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Stress
Shawna Ilagan
MS, RD, CWPC, CHES
Overview
 Why managing stress is important.
 Consequences of not managing stress.
 Benefits of reducing stress.
 Barriers preventing people from   reducing
  stress.
 Strategies for managing stress.
What is Stress?
        Stress is the inability to
         cope with a threat (real or
         imagined) to your well-
         being, which results in
         a series of responses and
         adaptations by your body.
        Stress can lead to poor
         health and even injury.
Types of Stress
Stress Defined
   GOOD
    
        Getting Married
    
        Moving to a new home
    
        Starting a new job
    
        Getting ready to perform in a sporting event/race

   BAD
    
        Deadlines
    
        Death of a loved one
    
        Chronic illness
    
        Family problems
    
        Unresolved conflicts
    
        Downsizing
Why Are Your
 Stressors?

• Financial
• Daily Hassles
• Environmental
• Family-Related
• Health-Related
• Work-Related
Signs and Symptoms
    Mental          Physical       Behavioral
Nervousness      Headache        Overeating
Impatient        GI distress     Substance
Low self image   Tight muscles   abuse
Depression       High BP         Lack of interest
Crying easily    Sleep Issues    Irritable
Frustration      Fatigue         Blaming others
Stress in America
Studies show Americans work longer than
counterparts in all other developed countries
   25% - job is the number 1 stressor in their life.

    26% - they are very often burned out by their work

    35% - jobs were harming their physical/emotional health.
   40% - job was very often extremely stressful.
   42% - job pressures interfere with family/personal relationships.
   50% - have a more demanding workload this year than
    previous.
   75% - have more job stress than the generation before them.
Why Should We Be Concerned?
 Chronic stress may be
 the ultimate risk factor.
     May cause of 50%
      of all disease.
     Cancer and      Disease
 Stress has a dramatic
 effect on your immune
 system.
Why Be Concerned?
 Stress has also been linked to a number
 of other conditions including:
     Lung ailments            •   Sleeping problems
     Accidents                •   High blood pressure
     Cirrhosis of the liver   •   Asthma
     Suicide                  •   Allergies
     Migraine headaches       •   Ulcers
     Digestive problems
                               •   Tooth decay
     Mental illness
                               •   The common cold
Good News
 Life doesn’t have to be as stressful for you.
 Managing and reducing stress can protect
  you against the negative health
  consequences of stress.
 May also improve your quality of life.
 Everyone can do something to decrease
  their stress!
Stress Management Coping Skills

  Healthy Coping Skills        Unhealthy Coping Skills

Exercise                  Alcohol or drug use
Downtime for self-care    Avoidance of event
Balance between work and  Procrastination
play                       Overeating
Time management—initiate
a schedule
Benefits of Stress Management
 Keeps you calm when things go wrong
 Keeps you focused & positive
 Improves the quality of sleep
 Improved immune function
 Increase your energy level
 Improves digestion
 Prevent illnesses
Barriers to Managing Stress
1. “I just ‘deal’ with my stress, it’s not a big issue.”
2. “It’s just stress, I don’t need counseling”
3. “Stress is just a part of my job.”
4. “I don’t have time to deal with my stress.”
5. “I thrive on stress.”
6. “People who are stressed just can’t cope with reality.”
7. “If I just make it through these next few weeks I’ll be OK.”
8. “I’m so stressed, I don’t even know where to start.”
9. “Dealing with my stress would just be too expensive.”
10. “I’m always stressed, it hasn’t made a difference so far.”
Making Stress Management A
              Priority
 In order to make stress management a
 priority, it’s important to understand the
 process of how people change. When
 changing behaviors, like those associated
 with reducing stress, most people go
 though a cycle known as the “Stages of
 Change.”
Stages of Change
Stage 1: Nope…Not interested in dealing with
  my stress right now.
Stage 2: Hmm…I’m seriously considering
  stress management.
Stage 3: Yep…I’m getting ready to start dealing
  with stress.
Stage 4: Let’s go…I’m managing my stress.
Stage 5: Old news…I’ve been able to cope
  with my stress for a long time.
What Stage
             Are You In?
 Determining what stage you’re in is an
 important first step in learning to manage
 stress. Once you know where you’re at,
 you’ll be better equipped to cope with
 whatever life throws at you.




