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Stress Management
   Stress Management




06/10/12
              Dr Ram Bahadur   1
Stress :-
   Stress results from a mismatch between the
   demands and pressures on the person, on
   the one hand, and their knowledge and
   abilities, on the other.
   It challenges their ability to cope with work.
   This includes not only situations where the
   pressures of work exceed the worker’s ability
   to cope but also where the worker’s
   knowledge and abilities are not sufficiently
   utilized and that is a problem for them.
                                             - WHO
06/10/12            Dr Ram Bahadur               2
WHAT IS STRESS?
 Stress is the body's natural response to
 pressure of any kind.
 Stress is a reaction of the body and mind to
 change.
 Stress can be caused by something as simple
 as breaking a fingernail or by something as
 serious as losing a finger.
 The threat, event or change are commonly
 called stressors. Stressors can be internal
 (thoughts, beliefs, attitudes or external
 (loss, tragedy, change).
 06/10/12          Dr Ram Bahadur               3
Stressors :-
   Stressors can be minor, like
   misplacing your keys.
   Stressors also can be major.
   Examples of major stressors
   include the death of a family
   member or friend, loss of a job,
   or a relationship breakup.
06/10/12       Dr Ram Bahadur     4
PHYSIOLOGICAL CHANGES DURING STRESS




HPA – HYPHOTUALANUS, PITUTARY GLAND AND ADREMAL GLAND



     06/10/12            Dr Ram Bahadur                 5
o   When a person begins to experience stressful events
    or perceive which is stressful - physiological changes
    take place in the body.
o   HPA Axis undergoes activation. The Hypothalamus in
    the brain stimulates pituitary gland to release Adeno
    Certico Trophic hormone in the blood which in turn
    stimulates the adrenal gland to release stress
    hormones [SH] such as Adrenaline and Cartisol.
o   Thus, SH prepares the body for fight or flight by
    diverting energy and blood away
     1. from those areas where it is less necessary
         (such as digestive track or the skin)
     2. those areas where it is more needed (such as
         heart and leg muscles).



06/10/12                 Dr Ram Bahadur
                                                         6
Fast Facts

   At least 50% of all visits to a doctor
   are stress-related,




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LEVELS OF STRESS




06/10/12   Dr Ram Bahadur   8
What happens when you’re
                 stressed out?
   Want to be alone
   Fight with spouse and children
   Day dream
   Bite nails
   Have trouble sleeping
   Cry easily
   Lose interest in office work and home
   Can’t concentrate
06/10/12            Dr Ram Bahadur         9
Eustress                    Distress




06/10/12              Dr Ram Bahadur              10
STAGES OF STRESS




06/10/12          Dr Ram Bahadur   11
1-      ALARM STAGE
As you begin to experience a stressful
event or perceive something to be
stressful psychological changes occur in
your body. This experience or perception
disrupts your body’s normal balance and
immediately your body begins to respond
to the stressor(s) as effectively as
possible.



06/10/12          Dr Ram Bahadur           12
EXAMPLES

 Cardiac - increased heart rate
 Respiratory - increased respiration
 Skin - decreased temperature
 Hormonal - increased stimulation of
 adrenal genes which produce an adrenal
 rush.


06/10/12         Dr Ram Bahadur           13
2- RESISTANCE STAGE
During this stage your body tries to cope
or adapt to the stressors by beginning a
process of repairing any damage the
stressor has caused. Your friends, family
or co-workers may notice changes in you
before you do so it is important to examine
their feedback to make sure you do not
reach overload.


06/10/12          Dr Ram Bahadur              14
EXAMPLES
 Behavior indicators include: lack of
 enthusiasm for family, school, work or life
 in general, withdrawal, change in eating
 habits, insomnia, hypersomnia, anger,
 fatigue.
 Cognitive [involving conscious intellectual activity as
 thinking, reasoning, or remembering] Indicators
 include: poor problem solving, confusion,
 nightmares, hyper-vigilance.
06/10/12               Dr Ram Bahadur                      15
RESISTANCE STAGE
MORE EXAMPLES

     Emotional indicators include:
     tearfulness
     fear
     anxiety
     panic
     guilt
     agitation
     depression
     overwhelmed. Dr Ram Bahadur
06/10/12                             16
3- EXHAUSTION STAGE
During this stage the stressor is not being
managed effectively and the body and
mind are not able to repair the damage.




 06/10/12           Dr Ram Bahadur            17
What Are Some Negative Effects
of Stress?
   High stress over a long time has been
   linked to high blood pressure, heart
   disease, and ulcers.

   The emotional effects of stress may
   also show up as depression, anger, and
   feeling that you are out of control.


06/10/12         Dr Ram Bahadur            18
What Are Some Warning Signs to Look For?


   Sleep Disorders                 Muscle aches
   (Insomnia,                      Indigestion or ulcers
   Oversleeping, Early             Hypertension
   morning Backaches
   (especially lower back          Excessive perspiration
   pain)                           Fatigue or loss of
   Clenching the jaws or           energy
   grinding the teeth.             Appetite change
   Constipation                    Increase in accidents.
   Diarrhea and colitis            Coronary heart
   Skin rashes                     diseases.



06/10/12               Dr Ram Bahadur                       19
4- Burnout
    Burnout can be defined as:
     – exhaustion of physical or emotional
       strength usually as a result of prolonged
       stress or frustration




06/10/12             Dr Ram Bahadur                20
Symptoms of Burnout
1.   Appearance of anxiety, depression &/or overconfidence
2.   Chronic exhaustion
3.   Cynical and detached
4.   Excessive use of alcohol/other drugs
5.   Feeling physically sick on a regular basis with
     headaches, colds, stomach problems, etc.
6.   Increasingly ineffective at work (distressed behaviors)
Leads to:
            1. isolation
            2. avoidance
            3. interpersonal conflicts

     06/10/12                     Dr Ram Bahadur          21
Stress Relieving
    Technique
      A)- Quick Stress Reduction
      Technique ( 6 nos )

      B) Self Care Technique
      (10 nos)
06/10/12        Dr Ram Bahadur     22
A)- Quick Stress Reduction Technique
1. Humour:- Humour is one of the
greatest and quickest device for reducing
stress. It works because laughter produces
helpful chemicals in the brain. It also gets
your brain thinking and working in a
different way . It distracts you from having
a stressed mind set. Distraction is a simple
effective de-stressor. It diffuses the stressful
feeling.
06/10/12            Dr Ram Bahadur                 23
2. Brisk Walk & Self Talk:-
    Go for a short quick brisk walk
    outside. Change your environment.
    Breathe in some fresh air & smell the
    atmosphere. This stimulate your
    senses with new things. On the way
    out keep talking to yourself.

06/10/12          Dr Ram Bahadur            24
3. Rehydrate (Drink water):-
  Most of us fail to drink enough water-
  (that’s water-not Tea, Coffee, Coke
  etc.) All of your organs including
  your brain, are strongly dependent on
  water to function properly. If your
  body starve, you will get stressed
  physically and mentally. If your pee
  color is yellow that means you are not
  taking enough water.
06/10/12         Dr Ram Bahadur            25
4. Catnap or powernap:-
Take a quick nap. It is nature’s way
of recharging and re-energizing. A
quick 10-30 minutes sleep is very
helpful to reduce stress.


06/10/12      Dr Ram Bahadur           26
5. Make a Cuppa:-
Any tea will do, but a flavored cup
of tea is even better. Experiment
with different natural flavoring
using herbs, spices and fruits like
fresh mint, ginger, orange, lime etc.

06/10/12       Dr Ram Bahadur           27
6. Crying:-
Crying-Weeping proper tears- has
a powerful helpful effect on stress
level. Shedding a few tears can be a
very good thing . It benefits you,
give it a try. You might be surprise.

