support is important
Premorbid psychopathology should be treated thru referral to therapy after discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Psychoeducation that symptoms often resolve on their own should be used especially if there is no (blank)

A

premorbid psychopathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Do ASD symptoms always turn into PTSD?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What can be used for pain management in the acute stage?

A 
drugs
relaxation
imagery
hypnosis
distraction thru visual reality
CBT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Active coping should be encouraged rather than avoidance. What’s an example of this?

A

repeatedly talk about the event rather than avoiding reminders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Stage 3 is long term rehabilitation. When does this occur? What does it involve?

A

occurs after discharge from hospital; involves attempt to reintegrate into society; may involve continued outpatient treatment (procedures, treatment, physical rehab)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Psychological issues in stage 3

A

Adjusting to practical limitations of injury
Physical: itching, limited endurance, decrease in function, amputations, disfigurement
Consider developmental issues
Depression, anx, grief PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Adjustments in stage 3

A 
physical appearance
body image
lowered self-esteem
identity
return to work/school
financial problems
family strain
changing roles
sexual dysfunction
social withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Stage 3 treatment issues:

A 
Outpatient psychotherapy for adjustment, grief, depression, anxiety, PTSD
Individual and/or group therapy
Peer counseling
Social skills training
Prepare the burn victim’s community
Encourage social support
Improving self-esteem; managing disfigurement
Vocational rehabilitation
Address premorbid psychopathology
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T/F: Most pediatric burn patients adjust well, with 20-50% of most samples experiencing mild-moderate difficulties.

A

True

24
Q

What percent of an adult sample demonstrates moderate-severe psych and/or social difficulties?

A

30%

25
Q

T/F: Most burn survivors achieve a satisfying quality of life after the burn.

A

True

26
Q

Who are burns common in?

A

children and adolescents

27
Q

T/F: Most pediatric burn survivors adjust well.

A

True

28
Q

Types of long term psychosocial sequelae in pediatric patients:

A 
aggressiveness
anxiety
disturbed self-esteem
depression
PTSD
29
Q

T/F: Long term adjustment to pediatric burns depends on many factors

A

True

30
Q

Children’s reactions to burns may be mediated by reactions of their (blank)

A

mothers (mothers feel distress, guilt overprotective)

31
Q

In what area of the body are there greater difficulties in adjustment following burns?

A

exposes areas of skin (face, upper limbs)

32
Q

Do younger children or adolescents have better psychosocial adjustment?

A

younger children

33
Q

T/F: Adolescents with multiple home moves adjust more poorly.

A

True

34
Q

In Pallua, Kunsebeck & Noah study looking at psychosocial adjustment 5 years after burn injury, what was the best predictor of psychosocial adjustment?

A

physical functioning (no limitations vs moderate functional impairment vs extensive functional loss)

35
Q

T/F: physical functioning affects all areas of quality of life.

A

True

36
Q

What is severity of depression correlated with?

A

severity of functional limitation

visibility of burns

37
Q

What was the next best predictor of psychosocial adjustment after physical functioning?

A

location of burns (visible vs invisible)

38
Q

What was one factor that was of less predictive value in determining psychosocial adjustment?

A

extent of body surface burned

39
Q

Do burns affect personality or IQ?

A

No

40
Q

What percent of burn victims need to change their work, depending on total body SA burned?

A

50-60%

41
Q

T/F: After burns, you tend to see an increase in interactions with family

A

True

42
Q

After burns, there is a decline in (blank), esp with women, regardless of size/location of burn

A

sexual satisfaction

43
Q

After a burn, (blank) tends to improve after one year (except for those burned in their youth), esp with social support

A

self esteem

44
Q

Are objective variables (size of burn, length of hospitalization) indicators of psychosocial adjustment?

A

Not necessarily

45
Q

Social factors account for what percent of the variance in predicting psychosocial adjustment

A

40%

46
Q

Personality traits can also predict adjustment to burns. What are some traits that predict better adjustment? What are some traits that predict poor adjustment?

A

extravert, self control, optimism, hope; neuroticism, LSE, social anx

47
Q

Outcomes of burn victims NOT dependent on these factors

A

extend of injury
depth of burn
total area burned/scarred
amputations

48
Q

Outcomes of burn victims ARE dependent on these factors

A

quality of family and social support

patient’s willingness to take social risks, extroversion

49
Q

Blakeney’s Guidelines for Treatment:
The patient is assumed to be a normal person who is expected to fully recover.
Full recovery is a difficult process over about (blank) years.
Difficulties during adaptation are normal/expected.
The (blank) must be included in the patient’s treatment.

A

2; family

50
Q

Three things that should be promoted in treatment

A

self-efficacy
social skills
social risk-taking

51
Q

T/F: Therapy involves defining a new self-image. The new self-image should involve more than one of “burn survivor” over time

A

True

52
Q

T/F: The stages of recovery from burns involve different psychosocial issues and treatment needs

Psychosocial adjustment involves grieving what was lost and building a new life, including new identities

Social support plays a vital role in adjustment for burn victims and should be encouraged

A

True

53
Q

During what stage does grief begin?

A

Acute stage

54
Q

Main difference between PTSD and ASD?

A

acute stress disorder only lasts 30 days – PTSD much longer

55
Q

What does the SCARED response refer to in stage 3?

A 
staring
curiosity
anguish
recoil
embarassment
dread

Block 4 Week 2 Meg (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions