Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more ➡
Download
Standard view
Full view
of .
Add note
Save to My Library
Sync to mobile
Look up keyword
Like this
2Activity
×
0 of .
Results for:
No results containing your search query
P. 1
Chapter 009

Chapter 009

Ratings: (0)|Views: 554|Likes:
Published by lani416

More info:

Published by: lani416 on Jan 11, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, DOC, TXT or read online from Scribd
See More
See less

07/20/2010

pdf

text

original

 
Lewis et al: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 7
th
edition
Key PointsChapter 9: Stress and Stress Management
Stress
occurs when individuals perceive that they cannot adequately cope with thedemands being made on them or with the threats to their well-being.
Key personal characteristics—such as hardiness, sense of coherence, resilience, andattitude—buffer the impact of stress.
The physiologic response of the person to stress is reflected in the interrelationship of thenervous, endocrine, and immune systems. Stress activation of these systems affects other systems, such as the cardiovascular, respiratory, gastrointestinal, renal, and reproductivesystems.
Stress can have effects on cognitive function, including poor concentration, memory problems, distressing dreams, sleep disturbances, and impaired decision-making.
Long-term stress may increase the risk of cardiovascular diseases such as atherosclerosisand hypertension. Other conditions either precipitated or aggravated by stress includemigraine headaches, irritable bowel syndrome, and peptic ulcers.
Coping
is defined as a person’s cognitive and behavioral efforts to manage specificexternal or internal stressors that seem to exceed available resources.
Coping can be either positive or negative. Positive coping includes activities such asexercise and use of social support. Negative coping may include substance abuse anddenial.
Coping strategies can also be divided into two broad categories: emotion-focused copingand problem-focused coping.
Emotion-focused coping
involves managing the emotions that an individual feels whena stressful event occurs.
Problem-focused coping
attempts to find solutions to resolvethe problems causing the stress.
Relaxation strategies
can be used to cope with stressful circumstances and elicit therelaxation response.
The
relaxation response
is the state of physiologic and psychologic deep rest. It is theopposite of the stress response and is characterized by decreased sympathetic nervous
Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->