Nursing 313 Stress, Frail Elderly, Economics

Nursing 313 Stress, Frail Elderly, Economics - Psychosocial...

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Unformatted text preview: Psychosocial Issues Part 1 Stress, Crisis, and Health in Aging Frailty, Vulnerability, and Elder Mistreatment Economic, Residential, and Legal Issues Stress Stress is any event or situation that brings about bodily or mental tension Acute stress Seldom productive in that it is an internal state perceived as threat to self Stress response exists with discrepancy between what the individual expects and that which requires change or recognition Healthy stress levels motivate one toward growth Stress overload diminishes ability to cope effectively Stressors Proximal stressors Those that are in the present and require prompt action and inner resources to avert crises Often acutely uncomfortable, pronounced, and require immediate adaptive energy daily for brief time Distal stressors Gone underground Individual may be unaware of stressors Usually chronic and sometimes imbedded in personality Stressors Chronic stressors Tend to be categorized as constant or remote events are contextual e.g. nongratifying marriage, childhood scars, inability to carry out desired activities Likely to activate depression Hassles and worry Stressors experienced in aging There are some stressors common to older people e.g. incompetency proceedings, inheritance conflicts, abandonment fears, hospitalization, institutionalization etc. Stress may appear as cognitive impairment that will be alleviated as stress is reduced to parameters of individuals adaptability Stress Assessment of stress levels Complex issue with many variables, both personal and environmental Confluence of daily hassles; distal, chronic, proximal stressors; worries; functional capacities all create stress load Worry scale-page 584 Stress management Cognitive style, coping strategies, social skills, personal efficacy, support systems, and personality are al significant to stress management Factors Influencing Ability to Manage Stress Health and fitness Sense of control over events Awareness of self and others Patience and tolerance Resilience Hardiness Social support Personal stability zones or strong sense of self Beliefs and values Life chart 7 Crises Constitute a major temporary disruption in coping capacity Distinction between crisis and stress is related to time Crises occur abruptly, are time limited, and are always resolved Any stressor that occur in lives of older people may be experienced as a crisis if the event occurs abruptly, is unanticipated, or requires skills or resources the elder person does not possess...
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This note was uploaded on 02/16/2011 for the course NURS 313 taught by Professor Astle during the Fall '10 term at South Carolina.

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Nursing 313 Stress, Frail Elderly, Economics - Psychosocial...

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