Geri: CH 13 SG
Terms in this set (37)
3 goals of Tx for depression:
1. Improved quality of life
2. Decreased symptoms of depression
3. Improved medical health status
LIST ON TEST
3 symptoms of depression as in DSM-IV-TR:
1. Disturbed sleep
2. Change in appetite and weight
3. Fatigue and loss of energy
LIST ON TEST
The removal of anxiety- producing thoughts or experiences from conscious awareness
Refusing to acknowledge some painful aspect of external reality that is obvious to others
Creating an acceptable for unacceptable thoughts or actions
Making generalizations to avoid disturbing thoughts or feeling
Transferring emotions about one situation or person onto another
Avoiding thinking about distressing situations
Attributing one's own feeling to another
Channeling negative energy into socially acceptable behaviors
Keeping so busy with activities that there is no time to think about stressors
General adaptation syndrome
Collective response of the body to stress
Focused manipulation of muscles reduces tension, decreased pain, and promotes a bond of caring, all of which reduce stress
A word or sound that is repeated over and over again
If coping skills do not resolve the initial alarm response becomes depleated of its reserve and person enters exhaustion state
Administered by "laying on hands" to increase an unseen "life force energy" lthat causes us to be alive
What are four benefits of geriatric massage for the patient?
1. Improved circulation
2. Relief of pain and increased range of motion
3. Improved mobility
4. Reduction of anxiety
What are the benefits of a new male resident being brought to his care planing meeting?
-To have control of his care
-Voice his preferences
-Gain insight to overall goals and care
What are signs of depression in the older adult the nurse should assess for?
-Complain of minor physical ailments
-Signs of depression
SATA (will be all on the test)
Problem solving method to avoid stress of an ailment and dependence on others
Problem-focused coping strategies are based on the ability to ____________.
Change or eliminate the stressful event or threat
Drug most commonly used by older adults is __________.
An elderly person suffering from depression is most likely to have difficulty with what?
Concentrating on an activity
Physical illness increases stress in many older adults because physical illness takes away energy to cope with new stressors.
The nurse is aware the use of a defense mechanism is a normal response to stress and only becomes problematic if the patient uses the defense mechanism excessively.
According to the GAS the first alarm reaction has been successfully resolved the following stage, when the body systems return to normal, is the state of __________________.
Mild stress can cause a person to be excessively ____________.
What is the physical sign of stress related to the urinary system?
Increase in urinary frequency; decrease in urine production
What are the physical signs of stress related to the GI system?
Decreased peristalsis resulting in excess intestinal gas.
External physical threats
Extreme heat or cold, noise, or physical trauma
Stress is cumulative, and a combination of several smaller stressors can have the same effects as a major stressor.
What occurs in the fight-or-flight response?
The body undergoes a predictable range of responses or physiologic changes that are designed to overcome the threat. If these physiological responses are effective, the body enters a stage of resistance during which it returns to normal functioning. If the responses are not effective, the body depletes its energy reserves and enters the stage of exhaustion.
Problem-focused coping strategies
Attempt to change or eliminate the stressful event or threat.
A physically ill person is less able to cope with additional physical or phychological stressors, which take energy away from the already depleted reserved and decrease the ability to cope.
Nursing interventions for patients with ineffective coping:
-Maintain continuity of care
-Encourage older adults to verbalize their feelings
Nursing interventions for patients with relocation stress syndrome:
-Encourage verbalization of feelings
-Discuss the reasons for the move or change
-Encourage the use of familiar objects and belongings
-Allow older adults to participate in decision making planning for the change
What does participating the OA in decision making allow for?
It reduces the sense of powerlessness and thus stress
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