06/10/12       Dr Ram Bahadur           28
Ten Self Care Techniques

            Mind       Body




            Spirit    Emotion




 06/10/12            Dr Ram Bahadur   29
1. TO RELAX.
   Throughout the day, take "mini-breaks".
    Sit down and get comfortable.
   Slowly take in a deep breath; hold it;
   and then exhale very slowly.
   At the same time, let your shoulder
   muscles droop, smile, and say
   something positive like,
   "I am r-e-l-a-x-e-d."
   Be sure to get sufficient rest at night.
06/10/12          Dr Ram Bahadur          30
2. PRACTICE ACCEPTANCE
    Many people get distressed over things
    they won't let themselves accept.
    Often, these are things that can't be
    changed, for example someone else's
    feelings or beliefs.
    If something unjust bothers you, that is
    different.
    If you act in a responsible way, the
    chances are you will manage that
    stress effectively. Bahadur
06/10/12             Dr Ram                  31
3. TALK RATIONALLY TO YOURSELF.
Ask yourself what real impact the stressful situation will
have on you in a day or in a week, and see if you can
let the negative thoughts go. Think through whether the
situation is your problem or the other person's.
If it is yours, approach it calmly and firmly. If it is the
other person's, there is not much you can do about it.
Watch out for perfectionism -- set realistic and
attainable goals. Remember: everyone makes errors
Be careful of procrastination -- practice breaking tasks
into smaller units to make it manageable, and practice
prioritizing to get things done.

06/10/12               Dr Ram Bahadur                   32
4. GET ORGANIZED.
   Develop a realistic schedule of daily
   activities that includes time for work,
   sleep, relationships, and recreation.
   Use a daily "thing to do " list.
   Improve your physical surroundings by
   cleaning your house and straightening
   up your office.
   Use your time and energy efficiently.
06/10/12          Dr Ram Bahadur             33
5. EXERCISE.
   Physical activity has always provided
   relief from stress.
   It accumulates very quickly. We need to
   develop a regular exercise program to
   reduce the effects of stress before it
   becomes distress.
   Try aerobics, walking, jogging, dancing,
   or swimming.

06/10/12          Dr Ram Bahadur          34
6. REDUCE TIME URGENCY.
   Allow plenty of time to get things done.
   Plan your schedule ahead of time.
   Recognize that you can only do so
   much in a given period.
   Practice the notion of "pace, not race".




06/10/12          Dr Ram Bahadur              35
7. DISARM YOURSELF.
   Every situation in life does not require you to
   be competitive.
   Adjust your approach to an event according
   to its demands.
   You don't have to raise your voice in a simple
   discussion.
   Playing tennis with a friend does not have to
   be an Olympic trial.
   Leave behind you your "weapons" of
   shouting, having the last word, putting
   someone else down, and blaming.
06/10/12             Dr Ram Bahadur              36
8. QUIET TIME.

   Balance your family, social, and work
   demands with special time slots.
   Hobbies are good antidotes for daily
   pressures.
   Unwind by taking a quiet stroll, soaking
   in a hot bath, watching a sunset, or
   listening to music.

06/10/12          Dr Ram Bahadur          37
9. WATCH YOUR HABITS.
   Eat sensibly -- a balanced diet will provide all
   the necessary energy you will need during the
   day.
   Avoid nonprescription drugs and avoid
   alcohol use -- you need to be mentally and
   physically alert to deal with stress.
   Be mindful of the effects of excessive caffeine
   and sugar on nervousness.
   Put out the cigarettes -- they restrict blood
   circulation and affect the stress response.
06/10/12             Dr Ram Bahadur              38
10. TALK TO FRIENDS.

   Friends can be good medicine.
   Daily doses of conversation, regular
   social engagements, and occasional
   sharing of deep feelings and thoughts
   can reduce stress quite nicely.



06/10/12         Dr Ram Bahadur            39
06/10/12   Dr Ram Bahadur   40
How Exercise reduces Stress and Anxiety




    06/10/12      Dr Ram Bahadur      41
Regular aerobic exercise brings
remarkable changes to your
     – body,
     – metabolism,
     – heart, and
     – spirits.
 It can
     – relax,
     – provide stimulation and calm,
     – counter depression, and
     – dissipate stress
 06/10/12            Dr Ram Bahadur    42
Factors
Chemical
 Exercise reduces levels of the body’s stress
hormones, such as adrenaline and cortisol.
 It also stimulates the production of endorphins,
chemicals in the brain that are the body’s
natural painkillers and mood elevators.
 Endorphins are responsible for the “runner’s
high” and for the feelings of relaxation and
optimism that accompany many hard workouts.


06/10/12            Dr Ram Bahadur             43
Adding relaxation to rest
   Stressed muscles are tight, tense muscles.
   By learning to relax muscles, you will be able
   to use your body to dissipate stress.
   Progressive Muscle Relaxation [PMR]
   focuses sequentially on the major muscle
   groups. Tighten each muscle and maintain
   the contraction 20 seconds before slowly
   releasing it. As the muscle relaxes,
   concentrate on the release of tension and the
   sensation of relaxation. Start with your facial
   muscles, then work down the body.

06/10/12             Dr Ram Bahadur              44
Progressive Muscle Relaxation

   Forehead: Wrinkle your forehead and
   arch your eyebrows. Hold; then relax.




06/10/12         Dr Ram Bahadur            45
PMR
   Eyes: Close your eyes tightly. Hold;
   then relax.




06/10/12          Dr Ram Bahadur          46
PMR
   Nose: Wrinkle your nose and
   flare your nostrils. Hold;
       then relax.




06/10/12        Dr Ram Bahadur   47
PMR

   Tongue: Push your tongue firmly
   against the roof of your mouth. Hold;
   then relax.




06/10/12          Dr Ram Bahadur           48
PMR
   Face: Grimace. Hold;
   then relax.




06/10/12         Dr Ram Bahadur   49
PMR
   Jaws: Clench your jaws tightly. Hold;
   then relax.




06/10/12          Dr Ram Bahadur           50
PMR

   Neck: Tense your neck by pulling your
   chin down to your chest. Hold; then
   relax.




06/10/12         Dr Ram Bahadur            51
PMR

   Back: Arch your back. Hold; then relax.




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PMR

   Chest: Breathe in as deeply as you
   can. Hold; then relax.




06/10/12         Dr Ram Bahadur         53
Progressive Muscle Relaxation
   Stomach: Tense your stomach
   muscles. Hold; then relax.




06/10/12        Dr Ram Bahadur   54
PMR [Continued]
  Buttocks and thighs: Tense your buttocks and
  thigh muscles. Hold; then relax.
  Arms: Tense your biceps. Hold; then relax.
  Forearms and hands: Tense your arms and
  clench your fists. Hold; then relax.
  Calves: Press your feet down. Hold; then relax.
  Ankles and feet: Pull your toes up. Hold; then
  relax.
The entire routine should take 12 to 15 minutes. Practice it
  twice daily, and experience some relief of stress in
  about two weeks.

 06/10/12               Dr Ram Bahadur                   55
Stress Reduction and Management




 06/10/12    Dr Ram Bahadur       56
Stress & Yoga
   When you do Yoga,
    – Muscles are stretched, Tendons are pulled and
      Joints are lubricated
    – Your cardio Pulmonary system are geared up to
      produce more needed energy & over all improves
      circulation
   Yoga is the natural alternative to many
   antidepressant drugs.
   If you are suffering from mood disorder it acts
   as a balancer.

