NURS 224 Lecture Notes - Lecture 29: Dual Diagnosis, Physical Disability, Cortisol

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Medicine wheel contains mind, body, spirit and emotion integrates seasons, directions and components of health. Community: involvement, social networks, social support, school environment, neighbourhood, work environment. Physical aspects of the brain (e. g. lobes, damaged neurons, defects) Stress: real or perceived with physical/psychological responses, reaction is determined by the duration, severity, resources and coping skills of the individual. Perception (age, culture, spirituality, gender, life experience) Personality (internal vs. external locus of control, resilience) Stressor: event that disrupts homeostasis and causes a need for change/adaptation. Episodic stress: regularly or as a response to unhealthy patterns of behaviour. Physiological stressors: cancer, chronic obstructive pulmonary disease, dementia, diabetes, organ failure (such as heart, renal, or respiratory failure, myocardial infarction, acute and chronic pain, traumatic injury. Income disparity racialization age (higher risk in young adults and middle aged adults) gender (women, quees, trans 2s) Mental health consequences of chronic stress (prolonged exposure to cortisol) Problems with executive function (memory, decision making)

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