Lecture 7: Stress, Loss & Grieving Flashcards

1
Q

Define Health

A

a condition of feeling mentally and physically sound

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2
Q

What is the health illness continuum

A

from high level wellness to death
- everyones health fluctuates and is never stagnant

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3
Q

What are the basic needs

A
  • requirements for being healthy
  • physiologic needs
  • safety & security
  • belongingness and affection
  • esteem and self respect
  • self-actualization
  • Maslows hierarchy of needs
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4
Q

What is self concept

A

how the patient feels about and would describe themselves
made up of:
- body image
-self esteem
- role
- identity
illness can change or damage a persons self concept
- self concept can affect illness (lack of self care)

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5
Q

Body image

A
  • usually measured against what society deems ideal and acceptable
  • injury and illness can change body image
  • adjustments can be difficult for adolescents and the elderly
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6
Q

Self esteem

A

How one evaluates onesself based on feedback
-praise and approval= high esteem
- over criticism=low esteem
how you treat patients can affect their esteem

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7
Q

What is role

A

the part you play in the world
- we help by taking images to allow diagnosis
- how you perform the role affects self-concept

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8
Q

What is identity

A

the way you see yourself
- challenges to identity can cause dissonance (messes with their head)
- gender identity is super important (athlete with ending injury)

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9
Q

Health and Self concept are

A

interdependent
- poor health affects self concept and vice versa

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10
Q

Define Stress

A

Pressure or weight placed upon ones self that causes physical or mental strain
- impacts all areas of your life

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11
Q

Stress symptoms

A

Physical: headaches, body aches, fatigue, nausea
Emotional: anxiety, irratibility, sadness, numbness
Cognitive: decreased ability in memory, concentration, desicion-making
Behavioural: increased alcohol/substance abuse

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12
Q

Common signs of stress

A
  • trembling hands
  • upset stomach
  • tight shoulders
  • etc
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13
Q

Common Stressors

A
  • percieved demand or threat
  • stressor can be real or percieved
  • individuals will have different responses to different stressors
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14
Q

Common stressors in healthcare

A
  • heavy workloads
  • high expectations
  • starting a new job
  • budget concerns
  • personal life issues
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15
Q

How can stressors affect us

A

Burnout
Can cause feelings of
- decreased accomplishment
- helplessness
- poor self concept
- compassion fatigue

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16
Q

Define burnout

A

exhaustion of physical or emotional strength or motivation usually as a result of prolonged stress or frustration

17
Q

How does stress affect healthcare workers

A
  • give less effective care to patients
  • feel rushed
  • not be 100% focused on tasks
  • will not communicate in a therapeutic manner
18
Q

Constructive vs Destructive ways to cope with stress

A
  • adequate nutrition vs over eating/binge eating
  • adequate vs lack of sleep
  • exercise vs substance abuse
19
Q

Threat response vs Challenge response

A

individuals evaluate the demands of the situation in relation to their personal resources to cope witih such demands

20
Q

Challenge State

A

percieved resources match or outweigh demands

21
Q

Threat state

A

Demands are larger than resources

22
Q

What is environmentally coping

A

comfortable surroundings may help you think calmly
Environmental Factors:
- visual
- auditory
- sensory
go to your “happy place”

23
Q

Procrastination/Stress loop

A
  • Stress
  • Lack of motivation
  • Procrastination
  • Fear of approaching deadline
24
Q

Time management factors

A
  • prioritize tasks
  • allocate time for basic tasks
  • allocate down-time
  • stick to a schedule
25
Define grief
Emotional suffering caused by a loss
26
What kind of loss can people suffer
- loved one - body part
27
Attitudes about loss
- vary patient to patient - some patient will exhibit anticipatory grieving (grieving something that hasnt happened yet)
28
Common patient fears
- fear of dying or being abandoned in hospital - fear of the future of their family - fear of pain or death from medical procedures - losing control of their life (needing a caretaker) - fear of the unknown
29
5 stages of grief
- Denial - Anger - Bargaining - Depression - Acceptance
30
What are some inhibitions to grieving
Attitudes: - trying to hard to be strong - in a rush to get through grieving Behaviours: - poor nutrition - lack of sleep - self-medication
31
How to help with grief
- listen to them - offer assistance when needed - be aware of compassion fatigue
32
How to communicate with terminally ill patients
- avoid false reassurance - validate their feelings
33
Euthanasia
- the practice of killing or permitting the death of a sick or injured person in a painless way - not your place as an MRT to judge
34
Euthanasia in canada
Medical Aid in Dying - fairly strict - need to be 18 - eligble for health services in canada - have terminal medical condition
35
Proccess of MAID
-2 physicians must sign off -1 witness that it was free of coercion -explicit consent given in the moment
36
What is an advanced directive
legal documents for healthcare when patient is no longer able to make decisions - DNR / "no code"
37
Common Definition of Death
no heartbeat, no breathing
38
Define Coma
specific parts of the brain have been damaged, but others that control breathing and circulation remain undamaged May or may not recover
39