Definition of Stress and Crisis

Subject: Medical and Surgical Nursing I (Theory)

Overview

Stress is a condition brought on by a change in the environment that is deemed to be difficult, dangerous, or detrimental to the dynamic equilibrium of the individual. Distress is a type of harmful stress that develops when an individual's ability for adaptation is reduced or used up. Eustress is a type of stress that safeguards health by promoting positive emotions like happiness, hope, and purposeful motion. Physiological, psychological, emotional, and physical variables are all affected by stress. The development of a rational philosophy of life, time management, biofeedback training, stress reduction programs, and relaxation techniques are some ways to cope with stress. A condition of disequilibrium called a crisis is brought on by the interaction of an incident and a person's or family's coping systems. Situational, social, and maturational crises are the different types.

Stress

Stress is a common emotion or occurrence. Every person has gone through a wide range of pleasurable physiological and emotional changes that represent presence. A condition brought on by a change in the environment that is felt to be problematic for the dynamic equilibrium of the individual.

"The non-specific response of the body to any demand made upon it",-Hens Selye.

In sociological terms, social stress as ‘’a situation which places objective demands on an individual so as to over load his adaptive capacities.’’ – Jeanne Qenoliel (1976).

Stress is a negative life event.

Types of stress:

Selye identified two types of stress

  • Distress
  • Eustress

Distress:
When adaptive capacity is reduced or depleted, it causes negative, noxious, unpleasant, and damaging stress.

Eustress: 
Stress safeguards health by promoting positive emotions like joy, hope, and purposeful motion.

Effect of stress

Indicator

Sin and symptoms

Physical

Circulatory system

(cardiovascular)

  • Increased heart rate
  • Elevated blood pressure
  • Tightness of chest

Respiratory system

  • Tachypnea

Neuro/ Endocrine system

  • Headache, Migraines
  • Fatigue
  • Exhaustion
  • Sleep disturbance
  • Restlessness
  • Hyperactivity
  • Sweating (palms)
  • Dry mouth

Gastrointestinal system

  • Nausea
  • Diarrhea
  • Vomiting
  • Weight gain or loss
  • Change in appetite
  • Constipation
  • Gastrointestinal bleeding

 

Musculo skeletal system

  • Backache
  • Muscle ache
  • Bruxism
  • Slumped posture
  • Increased muscle tension in the neck.

Reproductive system

  • Amenorrhea
  • Failure to ovulate.
  • Importance in men
  • Loss of libido.

Immunological system

  • Frequent or prolonged colds

Genitourinary system

  • Frequency of urination
  • Decreased urinary output

Diagnostic

  • Blood in stool
  • Elevated blood glucose level

Psychological

  • Cognitive
  • Denial
  • Apathy
  • Confusion
  • Poor concentration
  • Forgetfulness
  • Slower thinking, reaction

 

Emotional

  • Negative thinking
  • Irritability
  • Lack of motivation to get up in the morning.
  • Disruption of logical thinking.

 

Behavioural/ life style

  • Worry
  • Decreased involvement with others

Burnout

  • Change in activity level

Loss of self-esteem

  • Changes in communication
  • Increased and decreased food intake.
  • Higher pitches voice
  • Excessive humor or silence

others

  • Increased or slightly decreased temperature.

 

Coping Mechanisms of Stress

Coping

  • Coping is a strategy that a person employs to deal with stressful situations that they face, perceive, and interpret.
  • Coping is an individual's attempt to control psychological stress.
  • Dealing effectively with a problem or a circumstance is a common definition of coping.

Some of the techniques of coping with stress are:

Although there are several ways to manage stress, the relaxation technique is the most popular. It induces physiologic modifications, lessens the psycho-physiological effects of stress, and fosters a sense of physical and mental well-being.

  • Calming technique
  • Training in biofeedback.
  • Programs for reducing stress.
  • Creation of a logical life philosophy.
  • Management of time.

Sources of Stress :

  • Virus and bacterium attacks.
  • Sports contests.
  • Trauma(injury, burns etc) (injury, burns etc.)
  • Social exclusion
  • Natural catastrophes
  • Social and family relationships that are disruptive.

