Chapter 30 Stress and Coping Mosby items and

Chapter 30 Stress and Coping Mosby items and

Chapter 30 Stress and Coping Mosby items and derived items 2005 by Mosby, Inc. Stress Stressors Crisis

Mosby items and derived items 2005 by Mosby, Inc. Fight-or-Flight Response Medulla oblongata Reticular formation Pituitary gland Mosby items and derived items 2005 by Mosby, Inc.

General Adaptation Syndrome (GAS) Alarm reaction Resistance stage Exhaustion stage Mosby items and derived items 2005 by Mosby, Inc. Reaction to Psychological Stress

Primary appraisal: identification Secondary appraisal: coping strategies Mosby items and derived items 2005 by Mosby, Inc. Coping Mechanisms

Compensation Conversion Denial

Displacement Identification Dissociation Regression Mosby items and derived items 2005 by Mosby, Inc. Types of Stress Distress: damages Eustress: protects

Work, family, chronic, acute, daily hassles, trauma, crisis Posttraumatic stress disorder (PTSD) Mosby items and derived items 2005 by Mosby, Inc. Crisis Developmental Situational

Mosby items and derived items 2005 by Mosby, Inc. Neumans Systems Model Prevent or reduce stressors Normal line of defense Prevention strategies: primary, secondary, tertiary

Mosby items and derived items 2005 by Mosby, Inc. Penders Health Promotion Model Avoid negative events Stress-reduction strategies Mosby items and derived items 2005 by Mosby, Inc. Related Factors

Situational factors Maturational factors Sociocultural factors Mosby items and derived items 2005 by Mosby, Inc. Assessment Subjective findings Objective findings

Client expectations Mosby items and derived items 2005 by Mosby, Inc. Nursing Diagnoses

Compromised family coping Ineffective coping Post-trauma syndrome Disturbed sleep pattern Impaired social interaction Mosby items and derived items 2005 by Mosby, Inc.

Planning Goals and outcomes Example: enhanced coping abilities Setting priorities Continuity of care Mosby items and derived items 2005 by Mosby, Inc.

Implementation Health promotion Exercise Support systems Time management Guided imagery and visualization Progressive muscle relaxation Assertiveness training

Mosby items and derived items 2005 by Mosby, Inc. Implementation (cont'd) Health promotion (cont'd) Journal writing Workplace stress management Acute care

Crisis intervention Mosby items and derived items 2005 by Mosby, Inc. Evaluation Client expectations Response to interventions Mosby items and derived items 2005 by Mosby, Inc.

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