                                 25
Key Point: Change
           is a Process
 Pay attention to all of these change
 strategies no matter which stage you’re in.
  Because learning to manage stress is a
 process, chances are you’ll find yourself in
 each stage at some point in the process.




                                  26
HOW TO MANAGE STRESS:
      WELLNESS
     Way of Thinking
          Exercise
         Laughter
         Let it Go!
        Nvolvement
    Eat a Balanced Diet
       Set Priorities
           Sleep
W = Way of Thinking
 Attitude
 Perception
E = Exercise
 Get Moving
 Why Move
L = Laughter
 Did you know?
 Power of humor
L = Let it Go! All of it!
 Desk Stretches
 Deep Breathing
 Guided Relaxation
N = Nvolvement with Others
 Social Support System
 Friendships
 Interaction
E = Eat a Balanced Diet
 Food is fuel
 Food guide pyramid
     www.mypyramid.gov
     Then click on “my pyramid plan”
 Way of life
S = Set Priorities
 What is really important?
 Personal reflection
S = Sleep
 How much is enough
 Tips for better sleep
How to Reduce Stress?
Management Strategies
 Stress management is a decision-making
  process. When we are under stress, there
  are three major ways we can deal with it.
 The AAAbc’s of Stress
  
      A – alter it
  
      A – avoid it
     A – accept it
     b – building our resistance or
     c – changing our perception
Stress Management Techniques
 Relaxation Techniques
     Progressive Muscle Relaxation
     Deep Breathing
  
      Guided Imagery
Any Questions?

