Managing Stress Tools to Help PAs Maintain Control. Sylvia Wu Manager Education UBC Department of Pediatrics October 17, 2012

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1 Managing Stress Tools to Help PAs Maintain Control Sylvia Wu Manager Education UBC Department of Pediatrics October 17, 2012

2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Sylvia Wu Manager Education UBC Department of Pediatrics October 17, 2012

3 Discuss Stress Management Worksheet The International Conference on Residency Education La conférence internationale sur la formation des résidents 3

4 The International Conference on Residency Education La conférence internationale sur la formation des résidents 4

5 What to expect today Common stressful activities in program support What is stress? Body s stress response Recognizing Signs of Stress, Impact & Effects Causes of stress: External vs Internal Tools to help when stress is unmanageable Demonstration of breathing and cubical stretches Questions / Comments period The International Conference on Residency Education La conférence internationale sur la formation des résidents 5

6 Life is a series of stressors It s the same for us all. We must work to preserve health and happiness And help others do the same The International Conference on Residency Education La conférence internationale sur la formation des résidents 6

7 Stressful Activities Hassles Deadlines Demands Frustrations Conflicts The International Conference on Residency Education La conférence internationale sur la formation des résidents

8 Definition of Stress What you feel when you have to handle more than you are used to or more than you want to Stress is when you perceive you cannot manage or cope in a situation Stress is change The International Conference on Residency Education La conférence internationale sur la formation des résidents

9 Can Stress Be Positive? Help us perform under pressure Motivates us Helps us stay focused Keep us energetic and alert In emergencies, may save our lives The International Conference on Residency Education La conférence internationale sur la formation des résidents

10 Negative Effects of Stress Can cause major damage to: Your health Your mood Your productivity Your relationships Your quality of life The International Conference on Residency Education La conférence internationale sur la formation des résidents

11 Body s Response to Stress The International Conference on Residency Education La conférence internationale sur la formation des résidents

12 Symptoms of Stress The International Conference on Residency Education La conférence internationale sur la formation des résidents 12

13 STRESS!! Stress is a physical, mental, and emotional response to life's changes and demands.

14 Types stress experiences Environmental: stress from outside our control System: stress we experience due to relationships Individual : stress we experience as a result of our feelings and thoughts,

15 What does stress do to us? Increased heart rate Increased blood pressure Increased agitation anxiety & worry Reduced ability to interact, think logically and soundly. Long term stress heart disease, stroke, compromised immune system, weightgain, indigestion, chronic illness

16 From Surprise to Demise: three illustrations of stress

17 Coping with Stress Understand that life is a series of stressors Each of us needs to protect our health and cope effectively with stress ARREST the Stress! Try some new Tactics Practice Wellness

18 ARREST Anticipate & plan for the stress what s coming your way next week?

19 ARREST Restrict the influence of the situation. Are you going to let these feelings of stress impact or hurt others?

20 ARREST Coach yourself Respond calmly STOP Notice the stress ANGER? TENSION STOP I feel angry, upset, tense and I choose to STOP these feelings. I am calm and capable. I can manage this situation.

21 ARREST Establish control over your body Use breathing & relaxation techniques we practice today

22 ARREST Slow down, acknowledge the situation and find confidence This is not the time to rush Focus on YOU

23 ARREST Think optimistically-manage your mind You don t want to be here but you are and you CAN cope You can t change others but you CAN take care of yourself You are not a victim

24 Build your Stress-busting Skills

25 TACTICS Anticipatory Planning Time Management Reduce Anxiety Think positively

26 Anticipatory Planning Goals & priorities Maintenance Large tasks Breaks

27 Time Management Self-monitoring Scheduling Breaks & rewards Reviews Maintenance

28 Reduce Anxiety Self-assertion Sleep Exercise Relaxation Quiet time Friends Consultation

29 Positive Thinking Facing anxiety Success reviews Thought control Positive imagery Self-acceptance

30 Thank you for taking the time to help yourself and to help others manage and cope with stress

31 Breathing & Cubicle Stretches The International Conference on Residency Education La conférence internationale sur la formation des résidents

32 REFERENCES 1 of 2 Definition of Stress, (collected 1/10/12) Smith, M. and Segal, R. and Segal, J. Understanding Stress, stress_signs.htm (collected 1/10/12) Stress: Know the Signs, Mental Health America, mental-health-month/stress-know-the-signs (collected 20/9/12 Managing Job Stress, Health Link BC, ta5662spec.html (collected 20/9/12) Stress Management, Health Link BC, (collected 25/9/12) Stress Management Manage Your Time, av2103.html (collected 25/9/12) Stress Management Reducing Stress by Being Assertive, content/actionset/av2095.html (collected 25/9/12) James-Enger, Kelly, Stress Busting: The Four Biggest Causes of Stress in Women, Oxygen Women s Fitness, Vol. 9 Issue 10 (#86), October 2006, p. 96 The International Conference on Residency Education La conférence internationale sur la formation des résidents 32

33 REFERENCES 2 of 2 UBC Land & Building Services: Cubicle Calisthenics and Workspace Yoga, 2005 Willieme, Anna, Knock the Stress Out of Your Life, Alive Natural Health & Wellness, Issue 344, June 2011, p. 71 Graham, Tyler and Ramsey, Drew MD, The Happiness Diet, Prevention, January 2012, p. 53 Pagan, Camille, What Kind of Angry Are You?, Prevention, May 2012, P. 75 Caploe, Roberta, Dr. Oz s Secrets to Great Health, Prevention, October 2012, p. 73 The International Conference on Residency Education La conférence internationale sur la formation des résidents

34 Questions? Comments? Sylvia Wu at or call The International Conference on Residency Education La conférence internationale sur la formation des résidents 34

35 Help us improve. Your input matters. Aidons-nous à nous améliorer. Votre opinion compte. Visit the evaluation area on Level 2 near registration, or Go to to complete the session evaluation. Visitez la zone d évaluation, au deuxième étage près du kiosque d inscription Visitez le afin de remplir une évaluation de la séance. You could be entered to win 1 of 5 $100 gift cards. Vous courrez la chance de gagner l un des cinq chèques-cadeaux d une valeur de 100 $.

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