Stress, Resiliency, & Mindfulness (9/27b) [Integrative Care]

Question 1

Definitions of Stress

Answer 1

“physical or psychological stress to safety, status or wellbeing”

“physical or psychological demands that exceed available resources”

“an unpredictable change in environment”

“an inconsistency between expectations and outcomes”

Question 2

Protective Response

Answer 2

Increases arousal
Increases energy
Increases alertness
Enhances performance

Question 3

Ineffective Response

Answer 3

Rumination
Worry
Wandering thoughts
Self doubt
Negative loop

Question 4

General Adaptation Syndrome - Alarm (+)

Answer 4

Stressor identified

Response initiated

Question 5

General Adaptation Syndrome - Resistance (+/-)

Answer 5

Compensatory strategies continue

Continues until stressor overcome or resources depleted

Question 6

General Adaptation Syndrome - Exhaustion (-)

Answer 6

Tissue damage

Extinction (death)

Question 7

The stress hormone of ___ can become out of control and lead to detrimental biological responses, causing a multitude of diseases and conditions

Answer 7

cortisol

Question 8

Chronic Stress - Cortisol Dysfunction

Answer 8

• glucocorticoid receptor resistance

* increased excitatory input

Question 9

Chronic Stress - Inflammatory Process

Answer 9

• oxidative stress
• free radical damage
• cellular death
• aging
• tissue degeneration

Question 10

Chronic Stress - Objective Changes

Answer 10

• bone/muscle breakdown
• fatigue
• sodium-potassium dysregulation
• high blood pressure
• immune suppression

Question 11

Chronic Stress - Disease

Answer 11

• heart disease
• digestive problems
• ulcers
• obesity/weight loss
• skin conditions
• infection
• migraines
• autoimmune diseases
• TMJ
• osteoporosis
• chronic back pain

Question 12

Stress - Cognitive/Behavioral Changes

Answer 12

Health - depression, fatigue, burnout, health, life balance

Academic - memory impairment, learning, impaired task performance

Question 13

Healthcare Stress - Professional Students

Answer 13

Rigor of material/workload

Skill performance

Financial concerns

Difficulty of applied material

Reduction in social support

Task oriented coping skills

Personal needs perceived as inconsequential

Predisposition among helping professions

Question 14

Healthcare Stress - Healthcare Providers

Answer 14

Decreased attention

Decreased decision making skills

Ineffective communication

Decreased ability to convey empathy

Poor relationships with patients

Medical errors

Job strain

Burnout

Health issues

Poor work/life balance

Question 15

System for appraising stress

Answer 15

Limbic system - hippocampus, amygdala, hypothalamus

Question 16

Resiliency - Active Coping

Answer 16

Mindfulness

Awareness/Reflection

Positive Affect/Optimism

Purpose/Vision

Process vs. Outcomes

Social support

Self esteem

Question 17

Resiliency - Avoiding

Answer 17

Distraction

Disturbed sleep

Poor dietary choices

Excessive smoking/drinking

Unhealthy levels of physical activity

Question 18

Mindfulness - Definitions

Answer 18

“the awareness that emerges through paying attention, on purpose, in the present moment, and non-judgmentally to the unfolding of experience moment by moment”

A linking of behavioral psychology, contemplative practice, and neuroscience

Involves attentional control, self awareness, emotional regulation

Question 19

Mindfulness - Outcomes

Answer 19

Improves self-awareness, emotion regulation, and focus

Improves patient safety and satisfaction

Prevents practitioner fatigue and burnout

Question 20

Mindfulness - Strategies

Answer 20

Mindful pause
Mindful breath
Mindful movement
Walking meditation
Meditation
Mindful body scan