stress and inflammatory response Flashcards

1
Q

describe constancy

A

a fixicity of the internal environment despite changes in the external envirnment

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2
Q

describe homeostasis

A

a balanced internal state within the body

there are different things that can impact homeostasis like stress or illness

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3
Q

describe stress

A

anything that upsets the balance and the body’s attempt to return itself to that steady state

stress is produced in changes in the environment that is perceived as challenging, threatening, or damaging to our body’s equilibrium

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4
Q

describe adaptation

A

the desired goal of appraising and coping with changes in our environment

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5
Q

what is a stressor

A

anything that can change the internal or external environment that creates a potential physiologic, emotional, cognitive, or behavioral changes within our body

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6
Q

name and describe three types of stressors

A
  • physical (something extreme liek extreme cold or heat)
  • physiologic (things like pain, fatigue or fever)
  • psychosocial (things like fear or anxiety)
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7
Q

describe stress as a stimulus for disease

A

chronic high levels of stress can result in disease. wears on the immune system, causes chronic release of cortisol which also causes and increase in glucose

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8
Q

what are some temporal aspects of stress

A
  • day to day stress
  • normal life transition
  • enduring stressor (chronic illness)
  • infrequent enduring (things like death of a loved one or permanent disability)
  • major complex (war, terrorism)
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9
Q

describe the apparaisal of a stressful event

A
  • cognitive response (primary appraisal - the fact that we have to recognize a situation that is going to be a stressor)
  • behavioral response (secondary appraisal - what are you going to do about it)
  • can be emotion focused or problem focused
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10
Q

describe coping with a stressful environment

A
  • cognitive response (identifying what you are going to do to cope)
  • behavioral response (doing it. reacting to the stressor)
  • can be: emotion focused (making yourself feel batter about it) or problem focused (making direct changes to the environment to handle the event)
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11
Q

whats included in seyle’s theory of adaptation

A
  • general adaptation syndrome
  • local adaptation syndrome
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12
Q

describe general adaptation syndrome

A
  1. alarm phase - fight or flight response and inflammatory response
  2. resistance phase - adapting to the stressor and release of cortisol
  3. exhaustion phase - endocrine activity increases and causes negative effects on the body (especially impacts circulation, digestion, and immune system)
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13
Q

describe local adaptation system

A
  • trigger inflammatory response on the body
  • works at the site of injury
  • if severe enough and left long enough, can turn into general adaptation syndrome
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14
Q

whats included in stress interpretation in the brain

A
  • sympathetic nervous system response (norepinephrine)
  • sympathetic - adrenal - medullary response (epinephrine and norepinephrine)
  • hypothalamic - pituatary response (results in increased cortisol which increases glucose to give energy to deal with stressor)
  • immunologic response (can be inflammatory response, affects WBC count)
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15
Q

how does chronic stress impact WBC count

A

low count

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16
Q

how does acute stress impact WBC count

A

high count

17
Q

name some maladaptive responses to stress

A
  • chronic recurrent responses
  • substance abuse
  • type A behaviors
  • denial
  • avoidance
  • distancing

all of these threaten the goals of adaptation

18
Q

descirbe chronic recurrent responses

A

somebody keeps repeating the same thing over again and never gives themselves a chance to adapt to the stressor

causes the chronic stress on the body

19
Q

what are some indicators of stress

A
  • grinding teeth
  • changes in menstrual cycle
  • changes in appetite
  • diarrhea/constipation
  • concentration difficulties
  • headaches
  • substance abuse
  • loss of interest
  • a shit ton more
20
Q

whats included in early identification of physiological and psychological stressors

A
  • presence of risk factors
  • objective signs
  • subjective symptoms and statements
  • knowledge of patient history/situation
21
Q

whats included in nursing management of stress

A
  • promoting a healthy lifestyle
  • enhancing coping strategies
  • educating about relaxation techniques
  • educating about stress management
  • promoting family health
  • enhancing social support
  • recommending support and therapy groups
  • role of stress in health patterns
22
Q

whats included in stress at the cellular level

A
  • control of the steady state (negative and positive feedback)
  • cellular adaptation
  • cellular injury
  • cellular healing