week 8 Flashcards
What is a crisis?
struggle for equilibrium and adjustment when problems seem unsolvable
no way to fix what’s happening in a situation
acute and time limited
How does someone get through a crisis?
- how the individual copes
- do they have a support system
How do we assist those in a crisis?
helping them understand that they can’t fix or solve the problem
what interventions would be implemented for someone going through a crisis?
broad
creative
flexibile
What types of crises are there?
- developmental
- situational
- existential
What stage of psychosocial development does someone go through as an INFANT?
trust vs mistrust
What stage of psychosocial development does someone go through as a TODDLER?
autonomy vs shame and doubt
What stage of psychosocial development does someone go through as a PRE-SCHOOLER?
initiative vs guilt
What stage of psychosocial development does someone go through as a GRADE-SCHOOLER?
industry vs inferiority
What stage of psychosocial development does someone go through as a TEENAGER?
identify vs role confusion
What stage of psychosocial development does someone go through as a YOUNG ADULT?
Intimacy vs isolation
What stage of psychosocial development does someone go through as a MIDDLE-AGE ADULT?
generatively vs stagnation
What stage of psychosocial development does someone go through as a OLDER ADULT?
Integrity vs Despair
Where does a situational crisis arise from?
external source
Are situational crises unanticipated and uncommon?
yuh
What do responses on a situational crisis depend on?
- degree of support available
- Resiliency
- overall physical and emotional health
what is an adventitious crisis?
community wide
What is an external crisis?
questioning life purpose or spirituality
What can a existential crisis lead to?
- newfound motivation
- Feelings of isolation and depression
What happens in stage 1 of crisis?
- confronted with conflict
- Responds with anxiety
- adapt to conflict/assimilate to crisis
What happens in stage 2 of crisis?
- Threat persists
- Anxiety rises
- Individual functioning becomes disorganized
- will use trial and error attempts
What happens in stage 3 of crisis?
- severe anxiety
- Withdrawal and flight
- Reevaluating needs (as long as I’m surviving)
What happens in stage 4 of crisis?
- overwhelming anxiety
- Serious personality disorganization
- homicidal or suicidal behavior
What do we asses for in someone who is going through stage 4 crisis?
assess for any psychotic behavior (homicide, suicide, safety)
What do we do in an assessment for crisis?
- patients perception
- Situational support
- Coping skills
What is primary care in the implementation phase of crisis?
- promotes mental health and reduces mental illness
-teach coping skills
-preventative
-help pt recognize that their life crises are stressful
-try not to make changes during stressful events
What is secondary care in the implementation phase of crisis?
- Establishes intervention during an acute crisis to prevent prolonged anxiety
-they are currently experiencing the crisis
-suicide preven
-helping identity a support system
-assess for coping skills/teach new ones
What is tertiary care in the implementation phase of crisis?
- Provides support for those recovering from a disabling mental state
-after crisis has subsided
-prevent further disruption
critical stress debriefing
What are the phases of critical stress debriefing? (Don’t need to know all the phases, these are for reference)
- introductory phase
- fact phase
- Thought phase
- Reaction phase
- Symptom phase
- teaching phase
- reentry phase
What is KEY to know about the critical stress debriefing phases?
debriefing is done after a traumatic situation
What should we evaluate for in a crisis?
- is the pt safe
- is the pt able to use coping skills
- what is the pts level of functioning
(can they get by in their daily life)
Who is most likely to commit suicide?
15-29 yr olds
Males more likely due to lethal means but women attempt more they just dot always die
What are some risk factors for suicide?
- health
- environmental
- historical
- Genetics
- age
What do we include in an assessment for suicide?
- verbal cues
- behavioral cues
- suicide assessment
What is the difference between overt and covert statements?
overt: straightforward statements
covert: subtle statements
What would we do for the implementation stage of suicide?
- Don’t leave individual alone
- family and community support
- Restrict access to lethal means
- CBT
- Remain nonjudgemental and listen attentively
What is postvention?
kinda like debriefing
to prevent suicide
- for survivors
- Initiate within 24-72 hours after death
- Post traumatic stress reactions
- Psot trauma loss debriefing
What is uncomplicated grief?
normal progression through grief, should resolve in 6 months
What is acute grief?
Results from the unexpected death of a family member
What is anticipatory grief?
-terminal prognosis
-they anticipate someone is going to pass away
What is disenfranchised grief?
grief that is not publicly mourned. ie:miscarriage, mistress passes
What is complicated grief?
grief that lasts more than 6 months
What is ambiguous grief?
-presence and absence
-you don’t know where someone is but you don’t know if they’re alive
When would grieving be considered dysfunctional?
if they can’t perform ADLs or experience other emotions
What are the 4 tasks of mourning?
- Accept
- Process
- Adjust
- Find
What are some communication skills for the dying?
- open ended questions
- active listening
- therapeutic response
- address spirituality
