NRS 215-5 stress

human response to change in our normal balanced state

you are ill

any event or stimulus that causes an individual to experience stress

• the change that takes place as the result of the reponse to the stressor
• (coping with stress)

illness

• going to high school
• getting married etc.

the state of equilibrium in the internal environment of the body, naturally maintained by adaptive responses that promote healthy survival

homeostasis

7.35-7.45

negative feedback

HR, BP, resp

monitors the physiological status of the body through connections with sensory and motor tracts

• SNS arousal
• HR up
• shunting of blood to vital organs and muscles
• increased BP, resp, glucose

• stress = stimulus or life event
• more stress = more vulnerability to illness

• alarm reaction - lasts minutes to 24 hours
• resistance stage - coping
• exhaustion stage

attempts to explain individual differences in stress response

• anxiety and fear (mild - panic)
• anger
• depression

• dry mouth
• sweating
• gi upset
• hyperventilation
• mind-body connection

• denial
• displacement
• rationalization
• regression
• repression
• projection

refuse to acknowledge problem

• transfer emotinal reaction
• man hit wall instead of wife

• justify behaviors using faulty logic
• baby got spanked but ok since has diaper on

• returning to a earlier stage of development
• temper tantrum

thoughts denied completely

attach blame onto others fo unacceptabe behaviors

• problem solving
• structuring
• self control
• suppression
• fantasy or daydreaming

• Cardiovascualr disease
• GI problems
• headaches
• cancer
• decreased immune system

dealing with a change

• acute stress disorder
• usually occurs within the first month of a stresor

ASD longer than a month

witnessing or eing confronted with a traumatic event

• intense fear
• helplessness
• horror

• flashbacks
• delayed onset (longer than 4 weeks)
• persist longer than 1 month

the history and physical

• ineffective coping
• anxiety r/t (related too)
• fear r/t (related too)
• caregiver role strain

is direct, brief, and focuses only on the problem related to the crisis