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COPING RNSG 1533 Health Care Concepts II Concept - COPING Concept Definition Coping is an ever changing process involving both cognitive means and behavioral actions, in order to manage internal or external situations that are perceived as difficult and/or beyond the individual’s current resources. Exemplars Anxiety Generalized Anxiety Disorder, Panic Disorder (Attack, Obsessive Compulsive Personality Disorder, Eating Disorders (Anorexia Nervosa, Bulimia), and Phobia. Stress Separation Anxiety (Developmental), Post-traumatic Stress Disorder, Physical Response/Disease, Lifespan Response. Substance Abuse/Addictive Behaviors Alcoholism, Maternal/Fetal Cocaine Addiction, Neonatal Abstinence Syndrome (withdrawal). Objectives Anxiety 1. Differentiate anxiety and stress. 2. Explain general anxiety disorders, panic disorders, obsessive-compulsive disorders, eating disorders and phobias. 3. Describe symptomatology associated with anorexia nervosa and bulimia nervosa. 4. Evaluate the nursing management of a patient with an eating disorder. 5. Explore the effects of developmental stages on separation anxiety and develop a nursing care plan for a patient. 6. Apply therapeutic communication techniques to the individual experiencing “disabling” anxiety. Stress 1. Review Selye’s General Adaptation Theory and apply it to the development Physical Response/Disease, Lifespan Response. 2. Describe post-traumatic stress disorder and apply the nursing process for an individual experiencing the disorder. Substance Abuse/Addictive Behaviors 1. Explain the difference between abuse, dependence, intoxication and withdrawal. 2. Operationalize the nursing process for the patient and family experiencing substance use and substance induced disorders. Assignments Prior to class: 1. Review concept analysis diagram. 2. Review definitions of interrelated concepts on concept analysis diagram. 3. Review Seyle’s General Adaption Syndrome (GAS); Ego defense mechanisms 4. Required Assigned reading: *Page numbers, assignments, and other lecture information will be posted on blackboard. Giddens, J.F. (2016). Concepts for nursing practice (2nd.). St. Louis: Mosby Elsevier. Chapter 32: Coping Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical nursing (9th ed). St. Louis: Mosby Elsevier. Chapter 7: Stress and Stress Management Chapter 8: Sleep and Sleep Disorders 92 COPING Halter, M. (2014). Varcarolis’ Foundations of psychiatric- mental health nursing (7th ed.). Elsevier. St. Louis Chapter 15: Anxiety and Anxiety Disorders Chapter 18: Eating Disorders Chapter 19: Sleep-Wake Disorders Chapter 22: Substance Related and Addictive Disorders McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4th ed). St. Louis: Elsevier Saunders. Chapter 24: Childbearing Family with Special Needs; Neonatal abstinence Burchum, J. and Rosenthal, L. (2016). Lehne’s pharmacology for nursing care (9th ed). Elsevier, St. Louis. Chapter 34: Sedative-Hypnotic Drugs Chapter 35: Management of Anxiety Disorders Chapter 37: Drug Abuse I: Basic Considerations Chapter 38: Drug Abuse II: Alcohol Chapter 39: Drug Abuse III: Nicotine and Smoking Chapter 40: Drug Abuse IV: Major Drugs Other Than Alcohol and Nicotine Chapter 48: Drugs for Peptic Ulcer Disease Elsevier Adaptive Learning for Fundamentals of Nursing Chapter 32: Coping Elsevier Adaptive Quizzing for Fundamentals of Nursing Chapter 32: Coping Elsevier Nursing Concepts Online Chapter 32: Coping Lehne’s Online Pharmacology for Nursing Care Chapter 34: Sedative-Hypnotic Drugs Chapter 35: Management of Anxiety Disorders Chapter 37: Drug Abuse I: Basic Considerations Chapter 38: Drug Abuse II: Alcohol Chapter 39: Drug Abuse III: Nicotine and Smoking Chapter 40: Drug Abuse IV: Major Drugs Other Than Alcohol and Nicotine Chapter 48: Drugs for Peptic Ulcer Disease Concept content outline: Anxiety versus stress Spectrum of anxiety Anxiety Disorders Generalized Anxiety Disorder Panic Disorder Phobia Obsessive Compulsive Personality Disorder Eating disorders Anorexia Bulimia Stress 93 COPING Separation Anxiety (Developmental) Post-traumatic stress Physical Response/Disease Lifespan Response Anxiety-Nursing Process Assessment Diagnoses Goals/Planning Implementation/Intervention Evaluation Anxiolytics Benzodiazepines SSRIs SNRIs Buspar Substance Abuse/Addictive Behaviors Alcoholism Maternal/fetal cocaine addiction Neonatal abstinence syndrome/withdrawal symptoms Substance Abuse-Nursing Process Diagnoses Goals/Planning Implementation/Intervention Evaluation Reviewed-11/2016 94