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(NS 300) Coping-Stress Tolerance.

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(NS 300) Coping-Stress Tolerance. stress condition in which a person responds to change in the normal, balanced state; response to the presence of a stressor; the bodies non-specific response to a demand that is placed upon it stressor any demand, situation, internal stimulus, or circumstance that threatens a person's personal security or self-integrity; event that causes person to experience stress stress and health how a patient responds to these stressors is affected by the complex interaction of social, emotional, and physiological factors that singularly and collectively influence health and well-being coping-stress tolerance concepts a) coping b) coping strategy c) stress tolerance coping dealing with change coping strategy natural or learned efforts to manage change, a specific problem, or a threat or a challenge that one encounters stress tolerance usual manner of responding to stress stress models a) simulus-based models b) response-based models c) transaction-based models

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(NS 300) Coping-Stress Tolerance.
stress

condition in which a person responds to change in the normal, balanced state; response to the
presence of a stressor; the bodies non-specific response to a demand that is placed upon it

stressor

any demand, situation, internal stimulus, or circumstance that threatens a person's personal security
or self-integrity; event that causes person to experience stress

stress and health

how a patient responds to these stressors is affected by the complex interaction of social, emotional,
and physiological factors that singularly and collectively influence health and well-being

coping-stress tolerance concepts

a) coping
b) coping strategy
c) stress tolerance

coping

dealing with change

coping strategy

natural or learned efforts to manage change, a specific problem, or a threat or a challenge that one
encounters

stress tolerance

usual manner of responding to stress

stress models

a) simulus-based models
b) response-based models
c) transaction-based models

simulus-based models

stress defined as a stimulus, a life event, or set of circumstances that arouses
physiologic/psychologic reaction and may increase vulnerability to illness

holmes and rache scale

a stimulus-based model in which life events have a numerical value, but the stress that events bring
is interpreted personally and individually

response-based models

stress may be considered a response; a non-specific response of body to any kind of demand made
upon it; any factor that disturbs the body's equilibrium

, selye's general adaptation syndrome (GAS)

a response-based model involving stages of the alarm reaction, the stage of resistance, and the stage
of exhaustion

homeostasis

all systems are reactive to everyday stressors in a balanced and healthful manner

alarm reaction stage

the initial reaction of the body which alerts the body's defenses

alarm

stressor is perceived; homeostasis slightly drops as the mind and body temporarily lose balance

resistance stage

adaptation resources are mobilized to combat stressor; endocrine system comes into play

exhaustion stage

adaptation and energy stores are depleted; when replenished, body returns to homeostasis

death

in extreme and chronic cases, exhaustion can become so pronounced that it is life threatening

recovery

stressful situations that are well or partially managed result in a complete or partial return to
homeostasis and normal functioning

transaction-based models

based on Lazarus transactional stress theory, a set of cognitive, affective, and adaptive (coping)
responses that arise out of person-environment transactions; person and environment are
inseparable

stress indicators

- physiologic
- psychologic
- cognitive

physiologic indicators

- pupils dilate
- sweating
- increased HR/CO
- pallor
- sodium and water retained
- tachypnea
- oliguria
- dry mouth
- decreased peristalsis

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