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Steady State
Internal constancy
Homeostasis
Stress
Adaptation
Types of Stressors
Physical
Examples: cold, heat, and chemical agents
Physiologic
Examples: pain and fatigue
Psychosocial
Examples: developmental tasks/changes, anxietyproducing events such as losing job
Adaptive Processes
Hypertrophy
Atrophy
Hyperplasia
Dysplasia
Metaplasia
Nursing Implications
Use of Nursing Process
Assessment
Diagnosis
Planning
Interventions
Evaluation
Assessment
Subjective symptoms
Objective symptoms
Include indicators of stress response such as anxiety,
increased pulse, and increased respirations.
Also consider potential indicators for stress such as life
events, developmental tasks, and health risk appraisal.
See Chart 6-2.
Nursing Diagnosis
Anxiety
Impaired adjustment
Ineffective coping
Social isolation
Risk for powerlessness
Risk for spiritual distress
Decisional conflict
Situational low self-esteem
Copyright 2008 Lippincott Williams & Wilkins.
Interventions
Stress management interventions:
Relaxation techniques
Progressive muscle relaxation
Guided imagery
Assist and support coping and adjustment
Coping enhancement; see Chart 6-3
Enhance social support; support and therapy groups
Promote a healthy lifestyle
Copyright 2008 Lippincott Williams & Wilkins.