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Stress

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Overview  Why managing stress is important.  Consequences of not managing stress.  Benefits of reducing stress.  Barriers preventing people from reducing stress.  Strategies for managing stress.
  • 11. What is Stress?  Stress is the inability to cope with a threat (real or imagined) to your well- being, which results in a series of responses and adaptations by your body.  Stress can lead to poor health and even injury.
  • 13. Stress Defined  GOOD  Getting Married  Moving to a new home  Starting a new job  Getting ready to perform in a sporting event/race  BAD  Deadlines  Death of a loved one  Chronic illness  Family problems  Unresolved conflicts  Downsizing
  • 14. Why Are Your Stressors? • Financial • Daily Hassles • Environmental • Family-Related • Health-Related • Work-Related
  • 15. Signs and Symptoms Mental Physical Behavioral Nervousness Headache Overeating Impatient GI distress Substance Low self image Tight muscles abuse Depression High BP Lack of interest Crying easily Sleep Issues Irritable Frustration Fatigue Blaming others
  • 16. Stress in America Studies show Americans work longer than counterparts in all other developed countries  25% - job is the number 1 stressor in their life.  26% - they are very often burned out by their work  35% - jobs were harming their physical/emotional health.  40% - job was very often extremely stressful.  42% - job pressures interfere with family/personal relationships.  50% - have a more demanding workload this year than previous.  75% - have more job stress than the generation before them.
  • 17. Why Should We Be Concerned?  Chronic stress may be the ultimate risk factor.  May cause of 50% of all disease.  Cancer and Disease  Stress has a dramatic effect on your immune system.
  • 18. Why Be Concerned?  Stress has also been linked to a number of other conditions including:  Lung ailments • Sleeping problems  Accidents • High blood pressure  Cirrhosis of the liver • Asthma  Suicide • Allergies  Migraine headaches • Ulcers  Digestive problems • Tooth decay  Mental illness • The common cold
  • 19. Good News  Life doesn’t have to be as stressful for you.  Managing and reducing stress can protect you against the negative health consequences of stress.  May also improve your quality of life.  Everyone can do something to decrease their stress!
  • 20. Stress Management Coping Skills Healthy Coping Skills Unhealthy Coping Skills Exercise Alcohol or drug use Downtime for self-care  Avoidance of event Balance between work and  Procrastination play  Overeating Time management—initiate a schedule
  • 21. Benefits of Stress Management  Keeps you calm when things go wrong  Keeps you focused & positive  Improves the quality of sleep  Improved immune function  Increase your energy level  Improves digestion  Prevent illnesses
  • 22. Barriers to Managing Stress 1. “I just ‘deal’ with my stress, it’s not a big issue.” 2. “It’s just stress, I don’t need counseling” 3. “Stress is just a part of my job.” 4. “I don’t have time to deal with my stress.” 5. “I thrive on stress.” 6. “People who are stressed just can’t cope with reality.” 7. “If I just make it through these next few weeks I’ll be OK.” 8. “I’m so stressed, I don’t even know where to start.” 9. “Dealing with my stress would just be too expensive.” 10. “I’m always stressed, it hasn’t made a difference so far.”
  • 23. Making Stress Management A Priority  In order to make stress management a priority, it’s important to understand the process of how people change. When changing behaviors, like those associated with reducing stress, most people go though a cycle known as the “Stages of Change.”
  • 24. Stages of Change Stage 1: Nope…Not interested in dealing with my stress right now. Stage 2: Hmm…I’m seriously considering stress management. Stage 3: Yep…I’m getting ready to start dealing with stress. Stage 4: Let’s go…I’m managing my stress. Stage 5: Old news…I’ve been able to cope with my stress for a long time.
  • 25. What Stage Are You In?  Determining what stage you’re in is an important first step in learning to manage stress. Once you know where you’re at, you’ll be better equipped to cope with whatever life throws at you. 25
  • 26. Key Point: Change is a Process  Pay attention to all of these change strategies no matter which stage you’re in. Because learning to manage stress is a process, chances are you’ll find yourself in each stage at some point in the process. 26
  • 27. HOW TO MANAGE STRESS: WELLNESS Way of Thinking Exercise Laughter Let it Go! Nvolvement Eat a Balanced Diet Set Priorities Sleep
  • 28. W = Way of Thinking  Attitude  Perception
  • 29. E = Exercise  Get Moving  Why Move
  • 30. L = Laughter  Did you know?  Power of humor
  • 31. L = Let it Go! All of it!  Desk Stretches  Deep Breathing  Guided Relaxation
  • 32. N = Nvolvement with Others  Social Support System  Friendships  Interaction
  • 33. E = Eat a Balanced Diet  Food is fuel  Food guide pyramid  www.mypyramid.gov  Then click on “my pyramid plan”  Way of life
  • 34. S = Set Priorities  What is really important?  Personal reflection
  • 35. S = Sleep  How much is enough  Tips for better sleep
  • 36.
  • 37. How to Reduce Stress?
  • 38.
  • 39. Management Strategies  Stress management is a decision-making process. When we are under stress, there are three major ways we can deal with it.  The AAAbc’s of Stress  A – alter it  A – avoid it  A – accept it  b – building our resistance or  c – changing our perception
  • 40. Stress Management Techniques  Relaxation Techniques  Progressive Muscle Relaxation  Deep Breathing  Guided Imagery
  • 41.