06/10/12              Dr Ram Bahadur               57
Yoga
     POSE             ASANA                             BENEFITS

                  VAJRASAN
               (Adamantine Pose)
                                         •   Body becomes strong and
             •Fold the legs and sit on
                                             firm, especially the toes,
            them, let the arms rest on
                                              knees, thighs and legs.
             the knees with the spine
                                              Relieves the pain of the
                       erect.
                                                 calves and knees.
             •Vajra is the name of a         •Good for those who are
             nerve which is directly         prone to excessive sleep.
               connected with the
                                             •   Improves the digestion.
               digestive process.




 06/10/12        Dr Ram Bahadur                                            58
Yoga
    POSE             ASANA                       BENEFITS

               PADAHASTASAN
            (Foot Hand Pose)
            Stand with feet together,   •Makes the shoulders
            arms extended upwards       strong, waist slim and
            and the whole body          chest broad.
            stretched upwards.          •Reduces weight.
            Bring the arms forward      •Increases height.
            and down to touch the
            ground in front of the
            feet or to hold the
            ankles. Head should
            come as close to the
            knees as possible. Body
            from hips to feet should
            remain absolutely
            straight.


 06/10/12         Dr Ram Bahadur                                 59
Yoga
    POSE              ASANA                     BENEFITS

                TRIKONASAN              • Reduces the fat
            (Triangular Pose)             deposits around the
            Keeping the legs spread       hips and makes the
            as far apart as possible      body well proportioned.
            and with one arm bent       • Relieves pain in the
            like and arc as in the        ribs and back.
            ardhchakrasan bend in       • Helps remove skin
            the opposite direction        eruptions.
            with the other arm          • Helps increase height.
            touching the foot on that
            side.




 06/10/12         Dr Ram Bahadur                               60
Yoga
    POSE              ASANA                       BENEFITS

                 MATSYASAN                • Effective for ailments
            (Fish Pose)                     of the throat.
            Sit in padmasan and           • Useful for diabetic
            then lie on the back.           patients.
            Bend the head                 • Cure for aching knees
            backwards, raise the            and back.
            shoulder from the             • Removes constipation,
            ground keeping the legs         relieves asthama and
            in contact with the             other respiratory
            ground.                         disorders.
            A special feature of this
            asan is that it is possible
            to float on water in this
            pose without drowning.




 06/10/12          Dr Ram Bahadur                                61
Yoga
    POSE              ASANA                     BENEFITS
                                         
             SARVANGASAN
                                         
            (Shoulder Stand)            •Improves blood
            Holding the back with       circulation.
            the hands, raise the        •Strengthens the lungs

            whole trunk up, trying to   and the heart and
                                        benefits the thyroid.
            balance and rest the        •Strengthens the hair
            whole body on the           roots and helps prevent
            shoulders.                  hair-fall.
                                        •Helps remove bad
                                        odours from the body.
                                        • 




 06/10/12         Dr Ram Bahadur                              62
Yoga
    POSE             ASANA                     BENEFITS

             HALASAN                  Useful in hernia, diabetes,
            (Plough Pose)             piles and pain in the
            While lying down, raise   abdomen.
            the legs up and bend      Makes spine and legs
            them over the head to     flexible.
            touch the ground. Use
            the arms and hands for
            support.




 06/10/12         Dr Ram Bahadur                               63
Yoga
    POSE             ASANA                       BENEFITS

              SALABHASAN
            (Locust Pose)               •Helps make the waist
            While lying face down       slender and the chest
            on your stomach,            broad.
            straighten the chin and     •Relieves constipation
            place it on the ground.     and stimulates digestion.
            Keep the arms along the     •Strengthens the heart
            side of the body with the   and lungs.
            feet together, toes         •Relieves sciatica pain.
            pointing back. Keeping
            the feet together, raise
            them up from the
            ground.




 06/10/12         Dr Ram Bahadur                                64
Yoga
     POSE           ASANA                     BENEFITS

             BHUJANGASAN
            (Cobra Pose)
            Keep the arms along      Relieves constipation and
            side of the body with    indigestion.
            the feet together.       Makes the waist slim and
            Raise the head and       chest broad.
            the chest up to the      Helps in regulating
            navel from the ground.   menstrual disorders as
            Note: Not suitable for   well as liver and kidney
            hernia patients!         disorders.
                                     Relieves back-aches.




 06/10/12       Dr Ram Bahadur                              65
Yoga
    POSE              ASANA                      BENEFITS

              NAUKASAN
            (Boat Pose)
            Bring the arms together     •Relieves constipation
            with the hands folded       and strengthens the
            and stretch them out in     digestive system.
            the front. Also raise the   •Helps tone the abdomen.
            legs simultaneously.        •Useful for lung diseases.
                                        •Useful for strengthening
                                        the shoulders, neck, back
                                        and legs.




 06/10/12         Dr Ram Bahadur                                66
Yoga
    POSE             ASANA                     BENEFITS

             CHAKRASAN                • Gives flexibility to the
            (Arch Pose)                 spine thus preventing
            The arms should be          premature stiffening
            folded backwards and        thus delaying the onset
            the palms placed below      of the aging process.
            the shoulders. The        • Regulates the blood
            knees should be bent        circulation.
            and heels brought close • Relieves the pain of
            to the hips. Make an        feet, ankles, back and
            arch by raising the truck   shoulders.
            from the middle.




 06/10/12         Dr Ram Bahadur                              67
Yoga
    POSE               ASANA                       BENEFITS

            DHANURASAN                    • Makes the body supple
            (Bow Pose)                      and resilient.
                                          • Improves blood
            Lie on your stomach             circulation.
            facing down. Bend the         • Helps reduce waistline
            legs at the knees and           and buttocks.
            grasp the ankles and          • Body becomes radiant.
            arch the back and legs        • Improves eyesight.
            so as to make a bow.          • Strengthens the arms,
                                            shoulders, neck, spine,
                                            legs, knees and thighs.
            Note: Not suitable for        • Relieves disorders of
            persons with high blood         the abdomen.
            pressure or heart ailments!




 06/10/12          Dr Ram Bahadur                                68
Yoga
    POSE             ASANA                      BENEFITS

             USTRASAN                  • Reduces constipation
            (Camel Pose)                 and stimulates gastric
            Kneel down with your         secretions.
            back straight. Bend        • Removes ache or colic
            backwards and try to         of the abdomen.
            grasp your heels with      • Strengthens the thighs,
            your hands while looking     back and toes.
            behind.                    • Reduces inflamation of
                                         the spine.
                                       • Helps augment the
                                         blood supply to the
                                         brain.
                                       • An excellent
                                         prophylactic if
                                         practiced daily.



 06/10/12         Dr Ram Bahadur                              69
Yoga
    POSE             ASANA                         BENEFITS

               PASCHIM                 •   Improves blood circulation.
                                       •   Skin diseases are cured.
            UTTAANASAN                 •   Waist becomes supple.
                                       •   Body odours are removed
            (Head Knee Forward             and pleasant aroma is
            Bend)                          generated.
                                       •   Reduces the adipose tissue
            Spread the legs in front       of the abdomen.
            of you; grasp the big      •   Strengthens the calves, back,
            toes the hands, the            the lumbar region and the
                                           nerves of the head.
            head touching the knees    •   Relieves sciatica pain, and
            and the elbow touching         abdomen disorders.
            the ground.                •   Improves the appetite.




