Lecture 5 (PMR)- Exam 2 Flashcards
Emotional effects of serious illness or injury:
* What can disrupt all aspects of life?
* May develop how?
* Overwhelming waves of what?
* Emotional upheavel can make it what?
* Important to remember what?
- Serious health problem can disrupt all aspects of life.
- May develop unexpectedly.
- Overwhelming waves of difficult emotions from fear and worry to profound sadness, despair to feelings that make it difficult to cope.
- Emotional upheaval can make it difficult to function or think straight, can lead to mood disorders such as anxiety and depression.
- Important to remember that no one is powerless.
Common emotional responses to serious illness:
* What happens as they struggle to come to terms with the diagnosis?
* Facing up to what?
* Worrying about what?
- Anger or frustration as they struggle to come to terms with the diagnosis.
- Facing up to one’s own mortality and the prospect that the illness could potentially be life-ending.
- Worrying about the future, how will one cope, pay for treatment, what will happen to loved ones as they face the fact that the illness will progress.
Common emotional responses to serious illness:
* Grieving what?
* Feeling what?
* Sense of what?
* Experienceing what?
- Grieving the loss of one’s own health and old life.
- Feeling powerless, hopeless, or unable to look beyond the worst-case scenario.
- Sense of isolation, feeling cut off from friends and loved ones who can’t understand what someone would be going through.
- Experiencing a wide range of difficult emotions is a normal response.
Facing a serious diagnosis:
* What is the way to respond?
* Everyone needs time to what?
* Allow time to what?
* be patient with what?
* Be open to what?
- There is no right or wrong way to respond.
- Everyone needs time to process the news and be kind as they adjust to the new situation.
- Allow time to feel.
- Be patient with the pace of treatment and recovery.
- Be open to change.
Strategies for coping with a serious illness: Reach out for support
* Chose what?
* Do worry about what?
- Choose the support that’s right, choose who to confide in, lean on and amount of information you elect to share about the situation.
- Don’t let worries about being a burden keep anyone from reaching out.
Strategies for coping with a serious illness: Reach out for support
* Look for support from what?
* Make what a priority?
* Join what?
- Look for support from friends and loved ones who are good listeners.
- Make face-time a priority.
- Join a support group.
Strategies for coping with a serious illness:
* Explore what?
* Bottling up emotions may only increase what?
- Explore your emotions, being honest about any negative emotions one may be experiencing won’t delay recovery in any way, it may have opposite effect.
- Bottling up emotions may only increase stress levels; elevate the amount of pain and make one more susceptible to anxiety and depression.
Strategies for coping with a serious illness:
* What can lead to inappropritate outburst?
* When feelings are freed, what can happen?
- Facing emotions instead of internalizing which can lead to inappropriate outburst.
- When feelings are freed, different emotions quickly come and go, even the most painful and difficult feeling will rapidly subside.
Strategies for coping with a serious illness:
* Manage stress which can contribute to what?
* Talk to someone you _
- Manage stress which can contribute to or exacerbate many different health problems including cardiovascular disease, high blood pressure, GI disorders, chronic pain and wound healing.
- Talk to someone you trust.
Strategies for coping with a serious illness:
* Adopt what practice?
* Get enough what?
* Be as _ as possible?
- Adopt a relaxation practice.
- Get enough sleep.
- Be as active as possible.
Strategies for coping with a serious illness:
* Pursue what?
* Pick up what?
* Learn what?
* get involved wher?
* Spend time where?
- Pursue activities that bring meaning and joy.
- Pick up a long-neglected hobby.
- Learn something new.
- Get involved inthe community.
- Spend time in nature.
Strategies for coping with a serious illness:
* Deal with what?
* What is common among patients dealth with a serious illness
- Deal with anxiety and depression.
- Mood disorders like anxiety and depression are common among patients dealing with a serious illness, they can create a vicious circle.
Strategies for coping with a serious illness:
* What do you need to manage?
* Take care of who?
* Be smart about what? Why?
- Manage debilitating symptoms such as pain.
- Take care of yourself.
- Be smart about caffeine, alcohol and nicotine. Alcohol can worsen both anxiety and depression symptoms.
What are way to help someone cope with a serious illness (4)?
- Offer support.
- Listen.
- Become educated about the illness.
- Stay connected.
The Healthcare Provider Patient
* As healthcare providers, we are accustomed to what?
* Shifting to the role of a patient often involves what?
* This shift can lead to a unique set of what?
- As healthcare providers, we are accustomed to being the caregivers, the ones who have control, knowledge, and authority.
- Shifting to the role of a patient often involves a loss of control, vulnerability, and the stark reality of our own mortality.
- This shift can lead to a unique set of emotional and psychological challenges.
What are the challenges that HCP face as patients (general)?(5)
- loss of control
- hyperawareness
- Role reversal discomfort
- Fear of judfement
- Diffulty letting go
Challenges Healthcare Providers Face as Patients
* How do providers feel like they lose control?
* How is the role reversal?
- Loss of Control: Providers are used to making decisions and having control over medical situations. As patients, they may feel helpless, especially when relying on others for their care.
