Upgrade to remove ads
Only $2.99/month

Nurses Touch-wellness and self care

Terms in this set (58)

Six Dimensions of Health
Emotional
Intellectual
Spiritual
Occupational
Social
Physical
Five Levels of Maslows Hierarchy of Needs
Physiological Needs
Safety and Security
Love and Belonging
Self-Esteem
Self-Actualization
Levels of Prevention
Primary
Secondary
Tertiary
Primary Prevention
immunizations, smoking cessation, exercise, nutrition, environmental controls
Secondary Prevention
Early diagnosis, prompt intervention, screening procedures, dental exams
Tertiary Prevention
Return to optimal function, rehab, outreach programs, end-of-life care
Immunizations Birth-6years
Hep A and B
RV
DTap
Hib
IPV
PCV
Flu
MMR
Varicella
immunizations ages 7-18
Tdap
HPV
MCV4
Flu
any "missed" vaccines
Immunizations for Adults
Flu
Meningococcal
Tetanus and diphtheria every 10 years
Pneumococcal
Hep A and B
HPV
MMR
Varicella
Herpes zoster
Stress-variations and components
Environmental (physical)
Mental
Emotional
Environmental Stress
Obstacles to goal achievement, positive experiences
Death of loved one, theft, unpleasant interactions with others, job, school problems, major disasters
Acute (noise, hunger, danger, infection)
Chronic (Long-term relationship problems, loneliness, lack of control)
Mental Stress
Appraisal of severity,
psychological make-up,
subjectivity
Emotional stress
feelings that arise
-anger
-fear-
-anxiety
-depression
Mind-Body connection
biofeedback
hypnosis
image visualization
Guided imagery
Autogenic training
Meditation
Progressive muscle relaxation
General Adaptation Syndrome
increased stress hormones
decrease in white blood cells
bleeding ulcers
lymphatic gland atrophy
death
Stages of general adaptation syndrome
1.Alarm - fight or flight
2. Resistance- Alertness, muscle tension, high metabolic rate
3. Exhaustion- organ failure, illness, death
Autonomic Nervous System- Sympathetic Branch
FIGHT OR FLIGHT
Increased Heart rate, blood pressure
Vasoconstriction (decrease bleeding for injury)
Bronchodilation (increase ventilation)
Release of Glucose, fatty acids (provide energy to muscles and brain and organs)
Autonomic Nervous System- Parasympathetic Branch
CALMS THE BODY
-homeostasis
-acetylcholine
-decreased heart rate, b/p, pupil size
- Vasodilation
- Bronchoconstriction
Endocrine Stress Response
-Corticotrophin releasing factor (CRF)
-Adrenocorticotropic hormone (ACTH)
-Cortisol (energy)
-Chronic Stress (buildup of cortisol, mteabolism alterations)
Nervous System-related disorders r/t stress
Bronchial asthma
Tension headaches
Migraine headaches
Temporomandibular joint dysfunction
Irritable bowel syndrome
Coronary Heart Disease
Immune System-related disorders r/t stress
Common cold, flu
Allergies, eczema
Rheumatoid arthritis
Lupus
Ulcers, colitis
Type 2 diabetes mellitus
Cancer
Manifestations of Stress
Trouble sleeping
Changes in appetite
Food cravings
Headaches
Short temper, irritability
Recurring colds, illnesses
Trouble concentrating
Depression
Leadership
shared goals
integrity, courage, initiative
Energy, optimism
Perseverance, balance
Ability to handle stress
self-awareness
Autocratic Leadership
Gives orders
Makes decisions
Limits creativity and motivation
Democratic Leadership
Discusses plans, decisions
Allows staff input
Promotes creativity, motivation, individual growth
Laissez Faire Leadership
Avoids planning, decision-making
no goal, no guidance, no direction
Leads to chaos, indifference
Emotional Intelligence
Managing own emotions
Listening attentively
Recognizing concerns
Welcoming constructive criticism
Situational leader
adaptability is key, realizes that the same approach does not work in every situation
Transformational leader
conveys organizations vision and mission and inspires commitment and dedication for every employee
Conflict Resolution
1. Identify the Problem
2. Generate possible solutions
3. Evaluate suggested solutions
4. Choose the best solution
5. Implement the solution
6. Assess problem resolution
7. Decide if the problem is not resolved
Cognitive Restructuring
altering perception
reflecting on thoughts
Challenging yourself
Using positive emotions
Feeling more in control
Decreasing stress
Limiting the source of stress
avoiding toxic individuals
Eliminating stressful environments
Using cognitive structuring skills
implementing models for change
Assertiveness skills
Minimizing guilt, anger
Moving toward peaceful resolution
Standing up for yourself
Not violating others right
Saying no without guilt
Asking for what you want
Feeling positive about yourself
Daily Stress Reducers
Social Networking