 06/10/12         Dr Ram Bahadur                                      70
Nutrition- Dietary Guidelines
 Carbohydrates: bread, cereal, rice, pasta, grains
 Proteins: beans, nuts, beef, pork, fish, chicken, eggs, milk, etc.
 Fats: divided into -
 Saturated: associated with increasing blood cholesterol levels
 and heart disease-- found in animal fat, coconut oil, palm oil, and
 cocoa butter
 Unsaturated: does not effect blood cholesterol, e.g. Sun Flower,
 Cornola, Sufola, Peanut Oil.
 Vitamins: divided into:
  – Fat-soluble (A, D, E, and K)- requires fat to make it usable by
     the cells
  – Water-soluble (B group and C)- requires water, not fat , to
     make it usable by the cells
 Minerals: i.e. calcium, iron, zinc, etc.
 Water
 06/10/12                  Dr Ram Bahadur                              71
06/10/12                   Dr Ram Bahadur
           Daily requirement of calories 1500-2000   72
Eat healthy to stay healthy
Have a balanced diet
 – 55% Carbohydrate
 – 25% Protein
 – 20% Fat
 – Nuts, fruits, vegetables and whole grains can each reduce
   risk of C.V.D. by 15% to 45%

Should we eliminate fat completely ?
 – Brain recognizes fat as the only nutrition
 – Vitamin A, D and K require Fat
 – Fat are required for quality sperm production

Cooking Media
 – Liquid fats are better than solid
 – 15 ml / per head per day
 – Mixed and match oils
 – Occasional ghee is permissible
  06/10/12                   Dr Ram Bahadur                    73
Sesame                         Olive Oil                      Mustard Oil




  Soybean                           Cooking Media




                                                                          Sun Flower
            Corn                         Canola




                     With Olive oil coronary artillery disease is least
                   Latest trend is to rotate the media every 2/3 months



06/10/12                         Dr Ram Bahadur
                                                                                       74
Eat healthy to stay healthy

   Avoid too much of salt to give longer life to
   your heart.
   Do not overeat, have small meals 5-6 times a
   day at a fixed interval. This will help in
   keeping you a check on your weight. Eat
   slowly do not rush through your meals.




06/10/12           Dr Ram Bahadur              75
Eat healthy to stay healthy

           Eat more fresh vegetable,
           especially, green and
           leafy,   e.g.    cabbage,
           cauliflower and broccoli
           to lower the risk of lung,
           stomach      and     other
           cancers. Recommended
           ½ serving per day.
06/10/12       Dr Ram Bahadur           76
Eat healthy to stay healthy
           Spinach and mustard greens
           contain lutein and zeaxanthin
           phyto chemicals that may
           protect your eyes as you get
           older (Macular degeneration a
           leading cause of blindness).
           Recommended 5-6 serving per
           week.



06/10/12         Dr Ram Bahadur            77
Eat healthy to stay healthy
           •Tomatoes contain lycopene
               • prevents prostate, lung
               and stomach cancer
               • lowers the risk of heart
               disease.
           • Other sources of lycopene are
           apricots, water melon and
           papaya.
           • Recommended 5-6 serving
           per week.


06/10/12                 Dr Ram Bahadur      78
Add more high fiber food in diet …




 06/10/12       Dr Ram Bahadur       79
FIBER RICH FOODS
                            Fiber Content of Foods
Food                                      Amount     Fiber (gram)
Apple                          1 medium              3
Apple juice                    1 cup                 0
Apricot                        3 dried               4.5
Artichoke                      1                     6
Asparagus                      2 spears              1
Avocado                        1/2 medium            2
Banana                         1 medium              2.4
Barley, raw                    40 g                  5
Barley, cooked                 1 cup, 180 g          6.5
Beans, Black-eyed, cooked      100 g                 6.5
Beans. Green, cooked           1 cup                 2
Beans, Mung, cooked            100 g                 6.5
Beans, Soya, cooked            100 g                 7.5
Beet Root, canned              100 g                 4
Bitter Melon
        06/10/12
                               100 g Ram Bahadur
                                   Dr                2              80
Bread- Chapati                100 g                      3

Bread- Naan                   60 g                       1.5

Broccoli, raw                 100 g                      4

Cabbage                       40 g                       2

Cantaloupe                    1 cup                      1

Carrot, raw                   70 g                       2

Cereal- All Bran              45 g                       13

Cereal- Oat Bran              22 g                       3.5

Chick Peas, dried, boiled     180 g                      20.5

Cucumber, sliced              1/2 cup                    <1

Figs, dried                   75 g                       10.5

Flour- Barley                 100 g                      10

Flour- Besan (Chickpea)       100 g                      11

Flour- Soya, low fat          100 g                      15.5

Flour- Wholemeal              100 g                      11
        06/10/12
Flour- Wheat, plain (Maida)   100 g     Dr Ram Bahadur   4      81
FIBER RICH FOODS
Grapes                 1/2 cup            <1

Kiwi fruit             1 medium           5

Guava,                 100 g              5.5

Lemon                  1                  2.5

Lettuce                1 cup              1

Mango, peeled          150 g              2.5

Nashi Pear, unpeeled   130 g              4.5

Nuts- Almonds, raw     4 numbers          1.5

Nuts- Cashew, raw      75 g               4.5

Orange                 1 medium           3

Peach                  1 medium           2

Onion                  1 large            0.6

Pear with skin         1 medium           4

Peas (cooked)          1 cup              6
       06/10/12
Pistachios             1 oz Ram Bahadur
                         Dr
                                          3     82
FIBER RICH FOODS
Popcorn (air popped)       3.5 cup         4.5

Potato, baked with skin    1 medium        4

Raspberries                1 cup           8

Rice                       1 cup           1.6

Strawberries               1 cup           4

Spinach (raw)              1 cup           1

Spinach (cooked)           1 cup           4

Sunflower Seeds            1 ounce         4

Tomato                     1 medium        2

Whole wheat bread
06/10/12                  Dr1Ram Bahadur
                              slice        1.3   83
Eat healthy to stay healthy


           To lower your cholesterol try one or more
           cloves a day chopped or crushed.
           Tea alone is found to be rich in anti-oxidants
           and flavonoids is associated with a reduced risk
           of C.V.D. but with the additional of milk
           beneficial effects of tea are neutralized.
           Drinking coffee does not increase the risk of
           heart diseases but consumption of large
           amounts of unfiltered coffee increases total
           cholesterol level.

06/10/12                 Dr Ram Bahadur                       84
SOYA BEAN AND SOYA PRODUCTS
It is the perfect health food for Indians soya
bean offers a balanced diet and keeps life
threatening ailments away
Prevents heart disease
Prevents cancer : specially breast and prostate
 Fights osteoporosis
Reduces diabetes
Soya is available in forms such as oil ,flour ,tofu
, sauces, nuts and beverages
  06/10/12           Dr Ram Bahadur              85
Eat healthy to stay healthy
   Vitamin A, C, E, B6, B12, selenium,
   and Folic acid not only protect your
   body against Cancer but also act as
   anti oxidant and boost your immunity
   system.




06/10/12        Dr Ram Bahadur            86
Vitamin/Mineral- sources           Significance
A Mango, carrots, tomato juice,    A fat soluble vitamin which
sweet potatoes, pumpkin, beef      fights free radicals and
liver                              boosts immune response.
C Spinach, tomato juice,           One of the most essential
mango, orange, grapefruit juice,   water soluble anti-oxidant. It
strawberries                       reacts with and inactivates
                                   free radicals in plasma and
                                   extra cellular fluid
E Polyunsaturated plant oils,      The most effective lipid
wheat germ, sunflower seeds,       soluble antioxidant. It acts
sweet potatoes, cod                as a free radical scavenger.
Selenium Seafood, meats, grain     Helps in activating a natural
                                   anti-oxidant enzyme of body.
B6 Bananas, watermelons,           Lowers levels of plasma
tomato juice, spinach,             homo cysteiene. Helps in
potatoes, white rice, chicken      reducing the clogging of the
breast                             arteries.
B12 Meats, poultry, fish, milk,
eggs, shellfish
Folic acid Tomato juice, green Bahadur
 06/10/12                 Dr Ram                             87
Importance of Calcium
If we look at peak bone mass in women -- the time
our bones are strongest -- we peak at about age 35.
After this age, we start to lose bone. At
menopause, if we do not intervene, this loss
accelerates significantly.
Bone strength comes from calcium, and we need
about 1000 mg a day.
The richest sources of calcium are dairy products.
Low fat products are just as good as full fat for your
calcium intake (and better for your heart!).


