35: Stress- Streyffeler Flashcards Preview

CS3: Exam 3 > 35: Stress- Streyffeler > Flashcards

Flashcards in 35: Stress- Streyffeler Deck (17):
1

normative stress -->
higher level stress -->
traumatic stress -->

motivating/helpful
inhibits functioning
terror

2

chronic (stressor continues over time) -->

alteration in psychophysiology

3

a disruption of the body's normal balance

stress

a stress response is the body's attempt at regaining homeostasis

the body's stress response is unrelated to the type of stressor

4

three stages of adaptation response

alarm
resistance
exhaustion

5

collective processes that maintain an internal equilibrium =

activity that is required for the individual to "maintain stability through change" =

homeostasis

allostasis (process of maintaining homeostasis by active means)

6

SNS is activated in ...

PNS is activated in ...

states of effort and stress --> flight/fight

states of rest and relaxation AND in freeze response

7

what is the top down mechanism of stress

originate as thoughts or learned rxns and behaviors in the higher cognitive centers of brain

8

neurotoxicity of adrenalin and cortisol

adrenalin: increases the encoding of implicit memory blocks

cortisol: kills existing neurons and destroys synapses in the hippocampus; results in impaired integration of memory

9

effects of chronic cortisol release

- impaired memory
- suppressed immune system
- weakened muscles
- increased blood pressure
- hardening of arteries
- inflammation
- colitis
- loss of libido
- adult onset diabetes

10

the three Es of trauma

event
experienced
effects

individual trauma results form an event, series of events or set of circumstances that is experienced by an indicidual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual's functioning and physical, social, emotional, or spiritual well-being

11

characteristics of the worst traumas

- repetitive
- human initiated especially when intentional and by care takers
- normal flight/fight response is not possible
- lack of emotional support following the trauma

12

attachment trauma

abuse, violence, and neglect in the family are leading causes of physical and psychological injuries

13

most significant public health issue in the IS

childhood trauma

14

cumulative ACEs increase the clinical complexity of individual cases -->

# of lifetime DSM dxs increases

15

Three Rs of trauma

realizes
recognizes
responds

a program, organization or system that is trauma-informed realize the widespread impact of trauma and understands potential paths for healing; recognizes teh signs and symptoms of trauma in staff, clients, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, practices, and settings

16

three pillars of trauma informed care

safety
connection
management of emotion

encourages autonomy, agency and self-efficacy

17

how can you help the pt stay in control?

- clarify boundaries of relationship
- respectfully and thoroughly explain procedures
- inform before touching
- respect the pts signal to stop
- pt may need to re-ground herself