Lab - Putting It All Together Flashcards Preview

OS2 Final > Lab - Putting It All Together > Flashcards

Flashcards in Lab - Putting It All Together Deck (15)
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1
Q

What is the definition of stress?

A

condition experienced when the physical, mental, emotional, or social environment makes unwanted inescapable demands

2
Q

What are the main physiological components of the stress system response

A

activation of the hypothalamic-pituitary-adrenal axis, autonomic nervous system arousal, and adrenaline secretion in the “fight or flight”

3
Q

when are damaging stress levels reached?

A

perceived threats or dangers upset the biopsychosocial balance

4
Q

what are the 3 response stages of stress

1) what is the first response and what functions increase?

A

startle response and orientating reflex as the patient becomes aware of the stress and is alarmed –> adrenal, cardiovascular, respiratory, MSK functions increase

2nd stage –> attempt to cope and problem-solve biologically, psychologically, and socially –> mobilize resources to meet and resist the stress.

3) exhaustion –> it depletes adaptive reserves and resistance disappears. experience SD and present requesting treatment for symptoms.

5
Q

if the patient is able to cope and problem solve, what happens?

what if they fail?

A

mastery and learning occur

they become exhausted physically, mentally, and emotionally

6
Q

What concept of stress dominates the current thinking about stress?

A

Adopting to change

7
Q

What “type” of person is more likely to have stress in their lives and why?

A

A –> competitiveness, impatience, and difficulty dealing with anger.

8
Q

treatment strategy for stress?

A

palpatory diagnosis

manipulative treatment

exercise, diet, smoking, alcohol, drug cessation

medication

coping strategy education

9
Q

4 most common behavioral consequences of stress?

A

Depression

Anxiety

Substance Abuse

Insomnia

10
Q

what happens physically to those who have prolonged depression, anxiety, or fear

A

increased tone, altered biomechanics, lack efficient postural mechanics.

11
Q

what lifestyle choices can affect the MSK system

A

poor sleeping, chemical dependency.

12
Q

what is cognitive behavioral therapy?

A

structured, goal-oriented, problem-focused and time-limited intervention

helps the patient develop new and adaptive ways of behaving.

13
Q

What two patient centered things can the physician do to help mitigate stress

A

problem solving and patient education

14
Q

What five other supports can people do to help mitigate stress?

A

muscle relaxation

support network

group support

spiritual support

biofeedback (use monitors to correlate your levels of stuff)

15
Q

What is almost more critical than taking a good history for decision making?

what can be done during the history to help elicit patient centered questioning?

what about the plan?

what can the doctor do without the patient?

A

great empathetic listening.

open-ended questions,

involving patients in the plan helping them be more active in the decision making process

talk to other physicians to Gain additional insight on the diagnosis and development of a plan of care