 06/10/12              Dr Ram Bahadur                    88
Summary: Take Home Points
1.    You are valuable! Self-care is the
      foundation to vitality and remaining
      professional.
2.    Stress happens: Look for and anticipate
      stress.
3.    Take action immediately to manage energy,
      reduce stress and avoid burnout.



06/10/12            Dr Ram Bahadur            89
To Conclude…
Take advantage of the valuable
resources available inside or outside of
your workplace – bottom line is get help!




06/10/12         Dr Ram Bahadur         90
Peace Of Mind

   Once Buddha was travelling with a
   few of his followers. While they were
   passing a lake, Buddha told one of
   his disciples, "I am thirsty. Do get me
   some water from the lake."




06/10/12         Dr Ram Bahadur         91
The disciple walked up to the lake. At
   that moment, a bullock cart started
   crossing through the lake.
   As a result, the water became very
   muddy and turbid.
   The disciple thought, "How can I give
   this muddy water to Buddha to
   drink?"


06/10/12         Dr Ram Bahadur         92
So he came back and told Buddha,
  "The water in there is very muddy. I
  don't think it is fit to drink.“
  After about half an hour, again
  Buddha asked the same disciple to go
  back to the lake.
  The disciple went back, and found
  that the water was still muddy. He
  returned and informed Buddha about
  the same.
  After sometime, again Buddha asked
  the same disciple to go back.        93
06/10/12         Dr Ram Bahadur
This time, the disciple found the mud had settled
  down, and the water was clean and clear. So he
  collected some water in a pot and brought it.
  Buddha looked at the water, and then he looked
  up at the disciple and said," See what you did to
  make the water clean. You let it be, and the mud
  settled down on its own -- and you have clear
  water.
  Your mind is like that too ! When it is disturbed,
  just let it be. Give it a little time. It will settle down
  on its own. You don't have to put in any effort to
  calm it down. It will happen. It is effortless.“
    Having 'Peace of Mind' is not a
    strenuous job; it is an effortless
    process!
06/10/12         Dr Ram Bahadur                           94
The End

06/10/12     Dr Ram Bahadur   95

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2012 09 12 stress management

