In
medicine
Medicine is the science and Praxis (process), practice of caring for a patient, managing the diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, and Health promotion ...
, decompensation is the functional deterioration of a structure or system that had been previously working with the help of compensation. Decompensation may occur due to
fatigue
Fatigue describes a state of tiredness that does not resolve with rest or sleep. In general usage, fatigue is synonymous with extreme tiredness or exhaustion that normally follows prolonged physical or mental activity. When it does not resolve ...
,
stress, illness, or old age. When a system is "compensated," it is able to function despite stressors or defects. Decompensation describes an inability to compensate for these deficiencies. It is a general term commonly used in medicine to describe a variety of situations.
Physiology
For example, ''cardiac decompensation'' may refer to the failure of the heart to maintain adequate blood
circulation
Circulation may refer to:
Science and technology
* Atmospheric circulation, the large-scale movement of air
* Circulation (physics), the path integral of the fluid velocity around a closed curve in a fluid flow field
* Circulatory system, a bio ...
, after long-standing (previously compensated)
vascular disease
Vascular disease is a class of diseases of the blood vessels – the arteries and veins of the circulatory system of the body. Vascular disease is a subgroup of cardiovascular disease. Disorders in this vast network of blood vessels can cause a ...
(see
heart failure
Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, ...
). Short-term treatment of cardiac decompensation can be achieved through administration of
dobutamine, resulting in an increase in
heart contractility via an
inotropic
An inotrope is an agent that alters the force or energy of muscular contractions. Negatively inotropic agents weaken the force of muscular contractions. Positively inotropic agents increase the strength of muscular contraction.
The term ''inotr ...
effect.
Kidney failure
Kidney failure, also known as end-stage kidney disease, is a medical condition in which the kidneys can no longer adequately filter waste products from the blood, functioning at less than 15% of normal levels. Kidney failure is classified as eit ...
can also occur following a slow degradation of kidney function due to an underlying untreated illness; the symptoms of the latter can then become much more severe due to the lack of efficient compensation by the kidney.
Psychology
In
psychology
Psychology is the scientific study of mind and behavior. Psychology includes the study of conscious and unconscious phenomena, including feelings and thoughts. It is an academic discipline of immense scope, crossing the boundaries betwe ...
, the term refers to an individual's loss of healthy
defense mechanism
In psychoanalytic theory, a defence mechanism (American English: defense mechanism), is an unconscious psychological operation that functions to protect a person from anxiety-producing thoughts and feelings related to internal conflicts and o ...
s in response to
stress, resulting in personality disturbance or psychological imbalance.
References
External links
Heffner, C.L. (2001). Psychology 101.{{Use dmy dates, date=March 2017
Psychoanalytic terminology
Medical terminology
Narcissism
Borderline personality disorder