Chapter 9 Psychosocial Intervention and Patient Care Flashcards
(23 cards)
Athletes experience greater degrees of stress related to what?
Related to additional demands of their sport, risk of injury, expectation for success
Why are athletes less likely to seek help for psychological problems?
not being able to distinguish between normative stress and distress, negative attitudes about professional help seeking, personal characteristics, mental illness stigma, finance concerns, lack of time, no transportation
True or False. Substance abuse and high-risk drinking is higher in athletes.
True
What are signs and symptoms of psychological distress?
Social withdrawal
Emotional outburst (agitation or irritability)
Excessive worry
Changes in sleeping patterns
Change in appetite
Denying the seriousness or extent of injury
Depression
Anxiety
Lack in commitment or motivation to one’s sport/rehab
Poor focus, concentration or judgment
Unconfirmed reports of pain
Change in mood or inappropriate affect
Suicidal thoughts
What is the AT’s role in helping with psychological issues?
Helping – assisting patients in exploring feelings, gaining insight and making a positive change in their lives
by doing/being:
Open-ended questions
Affirming
Reflecting
Summarizing
What are the 5 key elements of cultural competence?
Value diversity
Having the capacity for cultural self-assessment
Being aware of inherent dynamics when cultures interact
Institutionalizing cultural knowledge
Developing appropriate adaptations for service delivery
How can ATs apply cultural competence?
Listen
Elicit
Acknowledge
Recommend
Negotiate
What is the preliminary assessment of the Decision-Making model?
practitioner encounters patient who exhibits or reports s/s of psychological distress identify red flags
What is the emergency intervention component of the decision-making model?
s/s that require immediate attention
A risk of suicide as assessed by a licensed mental health professional
Cold or elder abuse where the patient is currently at risk
Psychotic disorders where the patient may not be able to take care of themselves
What is the planned intervention component of the decision-making model?
Assessment – level of readiness for change
Precontemplation
Contemplation
Preparation
Action
Maintenance that leads to termination
What are the stages of change within the transtheoretical model of change?
Precontemplation
Contemplation
Preparation
Action
Maintenance
What is the planned interventions component of the decision-making model?
Implementation – of strategies
- Motivational interviewing (MI) – express
empathy, develop discrepancy, roll with
resistance, support self-efficacy
Consultation – make a referral to appropriate mental health professional
What is a psychiatrist?
license medical doctors trained to diagnose and treat mental illness, ability to prescribe psychotropic medicine
What is a psychologist?
trained to conduct psychological testing to assist in prevention, assessment, diagnosis and treatment of mental disorders
What is a social worker?
trained and licensed to provide direct mental health care, supervision and the administration of health care programs
What is a professional counsellor?
prepared for work in schools, colleges, community mental health settings and private practice
What is a marriage and family therapist?
assessment and treatment using a family systems perspective
What is a sports psychologist?
trained to work with individuals to achieve optimal performance
What are the psychological effects of injury?
Emotional trauma of the injury
Psychological factors associated with rehabilitation and recovery
Psychological impact of the injury on an individual’s future with respect to continuing to be physically active or to play sports
What are the stages of grief?
Disbelief/denial/isolation
Anger
Bargaining
Depression
Acceptance
What is the affective cycle of injury?
physical well-being, emotional well-being, social well-being, self-concept
What are the strategies to facilitate and enhance coping skills post-injury?
Education – treatment plan, intended goals, side effects/sensations – help understand rehabilitation process, avoid surprises, reduce anxiety
Goal setting – provides sense of control – measurable, difficult but realistic, short-term and long-term goals, process/performance, specific, positive
Social support – listening, emotional support, assistance, reality confirmation – comes from family, friends, coaches, teammates, AT
What are different mental skills techniques?
Relaxation – reduce pain and effects of anxiety
- Reduce tension, slow breathing, lower
heart rate
- Mind to muscle – aid of meditation or
imagery techniques
- Muscle to mind – breathing exercises
and progressive relaxation, active
muscle contraction
Imagery – involves the mental practice of skills before actual physical performance of the skill
- Promote safe RTP by envisioning healing,
soothing
Positive self-talk – injured individuals negative thinking negative feelings unproductive behaviour
- Positive thoughts ==> direct and motivate
the individual to succeed in their
rehabilitation
