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Flashcards in Promoting Professional Wellness Deck (47)
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1

Stress is how many % of all medical visits?

60-90%

2

AANA's Wellness Initiative:

Name of person initiating who became addicted to anesthetics

 

Jan Stewart

3

AANA's Wellness Initiative 

2 Objectives

1. Jan Stewart Memorial Wellness Lecture Series

2. Broad Based Wellness Services for memberss Covers MANY issues that affect professional and emotional well-being.

4

Key element in quality of care

Relationship btw fitness for duty and patient safety

5

Chemical dependency/addiction % among SRNAs, CRNAs, MDAs, Residents

10%

6

MDA greater or less than other physicians?

greater

7

Anesthetists highest drugs abused statistically

OR drugs + other drugs

8

Aristotle's 

"Nothing in excess" 

defines what?

 

Well-being

9

Fear of disease

Fear of failure

"Change in behavior depend on perception of severity of problem, perceived susceptibility, the benefit of change, barriers to change, and perceived self-efficacy"

Health Belief Model

10

6 Components of Wellness

(Hettler)

  1. Physical
  2. Emotional
  3. Emotional
  4. Occupation
  5. Social
  6. Intellectual
  7. Spiritual

11

These things define what?

Satisfaction with self

Acceptance of physical appearance

Valuing unique characteristics and abilities

 

Sense of worth

12

3 Dimensions of Self-Direction

Sense of worth

Sense of control

Emotional awareness & coping

13

Sense of control 9 components

  1. belief in competence
  2. confidence
  3. self-efficacy
  4. knowledge
  5. skill
  6. choice
  7. influence
  8. expectations
  9. control

14

Components of what?

  1. Ability to express/disclose feelings
  2. Response to life expectations
  3. Sense of energy, appropriate responses to challenges, negative emotions, and enjoyment of positive emotions

 

Emotional awareness & coping

15

Feeling of deep sympathy for another is stricken by suffering or misfortune

Compassion Fatigue

16

Reduction of capacity of NMS to carry out its function.  Causes sleep deprivation, boredom, work overload, physical exhaustion...

Physiological fatigue

17

10 Principles of Wellness

  1. Create long-term goal
  2. Connect to your collegues
  3. Enjoy what you do
  4. Physical well-being
  5. Keep in touch
  6. Manage time
  7. Make plans
  8. Take time for self
  9. Be realistic
  10. Don't think you can do it alone

18

Symptoms of what

  1. mental, social, physical manifestations
  2. exhaustion
  3. loss/inc apetite
  4. h/a
  5. sleeplessness or oversleeping
  6. crying
  7. feeligns of "alarm" frustration, or apathy

Stress

19

AMA & APA sees dependency & addiction as diagnosable and treatable:

4 components

  1. Availability of drug + urge
  2. Urge is part of neurochemical makeup
  3. Stress contributes to potential: Genetic predisposition and familial dysfunction, risk escalates
  4. Cascade of behioral changes occur: progressively deteriorates

20

Pleasure comes from increase _____ in the brain?

Increased dopamine

21

Long term addiction

Change in brain

Loss of glutamate control

in prefrontal cortex

changes how brain processes info

and controls behavior

22

Looking at cocaine for a drug abuser has physiological changes seen in brain in what pleasure part of brain?

Amygdala

23

Last defense (think things thru) in brain.

Decision making

Priorities

"I won't do drugs"

Prefrontal cortex

24

Perception of drug procurement is more important than ... ("feeding my 6 month old" i.e.)

Over-valuing drug high over ...

What part of brain?

Prefrontal cortex

25

Second step

 

Early downstream involvment 

 

 

26

Network of these areas in brain with addiction

 

Nucleaus accumbens (dopamine)

Amygdala (neg feedback-Gaba)

Hippocampus (where, who and what; part of the craving)

Prefrontal Cortex (perceive, final "say so", priorities btw getting infection/losing job vs getting drug - overvalues experience in the drug use)

27

Main neurotransmitters involved

3

Dopamine 

GABA

glutamate

28

Rob bank, kill, compulsive drug-seeking altered in what part of brain?

 

Prefrontal cortex

Overweighs this information at this point.  Normally PC would say it is not worth it.

"Didn't like what the drugs caused in family, etc, but liked how the drugs made him feel and have no intention of quiting"

29

Conspiracy of silence

anything that allows addict to avoid consequences

Enabling

30

Treatment:

Predominant form of chemical tx

inpatient/residential options

must have aftercare contract

12-step program