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Medicine Unit 4 > Psychological impact of illness > Flashcards

Psychological impact of illness Flashcards

1
Q

immediate response to event, injury and implications

A

psychological shock
distress
anger
inappropriate calmness/denial

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2
Q

immediate management

A

physical treatment/analgesia
referral to ICU as appropriate
explanation of and reassurance about treatment
information to and support of relatives
advice about activities/retunr to work
information about sources of support

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3
Q

2 models: factors influencing responses

A

model os psychological response
self-regulatory model

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4
Q

model of psychological response basic

A

factors influencing response
recovery outcomes

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5
Q

self-regulatory model basic

A

interpreting the threat
coping with the threat
appraising the coping

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6
Q

model of psychological response, personal factors

A

injury and previous experiences
personality
demographics

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7
Q

model of psychological response, personal situational factors

A

social support, economic situation, employment

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8
Q

model of psychological response, healthcare related situational factors

A

healthcare related: medical provision, MDT support, rehabilitation environment, accessibility and availability of rehabilitation

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9
Q

model of psychological response, behavioural response

A

aggression, agitation
adherence to rehabilitation: under adherence and over adherence
use of social support
malingering

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10
Q

model of psychological response, emotional response

A

numbness
anger
shock
depression

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11
Q

what are negative emotions linked to

A

increased report of symptoms, pain and distress

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12
Q

stage 1 of self regulatory model

A

interpretation

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13
Q

stages of interpretation phase

A

perception of injury
cognitive representations
emotional response

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14
Q

perception of injury

A

social messages
attention
individual differences
emotions

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15
Q

cognitive representations

A

identity, what is it
cause, what caused it
control, what can be done
time line, how long will it last
consequences, how will it affect me

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16
Q

emotional response

A

denial
anger
depression

17
Q

stage 2 of the self regulatory model

18
Q

coping

A

approach style- learning about injury, attending rehabilitation
avoidant style- denial, wishful thinking, alcohol abuse

19
Q

stage 3 of the self regulatory model

20
Q

appraisal

A

individual appraises sources of coping strategies
appraisal impacts on interpretation of threat and coping behaviour
individual regulates their own behaviour

21
Q

long term impact of injury

A

pathological longer term effects such as psychological
-acute stress disorder and post traumatic stress disorder

22
Q

acute stress disorder

A

symptoms immediately after a traumatic stressor
possible disorientation,, narrowing of attention with inability to process external stimuli
may be followed by period of diminished responsiveness or psychomotor agitation and overactivity
may have amnesia for the episode
symptoms decrease after 24-48 hours

23
Q

diagnosis of acute stress disorder

A

should only be diagnosed if symptoms persist longer than 3 days

24
Q

post-traumatic stress disorder

A

exposure to an intense and frightening emotional experience leading to lasting changes in behaviour, mood and cognition
predisposing factors such as personality, previously unresolved traumas or a history of psychiatric illness may prolong the course

25
Q

PTSD effect on memory

A

characterised by intrusive, distressing memories of the traumatic event
often associated with marked impairments in learning and memory for new material

26
Q

PTSD prevalence

A

6.8% lifetime

27
Q

precipitating traumas for men and women for PTSD

A

combat for men
rape and sexual assault for women

28
Q

predictive variables for PTSD

A

trauma severity
dissociation during the trauma
perceived threat and premorbid vulnerability factors

29
Q

symptoms of PTSD

A

repetitive re-experiencing of traumatic event
avoidance of stimuli associated with the stressor, amnesia for aspects of the trauma as well as emotional numbness and social withdrawal
increased arousal

30
Q

psychological long term impacts of injury

A

depression
phobic anxiety
chronic pain/ disability
unexplained symptoms

31
Q

social long term impacts of injury

A

family
relationship problems
depression among family members
inability to return to work/ normal activities

32
Q

psychological management of longer-term effects

A

CBT
EMDR
exposure based treatments
victim support group

33
Q

CBT

A

cognitive behavioural therapy

34
Q

EMDR

A

eye movement desensitisation and reprocessing
imaginal exposure whilst therapy waves finger across visual field and patient tracking finger
it is controversial

35
Q

exposure based treatment

A

systematic desensitisation
or real life graded exposure

Medicine Unit 4 (19 decks)

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