7. 3 Stages of Stress When stressors are threatening or perceived to be threatening, the body activates physiological changes that ready it for FIGHT OR FLIGHT . The fight-or-flight response occurs. Long-term coping with stressors depletes adaptive energy, resulting in exhaustion. When the body has used up its adaptive energy & can no longer cope with stressors, it breaks down in disease, collapse, or death Stage One: ALARM Stage Two: RESISTANCE Stage Three: EXHAUSTION
12. Adequate high quality sleep is essential for health & for physiological & psychological healing to occur It is believed that during " REM " sleep, adjustment are made that are necessary for learning & memory Need 20 hours of sleep Need 5 - 6 hours
26. What do we, as nurses, do to promote physical comfort? positioning Pain & sleep meds Quiet room Comfortable lighting Limit visitors
27. But physical comfort and positioning isn’t the only important type of comfort There are three more comfort themes that need to be addressed: 1. Comfort theme of self-esteem (psychospiritual)
28. 2. Comfort theme of approach and attitudes of staff (sociocultural)
29. 3. Comfort theme of hospital life (environment).
43. Areas of Referred Pain Liver Appendix Ureter Liver Heart Stomach Gallbladder Small intestines Ovary Kidney Colon Bladder
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49. Example : Jack injured his left leg, which caused an impairment in his ability to flex his knee 50%. Since he was a school bus driver, this handicap made him no longer able to operate the bus safely.
50. Case Study Mr. Thompson, age 72, suffered a left-sided brain hemorrhage 3 weeks earlier. Because of this, he was unable to speak or use his right arm or leg. He was also incontinent of urine and exhibited some right-sided facial paralysis. After 5 days in the hospital, it was determined that Mr. Thompson’s condition had stabilized, and he was transferred to a rehabilitation facility to continue the rehabilitation process. At this time, his speech had returned, but was slurred and halting.
51. He had minimal movement in his right arm and leg but was still unable to walk or feed himself. The incontinence of urine persisted, and he had several reddened areas on his right hip and coccyx. Before his injury Mr. Thompson had been living with only his wife of 50 years, who also was in poor health. They had no family living in the state, and she was quite concerned about how she would care for him once he was sent home.
52. To comprehend all that is involved in helping Mr. Thompson’s return to full functioning (if that is possible), first you need to imagine a typical day in the Thompson household and to identify all the ADL and IADL competencies required to get through the day. Next, think about all the people and services that may be necessary to prevent further injury and to increase functioning.
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54. PATIENT & FAMILY Rehab Team NUTRITIONIST NURSE PSYCHOLOGIST PHYSICAL THERAPIST OCCUPATIONAL THERAPIST SOCIAL WORKER PHYSICIAN RECREATIONAL THERAPIST SPEECH THERAPIST
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Editor's Notes
Disease: and anything that disrupts function, limits freedom of action. Have students discuss what this means to them
![INTRODUCTION TO MEDICAL-SURGICAL NURSING Homeostasis -- Body is in a state of equilibrium ,[object Object],normal physical &/or mental function -- cold = goosebumps -- fever = diaphoresis -- shock = increased pulse rate -- maintenance of a stable internal environment ,[object Object],maintain itself -- Many of the signs & symptoms of disease is the result of this adaptive process](https://image.slidesharecdn.com/intro-to-medsurge-1197421386341150-3/85/Intro-To-Med-Surge-1-320.jpg)
![It is our ability to adjust to environmental, physiological, & psychological changes that determines our ability to maintain health STRESS -- Involves two components : ,[object Object],[object Object],-- Even the behavior we see are often Defense Mechanism for the reduction of emotional stress -- is the response of the body to demands placed on it](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)