Chapter 4_1 flashcards

(27 cards)

1
Q

Stress: Definition

A

A physical or psychological experience that disturbs comfort, threatens safety, or imperils life. [Text]

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2
Q

Eustress vs. Distress

A

Eustress: Stress that stimulates a person positively (e.g., job promotion). [Text] Distress: Stress that evokes negative feelings and adverse reactions. [Text]

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3
Q

Body’s Primal Physical Response to Stress

A

Excites nervous, endocrine, and musculoskeletal systems, allowing quick reaction to emergent situations (increased heart rate, bronchodilation, hormone release, focused concentration, increased strength/agility). [Text]

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4
Q

Effects of Long-Term/Chronic Stress

A

Diminished immunity, increased risk of autoimmune disease, cancer, heart disease, depression. Linked to excess free radicals, oxidative cellular changes, mitochondrial dysfunction, telomere shortening. [Text]

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5
Q

Mind-Body Connection in Stress and Illness

A

Emotions and psychological conditions can cause biological responses leading to physical illness, and physiological disorders can influence mental state. [Text]

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6
Q

Selye’s Stress Response Theory: Key Components

A

Stressor (challenging demand), Adaptive ability (how individual manages stress), Homeostasis (condition of equilibrium). [Text]

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7
Q

Adaptive Ability: Definition

A

The way in which the individual manages the stress and reduces the stressor’s effect on their life. Effective adaptive ability allows an individual to maintain homeostasis. [Text]

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8
Q

Homeostasis: Definition

A

A condition of equilibrium when various physiological parameters (blood pressure, respirations, heart rate, oxygen tension, blood pH, blood glucose, body temperature, WBC count) are within narrow normal ranges. [Text] [cite: 5]

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9
Q

Coping Mechanisms: Definition

A

The emotional and behavioral responses used to manage threats to physiological and psychological homeostasis. Depend on perception and interpretation of the event. [Text]

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10
Q

Conditioning Factors Influencing Stress Reaction

A

Age, gender, genetic predisposition, preexisting health conditions, life experiences, developmental level, educational level, and social support. [Text]

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11
Q

Neuroendocrine and Immune Responses to Stress: Short-term vs. Long-term

A

Short-term: Protective activation of neurological, endocrine, and immune systems to cope with acute threat. [Text] Long-term: Prolonged activation has a negative effect, e.g., immunosuppression. [Text]

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12
Q

General Adaptation Syndrome (GAS) - Hans Selye: Overview

A

A coordinated, adaptive reaction to stress, regardless of the source, involving three stages: Alarm, Resistance, and Exhaustion. [Text]

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13
Q

Fight-or-Flight Reaction (Walter Cannon): General Concept

A

A basic survival response to an acute, severe stressor that incites involuntary neuroendocrine physiological changes; effects are similar to Selye’s Alarm Stage. [Text]

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14
Q

McEwen’s Stress Response Theory: Allostasis - Definition

A

A dynamic state of balance that changes according to exposure to stressors (contrasts with homeostasis’s fixed set points). [Text]

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15
Q

McEwen’s Stress Response Theory: Allostatic Load - Definition

A

The wear and tear on body systems caused by stress reactions; cumulative, noxious effect of prolonged stress hormones and catecholamines. [Text]

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16
Q

Benefits of Exercise: General Overview (Objective)

A

Counteracts specific disorders, improves cardiovascular health, respiratory fitness, decreases chronic disease risk, strengthens bones, regulates blood sugar, enhances emotional well-being, increases longevity. [Text]

17
Q

Basic Types of Exercise

A

Stretching and flexibility, aerobic fitness, muscular strength, and endurance. [Text]

18
Q

Public Health Recommendation for Physical Activity

A

Moderate-intensity physical activity for 40 minutes 3 to 4 days per week. Alternate between flexibility, aerobic, and isometric exercise. [Text]

19
Q

Systemic Complications of Sedentary Behavior and Immobility (Objective/General List - Box 4-5)

A

Atelectasis, bone demineralization, deconditioning of heart/muscles, decreased pulmonary ventilation, pressure ulcers, depression, constipation, disorientation, gait/balance disturbance, GERD, aspiration risk, orthostatic hypotension, contractures, kidney stones, muscle atrophy, urinary stasis/UTI, venous stasis/VTE. [Text]

20
Q

Key Term: Immunosuppression

A

Diminished activity of WBCs (e.g., due to long-term cortisol secretion), leading to increased susceptibility to infection and other diseases. [Text]

21
Q

Key Term: Natriuresis

A

Water loss from the body, can be a temporary natural diuretic effect in early bedrest due to body fluid volume redistribution and hormonal changes (inhibited ADH/aldosterone). [Text]

22
Q

Key Term: Negative Nitrogen Balance

A

Occurs with immobility and muscle protein breakdown; loss of nitrogen-rich amino acids exceeds nitrogen intake. [Text]

23
Q

Key Term: Orthostatic Hypotension

A

A drop in blood pressure upon attempting to resume an upright position after prolonged bedrest, causing dizziness or syncope due to delayed arterial vasoconstriction. [Text] [cite: 11]

24
Q

Key Term: Pathological Fracture

A

A break in bone integrity caused by stress from a nontraumatic etiology, due to bone weakened by a preexisting condition (e.g., osteoporosis from immobility). [Text]

25
Key Term: Pressure Injury (Pressure Ulcer/Decubitus Ulcer/Bedsore)
Skin breakdown and tissue ischemia due to constant pressure over bony prominences during bedrest. [Text]
26
Key Term: Contractures
Shortening and tightening of muscles, tendons, or skin over joints that are inactive for prolonged periods, limiting range of motion. [Text] [cite: 10]
27
Stressors: Definition (Selye)
A challenging demand on the body that arouses a response from multiple organ systems. Can be positive or negative. [Text]