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VIH > Unit 2 > Flashcards

Unit 2 Flashcards

1
Q

Sympathetic

A

fight it flight
-a and b adrnegic agonists and antagonists

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2
Q

Parasympathetic

A

Rest and digest
-cholinergic agonists & anticholinergics

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3
Q

Stress

A

Non-specific response to the body by demands made on it

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4
Q

Types of Stress

A
  1. Physical: exposure-may elicit harmful response leading to an identifiable illness or signs or symptoms
  2. Psychological: death - may cause a maladaptive response
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5
Q

General adaptation syndrome (GAS)

A

-stressor stimulates CNS
1. Alarm
2. Resistance
3. Exhaustion/Death

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6
Q
  1. Alarm
A

-activates SNS
-fight or flight
-Increases: HR, Heart contractions, O2 intake, engery (adrenaline)

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7
Q
  1. Resistance
A

-body responds to stressor trying to get back to homeostasis
-coping mech: blood pressure, heart rate to normalize
-some case a new norm
-irritability, frustration, and poor concentration
-if no homeostasis into stage 3

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8
Q
  1. Exhaustion
A

-stressor continues
-body is physically, emotionally and mentally exhausted
-fatigue, burnout, anxiety, depression

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9
Q

Holes Rache Stress inventory

A

Lists 43 life events that can contribute to illness

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10
Q

Stress and Chronic Disease

A

-Stress can exacerbate

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11
Q

Coping

A

The thoughts and actions we use to deal with stress

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12
Q

Emotion Focused coping

A

-resolve negative emotions
-drug therapy fall here

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13
Q

Problem focused coping

A

-targets the stressor
-remove stressor

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14
Q

Stress Management

A

-progressive relaxation
-meditation
-prayer
-yoga
-imagery
-social support
-good coping skills
-exercise and diet
-diversion activities

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15
Q

Chronic Stress

A

-effects hippocampus
-releases corticosteroids in response to stress- they act on neurotransmitters damage hippocampus
-impaired memory and recall

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16
Q

Chronic Stress Maladaptation

A

-angina
-asthma
-depression
-eating disorders
-headache
-insomnia
-irritable bowel syndrome
-low back pain

17
Q

Grief

A

Normal reaction to loss- psychological and physiological ways

18
Q

Stages of GRIEF (dabda)

A
  1. Denial- denial of reality of the situation
    (Allow info to sink in)
  2. Anger- towardeveryone
    (Assit family to gain infighting intonation)
  3. Bargaining- for intervention
    (Explore client feelings)
  4. Depression- functional decline plus increased symptoms
    (Try to facilitate wishes)
  5. Acceptance- struggling ends
    (Family requires more support)
19
Q

PAIN

A

-Physiological
-emotional
-cognitive
-sensory
-behavioural

20
Q

PAIN

A

-whatever and wherever a person say it is
-cause suffering and reduce Quality of life
Nurse: asses and intervene appropriately when a client complains of pain

21
Q

Cultural meaning of pain

A

Emotional and cognitive response to pain will vary

22
Q

Personal/Social meaning of Pain

A

Plus past experience affect pain perception

23
Q

PAIN assessment

A

P (provoke and palate)
-what makes it worse/ better?
Q (quality)
-what dose it feel like-ache, dull, sharp
R ( region, radiating)
-where is the pain location? Do you feel is anywhere else?
S (severity)
-Scale 1 to 10 how do you rate your pain, what is tolerable?
T (timing)
-when dose the pain begin?

24
Q

Non Pharm Treatments

A

-relaxation
-distraction
-music
-acupuncture
-massage
-warm and cold

25
Q

Morning

A

-intense emotion
-disorganization and despair
(Nurse: accept, new skills and relationships)

26
Q

Bereavement

A

-period after death
-grief and mourning
-length depends on culture

27
Q

Normal Grief

A

-normal feelings and behaviours reactions to loss

28
Q

Anticipatory Grief

A

-letting go before loss or death

29
Q

Complicated Grief

A

Difficulty progressing through normal phases of grieving
-4 types: chronic, delayed, exaggerated, and masked

30
Q

Disenfranchised Grief

A

-cannot openly acknowledge

31
Q

Chronic Grief

A

-can’t get passed it
-depression

32
Q

Delayed Grief

A

-delayed to avoid dealing with loss
(Let them take their time)

33
Q

Exaggerated grief

A

-overwhelming grief the limits person

34
Q

Masked grief

A

-lack of awareness, pretend its not happen

35
Q

Factors influencing Loss

A
  1. End of life care
  2. Socioeconomic status
  3. Personal relationships
  4. Nature of loss
  5. Culture and ethnicity
  6. spiritual beliefs
36
Q

What is PAIN?

A

-wherever and and whatever the client says it is
-pain can cause suffering. And reduce quality of life

37
Q

Suffering

A

-serve distress related to effects

38
Q

Non pharm pain relief

A

-Turing/ positioning
-heat therapy
-application of cold
-expertise
-acupuncture
-massage
-distraction
-hypnosis
-relaxation strategies
-self-management

VIH (5 decks)

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