Factors Which May Causes Stress:

  • Physical factors :
    Injurious substances to health include poison, heat, cold, radiation, low atmospheric pressure, drugs, etc.
  • Psychological factors:
    All processes that cause psychological stress are included, regardless of whether they start inside the person or in the environment. The central nervous system and the brain are first impacted by psychological factors.
  • Socio-cultural factors:
    Developmental issues may result from environmental and social pressures. Long-term poverty and physical impairment are potential stresses that could affect any age group but are particularly distressing for young people. When a parent or caregiver dies, gets divorced, goes to jail, or loses their relationship with them due to mental illness or substance abuse, children are especially vulnerable. Furthermore, living in an environment of ongoing violence, decaying neighborhoods, or homelessness is harmful for everyone, but young people in particular.
  • Ecological factor:
    Ecology is characterized as the area of biology that examines how organisms and their surroundings interact. The ecology, for instance, may become unbalanced as a result of war. Disease and war are closely related. Epidemic illnesses like cholera and plague may be brought on by war.
  • Occupational factors:
    Some jobs are more stressful than others, and occupational factors can result from a job. Promotions, transfers, downsizing, restructuring, changes in supervisors, and the addition of new responsibilities can all be stressful job changes.

Stress factors during hospitalization:

  • Unfamiliarity of the environment
  • Independence loss
  • Financial difficulty
  • Divorce from your spouse or family
  • Information deficit Medication issue
  • Separation from others

Crisis

Crisis is a condition of unrest brought on by the combination of an occurrence, a person's or family's coping mechanisms, which are insufficient to handle the demands of the circumstance, and the person's or family's interpretation of the significance of the incident (Taylor 1982).

Crisis proneness:

According to Hendricks (1985), some people are more vulnerable to crises than others.

The following traits are frequently observed in people who are thought to be more vulnerable to crisis:

  • Dissatisfaction with one's job or lack thereof.
  • Unresolved crisis history
  • Drug abuse history.
  • Low self-worth and unworthiness
  • Having trouble handling commonplace circumstances.
  • Aloofness and carelessness

Types of crisis.

  • Maturation crisis
    When adjustment and adaptation to new responsibilities and life patterns are required, this is known as a maturation crisis.
  • Situational crisis
    An unexpected stressful event that upsets the balance by jeopardizing one's sense of one's own biological, social, or psychological integrity is what causes a situational crisis.
  • Social crisis
    Social crises include natural disasters like floods, mass killings, the contamination of large areas by toxic wars, etc. Social crises are accidental, unusual, and unanticipated and cause multiple losses and radical environmental changes.

 References

  • books.google.com/books?isbn=8184480830
  • documents.mx › Documents
  • Mandal, G. (August 2013). A Textbook of Adult Health Nursing (2nd ed.). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
  • quizlet.com/170737509/ati-mental-health-flash-cards/
Things to remember

 

  • Stress is a negative life event.
  • Coping is an individual's attempt to control psychological stress.
  • Social and family relationships that are disruptive.
  • Independence loss
  • Separation from others
  • A state of disequilibrium called a crisis is brought on by the interaction of an event and a person's or family's coping mechanisms.
Questions and Answers

Stress is a universal sensation or feeling. Everyone has had a variety of pleasant subjective emotional and bodily changes that reflect their presence.

A state caused by a change in one's environment that is perceived as challenging, threatening, or harmful to one's dynamic equilibrium.

  • Coping is a strategy that a person employs to deal with stressful situations that they encounter, perceive, and interpret.
  • Coping is an individual's attempt to control psychological stress.
  • Dealing effectively with a problem or a situation is a common definition of coping.

Some of the techniques of coping with stress are:
Although there are several ways to manage stress, the relaxation technique is the most popular. It induces physiologic modifications, lessens the psycho-physiological effects of stress, and fosters a sense of physical and mental well-being.

Some methods for managing stress include:

  • Calming technique
  • Training in biofeedback.
  • Programs for reducing stress.
  • Creation of a logical life philosophy.
  • Management of time.

Sources of stress :

  • Virus and bacterium attacks.
  • Sports contests.
  • Trauma(injury, burns etc) (injury, burns etc.)
  • Social exclusion
  • Natural catastrophes
  • Social and family relationships that are disruptive.

