Psychosocial Dimensions Of Care Flashcards
the pattern of expected changes in thinking, feelings, and behaviors that occur in response to the diagnosis of cancer is defined as
emotional distress
the risk factors for emotional distress include
disease stage and treatment plan, social attitudes about cancer and support, emotional age and coping ability
what treatment approaches are commonly available for emotional distress,?
psychological support, individual or family Psychotherapy, spiritual counseling, support groups, relaxation training, guided imagery, occupational therapy, pharmacologic management
the problems that unrecognized emotional distress May develop into
chronic emotional distress, development of depression, anxiety, somatic sentence i e. GI disturbance, dizziness, headache, interference with ADLs, decreased compliance
what interventions may be recommended to decrease emotional distress?
provide safe, supportive environment, allow patient to discuss thoughts, feelings, fears, empathetic listening, encourage relaxation techniques
what are the major psychiatric disorders that need to be assessed for in the patient with emotional distress?
anxiety, depression, suicidal ideation
a universal system of symbols and beliefs learned and shared among Generations defines
culture
what effects are generally determined based on cultural background?
language, food practices, symptom management, birth rituals, family relationship, illness beliefs, Health practices, spiritual orientation, death rituals
what factors may become barriers and cultural competence?
ethnocentrism, stereotyping
loss of purpose, beliefs, and Trust are indicative of what kind of distress?
spiritual
when patients refuse to participate in decision-making regarding their care, ignore recommendations, and become withdrawn they are demonstrating
powerlessness
changes in thinking, feeling and behaving that occur in response to loss of a valued object or person defines
grief
the ways in which a group of individuals adapt and change over time is the definition of
acculturation
the biggest factor in determining cancer incidence is
poverty level
what is the first step in developing a cultural awareness program in an institution?
assessing our own values
believing that death is inevitable and there is very little that a person can do to change his circumstances is known as
fatalism
believing that the forces of nature must be in harmony is a _________ health View
holistic
believing that health and illness is controlled by Supernatural forces is seen as a _________ view
magico-religious
leaving that life and life processes are controlled by physical and biochemical process that can be manipulated by humans is the _________ health view
biomedical
____________are a good starting point in assessing the beliefs and practices that are shared by a group
generalizations
ethnicity
the way a cultural group perceives itself
understanding a patient’s ____________background is critical for nurses to provide the best care possible
cultural
the belief in the inherent superiority of One’s Own ethnic group or culture is called what?
ethnocentrism
a __________ is an often oversimplified or biased assumption to characterize the typical individual of a group
stereotype
one of the most important factors to providing culturally competent care is for the nurse to maintain good _______________ with the patient
communication
using touch, body language, and facial expressions are all examples of what kind of communication?
nonverbal
what are the three categories of personal space?
social Zone several feet from the body
personal Zone 1.5 - 3 feet from the body
intimate Zone 1.5 feet or closer to the body
social environment
the environment developed by humans as contrasted with the natural environment
what are the two most important factors in Social organization?
family, religion
what are the three types of time orientation found in different cultures?
past emphasis on past events
present little concern for long-term issues
future emphasis on scheduling and planning
a type of Health belief for people believe that don’t asses and disease are inflicted by a higher power or Supernatural force is called what?
magico-religious belief
this type of Health believe holds the view that there must be a Harmony and balance within oneself to be healthy
holistic belief
this type of medicine and health practice often has a Healer who performs rituals and administers treatments
folk medicine
the more Western Health belief involving the thought that treatments, surgeries, and medicines cure health problems is called what?
scientific Health belief
people of which kind of ancestry are more likely to have Tay-Sachs disease?
Jewish
sickle cell disease is most frequently found in what group of people?
African Americans
biologic variations contribute to a person’s ________ to a certain disease
susceptibility
true or false there are state and federal laws protecting discrimination regarding cancer-related employment
true
when diagnosed with cancer people often have deeper and more intense __________ needs
spiritual
______________ distress or uneasiness of mine caused by fear of danger or Misfortune accompanied by an autonomic response
anxiety
the stressors of a cancer diagnosis, treatment, and prognosis often cause what kind of distress
emotional
true or false ones personality does not typically contribute to how he or she will cope with cancer
false
depression
a condition of General emotional dejection and withdrawal including strong feelings of sadness and hopelessness
when a patient is depressed it is important to acknowledge and treat the ________ cause of the depression
underline
those who have cancers involving the ______ ______ ________ hold a higher risk of developing depression
central nervous system
when One Believes they did not have influence over their outcome they are experiencing a loss of __________ control
personal
to maintain a person’s sense of personal control it is important to include them in what process regarding their treatment and care?
decision making process
grief
mental and emotional suffering or distress over Affliction or loss
true or false cancer patients are at risk of developing social dysfunction where they are unable to adequately interact in social situations
true
body image
an intellectual or perceived image of what one’s body is or should be like
weight loss or gain, scars, and body function changes can all affect a person’s _________image
body
which three types of diagnosis or treatment related changes have a large effect on one’s body image?
psychosocial changes, physical changes, cognitive changes
the loss of hair is called what?
alopecia
true or false alopecia only refers to hair lost on the scalp
false
when one is diagnosed with cancer it can put his or her entire family at risk for developing social_________
dysfunction
Rehabilitation
education and treatment to help individuals achieve maximum function and well-being within their environment
true or false it is important for family members, health professionals, and the client to all participate in the rehabilitation process
true
open those living cancer will cope better if they are connected with others dealing with a similar _________
diagnosis
what kind of setting is an important part of the rehabilitation process?
goal
as a nurse it is important to educate cancer patients about available __________ in the community to assist with coping
resources