  • 1. Stress Management Stress Management 06/10/12 Dr Ram Bahadur 1
  • 2. Stress :- Stress results from a mismatch between the demands and pressures on the person, on the one hand, and their knowledge and abilities, on the other. It challenges their ability to cope with work. This includes not only situations where the pressures of work exceed the worker’s ability to cope but also where the worker’s knowledge and abilities are not sufficiently utilized and that is a problem for them. - WHO 06/10/12 Dr Ram Bahadur 2
  • 3. WHAT IS STRESS? Stress is the body's natural response to pressure of any kind. Stress is a reaction of the body and mind to change. Stress can be caused by something as simple as breaking a fingernail or by something as serious as losing a finger. The threat, event or change are commonly called stressors. Stressors can be internal (thoughts, beliefs, attitudes or external (loss, tragedy, change). 06/10/12 Dr Ram Bahadur 3
  • 4. Stressors :- Stressors can be minor, like misplacing your keys. Stressors also can be major. Examples of major stressors include the death of a family member or friend, loss of a job, or a relationship breakup. 06/10/12 Dr Ram Bahadur 4
  • 5. PHYSIOLOGICAL CHANGES DURING STRESS HPA – HYPHOTUALANUS, PITUTARY GLAND AND ADREMAL GLAND 06/10/12 Dr Ram Bahadur 5
  • 6. o When a person begins to experience stressful events or perceive which is stressful - physiological changes take place in the body. o HPA Axis undergoes activation. The Hypothalamus in the brain stimulates pituitary gland to release Adeno Certico Trophic hormone in the blood which in turn stimulates the adrenal gland to release stress hormones [SH] such as Adrenaline and Cartisol. o Thus, SH prepares the body for fight or flight by diverting energy and blood away 1. from those areas where it is less necessary (such as digestive track or the skin) 2. those areas where it is more needed (such as heart and leg muscles). 06/10/12 Dr Ram Bahadur 6
  • 7. Fast Facts At least 50% of all visits to a doctor are stress-related, 06/10/12 Dr Ram Bahadur 7
  • 8. LEVELS OF STRESS 06/10/12 Dr Ram Bahadur 8
  • 9. What happens when you’re stressed out? Want to be alone Fight with spouse and children Day dream Bite nails Have trouble sleeping Cry easily Lose interest in office work and home Can’t concentrate 06/10/12 Dr Ram Bahadur 9
  • 10. Eustress Distress 06/10/12 Dr Ram Bahadur 10
  • 11. STAGES OF STRESS 06/10/12 Dr Ram Bahadur 11
  • 12. 1- ALARM STAGE As you begin to experience a stressful event or perceive something to be stressful psychological changes occur in your body. This experience or perception disrupts your body’s normal balance and immediately your body begins to respond to the stressor(s) as effectively as possible. 06/10/12 Dr Ram Bahadur 12
  • 13. EXAMPLES Cardiac - increased heart rate Respiratory - increased respiration Skin - decreased temperature Hormonal - increased stimulation of adrenal genes which produce an adrenal rush. 06/10/12 Dr Ram Bahadur 13
  • 14. 2- RESISTANCE STAGE During this stage your body tries to cope or adapt to the stressors by beginning a process of repairing any damage the stressor has caused. Your friends, family or co-workers may notice changes in you before you do so it is important to examine their feedback to make sure you do not reach overload. 06/10/12 Dr Ram Bahadur 14
  • 15. EXAMPLES Behavior indicators include: lack of enthusiasm for family, school, work or life in general, withdrawal, change in eating habits, insomnia, hypersomnia, anger, fatigue. Cognitive [involving conscious intellectual activity as thinking, reasoning, or remembering] Indicators include: poor problem solving, confusion, nightmares, hyper-vigilance. 06/10/12 Dr Ram Bahadur 15
  • 16. RESISTANCE STAGE MORE EXAMPLES Emotional indicators include: tearfulness fear anxiety panic guilt agitation depression overwhelmed. Dr Ram Bahadur 06/10/12 16
  • 17. 3- EXHAUSTION STAGE During this stage the stressor is not being managed effectively and the body and mind are not able to repair the damage. 06/10/12 Dr Ram Bahadur 17
  • 18. What Are Some Negative Effects of Stress? High stress over a long time has been linked to high blood pressure, heart disease, and ulcers. The emotional effects of stress may also show up as depression, anger, and feeling that you are out of control. 06/10/12 Dr Ram Bahadur 18
  • 19. What Are Some Warning Signs to Look For? Sleep Disorders Muscle aches (Insomnia, Indigestion or ulcers Oversleeping, Early Hypertension morning Backaches (especially lower back Excessive perspiration pain) Fatigue or loss of Clenching the jaws or energy grinding the teeth. Appetite change Constipation Increase in accidents. Diarrhea and colitis Coronary heart Skin rashes diseases. 06/10/12 Dr Ram Bahadur 19
  • 20. 4- Burnout Burnout can be defined as: – exhaustion of physical or emotional strength usually as a result of prolonged stress or frustration 06/10/12 Dr Ram Bahadur 20
  • 21. Symptoms of Burnout 1. Appearance of anxiety, depression &/or overconfidence 2. Chronic exhaustion 3. Cynical and detached 4. Excessive use of alcohol/other drugs 5. Feeling physically sick on a regular basis with headaches, colds, stomach problems, etc. 6. Increasingly ineffective at work (distressed behaviors) Leads to: 1. isolation 2. avoidance 3. interpersonal conflicts 06/10/12 Dr Ram Bahadur 21
  • 22. Stress Relieving Technique A)- Quick Stress Reduction Technique ( 6 nos ) B) Self Care Technique (10 nos) 06/10/12 Dr Ram Bahadur 22
  • 23. A)- Quick Stress Reduction Technique 1. Humour:- Humour is one of the greatest and quickest device for reducing stress. It works because laughter produces helpful chemicals in the brain. It also gets your brain thinking and working in a different way . It distracts you from having a stressed mind set. Distraction is a simple effective de-stressor. It diffuses the stressful feeling. 06/10/12 Dr Ram Bahadur 23
  • 24. 2. Brisk Walk & Self Talk:- Go for a short quick brisk walk outside. Change your environment. Breathe in some fresh air & smell the atmosphere. This stimulate your senses with new things. On the way out keep talking to yourself. 06/10/12 Dr Ram Bahadur 24
  • 25. 3. Rehydrate (Drink water):- Most of us fail to drink enough water- (that’s water-not Tea, Coffee, Coke etc.) All of your organs including your brain, are strongly dependent on water to function properly. If your body starve, you will get stressed physically and mentally. If your pee color is yellow that means you are not taking enough water. 06/10/12 Dr Ram Bahadur 25
  • 26. 4. Catnap or powernap:- Take a quick nap. It is nature’s way of recharging and re-energizing. A quick 10-30 minutes sleep is very helpful to reduce stress. 06/10/12 Dr Ram Bahadur 26
  • 27. 5. Make a Cuppa:- Any tea will do, but a flavored cup of tea is even better. Experiment with different natural flavoring using herbs, spices and fruits like fresh mint, ginger, orange, lime etc. 06/10/12 Dr Ram Bahadur 27
  • 28. 6. Crying:- Crying-Weeping proper tears- has a powerful helpful effect on stress level. Shedding a few tears can be a very good thing . It benefits you, give it a try. You might be surprise. 06/10/12 Dr Ram Bahadur 28
  • 29. Ten Self Care Techniques Mind Body Spirit Emotion 06/10/12 Dr Ram Bahadur 29
  • 30. 1. TO RELAX. Throughout the day, take "mini-breaks". Sit down and get comfortable. Slowly take in a deep breath; hold it; and then exhale very slowly. At the same time, let your shoulder muscles droop, smile, and say something positive like, "I am r-e-l-a-x-e-d." Be sure to get sufficient rest at night. 06/10/12 Dr Ram Bahadur 30
  • 31. 2. PRACTICE ACCEPTANCE Many people get distressed over things they won't let themselves accept. Often, these are things that can't be changed, for example someone else's feelings or beliefs. If something unjust bothers you, that is different. If you act in a responsible way, the chances are you will manage that stress effectively. Bahadur 06/10/12 Dr Ram 31
  • 32. 3. TALK RATIONALLY TO YOURSELF. Ask yourself what real impact the stressful situation will have on you in a day or in a week, and see if you can let the negative thoughts go. Think through whether the situation is your problem or the other person's. If it is yours, approach it calmly and firmly. If it is the other person's, there is not much you can do about it. Watch out for perfectionism -- set realistic and attainable goals. Remember: everyone makes errors Be careful of procrastination -- practice breaking tasks into smaller units to make it manageable, and practice prioritizing to get things done. 06/10/12 Dr Ram Bahadur 32
