Upon interrogation, she also stated that she noticed a loss of appetite over the last three months. She also admitted to having lost interest in socialising due to her feelings of tension and nervousness among people. She also reported difficulty to concentrate, lack of motivation, and as a result, she has been feeling incapacitated enough to be unproductive at her work as a clerical officer for the Roads and Traffic Authority. Linda also stated that she had felt some tension and nervousness as long as she could remember, although this had definitely exacerbated with the death of her sister 13 months ago. Although Linda has an extensive family network in New Zealand, she has no significant extended family present in her life locally. She has no record of mental health history. Linda is vague and non-specific about her current use of prescribed or non-prescribed medications and is unable to remember how much alcohol she had drunk in the last week. Linda states that she has rung Lifeline on many occasions but did not follow up on their advice until now. She appeared well dressed, thin, and pale, had dark circles under her eyes, and continually wrung her bandaged hands in her lap.
Stress can be described as a circumstance that disturbs, or is likely to disturb, the normal physiological or psychological functioning of a person, and such reactions are nonspecific, since the patient's reaction is determined by the general life situation and perceptual appraisal of the stressful event. Stress is one of the most complex concepts in health and nursing. It is difficult to define, but its detrimental effects are well known. Stress is associated with manifestations of physical illness, mental disorders, and social disruption. This creates a problem with general adaptation. It is often viewed as a nonspecific response to any demand or stressor. Adaptation can be conceptualized as a person's capacity to survive and flourish. Lack of adaptation affects three important areas, health, psychological well being, and social functioning. A period of stress such as in Linda has compromised all of these areas. She could not cope successfully with stress and therefore has been suffering from maladaptation. Obviously Linda has a poor social network with almost no interactions with the environment. Therefore her emotional supports are poor, thus decreasing her resources and her ability to cope with change. Her close family is away in New Zealand, and her she leads an isolated life. She has neither any intensity nor any reciprocity in her social network whatever available. The positive and harmonious interpersonal interactions that occur within a social relationship are missing from her life. She has neither emotional support nor informational support. Employment is a highly valued cultural norm, and the potential guilt associated with norm violation and the anticipated isolation from being ostracized are worse for that person than the physical and psychological pain. In that sense work is assigned significance beyond economic compensation. Work offers status, regulates life activities, permits association with others, and provides a meaningful life experience. Linda's inability to concentrate at work thus is further worsening her condition. When there is a healthy balance between work and