Stress and Burnout Flashcards
define “stress”
a physical, mental, or emotional factor that causes bodily or mental tension. can initiate the fight or flight response
which hormones facilitate immediate physical reactions?
adrenaline or noradrenaline (catecholamines)
what somatic responses are associated with stress?
rapid breathing slowing of digestive system increased HR decreased immune system tense muscles do not sleep (heightened sense of alertness)
define “burnout”
state of overwhelming, emotional listlessness and depression due to prolonged levels of high stress. emotional and physical exhaustion from a combination of exposure to environmental and internal stressors and inadequate coping and adaptive skills
what are some symptoms of burnout?
irritability, lack of motivation, lack of creativity. increasingly negative attitude toward his or her job, low self esteem, and personal devaluation.
what are some p1 stressors?
Course load
Family responsibilities
Incurring financial debt
Decreased chances for social, leisure, or physical activities
Inadequate coping skills
Difficulty in adjusting to lifestyle changes
university of texas pan-american - what was their study about?
27 first semester pa students about stress. they said their stress levels at this time were moderate to considerable. they employed passive techniques.
P2 stressors? (aka things to look forward to)
Varying shifts
Perceived lack of knowledge and skills
Changing locations every 5 weeks
Learning health care policy
Learning the layout and flow of the hospital
Dealing with difficult patients
Dealing with life and death situations
Balancing family responsibilities
Incurring debt
Decreased social life and physical activity
Loss of your P1 family network
Inadequate coping skills
Change in eating habits, especially in surgery
Seasonal Affective Disorder-Cleveland Clinic provides light boxes for their medical students
What were the results of the Assessment of Psychological Stress and Symptomatology for Didactic Phase Physician Assistant Students?
- significant amount of stress in that 28.4% and 21% were likely to be diagnosed with a psychiatric disorder during the first and second semesters, respectively.
- Male students were more stressed of GSI scores were above the mean both semesters.
- Male students were more stressed as compared to female students the first semester.
- Somatization, obsessive-compulsive, and paranoid ideation were significantly higher in the first semester
how is stress detrimental to achievement?
Decreased attention span
Decreased decision making capability
Decreased ability to establish patient rapport
Change in sleeping habits
what are the two most frequent negative coping strategies?
self distraction and self blame. (scapegoating and lack of forgiveness of yourself/others are also common)
what is empathy erosion?
a decline in empathy caused by burnout
what is mindfellness meditation and when was it developed?
Developed in 1979 at U Mass medical school
Uses your mind to slow down your physiological responses
