stress_managementpresentation

8/3/2019 stress_managementpresentation

1/34


2/34

Stress.stress is the nonspecific response of the

body to any demand, whether it is caused

by, or results in pleasant or unpleasantconditions.

Hans Selye, MD


3/34

Stress

asociopsychophysiological phenomenon. It isa composite of intellectual, behavioral,

metabolic, immune, and other physiological

responses to a stressor (or stressors) of

endogenous or exogenous origins. The stressorsmay involve thoughts and feelings or may be a

perceived threat or some other condition such as

cold. The response generally serves a protective,

adaptive function.

Lindsay, Carrieri-Kohlman, Page


4/34

LEVELS OF STRESS

EUSTRESS-Eustress or

positive stress occurs

when your level of

stress is high enough tomotivate you to move

into action to get things

accomplished.


5/34

DISTRESS-Distress or

negative stress occurs

when your level of

stress is either too highor too low and your

body and/or mind begin

to respond negatively to

the stressors.


6/34

Sources of StressThe Good

Buy a new home

Go on vacation

New Job

Promotion

The BadBreak a leg

Spouse loses job

Kidlet in trouble

Lose wallet

In-laws coming

The UglyNasty car accident

Bankruptcy

Divorce

Loved one dying


7/34

Types of Stressors

Emotional

Environmntal

Injury

PhysicalIllness

Career

Pressures


8/34

Why Stress Management?

Stress Related Disorders & ChemicalDependenc

lost productivity

increased health care expenses increased absenteeism

increased accidents


9/34

98.6

pH 7.4

Oxygen99%

98.6

pH 7.4

Oxygen99%


10/34

Autonomic Nervous System

Sympathetic Increased HR, BP, RR

Muscles tense

Brain becomes morealert

Liver increases bloodglucose level

Digestion inhibited

Pupils dilate

Parasympathetic

Normalizes HR, BP, RR

Muscles relax

Energy storage

Promotes growth

Mediates calm

Pupils constrict


11/34

How Can the Stress Response

Make Us Sick? Chronically elevated BP

atherosclerosis

myocardial ischemia

Constantly using stored energy

tire more easily

Blocked insulin secretion

higher risk of diabetes


12/34

Why Stress Management?

Researchers indicate 2/3 of medical visitsare for stress related illnesses

Stress response contributes to:

coronary artery disease

cancer

respiratory disorders

unintentional injuries

cirrhosis suicide


13/34

Physiologic Signs of Stress

Immediate Changes

Increased cardiac output

Increased circulation

Increased BP, RR

Increased sweating

Piloerection

Pupil dilatation

Decreased salivation

Decreased gastric motility

Hyperalertness

Increased blood sugar

Use of blood glucose

Decreased stored energy

Increased fatty acids

Increased metabolism


14/34

Physiologic Sign of Stress

Long Term Effects

Increased breakdown ofprotein

Increased blood glucose

Increased vascularconstriction

Decreased inflammatoryresponse

Decreased immuneresponse

Increased fluid volume

Increased sodium & fluidretention in kidneys


15/34

Emotional Signs of Stress Denial

Fear

Depression

Grief Anger

Worry

Uncertainty

Hopelessness

Helplessness

Feeling lost

Wishing to hide Anxiety

Panic

Inappropriate Emotions


16/34

Cognitive Signs & Symptoms

Difficulty Making Decisions

Confusion

Difficulty Naming Familiar Items

Poor Concentration Blaming Others

Memory Problems

Replaying Events Over & Over


17/34

Behavioral Signs of Stress

Withdrawal

Suspiciousness

Excessive Humor or Silence

Increased Smoking, Alcohol or Food

Change in Activity Level

Angry Outbursts

Crying Spells


18/34

Negative Self-Talk

The Worrier Voice - What if..? Make a plan then get it out of your head.

The Critic Voice - How stupid..

Recognize what is really true.

The Victim Voice - Ill never be able to..

There is always something to do to work toward agoal.

The Perfectionist - I should Assess your unrealistic expectations of yourself.


19/34

Feeling on edge

Vague sense of future doomFear losing control

Racing thoughts

Detached from selfDecreased ability to learn


20/34

Physical Symptoms of Anxiety

Increased Muscle Tension Dizziness

Rapid Heartbeat

Shortness of Breath Queasy Stomach

Dry Mouth

Increased Perspiration Problems with Sleep


21/34

Coping Skills to ManageAnxiety

Relaxation Techniques

Exercise

Examine Self Talk

Develop Action Plan

Avoid Stimulants

caffeine, nicotine, sugar

Counseling

Drug Therapy

A


22/34

AngerPhysical Symptoms

Increased HR, BP Increased Muscle Tension &

Sweating

Restlessness Emotional Symptoms

Shattered Beliefs in a Just World

Wronged Ready to Fight

Defensive


23/34

Anger Management

Anger Intensifying

Yelling

Sulking

Pouting

Hitting

Other Violence

Competitive Games

Accusations

Arguing

Cooling Off Habits

Abdominal Breathing

Count to Ten

Non-CompetitiveExercise

Distraction

Humor

Empathy for Other

Person


24/34

Workaholic BehaviorsA person whose desire to work long and

hard is intrinsic, and whose work

habits always exceed the job

description and expectation of others.


25/34


26/34

Workaholic Behaviors

Impaired

No pleasure inleisure

Distressed when not

working Isolated lifestyle

Family in distress

Contented

Family accepts workhabits

Autonomy & variety in

workplace Good match between

personality & job skills

Good health


27/34

Suggested Behaviors

Dont ruminate over problems

Respond to signs of fatigue

Dont self medicate

ie. alcohol/drug abuse

Take scheduled time off

Stabilize domestic situations

Develop/maintain friendships

Engage in regular exercise

Foster sense of humor


28/34

Depression

Mild

Moderate Severe

Always requires professional help.


29/34

Garbage In = Garbage Out

Told you so...

Heart DiseaseHypertension

Arthritis HeadacheStroke IrritableBowel

Cancer Diabetes

Cumulative

StressUgly HealthHabits


30/34

Healthy Habits

Nutrition Attention to Symptoms

Exercise

Sleep Recreation

Stretching

Social Support Humor

Balance is the Key


31/34

Physiology of CircadianRhythms

Stages of Sleep

REM Sleep

Shift Work


32/34

Increase Quality of Sleep

Do Exercise (early in day)

Avoid Caffeine

Avoid Alcohol

Dont Self Medicate for Sleep

(some sedatives interfere with deep sleep)

Relaxation Techniques Before Sleep

Warm Bath Avoid Rich Foods Before Sleep


33/34

Causes Deep AbdominalBreathing

Increases Circulation

Releases Endorphins &Enkyins

Relieves Tension

Puts Life into Perspective


34/34

Relaxation Techniques

Abdominal Breathing

Active Progressive Muscle Relaxation

Visualization

Self-Hypnosis

Meditation

Music

Stretching

Exercise

stress_managementpresentation

Documents

Transcript of stress_managementpresentation