Having a mentor
Journaling
Art Therapy (orange=life change yellow=positive energy, purple, violet= spirituality, unconditional love, Red= compassion, anger)
Time management/prioritize
Humor
Time management
Gathering Supplies
Clustering Care
Being Proactive
Checking the Orders
Perception of Time and Stress (short breaks to regroup)
Compassion Fatigue
behaviors and emotions that result from the stress of helping or wanting to help traumatized or suffering person
Manifestations of Compassion Fatigue
intense level of emotional distress
changes in your beliefs, expectations, assumptions
"Witness guilt"
Nightmares, avoidance, addiction, detachment
Decreased intamacy, somatic complaints, physical symptoms
Psychological distress, cognitive shifts, relational distrubances
Manifestations of Burnout
Anger, Frustration
Fatigue
Negativity, cynicism
Withdrawl
Physical, psychological symptoms
Cognitive shifts, relational distrubances
Relaxation Techniques
Diaphragmatic Breathing
Meditation: Decreased oxygen,hr,b/p,muscle tension, increased alpha waves, well-being, inner peace
-Zen Meditation (still, quiet, crossed legs, focus on emptying the mind)
-Transcendental Meditation (focus on mantra, internal repetition of a mantra, sweeping away random thoughts)
-Insight Meditation (Stream of thoughts, conscious mind, detachment from ego, self-awareness)
Hypnosis: changes behaviors, thought pattern, reduced pain, not a sleep state, heightened senses
Image Visualization: negative image reprogramming, self generated images
Guided Imagery: therapist-generated images
Music Therapy
Entrainment
Yoga
Massage
Calculate BMI
Weight (lb) / Height (in sq) x 703
Risks Factors for Cardiovascular Disease
Leading Cause of death in US
being overweight increases risk
Increases levels of LDLS
Lowers levels of HDLS
Reducing Cardiovascular Risk
maintain healthy diet/weight
Exercise regularly
fruits and vegetables
whole-grain products
Omega-3 fatty acids
Less saturated, trans fat
Less sugar, alcohol, sodium
Stimulants
Increase risk of Heart attack, seizures, psychosis
Energy drinks
Muscle Enlargers- androgenic anabolic steroid use
infertility, erectile dysfunction
breast development
Heart, liver disease, cancer
Baldness, vocal deepening
Facial hair
Menstrual problems
Caloric Need
100 BMU for the first five feet of height then add 5 for each of the inches. multiply that number by activity factor.
Five Stages of Sleep Cycle
stage 1-4 non-REM sleep (Body functions slow down, release of human growth hormone, protein synthesis)
REM sleep (dreaming occurs, restoration of brain tissue)
Interference with sleep patterns
stress (preocupated mind, sympathetic nervous system stimulation, vicious cycle of frustration, impaired sleep)
Caffeine
Alcohol-initiates but then disrupts sleep
Nicotine
Pain and respiratory problems
Endocrine imbalances
Gastrointestinal upset
Nocturia
Depression
Exercising
Napping
Weight gain
Medications
Environmental Factors
Technology
Circadian Synchronization
Awake when body temp is highest
Asleep when body temp is lowest
Melatonin vs cortisol
Sleep Requirements
Newborns: 16-18hr
Infants (3-6 mo): 15 hr
Toddlers (1-3): 12-14 hr
Preschoolers: 11-13 hr
School-age children: 10-11hr
Adolescents: 9-10hr
Adults: 7-9hr
Sleep Deprivation
Similar to alcohol intoxication
Dull reflexes
Slowed responses
Fine, gross motor clumsiness
Fatigue
Cardiac dysrhythmias
Double or blurred vision
Reduced hearing
dry mouth
Increased sensitivity to pain
Impaired reasoning, judgement
Increased stress, irritability, agitation, hyperactivity
Confusion, disorientation
Lower pain treshold
Withdrawl, apathy, cynicism
Lack of motivation
Insomnia
Inability to fall/stay asleep
waking too soon, not feeling rested
transient, chronic, intermittent

Women are more prone, advancing age
Parasomnias
Problems or behaviors that interfere with sleep or occur during sleep
Arousal Disorders
Sleep-wake transition disorders
REM sleep
Nightmares
Somnambulism
sleepwalking, stress/fatigue. most often affects ages 3-7, usually occurs about an hour after falling asleep, difficult to awake, does not remember incident,many children outgrow it. (Its okay to waken someone sleepwalking)
Bruxism
teeth grinding
Enuresis
bed wetting
Restless leg syndrome
creeping or tingling sensations, constant want to move the legs
Periodic limb movement disorder
causes repeated jerky limb movements during sleep
Sleep Apnea
cessation of airflow 10sec-2min
Obstructive: relaxed airway structures, snoring, snorting, diaphragmatic effort,
Central: abnormality in resp center in brain
Mixed
THIS SET IS OFTEN IN FOLDERS WITH...