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Stress management


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  • 1. Ms. Maria Lourdes R. Balucan, BSN,RNStudent, Master in NursingMisamis University
  • 2. • A change in the environment that is perceived as a threat, challenge, or harm to the persons dynamic equilibrium.• In times of stress, the SNS is activated to produce immediate changes of increased HR, peripheral vasoconstriction, and increased BP.
  • 3.  Typicallystress is seen as harmful and unpleasant yet stress may be beneficial. • How do you view stress?
  • 4. • Myth 1 I must be stressed to succeed...• Myth 2 All Stress is bad…• Myth 3 If only I could move/change my job/• leave my spouse/get rid of my boss, then my stress would go away...• Myth 4 There is nothing I can do about stress… • *From Stuart, E., Webster, A., Wells-Federman, C.L. 1992 Managing Stress, The Wellness Book
  • 5. • This response is prolonged by adrenal stimulation and secretion of epinephrine and norepinephrine
  • 6. • A limited amount of stress can be a positive motivator to take action• Excessive or prolonged stress can cause emotional discomfort, anxiety, possible panic, and illness
  • 7. • Prolonged sympathetic-adrenal stimulation may lead to: • High BP • Arteriosclerotic changes • Cardiovascular disease • Acute asthma attack • Peptic ulcer disease • Irritable bowel syndrome • Migraine headaches
  • 8.  Fighting it Flight - Escaping it Freezing Tend and Befriend Everyone responds differently to stressors!
  • 9. • Can help patients: • Control illnesses • Improve self-esteem • Gain control • Enjoy life more fully
  • 10. • Involves the identification of physiologic and psychosocial stressors• Assess the following: • The patients education, finances, job, family, habits, activities, personal and family health history, and responsibilities.
  • 11. • Positive and negative coping methods should also be identified.
  • 12. • One of the first steps in stress management• Can be used to reduce anxiety brought on by stress
  • 13. • The simplest technique that can be performed at any time• The patient breathes slowly and deeply until relaxation is achieved• Can lead to hyperventilation if done incorrectly
  • 14. • Relieves muscle tension related to stress• The patient alternately tenses, then relaxes muscle groups until the entire body feels relaxed
  • 15. • Can help relieve pain and induce sleep• The patient replaces painful or unpleasant sensations with pleasant ones through self- suggestions• May require extensive coaching at first
  • 16. • Uses imagination and concentration to take a “mental vacation”• The patient imagines a peaceful, pleasant scene involving multiple senses• Can last as long as the patient decides
  • 17. • Uses the patients own interests and activities to divert attention from pain or anxiety• Includes listening to music, watching television, reading a book, singing, knitting, doing crafts or projects, or physical activities
  • 18. • Dealing with the stressors or problem areas and increasing coping behaviors
  • 19. • Help the patient to recognize specific stressors and determine if they can be altered• Then develop a plan for managing that stressor
  • 20. • How do I cope with stress?• Coping skills I’d like to add?• Poor coping skills I’d like to drop or change are:• People I know who seem to be in control of their lives are:• Things they do which I could try are:• Other things I could do to gain control over my life are:
  • 21. • Teach the patient to avoid negative coping behaviors: • Smoking • Drinking • Using drugs • Overeating • Cursing • Using abusive behavior toward others.
  • 22. • Teach positive coping mechanisms: • Continued use of relaxation techniques • Fostering of support systems • Family, friends, church groups, social groups, or professional support groups
  • 23.  Practice your stress management skills regularly! One stress management strategy isn’t foolproof! Build your ability to bounce back!