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ch 6 definitions


Department
Psychology
Course Code
PSYC 365
Professor
David Cox

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Chapter 6: Hospital Stays and Medical Procedures
Non-invasive -Any procedure that doesn’t include piercing the skin or entering the body with an instrument
Day-care patients -Person who goes to the hospital for procedure or test that’s more involved than routine radiography but does
not stay overnight
-Might be put under general anaesthetic so tend to be admitted early in day and discharged by late afternoon
-Usually need to be accompanied by someone who can be sure they get home safely and comfortably after
procedure
-Get identification wristbands associated with hospital stays
Reactance -Behaving counter to recommendations in response to feeling that hone has lost personal control over health
behaviours; non-compliant behaviours and attitudes of patients who perceive hospital rules and regimens to
be unacceptable challenges to their freedom
-Behaviours of “bad patients”
-Complaints and demands for additional attention maybe angry attempts by patient to re-establish at least
small measure of personal freedom
-Reponses = likely to experience anger, heightened secretion of stress hormones, possible aggravation of
cardiovascular problems
Learned helplessness -State in which a person, because of experience with previously uncontrollable stressful situations, learns to
do nothing about a new stressor, rather than trying to cope constructively with it
-Belief nothing can be done to improve a difficult situation
-Place risk for nor epinephrine depletion, general erosion of health and possibility of sudden death
Empowering care -Patient care that yields indepednece and reuslt sin learned mastery
Disempowering care -Patient care that yields dependence and can result in learned helplessness
Monitors -People who seek information in their attempt to cope with illness and its accompanying challenges
-Given large amount of information showed low physiological stress, if little information = more stress
Blunters -People who avoid information in their attempt to cope with illness and its accompanying challenges
-Little information = low stress, more = greater stress
Uniformity myth -Belief that all patient should receive the same amount of information in their preparation for a hospital stay
regardless of their persona styles of coping with stress
-Some practitioners and researchers that an informed patient simply copes better
Dehumanization -Tendency to see people as objects or body parts rather than human beings
ICU -Intensive care unit; modern hospital = stays are short and technology dominates
-Taking up more and more of a hospital’s floor space “technical virtuosity” and relatively frequent death
prevent patients from forming bonds with each other discourage staff from forming therapeutic bonds
with patients
-Strong orientation to physiology = can create sense of depersonalization
-Save lives so ideal is to balance technology and human touch
Medical ethnographers -People studying hospital culture
-Identified administering medication and bathing (helplessness) patients as two important therapeutic rituals
(doc prescribe meds. And nurse see to it that they take it), most of time patient cooperative and nurse
reward with show of appreciation but if resist than ritual changes to one of “assertive empathy” (I know you
don’t like it , but you must take it)
No code -Decision made not to resuscitate a patient if their heart stops
Socioemotional care -Interaction that help patients maintain a sense of optimism and psychological well-being
-Patients good judges of this because know what pleasant disposition looks like (kindness, patience,
respect) so will articulate their needs and expectations in terms of socioemotional care
-Nurse say listening is most important aspects of good nursing care, but patients answer with knowledge of
how to give shots, IVs and manage equipments
Technical care -Activities involving prescribed medical procures, independent of the psychological needs of the patient
-Patients not expert in this so can’t ask them to judge
-Determines patients satisfaction when patient’s physical comfort and pain levels are involved
Burnout -Condition that is similar to compassion fatigue and includes symptoms of physical exhaustion, cynicism,
depersonalization of patients, and feelings of discouragement and low accomplishment
-Results from excessive patient loads, or nurses experiencing a “gap between expectations to fulfill their
profession role sand structure of the organization”
-Correlated with patient’s dissatisfaction and job (-) satisfaction
-Patients are sensitive to nurses burnout
Invasiveness -Measure of extent to which hospital procedures, in a physical sense, involve piercing of skin or entering
body with instruments or in psychological sense, have potential to cause embarrassment
-To understand potential negative psyhcological impact of a medical procedure
False positive -Results that indicates abnormality when none exists
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