  • 33. 4. GET ORGANIZED. Develop a realistic schedule of daily activities that includes time for work, sleep, relationships, and recreation. Use a daily "thing to do " list. Improve your physical surroundings by cleaning your house and straightening up your office. Use your time and energy efficiently. 06/10/12 Dr Ram Bahadur 33
  • 34. 5. EXERCISE. Physical activity has always provided relief from stress. It accumulates very quickly. We need to develop a regular exercise program to reduce the effects of stress before it becomes distress. Try aerobics, walking, jogging, dancing, or swimming. 06/10/12 Dr Ram Bahadur 34
  • 35. 6. REDUCE TIME URGENCY. Allow plenty of time to get things done. Plan your schedule ahead of time. Recognize that you can only do so much in a given period. Practice the notion of "pace, not race". 06/10/12 Dr Ram Bahadur 35
  • 36. 7. DISARM YOURSELF. Every situation in life does not require you to be competitive. Adjust your approach to an event according to its demands. You don't have to raise your voice in a simple discussion. Playing tennis with a friend does not have to be an Olympic trial. Leave behind you your "weapons" of shouting, having the last word, putting someone else down, and blaming. 06/10/12 Dr Ram Bahadur 36
  • 37. 8. QUIET TIME. Balance your family, social, and work demands with special time slots. Hobbies are good antidotes for daily pressures. Unwind by taking a quiet stroll, soaking in a hot bath, watching a sunset, or listening to music. 06/10/12 Dr Ram Bahadur 37
  • 38. 9. WATCH YOUR HABITS. Eat sensibly -- a balanced diet will provide all the necessary energy you will need during the day. Avoid nonprescription drugs and avoid alcohol use -- you need to be mentally and physically alert to deal with stress. Be mindful of the effects of excessive caffeine and sugar on nervousness. Put out the cigarettes -- they restrict blood circulation and affect the stress response. 06/10/12 Dr Ram Bahadur 38
  • 39. 10. TALK TO FRIENDS. Friends can be good medicine. Daily doses of conversation, regular social engagements, and occasional sharing of deep feelings and thoughts can reduce stress quite nicely. 06/10/12 Dr Ram Bahadur 39
  • 40. 06/10/12 Dr Ram Bahadur 40
  • 41. How Exercise reduces Stress and Anxiety 06/10/12 Dr Ram Bahadur 41
  • 42. Regular aerobic exercise brings remarkable changes to your – body, – metabolism, – heart, and – spirits. It can – relax, – provide stimulation and calm, – counter depression, and – dissipate stress 06/10/12 Dr Ram Bahadur 42
  • 43. Factors Chemical Exercise reduces levels of the body’s stress hormones, such as adrenaline and cortisol. It also stimulates the production of endorphins, chemicals in the brain that are the body’s natural painkillers and mood elevators. Endorphins are responsible for the “runner’s high” and for the feelings of relaxation and optimism that accompany many hard workouts. 06/10/12 Dr Ram Bahadur 43
  • 44. Adding relaxation to rest Stressed muscles are tight, tense muscles. By learning to relax muscles, you will be able to use your body to dissipate stress. Progressive Muscle Relaxation [PMR] focuses sequentially on the major muscle groups. Tighten each muscle and maintain the contraction 20 seconds before slowly releasing it. As the muscle relaxes, concentrate on the release of tension and the sensation of relaxation. Start with your facial muscles, then work down the body. 06/10/12 Dr Ram Bahadur 44
  • 45. Progressive Muscle Relaxation Forehead: Wrinkle your forehead and arch your eyebrows. Hold; then relax. 06/10/12 Dr Ram Bahadur 45
  • 46. PMR Eyes: Close your eyes tightly. Hold; then relax. 06/10/12 Dr Ram Bahadur 46
  • 47. PMR Nose: Wrinkle your nose and flare your nostrils. Hold; then relax. 06/10/12 Dr Ram Bahadur 47
  • 48. PMR Tongue: Push your tongue firmly against the roof of your mouth. Hold; then relax. 06/10/12 Dr Ram Bahadur 48
  • 49. PMR Face: Grimace. Hold; then relax. 06/10/12 Dr Ram Bahadur 49
  • 50. PMR Jaws: Clench your jaws tightly. Hold; then relax. 06/10/12 Dr Ram Bahadur 50
  • 51. PMR Neck: Tense your neck by pulling your chin down to your chest. Hold; then relax. 06/10/12 Dr Ram Bahadur 51
  • 52. PMR Back: Arch your back. Hold; then relax. 06/10/12 Dr Ram Bahadur 52
  • 53. PMR Chest: Breathe in as deeply as you can. Hold; then relax. 06/10/12 Dr Ram Bahadur 53
  • 54. Progressive Muscle Relaxation Stomach: Tense your stomach muscles. Hold; then relax. 06/10/12 Dr Ram Bahadur 54
  • 55. PMR [Continued] Buttocks and thighs: Tense your buttocks and thigh muscles. Hold; then relax. Arms: Tense your biceps. Hold; then relax. Forearms and hands: Tense your arms and clench your fists. Hold; then relax. Calves: Press your feet down. Hold; then relax. Ankles and feet: Pull your toes up. Hold; then relax. The entire routine should take 12 to 15 minutes. Practice it twice daily, and experience some relief of stress in about two weeks. 06/10/12 Dr Ram Bahadur 55
  • 56. Stress Reduction and Management 06/10/12 Dr Ram Bahadur 56
  • 57. Stress & Yoga When you do Yoga, – Muscles are stretched, Tendons are pulled and Joints are lubricated – Your cardio Pulmonary system are geared up to produce more needed energy & over all improves circulation Yoga is the natural alternative to many antidepressant drugs. If you are suffering from mood disorder it acts as a balancer. 06/10/12 Dr Ram Bahadur 57
  • 58. Yoga POSE ASANA BENEFITS VAJRASAN (Adamantine Pose) • Body becomes strong and •Fold the legs and sit on firm, especially the toes, them, let the arms rest on knees, thighs and legs. the knees with the spine Relieves the pain of the erect. calves and knees. •Vajra is the name of a •Good for those who are nerve which is directly prone to excessive sleep. connected with the • Improves the digestion. digestive process. 06/10/12 Dr Ram Bahadur 58
  • 59. Yoga POSE ASANA BENEFITS PADAHASTASAN (Foot Hand Pose) Stand with feet together, •Makes the shoulders arms extended upwards strong, waist slim and and the whole body chest broad. stretched upwards. •Reduces weight. Bring the arms forward •Increases height. and down to touch the ground in front of the feet or to hold the ankles. Head should come as close to the knees as possible. Body from hips to feet should remain absolutely straight. 06/10/12 Dr Ram Bahadur 59
  • 60. Yoga POSE ASANA BENEFITS TRIKONASAN • Reduces the fat (Triangular Pose) deposits around the Keeping the legs spread hips and makes the as far apart as possible body well proportioned. and with one arm bent • Relieves pain in the like and arc as in the ribs and back. ardhchakrasan bend in • Helps remove skin the opposite direction eruptions. with the other arm • Helps increase height. touching the foot on that side. 06/10/12 Dr Ram Bahadur 60
  • 61. Yoga POSE ASANA BENEFITS MATSYASAN • Effective for ailments (Fish Pose) of the throat. Sit in padmasan and • Useful for diabetic then lie on the back. patients. Bend the head • Cure for aching knees backwards, raise the and back. shoulder from the • Removes constipation, ground keeping the legs relieves asthama and in contact with the other respiratory ground. disorders. A special feature of this asan is that it is possible to float on water in this pose without drowning. 06/10/12 Dr Ram Bahadur 61
  • 62. Yoga POSE ASANA BENEFITS   SARVANGASAN   (Shoulder Stand) •Improves blood Holding the back with circulation. the hands, raise the •Strengthens the lungs whole trunk up, trying to and the heart and benefits the thyroid. balance and rest the •Strengthens the hair whole body on the roots and helps prevent shoulders. hair-fall. •Helps remove bad odours from the body. •  06/10/12 Dr Ram Bahadur 62
  • 63. Yoga POSE ASANA BENEFITS HALASAN Useful in hernia, diabetes, (Plough Pose) piles and pain in the While lying down, raise abdomen. the legs up and bend Makes spine and legs them over the head to flexible. touch the ground. Use the arms and hands for support. 06/10/12 Dr Ram Bahadur 63
  • 64. Yoga POSE ASANA BENEFITS SALABHASAN (Locust Pose) •Helps make the waist While lying face down slender and the chest on your stomach, broad. straighten the chin and •Relieves constipation place it on the ground. and stimulates digestion. Keep the arms along the •Strengthens the heart side of the body with the and lungs. feet together, toes •Relieves sciatica pain. pointing back. Keeping the feet together, raise them up from the ground. 06/10/12 Dr Ram Bahadur 64
  • 65. Yoga POSE ASANA BENEFITS BHUJANGASAN (Cobra Pose) Keep the arms along Relieves constipation and side of the body with indigestion. the feet together. Makes the waist slim and Raise the head and chest broad. the chest up to the Helps in regulating navel from the ground. menstrual disorders as Note: Not suitable for well as liver and kidney hernia patients! disorders. Relieves back-aches. 06/10/12 Dr Ram Bahadur 65