- Role Reversal Discomfort: Shift from caregiver to patient can create discomfort, as it challenges their identity and professional role.
Challenges Healthcare Providers Face as Patients
* How does awareness change?
Hyperawareness: With extensive medical knowledge, healthcare providers often become hyperaware of potential complications, risks, and the nuances of their condition, which can lead to increased anxiety and fear.
Challenges Healthcare Providers Face as Patients
* What do they fear?
* Providers have a diffciculty of what?
- Fear of Judgement: May be fear of being judged by colleagues or other healthcare professionals, especially if the illness or injury is related to something the provider believes they should have prevented or managed differently.
- Difficulty Letting Go: Many healthcare providers struggle to let go and allow others to take the reins, which can interfere with their ability to relax and focus on recovery.
Strategies for Dealing with Trauma When Becoming a Patient
* How can one accept and acknowlegde?
- Recognize the shift – accept being a patient is different than a provider, it’s okay to feel vulnerable and uncertain.
- Allow yourself to be vulnerable – it’s okay to feel fear, anxiety, and uncertainty. Embracing these emotions, rather than suppressing them, can lead to healthier coping.
Strategies for Dealing with Trauma When Becoming a Patient
* How should one get support?
Seeking Professional Support:
* Therapy and counseling – engaging with a therapist who understands the unique challenges faced by healthcare providers can be invaluable.
* Peer support groups – connecting with other healthcare providers who have experienced similar situations can offer understandings and validation
Strategies for Dealing with Trauma When Becoming a Patient
* How should one maintain open communication?
- With healthcare providers – be open with your care team about your concerns, fears, and preferences. Clear communication can help build trust and ensure that your needs are met.
- With loved ones – sharing your feelings and fears with family and friends can provide emotional support. They can offer a different perspective and help you process your experiences.
Strategies for Dealing with Trauma When Becoming a Patient
* how should one redefine their identity and role?
- Embrace the patient role – allow yourself to step back from the provider role and focus on your own recovery. Trust the healthcare team to do their job, just as you would for your patients.
- Balance knowledge and trust – while your medical knowledge is an asset, try to balance it with trust in your caregivers. Letting go of the need to control every aspect can reduce stress.
Strategies for Dealing with Trauma When Becoming a Patient
* How should one reassess professional boundaries?
- Avoid self-treatment – resist urge to manage your own care. This can lead to increased stress and potential errors. Let your care team guide your treatment.
- Reflect on boundaries – use this experience as an opportunity to reassess how you manage your own patients, potentially leading to more empathy and understanding in your practice.
Strategies for Dealing with Trauma When Becoming a Patient
* how should one reflect on the experience?
- Journaling – writing about your experiences can help process emotions and provide insights into how the experience might change your approach to patient care in the future.
- Finding meaning – reflect on how this experience might influence your work positively. Many providers find that being a patient enhances their empathy and understanding their professional roles.
Strategies for Dealing with Trauma When Becoming a Patient
* How should one return to work?
- Gradual reintegration – when returning to work, consider a phased approach if possible. This can help you adjust and avoid feeling overwhelmed.
- Ongoing support – continue to seek support even after you’ve returned to work. The transition back to your professional role may bring up new emotions or challenges that need addressing.
Psychological Evaluation in Rehabilitation Settings
* Patients are forced to deal with what?
* Reality of changes with what?
* During acute phase, what can be a source of distress and irritation?
- Patients are forced to deal withemotionssuch as powerlessness,shock, demoralization and loss while dealing with a variety ofphysical discomforts.
- Reality of changes with lifestyle, relationships and financial changes.
- During acute phase,physical and cognitive deficits as well as the inability to perform simple daily functions can be a source ofdistress and irritation.
What are all the common psychological reactions and disorders? (general)(6)
- Adjustment disorders
- Depression
- Anxiety
- Guilt
- Denial of illness
- Caregiver distress
Common Psychological Reactions and Disorders
* What are the adjustment disorders?
* What can occur? What can that lead to?
- Psychological distress, physical disfigurement, reduced functional independence.
- Significant emotionalreactions can occur that can lead to poor adjustment or lead todepression or anxiety.
Common Psychological Reactions and Disorders: Depression
* MC what?
* Can lead to waht?
* This has been linked to what?
* What are the risk factors?
- Most common manifestation in a rehabilitation setting.
- Can lead to diminished attention, memory, motor skills which can lead tobarriers to recovery.
- This has been linked to excess disability, slow physical recovery and increased mortality.
- Risk factors include previous psychiatric illness,functional limitations and social isolation.
Common Psychological Reactions and Disorders: Anxiety
* Among patients this is what?
* Reactions to disabling events are often marked by what?
* What can increase rates ofanxiety disorders including PTSD?
- Among patients this is well documented in literature.
- Reactions to disabling events are often marked by significant worry, tension and feelings of loss of control.
- Confrontedwith inevitability of death for the first time, resulting inincreased rates ofanxiety disorders including PTSD.
Common Psychological Reactions and Disorders: Guilt
* Occurs when?
* What can it heighten?
- Occurs when one imposes self-blame for his or her injury or disability.
- Painful emotionwhich may result in heightened levels of depression.
