Nur 397: Psychosocial Impact

Front 1

Psychoneuroimmunology

Back 1

study of the interconnectedness of the immune and neuroendocrine systems

premise is that a patients mental statue influences disease and healing

studies connection between brain and immune system

Front 2

Overall quality of life among physically injury is associated more srongly with...

Back 2

healthy psychological functioning than with the degree of residual impairment

Front 3

What is needed for physical rehab to succeed

Back 3

restoration of pyschological functioning

Front 4

Depression affects recovery of

Back 4

post stroke persons

Front 5

Failure to Thrive

Back 5

low level of physical functioning associated with nutritional deficits, decreased cognitive functioning and poor mood state

Front 6

FTT is usually found...

Back 6

in elderly but exists in persons living with chronic illness or have experienced an illness serious enough to require inpatient rehabilitation

Front 7

Depression

Back 7

frequent psychiatric disorder in persons living with MS but frequently not diagnosed

stems from: psychosocial stress, focal demyelinating lesions and immune dysfunction

Front 8

Depression early intervention

Back 8

prevent decline in QOL and even death from suicide

Front 9

MS associated with

Back 9

loss in vocational status, social roles, sense of control and abilities, lack of hope

Front 10

Most effective treatment for depression

Back 10

drug therapy and psychotherapy

Front 11

Depression in older adult

Back 11

more likely to be older, less likely to be comfortable with touch, poorer appetite, more feelings of dejection and hopelessness, greater preferences for privacy, lower level of self esteem, fewer available resources

Front 12

Group identity

Back 12

related to group; reflects how people in groups perceive themselves based on environmental feedback

Front 13

Basic need of group identity

Back 13

identity integrity (ability of group members to relate to each other in a manner that indicates awareness of group identity, effectively and efficiently maintains and enhances identity of the group and moves it toward goal achievement)

Front 14

Self concept

Back 14

focuses specifically on the psychological and spiritual aspects of the human system

Front 15

Basic need of self concept

Back 15

psychic and spiritual integrity

need to know who one is so that one can be or exist with a sense of unity and meaning

Front 16

Self concept definition

Back 16

composite of beliefs and feelings that a person holds about himself or herself at a given time that directs behavior

Front 17

Self concept concerns

Back 17

family transformations, social integration, self esteem, stress and coping, body image, independence, dependency, loss and grieving, spirituality, QOL, sexual concerns, powerlessness

Front 18

Factors influencing family transformations

Back 18

family structure and functioning before disability, values, communication, behaviors, lifestyles, coping and adapting strategies for stress and crisis, family always strives to re-establish equlibrium

Front 19

Families will usually be okay if?

Back 19

have established positive coping mechanisms

Front 20

Families are very vulnerable if

Back 20

they have no or very limited positive coping strategies

Front 21

family satisfaction is affected by

Back 21

rewards from exchanges among family members

more positive exchanges= higher level of family satisfaction

Front 22

Social integration definition

Back 22

participating in and continuing with previous or customary relationships

Front 23

What is a vital component of life satisfaction for all persons?

Back 23

social integration

Front 24

Very important for those with traumatic brain injury, chronic illness, disability or aging

Back 24

social integration

Front 25

Social integration in those with traumatic brain injury

Back 25

depends on location and extent of injury

may experience deficit in social skills, self awareness, anger control, judgement, or any combination

isolation is frequently a problem

family satisfaction is very important

Front 26

Self esteem gives you a sense of

Back 26

significance, competence, connectedness and separateness balance, realism about selves, ethics and values

Front 27

Low self esteem

Back 27

use of defensive, aggressive, hostile behavior, tendency to submit, tendency to withdraw

Front 28

Successful rehabilitation

Back 28

integration of a new view of self

Front 29

What do coping behaviors do?

Back 29

serve to relieve stress of injury, illness, disease, or disability

Front 30

Coping behaviors

Back 30

adaptive behaviors that incorporate problem-solving strategies

Front 31

Some negative coping behaviors

Back 31

withdrawal, avoidance, acting out, anger, suspicion, denial, social isolation, somatization, headaches

Front 32

Help people cope with stress

Back 32

safe environment, assess adaptation, educate, increase self esteem, maintain hope and empowerment, promote strength of family, relaxation, meditation, biofeedback

Front 33

body image

Back 33

how one views oneself physically and ones view of personal appearance

Front 34

things that affect body image

Back 34

body boundaries, culture, internal and external factors, interpersonal relationships

Front 35

Independence and dependency

Back 35

represents lack of resolution between clients need and desire to be dependent, or independent, with the expectations of being dependent or independent

Front 36

Maladtive independence

Back 36

client who overestimates cognitive or physical capabilities and energy level

Front 37

Loss and Grieving

Back 37

deprivation of what was and surviving that deprivation

cycle of helplessness, hopelessness, and dependency

Front 38

trigger experiences of loss and grieving

Back 38

loss of driving or living alone, loss of occupation, disability, loss of hair, living with cancer treatment

Front 39

spiritual needs

Back 39

expression of human propensity to find meaning and purpose in life through self transcendence, that is through expanding the conceptual boundaries of the self beyond limits posed by immediate situation, physical limitations, or otherwise constructed views of life and human potential

Front 40

Some spiritual needs

Back 40

suffering, hope, use of prayer, Scripture, religious rituals, music, humor and laughter, imagery

Front 41

Spiritual needs nursing interventions

Back 41

understand its a multifaith society and spirituality differs person to person, recognize spirituality and religion are not always the same, assist person to draw on faith as a resource, do not inflict own values, listen, observe, assess for spiritual care needs

Front 42

Nursing diagnoses for spiritual needs

Back 42

spiritual well being, spiritual distress

Front 43

Spiritual needs: culturally competent interventions

Back 43

person you are caring for should set direction for spiritual care and give permission for any interventions

provide a safe environment

who is best suited to meet the person's spiritual needs as determined by the patient

every person has right to embrace his or her own unique spiritual beliefs