Factors which may causes stress-

  • Physical factors :
    Physical factors: Which may cause harm to health, including poison, heat, cold, radiation, low atmospheric pressure, drugs, etc.
  • Psychological factors:
    Psychological stress refers to all processes, whether they start inside the person or in the world outside of them. The central nervous system and the brain are first impacted by psychological factors.
  • Socio-cultural factors :
    Developmental issues may result from environmental and social pressures. Long-term poverty and physical impairment are potential stresses that could affect any age group but are particularly distressing for young people. When a parent or caregiver dies, gets divorced, goes to jail, or loses their relationship with them due to mental illness or substance abuse, children are especially vulnerable. Furthermore, living in an environment of ongoing violence, decaying neighborhoods, or homelessness is harmful for everyone, but young people in particular.
  • Ecological factor:
    Ecology is characterized as the area of biology that examines how organisms and their surroundings interact. The ecology, for instance, may become unbalanced as a result of war. Disease and war are closely related. Epidemic illnesses like cholera and plague may be brought on by war.
  • Occupational factors:
    Some jobs are more stressful than others, and occupational factors can result from a job. Promotions, transfers, downsizing, restructuring, changes in supervisors, and the addition of new responsibilities can all be stressful job changes.

Stress factors during hospitalization:

  • Unfamiliarity of the environment
  • Independence loss
  • Financial difficulty
  • Divorce from your spouse or family
  • Information deficit Medication issue
  • Separation from others
  • Coping is a strategy that a person employs to deal with stressful situations that they face, perceive, and interpret.
  • Coping is an individual's attempt to control psychological stress.
  • Dealing effectively with a problem or a circumstance is a common definition of coping.

Although there are several ways to manage stress, the relaxation technique is the most popular. It induces physiologic modifications, lessens the psycho-physiological effects of stress, and fosters a sense of physical and mental well-being.

Some methods for managing stress include:

  • Calming technique
  • Training in biofeedback.
  • Programs for reducing stress.
  • Creation of a logical life philosophy.
  • Management of time.

Sources of Stress:

  • Virus and bacterium attacks.
  • Sports contests.
  • Trauma(injury, burns etc) (injury, burns etc.)
  • Social exclusion
  • Natural catastrophes
  • Social and family relationships that are disruptive.

Factors Which May Causes Stress-

  • Physical Factors:
    • Injurious substances to health include poison, heat, cold, radiation, low atmospheric pressure, drugs, etc.
  • Psychological Factors:
    • All processes that cause psychological stress are included, regardless of whether they start inside the person or in the environment. The central nervous system and the brain are first impacted by psychological factors.
  • Socio-cultural Factors:
    • Developmental issues may result from environmental and social pressures. Long-term poverty and physical impairment are potential stresses that could affect any age group but are particularly distressing for young people. When a parent or caregiver dies, gets divorced, goes to jail, or loses their relationship with them due to mental illness or substance abuse, children are especially vulnerable. Furthermore, living in an environment of ongoing violence, decaying neighborhoods, or homelessness is harmful for everyone, but young people in particular.
  • Ecological Factor:
    • Ecology is characterized as the area of biology that examines how organisms and their surroundings interact. The ecology, for instance, may become unbalanced as a result of war. Disease and war are intimately related. Epidemic illnesses like cholera and plague may be brought on by war.
  • Occupational Factors:
    • Some jobs are more stressful than others, and occupational factors can result from a job. Promotions, transfers, downsizing, restructuring, changes in supervisors, and the addition of new responsibilities can all be stressful job changes.

Stress Factors During Hospitalization:

  • Unfamiliarity of the environment.
  • Loss of individuality
  • Financial difficulty
  • Apart from the family or spouse.
  • Lack of knowledge.
  • Prescription medication issue
  • Separation from others.

Crisis is a state of disequilibrium caused by the interaction of an event, an individual's or family's coping mechanisms that are insufficient to meet the demands of the situation, and the individual's or family's perception of the event's meaning.

The following are characteristics often found in individuals who are regarded as being more susceptible to crisis:

  • Dissatisfaction with one's job or lack thereof.
  • Unresolved crisis history
  • Substance abuse history.
  • Low self-worth and unworthiness.
  • Having trouble handling commonplace situations.
  • Aloofness and carelessness.

Types of Crisis:

  • Maturation Crisis

A maturation crisis is a stage in a person’s life where adjustment and adaptation to new responsibilities and life patterns are necessary.

  • Situational Crisis

A situational crisis is one that is precipitated by an unanticipated stressful event that creates disequilibrium by threatening one’s sense of biological, social or psychological integrity.

  • Social Crisis

Social crisis is accidental, uncommon, and unanticipated and results in multiple losses and radical environmental changes, social crises include natural disasters like floods, mass killings, contamination of large area by toxic wars, etc.

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