Managing Stress & the Ever- Changing Healthcare Environment

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1 Managing Stress & the Ever- Changing Healthcare Environment Everything flows, nothing stands still. The only constant is change. -Heraclitus of Ephesus (c. 535 c. 475 BCE) Paul Nagle-McNaughton Comprehensive Healthcare In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists. - Eric Hoffer ( ) 1

2 Overview Welcome & overview What is stress? Sources of stress Getting your Stress House in order The temperature is rising Stress reduction your 3 leverage points How to take a Chill Pill What is stress? Stress: Stress is the body s physical, emotional, and cognitive response to any demand made upon it. Demands: Demands can be positive (buying a new car or house; having a baby) or negative (death or other loss; doing poorly at work). Both can cause stress. 2

3 Stress response: Whenever we perceive a threat or demand, our body responds in its preprogrammed fight, flight, or freeze response. This is known as the stress response. Responses include: faster heart rate, tensing muscles, blood pressure increases, breath quickens, blood flow changes, more response (instinct), less thought, increased vigilance, adrenaline rapidly introduced into system, other chemical and physical changes. Relaxation response: When the perceived threat is gone, our bodies return to normal functioning - unless we are faced with another (or ongoing) threat. Negative stress: When I perceive that I do not possess the resources (physical, emotional, intellectual, financial, social, spiritual, material, etc.) to meet the demands placed on me over an extended period of time, I will experience negative, unhealthy stress ( dis-stress ). Chronic Stress: When the stress response overwhelms the relaxation response over a period of time. 3

4 Stress cycle Chronic stress What are your common sources of stress? 4

5 Your Stress House Your Work Room Your Personal Room Your Family Room Your Social Room Your Work Room This is the largest room in your house. The stress in this room comes in a variety of forms. This stress typically creates the largest amount of mental pressure you have to handle in your daily life. This room is constantly in conflict with the Family and Personal rooms. 5

6 Your Family Room This is the room you most constantly share with the other people who are very important in your life. The stress in this room is as great as in the Work Room. Often the pressure here is harder to deal with in an effective manner because of the significance of the relationships involved. The pressure here is more emotional than mental. Your Personal Room This room needs a lot of personal attention, yet it seems to be the room you avoid the most. The Personal Room is often made the smallest of the four rooms when it should be one of the largest. It is from here that one draws the strength needed to deal with the situations in the other rooms. Lack of time spent in this room has a great effect on all the other rooms. 6

7 Your Social Room This is the room for friends, fun, laughter, recreation, and relaxation. When used for the right reasons, this becomes a room where you can expand yourself through involvement with people, clubs, organizations, volunteer work, etc. Psychologically, the Social Room is very important. This room s smooth functioning is essential for good mental health. The Social Room is a room of strength and a room for growth when its purpose and position are kept in mind. But it does carry some dangers. Your stress response 10 Lose control 9 Over-react 8 Defensiveness / Anger 7 Critical point Functional stress Recreational stress 0 Sleep / Unconscious The temperature is rising

8 Your personal warning signs How do you know when your temperature is rising? How does your body tell you that your stress is high? A Full Body Experience Headaches, dizziness Blurred vision Difficulty swallowing Aching neck, backache Rapid breathing, chest pains Palpitations High blood pressure Nausea, indigestion Sweating 8

9 Managing Stress: 3 Key Leverage Points LEVERAGE POINT #1 Event, Trigger, Potential Stressor Events do not cause stress, how we respond to them does. Remove potential stressors when we can. LEVERAGE POINT #2 Thoughts, Beliefs, Self-Talk, Perceptions How we think about or interpret events mediates our reaction to them. Monitor how we think about potential stressors and make changes when we can. LEVERAGE POINT #3 Response, Reaction Actively seek ways to reduce stress: Exercise Self-care Diet Rest Deep breathing Meditation / prayer Fun & laughter How to Take a Chill Pill And be cool, calm, and collected in stressful situations The Instant Calming Sequence: 1. Relax your face SMILE 2. Breathe deeply & evenly 3. Balance, Posture, Movement 4. Think Positive 9

10 Paul Nagle-McNaughton (509)

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