Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Definition: The perception of the individual that one’s own action will not significantly affect an outcome.Powerlessness is the perceived lack of control over a current situation or immediate happening.SUPPORTING DATAETIOLOGYHealth care environmentIllness-related regimenInterpersonal interactionLife-style of helplessnessDEFINING CHARACTERISTICSSubjectiveSevere:Verbal expressions of having no control or influence over situation, outcome, or self-careDepression over physical deterioration that occurs despite patient compliance with regimensModerate:Non-participation in care or decision making when opportunities are providedExpressions of dissatisfaction and frustration over inability to perform previous tasks and/or activitiesExpression of doubt regarding role performanceReluctance to express true feelings, fearing alienation from care-giversLow:Expressions of uncertainty about fluctuating energy levelsObjectiveSevere:Apathy [Anger]Moderate:Does not monitor progressDependence on others that may result in irritability, resentment, anger, and guiltInability to seek information regarding careDoes not defend self-care practices when challengedPassivityLowPassivity________________________________________________________________________________________________RAPE TRAUMA SYNDROME_____________________________________________________________________ Diagnostic Division: Emotional ReactionsDefinition: Rape is forced and violent sexual penetration against the victim’s will and without the victim’sconsent. The trauma syndrome that develops from an attack or attempted attack includes an acute phase ofdisorganization of the victim’s life -style and a long-term process of reorganization of life-style. This syndromeincludes the following three subcomponents: A, B, and C. [While attacks are most often directed towardwomen, men also may be victims.]SUPPORTING DATADEFINING CHARACTERISTICSRape Trauma