Editor's Notes

  1. Challenges are an important ingredient for healthy and productive work. Often confused, challenge energizes people psychologically and physically. It motivates people to learn new skills and master their jobs. When a challenge is met, people feel relaxed and satisfied.
  2. Financial Stressors Daily Hassles Environmental Stressors Family-Related Stressors Health-Related Stressor Work-Related Stressors
  3. http://www.stress.org/job.htm
  4. http://health.discovery.com/encyclopedias/illnesses.html?article=3096
  5. Illness like the common cold and physical complaints like aches and pains. Better immune function More energy Higher quality of rest/sleep Better digestion Maintain physical, mental, and emotional balance Quiet your mind Increase your focus
  6. Stage 1: People in this group have no intention of dealing with their stress, and frankly may not even see stress as something they should address. Serious consideration: These people understand that finding ways to manage their stress would be good for them, but they aren’t making concrete plans to manage their stress. Getting Ready: These individuals understand the benefits of stress management, and are looking at employing stress management techniques in the very near future. Let’s go do it: People in this stage have started to find ways to manage their stress. They’re actually incorporating stress management strategies as part of their daily routines. Stage 5 These people are successfully managing the stress in their lives. The new strategies they’re using to deal with and address stress have become a normal behavior for them.
  7. Everyone needs a good laugh now and then. It’s free, it’s contagious, and it’s good for you! Here are some suggestions to help you add humor to your life. Play with kids Look at the big picture Consider how your favorite comedian would handle a situation Hang out with people you laugh with Have a positive outlook Make time for laughter Gives your heart and lungs a workout Helps you relax Boosts the immune system Reduces pain Improves mood Gives a feeling of control Makes us more creative Fights depression Reduces anger Helps with chronic breathing problems
  8. Problem solving skills are impaired . Sleep loss noticeably impairs our ability to comprehend rapidly changing situations, increases the likelihood of distraction, makes us think more rigidly, and reduces our ability to produce innovative solutions to problems. Communication skills sufffer . Sleep loss reduced the words in one’s vocabulary both verbally and in writing, resulting in stilted conversations a greater use of cliches. Learning and memory suffer . Research studies show that the cerebral cortex is the part of the body most affected by inadequate sleep. A direct connection has been shown between sleep loss and our abilities to concentrate and remember. Motor skills are impaired . Numerous studies from both England and the US National Highway Traffic Safety Administration have demonstrated a direct connection between sleepiness and impaired hand-eye coordination. The degree of impairment has led researchers to compare it in severity to drunkenness. The combination of impaired judgment and diminished hand-eye coordination leads to at least 100,000 MVA’s per year in the U.S., and numerous home and industrial accidents. Summarized net results of sleep deprivation: impaired judgment, diminished creativity and productivity, inability to concentrate, reduced language and communication skills, slowed reaction times, and decreased abilities to learn and remember. All of these will increase your stress level!
  9. Just kidding
  10. Deep Breathing Deep breathing is a simple, but very effective, method of relaxation. It is a core component of everything from the "take ten deep breaths" approach to calming someone down, right through to yoga relaxation and Zen meditation. It works well in conjunction with other relaxation techniques such as Progressive Muscular Relaxation, relaxation imagery and meditation to reduce stress.   To use the technique, take a number of deep breaths and relax your body further with each breath. That's all there is to it! Progressive Muscular Relaxation Progressive Muscular Relaxation is useful for relaxing your body when your muscles are tense.   The idea behind PMR is that you tense up a group of muscles so that they are as tightly contracted as possible. Hold them in a state of extreme tension for a few seconds. Then, relax the muscles normally. Then, consciously relax the muscles even further so that you are as relaxed as possible.   By tensing your muscles first, you will find that you are able to relax your muscles more than would be the case if you tried to relax your muscles directly.   Experiment with PMR by forming a fist, and clenching your hand as tight as you can for a few seconds. Relax your hand to its previous tension, and then consciously relax it again so that it is as loose as possible. You should feel deep relaxation in your hand muscles.   The Relaxation Response ‘The Relaxation Response’ is the name of a book published by Dr Herbert Benson of Harvard University in 1968. In a series of experiments into various popular meditation techniques, Dr. Benson established that these techniques had a very real effect on reducing stress and controlling the fight-or-flight response. Direct effects included deep relaxation, slowed heartbeat and breathing, reduced oxygen consumption and increased skin resistance. This is something that you can do for yourself by following these steps: Sit quietly and comfortably. Close your eyes. Start by relaxing the muscles of your feet and work up your body relaxing muscles. Focus your attention on your breathing. Breathe in deeply and then let your breath out. Count your breaths, and say the number of the breath as you let it out (this gives you something to do with your mind, helping you to avoid distraction). Do this for ten or twenty minutes.   An even more potent alternative approach is to follow these steps, but to use relaxation imagery instead of counting breaths in step 5. Again, you can prove to yourself that this works using the biofeedback equipment.