Psychosocial Factors Flashcards
What factors have a positive influence on recovery?
- belief pt has control regarding treatment
- inclusion in goal setting
- high level of engagement
- Feeling respected
- Empowerment
- Education
Phase models of psychosocial adaptation
Shock Anxiety Denial Depression Internalized Anger Externalized hostility Acknowledgment Adjustment
Strategies for pt success
- praise small gains
- be supportive/realistic
- teach self-control techniques
- educate patients
- help pt form positive body image
How to interact with Type A personality
High achievers. Give HEP - “you tell me what I’m suppose to do and I’ll do it! “
How to interact with Authoritative personality
Engage in problem solving (have them involved in the program more, what do you think needs to be addressed? Let them try their way, with the caveat if it doesn’t work, you need to try my way. If their way works whatever as long as its safe
How to interact with Perfectionistic personality
help patient find pleasure in accomplishing simple things
How to interact with passive-aggressive personality
place responsibility for progress on patient, have patient make decisions about treatment, summarize progress
Positive coping
Seeking control and information, expressing emotional reactions, seeking social interactions
Negative coping
avoiding control and info, repressing emotions, withdraw from social interactions
External Locus of Control
Other people or outside factors have control over outcomes .
Have stress and anxiety in rehab.
Internal Locus of Control
- Person can affect his/her own circumstances
- Quicker recovery, better motivation, more hope, more energy
Types of Anxiety Scales
Hassels & Holmes
How to interact with someone with anxiety
- Cognitive restructuring
- Assist with problem solving
- Treatment in familiar, calm, comfortable setting
- Help patient transform anxiety into physical activity; repetitive motor task
- Set clear boundaries
How to address anxiety
- Relaxation Response
- Guided Imagery
- Desensitization; situational exposure exercises
- Cognitive-Behavioral therapy
What is denial?
Defense mechanism, protects patient from having to confront overwhelming implications of illness or injury at once
How might patients with denial act?
may have unrealistic, wishful goals for recovery
What is acute stress disorder?
symptoms that range in duration 2 days to 4 weeks
Acute PTSD time frame
less than 3 mo
Chronic PTSD time frame
> 3 mo
How to help patients with PTSD
Help patients build positive self-efficacy
- Cognitive restructuring
- Development of healthy coping skills
- Learning/using relaxation response
Who to refer to with depression
Psychiatrist if suicidal ideation or significant impairment of life roles
less severe- psychologist or social work
Warning signs of possible suicide
- Direct or indirect comments about suicide
- A plan to commit suicide
- Writing a suicide note
- Preoccupation with death
- Excessive risk taking and an careless attitude
- Final preparations; writing a will, giving away possessions
- Self hatred
- Substance Abuse
- Agitation and Violence
- Hypersexuality
