Stress, loss and grieving Flashcards

1
Q

Define health:

A

A condition of feeling mentally and physically sound

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2
Q

What are humans basic needs?

A

Air, food, water shelter

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3
Q

What are needs?

A

Requirements for being healthy

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4
Q

Define self concept in relation to patients:

A

How a patient feels about and would decribe themselves

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5
Q

What are the factors that make up self concept?

A
  1. Body image
  2. Self-esteem
  3. Role
  4. Identitity
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6
Q

T/F

Ilness can changer or damage a person’s self concept

A

True

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7
Q

In what population is body image extremely difficult for?

A

Aldolescents and the elderly

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8
Q

What is body image measured by?

A

Ussually measured against what society ndeems ideal or acceptable

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9
Q

What is self-esteem?

A

How one evaluates oneself based on feedback

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10
Q

What can over criticism lead to?

A

Low esteem

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11
Q

What is role?

A

The part you play in the world

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12
Q

What is the difference between role and identity?

A

Role-Temporary, can change
Identitiy-Rarely changes over time

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13
Q

What can challeges to identity lead to?

A

Dissonance

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14
Q

What is identity?

A

The way that you see yourself

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15
Q

T/F

Health and self concept are interdependent

A

True

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16
Q

What is stress?

A

The pressure or weight placed upon oneself that causes physical or mental strain

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17
Q

What are the 4 areas that stress can impact your life?

A
  1. Physically
  2. Emotionally
  3. Cognitively
  4. Behaviourly
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18
Q

What are 3 physical symptoms of stress?

A
  1. Headaches
  2. Body aches
  3. Fatigue
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19
Q

What are 3 emotional symptoms of stress?

A
  1. Anxiety
  2. Irritability
  3. Sadness
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20
Q

What are 3 cognitive symptoms of stress?

A
  1. Decreased concentration
  2. Decreased problem solving
  3. Decreased abilities in memory
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21
Q

What are 3 behavioural symptoms of stress?

A
  1. Increased alcohol/substance abuse
  2. Changes in sleep patterns
  3. Changes in appetite
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22
Q

What are stressors?

A

A perceived demand or threat

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23
Q

T/F

Stressors are only perceived

A

False; a stressor can be real or perceived

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24
Q

What is burnout?

A

Exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration

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25
Q

What are the results of burnout in the healthcare feild?

A
  1. Not 100% focused on the task at hand
  2. Not communicating in a therapeutic manner
  3. Feeling rushed
  4. Less efective care
26
Q

What 3 feelings can burnout cause?

A
  1. Helplessness
  2. Deteriorating self concept
  3. Negativity towards work and co-workers
27
Q

What are the 2 states that individuals choose to deal with threats?

A
  1. Challenge state
  2. Threat state
28
Q

What is the challenge state?

A

Perceived resources matching or outweighing perceived demands

29
Q

What is the threat state?

A

Perceived demands outweighing perceived resources

30
Q

What is enviromentally coping?

A

Comfortable surroundings may help you think calmly and positively

31
Q

Wha are the enviromental factors of enviromentally coping?

A
  1. Visual
  2. Auditory
  3. Sensory
32
Q

What are the 2 different ways of coping with stress?

A
  1. Destructive
  2. Constructive
33
Q

What type of loop does procrastination and stress exist in?

A

A positive feedback loop

34
Q

What are the 4 steps that help with procrastination?

A
  1. Prioritize tasks
  2. Allocate time for basic tasks
  3. Allocate down time
  4. Stick to a schedule
35
Q

What is greif?

A

Emotional suffering caused by a loss

36
Q

What is anticipatory grieving?

A

Mourning before a loss even occurs

37
Q

What are 3 common patient fears?

(more than 3, just name 3)

A
  1. Fear of dying/being abandoned in the hospital
  2. Losing control of thier life
  3. Fear of the unknown
38
Q

T/F

Fear of death is universal

A

True; there are different levels of acceptance

39
Q

T/F

The grieving process has to proceed in order

A

False; the grieving processes does not have to proceed in order and different lengths of time may be spent in each phase

40
Q

What are the 4 phases of grieving?

A
  1. Denial
  2. Anger
  3. Barganing
  4. Depression
  5. Acceptance
41
Q

What are the 2 factors that inhibit greiving?

A
  1. Attitudes
  2. Behaviours
42
Q

What are 3 attitudes that can cause inhibitions to grieving?

A
  1. Trivializing
  2. Trying to hard to be strong
  3. In a rush to get through grieving
43
Q

What are 4 behaviours that may cause inhibitions to grieving?

A
  1. Poor nutrition
  2. Lack of sleep
  3. Self medication
  4. Isolation
44
Q

What are 4 ways to deal with grieving patients?

A
  1. Listen to them
  2. Offer assistance
  3. Provide ongoing support
  4. Be aware of and avoid compassion fatigue
45
Q

T/F

It can be hard for both doctors and patients to recognize when treatment has failed

A

True

46
Q

What are the focuses of palliative care?

A
  1. Make the patient comfortable
  2. Manage symptoms and pain of terminally ill patietns
  3. Maintaining highest quality of life possible
  4. Relieve any emotional stress
47
Q

What are the 2 ways to communicate with terminal patients?

A
  1. Avoid false reassurances
  2. Validate thier feelings
48
Q

What is euthanasia?

A

THe practice of killing or permitting the death of a sick or injured individual in a relatively painless way

49
Q

What are the 2 types of euthinasisa?

A
  1. Active
  2. Passive
50
Q

When was MAID legalized?

A

2016

51
Q

Who can qualify for MAID?

A
  1. patients 18 and older capable of making healthcare decisions
  2. Eligible for health services in Canada
  3. Have a serious and incurable illness, disease or disability
  4. Must be voluntary and have informed consent
52
Q

What does it mean to have a serious and incurable illness, diseawse or disability?

A
  1. Be in an advanced state of irreversible decline in capability
  2. Have enduring and intolerable physical or psychological suffering that cannot be alleviated under conditions the person considers acceptable
53
Q

When must the written request be willingly made?

A

90 days before the date of death if not reasonable foreseeable

54
Q

How many physicians/nurse practitioners must independently confirm that the illness warants MAID?

A

2

55
Q

How many independent witnesses must sign that the request for MAID was free of coercion?

A

1

56
Q

T/F

Eclicit consent must be given in the moment before administration

A

True

57
Q

What are the restrictions to euthanasia in Canada?

A
  1. Not allowed under the age of 18
  2. Not allowed in mental health cases
  3. No advance directives allowed
58
Q

What aer advanced directives?

A

Legal documents for healthcare when the patient is no longer capable of making decisions

59
Q

What is one example of an advanced directive in healthcare?

A

Do-not-resuscitate

60
Q

What is a coma?

A

Specific parts of the brain have been damaged, but others that control breathing and circulation remain undamaged

61
Q

T/F

As an MRT, we are sometimes responsible for imaging patients for organ dontations

A

True

62
Q

What are the 3 cases of death that warrant investigation?

A
  1. Truama
  2. Abuse
  3. Suspicious death