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Coping Resources:
Coping resources are options or strategies that help
determine what can be done as well as what is at stake.
Coping resources include economic assets, abilities and
skills, defensive techniques, social supports, and
motivation. Other coping resources include health and
energy, spiritual supports , positive beliefs, problem-
solving and social skills, social and material resources,
and physical well-being.
Coping Mechanisms:
Coping mechanisms are any efforts directed at stress management. The three
main types of coping mechanisms are as follows:
Problem-focused coping mechanisms, which involve tasks and direct
efforts to cope with the treat itself. Examples include negotiation,
confrontation, and seeking advice.
Cognitively focused coping mechanisms, by which the person attempts to
control the meaning of the problem and thus neutralize it. Examples include
positive comparison, selective ignorance, substitution of rewards, and the
devaluation of desired objects.
Emotion-focused coping mechanisms by which the patient is oriented to
moderating emotional distress. Examples include the use of ego defense
mechanisms, such as denial, suppression, or projection. A detailed discussion
of coping and defense mechanisms.
Coping mechanisms can be constructive or destructive.
Patterns of Response:
According to the Stuart Stress Adaptation Model
an individual's response to stress is based on
specific predisposing factors, the nature of the
stressor, the perception of the situation, and an
analysis of coping resources and mechanisms.
Coping responses of the patient are then
evaluated on a continuum of adaptation/
maladaptation.
Responses that support functioning are seen
adaptive. They lead to growth, learning, and
goal achievement.
Responses that block integrated functioning
are seen as maladaptive. They prevent growth,
decrease autonomy, and interfere with mastery
of the environment.
Treatment Stages and Activities:
The final aspect of the Stuart Stress Adaptation Model
is the integration of the theoretical basis,
biopsychosocial components, patterns of response, and
nursing activities based on the patient's treatment stage.
Once patterns of coping responses have been
identified, the nurse determines which treatment stage
the patient is in and implements the most appropriate
nursing activities.
The model identifies four possible treatment stages: (1)
crisis, (2) acute, (3) maintenance, an (4) health
promotion.