Test 3, Slides, Psychosocial Assessment

The patient's support system is a source of _____ and _____

faith hope

What Should We Do?

- Know your own beliefs so you are capable of caring for clients without bias - Show genuine concern - Avoid making assumptions about the client's religion and beliefs - Accept the dignity and worth of each client despite socioeconomic status, personal characteristics or type of health problem

How many Races are there in the world:

6

A person's feelings as they appear to others:

Affect

A feeling of apprehensive uneasiness which can impact a patient's perceptive and actual ability to participate in setting and then carrying out health care activities:

Anxiety

What feelings are seen with a situational crisis and loss of control (violence)?

Anxiety Anger Denial Helplessness Hopelessness Lack of faith

Current evidence shows a link between:

Body Mind Spirit

Steps to Establish Presence:

Calm, self-confident approach Be non-judgmental Demonstrate empathy Actively listen Answer questions Positive but realistic attitude Give patient choices; allow them to make decisions (very important) Involve family in discussions, as appropriate

Behavior that is goal directed to finding a solution to a problem:

Coping

Behavior that is goal directed toward finding a solution to a problem:

Coping

_____ is an integration of values, beliefs, goals and practices; often shared between people of the same _____ group

Culture ethnic

Empathy vs Sympathy

Empathy: when you understand and feel another's feelings for yourself Sympathy: you have compassion for that person, but you don't necessarily feel her feelings

_____ _____ are people who are classified according to a common origin, heritage, nationality or religion

Ethnic groups

Psychosocial Vital Signs (PVS) Coping questions:

How are you dealing with this? How are you handling the situation? On a scale of 0 - 10 how would you rate your sense of handling this situation? What thing usually works for you in managing stress? What gives you energy during difficult times?

Psychosocial Vital Signs (PVS) Anxiety questions:

How is this situation affecting you? How do you feel about the situation? On a scale of 0 - 10 how would you rate your level of anxiety right now?

Good Behaviors that drive positive patient perceptions:

Knock Wash hands Smile, handshake/touch shoulder Sit at eye-level Slow down Eye contact Non-medical opening comments Introduce self to everyone in room, state experience Ask patient main concerns Explain what's next Let patient know when you'll be back, and keep it Compliment other caregivers to patient Thank the patient for letting you care for them

People/resources who can both assist and validate the patient's personal strengths:

Situational Support

Emotional state expressed verbally and non-verbally:

Mood

How do you get patients to tell you personal things without feeling intrusive?

No judgment, caring, rapport, bedside manner, understanding their culture Establish Presence

The conscious interpretation of sensory stimuli that serves as a basis for understanding, motivating, taking action or reaction:

Perception

A person's health depends on a balance of multiple factors:

Physical Psychological Sociological Cultural Developmental Spiritual

Which 2 Universal Self-Care Requisite's (USCR's) are appropriate for Psychosocial issues?

Solitude and Social Interaction Promotion of Human Functioning

A persons support system can be:

Spouse Church Family Others

What is the number one thing that affects a persons ability to cope?

Support system

Three factors which effect a person's ability to cope during illness:

Support system Past coping Recent losses/stressors

_____ _____ provide clients with the greatest sense of well-being during hospitalization

Support systems

Additional patient questions for consideration:

What does your typical day look like? Are you or have you been in a relationship that caused you fear or pain? Do you have any concerns for your physical safety at home? In general, how happy or satisfied are you with your life?

Psychosocial Vital Signs (PVS) Perception questions:

What is your understanding about what is going on here? What are your thoughts about what is happening in this situation? On a scale of 0 - 10 how would you rate this situation?

Name the 6 races:

White Black and African American American Indian and Alaskan Native Asian Native Hawaiian and other Pacific Islander Some other race

Psychosocial Vital Signs (PVS) Situational Support questions:

Who is someone you can depend on right now? Who can be here for you during this situation? On a scale of 0 - 10 how would you rate your sense of support in this situation? Where will you be going when you are discharged? Will there be anyone there to care for you?

Life-threatening illness increases anxiety, it is our job to _____ the level of anxiety of our patient and help them initiate methods to cope successfully

assess

Include patients' support network when planning care and promote interpersonal _____ needed for recovery

bonding

Coping is influenced by a person's age and _____ _____

cultural background

A person's _____ _____ and convictions are powerful resources for healing

inner beliefs

As nurses, we should provide _____ during patient visits. Their support systems serve as a link connecting the client and their lifestyle prior to their illness.

privacy

Anxiety can motivate the adult to rethink life goals and may even stimulate _____

productivity

Coping is the person's effort to manage _____ stress

psychological

Regarding Developmental Considerations, after spending time with your patient, decide what specific Erickson stage they are in and give your _____

rationale

People's goals, their beliefs and personal _____ determine how they cope with stress

resources

People often use race and ethnic group to mean the _____ thing

same

Race is genetic and includes physical characteristics that are _____ among members of the same group

similar

No single coping strategy works for everyone or for every _____. The same person may cope _____ from one time to another

stress differently

For a "Risk for" to be an Actual problem, there must be S&S or M/B to _____ the presence of the problem

support

Nurses provide spiritual care by _____ patients' participation in spiritual rituals and activities

supporting

Give patient choices carefully, give them two choices both of which work for _____

you