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13 Cards in this Set

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what kind of things can be looking at with someone coming into / leaving a hospital as in regards to an assessment?
psychosocial history (on admission form)
Hx of mental illness
family support
what they do for a living
why do we care about a patient's living situation/support so much on admission?
do they have to go up a flight of stairs when they go home?
do they have help when they leave?
spritiual help of a person...
what it isn't is ...
if a person goes to church
its bigger than that
so spiritual health isn't just for church goers but spiritual growth is or can be with anyone
now we will talk about crisis:

what is a crisis?
it is TIME LIMITED ***********
******************************
an acute time limited phenomenon experienced as an overwhelming emotional reaction to a stressful situation of the perception of the event. being spirital can help
Caplan's 4 stages of crisis:
stage 1
stage 2
stage 3
stage 4 what is this?
4 levels of anixety actually
1...mild anxiety
2...moderate anxiety
3...severe anxiety
4...panic anxiety
stage one anxiety is like
day to day anxiety
slight discomfort
so able to ...
work toward a goal
stage 2 is more light:

voice tremors
able to solve problems but not at an optimal level
what else?
focus is on immediate concerns but field is narrowed, selective inattention
shakiness
repetitive questioning
somatic complaints
increased respiratiory / heart
stage 3 is severe anxiety
attention is scattered
distorted perception
feeling of dread
confusion
what else?
purposeless activity
withdrawel
more intense somatic complaints
completely absorbed with self
stage 4 is panic:

can't focus
mute or psycomotor agitation
emotional paralysis
what else
dilated pupils
out of touch with reality
hallucinations
feelings of terror
a huge thing for a person in a crisis is who can they call, do you have family, who do they have? a church? BIG factor. what else???
spiritual helps BiG
also previous events...meaning someone just lost their job, or a miscarriage, etc. spiritual strength will impact their ability to cope
what makes a crisis for 1 person is not a crisis for another person.
things like coping skills, spiritual wellness,priorities,personal health, life experiences,...what else?
mental and physical health
developmental level
support systems
your stress level at the present
humor
what are defense mechanisms?
denial
depression
regression
projection
repression
rationalization
displacement
reaction formation
suppression
sublimation
symbolism
what is crisis intervention?
******************************

*****************************
short term focuses on solving immediate problem not reflecting on any Freud shit

aim reestablish former coping patterns, usually limited to 4-6 weeks