  • 66. Yoga POSE ASANA BENEFITS NAUKASAN (Boat Pose) Bring the arms together •Relieves constipation with the hands folded and strengthens the and stretch them out in digestive system. the front. Also raise the •Helps tone the abdomen. legs simultaneously. •Useful for lung diseases. •Useful for strengthening the shoulders, neck, back and legs. 06/10/12 Dr Ram Bahadur 66
  • 67. Yoga POSE ASANA BENEFITS CHAKRASAN • Gives flexibility to the (Arch Pose) spine thus preventing The arms should be premature stiffening folded backwards and thus delaying the onset the palms placed below of the aging process. the shoulders. The • Regulates the blood knees should be bent circulation. and heels brought close • Relieves the pain of to the hips. Make an feet, ankles, back and arch by raising the truck shoulders. from the middle. 06/10/12 Dr Ram Bahadur 67
  • 68. Yoga POSE ASANA BENEFITS DHANURASAN • Makes the body supple (Bow Pose) and resilient. • Improves blood Lie on your stomach circulation. facing down. Bend the • Helps reduce waistline legs at the knees and and buttocks. grasp the ankles and • Body becomes radiant. arch the back and legs • Improves eyesight. so as to make a bow. • Strengthens the arms, shoulders, neck, spine, legs, knees and thighs. Note: Not suitable for • Relieves disorders of persons with high blood the abdomen. pressure or heart ailments! 06/10/12 Dr Ram Bahadur 68
  • 69. Yoga POSE ASANA BENEFITS USTRASAN • Reduces constipation (Camel Pose) and stimulates gastric Kneel down with your secretions. back straight. Bend • Removes ache or colic backwards and try to of the abdomen. grasp your heels with • Strengthens the thighs, your hands while looking back and toes. behind. • Reduces inflamation of the spine. • Helps augment the blood supply to the brain. • An excellent prophylactic if practiced daily. 06/10/12 Dr Ram Bahadur 69
  • 70. Yoga POSE ASANA BENEFITS PASCHIM • Improves blood circulation. • Skin diseases are cured. UTTAANASAN • Waist becomes supple. • Body odours are removed (Head Knee Forward and pleasant aroma is Bend) generated. • Reduces the adipose tissue Spread the legs in front of the abdomen. of you; grasp the big • Strengthens the calves, back, toes the hands, the the lumbar region and the nerves of the head. head touching the knees • Relieves sciatica pain, and and the elbow touching abdomen disorders. the ground. • Improves the appetite. 06/10/12 Dr Ram Bahadur 70
  • 71. Nutrition- Dietary Guidelines Carbohydrates: bread, cereal, rice, pasta, grains Proteins: beans, nuts, beef, pork, fish, chicken, eggs, milk, etc. Fats: divided into - Saturated: associated with increasing blood cholesterol levels and heart disease-- found in animal fat, coconut oil, palm oil, and cocoa butter Unsaturated: does not effect blood cholesterol, e.g. Sun Flower, Cornola, Sufola, Peanut Oil. Vitamins: divided into: – Fat-soluble (A, D, E, and K)- requires fat to make it usable by the cells – Water-soluble (B group and C)- requires water, not fat , to make it usable by the cells Minerals: i.e. calcium, iron, zinc, etc. Water 06/10/12 Dr Ram Bahadur 71
  • 72. 06/10/12 Dr Ram Bahadur Daily requirement of calories 1500-2000 72
  • 73. Eat healthy to stay healthy Have a balanced diet – 55% Carbohydrate – 25% Protein – 20% Fat – Nuts, fruits, vegetables and whole grains can each reduce risk of C.V.D. by 15% to 45% Should we eliminate fat completely ? – Brain recognizes fat as the only nutrition – Vitamin A, D and K require Fat – Fat are required for quality sperm production Cooking Media – Liquid fats are better than solid – 15 ml / per head per day – Mixed and match oils – Occasional ghee is permissible 06/10/12 Dr Ram Bahadur 73
  • 74. Sesame Olive Oil Mustard Oil Soybean Cooking Media Sun Flower Corn Canola With Olive oil coronary artillery disease is least Latest trend is to rotate the media every 2/3 months 06/10/12 Dr Ram Bahadur 74
  • 75. Eat healthy to stay healthy Avoid too much of salt to give longer life to your heart. Do not overeat, have small meals 5-6 times a day at a fixed interval. This will help in keeping you a check on your weight. Eat slowly do not rush through your meals. 06/10/12 Dr Ram Bahadur 75
  • 76. Eat healthy to stay healthy Eat more fresh vegetable, especially, green and leafy, e.g. cabbage, cauliflower and broccoli to lower the risk of lung, stomach and other cancers. Recommended ½ serving per day. 06/10/12 Dr Ram Bahadur 76
  • 77. Eat healthy to stay healthy Spinach and mustard greens contain lutein and zeaxanthin phyto chemicals that may protect your eyes as you get older (Macular degeneration a leading cause of blindness). Recommended 5-6 serving per week. 06/10/12 Dr Ram Bahadur 77
  • 78. Eat healthy to stay healthy •Tomatoes contain lycopene • prevents prostate, lung and stomach cancer • lowers the risk of heart disease. • Other sources of lycopene are apricots, water melon and papaya. • Recommended 5-6 serving per week. 06/10/12 Dr Ram Bahadur 78
  • 79. Add more high fiber food in diet … 06/10/12 Dr Ram Bahadur 79
  • 80. FIBER RICH FOODS Fiber Content of Foods Food Amount Fiber (gram) Apple 1 medium 3 Apple juice 1 cup 0 Apricot 3 dried 4.5 Artichoke 1 6 Asparagus 2 spears 1 Avocado 1/2 medium 2 Banana 1 medium 2.4 Barley, raw 40 g 5 Barley, cooked 1 cup, 180 g 6.5 Beans, Black-eyed, cooked 100 g 6.5 Beans. Green, cooked 1 cup 2 Beans, Mung, cooked 100 g 6.5 Beans, Soya, cooked 100 g 7.5 Beet Root, canned 100 g 4 Bitter Melon 06/10/12 100 g Ram Bahadur Dr 2 80
  • 81. Bread- Chapati 100 g 3 Bread- Naan 60 g 1.5 Broccoli, raw 100 g 4 Cabbage 40 g 2 Cantaloupe 1 cup 1 Carrot, raw 70 g 2 Cereal- All Bran 45 g 13 Cereal- Oat Bran 22 g 3.5 Chick Peas, dried, boiled 180 g 20.5 Cucumber, sliced 1/2 cup <1 Figs, dried 75 g 10.5 Flour- Barley 100 g 10 Flour- Besan (Chickpea) 100 g 11 Flour- Soya, low fat 100 g 15.5 Flour- Wholemeal 100 g 11 06/10/12 Flour- Wheat, plain (Maida) 100 g Dr Ram Bahadur 4 81
  • 82. FIBER RICH FOODS Grapes 1/2 cup <1 Kiwi fruit 1 medium 5 Guava, 100 g 5.5 Lemon 1 2.5 Lettuce 1 cup 1 Mango, peeled 150 g 2.5 Nashi Pear, unpeeled 130 g 4.5 Nuts- Almonds, raw 4 numbers 1.5 Nuts- Cashew, raw 75 g 4.5 Orange 1 medium 3 Peach 1 medium 2 Onion 1 large 0.6 Pear with skin 1 medium 4 Peas (cooked) 1 cup 6 06/10/12 Pistachios 1 oz Ram Bahadur Dr 3 82
  • 83. FIBER RICH FOODS Popcorn (air popped) 3.5 cup 4.5 Potato, baked with skin 1 medium 4 Raspberries 1 cup 8 Rice 1 cup 1.6 Strawberries 1 cup 4 Spinach (raw) 1 cup 1 Spinach (cooked) 1 cup 4 Sunflower Seeds 1 ounce 4 Tomato 1 medium 2 Whole wheat bread 06/10/12 Dr1Ram Bahadur slice 1.3 83
  • 84. Eat healthy to stay healthy To lower your cholesterol try one or more cloves a day chopped or crushed. Tea alone is found to be rich in anti-oxidants and flavonoids is associated with a reduced risk of C.V.D. but with the additional of milk beneficial effects of tea are neutralized. Drinking coffee does not increase the risk of heart diseases but consumption of large amounts of unfiltered coffee increases total cholesterol level. 06/10/12 Dr Ram Bahadur 84
  • 85. SOYA BEAN AND SOYA PRODUCTS It is the perfect health food for Indians soya bean offers a balanced diet and keeps life threatening ailments away Prevents heart disease Prevents cancer : specially breast and prostate Fights osteoporosis Reduces diabetes Soya is available in forms such as oil ,flour ,tofu , sauces, nuts and beverages 06/10/12 Dr Ram Bahadur 85
  • 86. Eat healthy to stay healthy Vitamin A, C, E, B6, B12, selenium, and Folic acid not only protect your body against Cancer but also act as anti oxidant and boost your immunity system. 06/10/12 Dr Ram Bahadur 86
  • 87. Vitamin/Mineral- sources Significance A Mango, carrots, tomato juice, A fat soluble vitamin which sweet potatoes, pumpkin, beef fights free radicals and liver boosts immune response. C Spinach, tomato juice, One of the most essential mango, orange, grapefruit juice, water soluble anti-oxidant. It strawberries reacts with and inactivates free radicals in plasma and extra cellular fluid E Polyunsaturated plant oils, The most effective lipid wheat germ, sunflower seeds, soluble antioxidant. It acts sweet potatoes, cod as a free radical scavenger. Selenium Seafood, meats, grain Helps in activating a natural anti-oxidant enzyme of body. B6 Bananas, watermelons, Lowers levels of plasma tomato juice, spinach, homo cysteiene. Helps in potatoes, white rice, chicken reducing the clogging of the breast arteries. B12 Meats, poultry, fish, milk, eggs, shellfish Folic acid Tomato juice, green Bahadur 06/10/12 Dr Ram 87
  • 88. Importance of Calcium If we look at peak bone mass in women -- the time our bones are strongest -- we peak at about age 35. After this age, we start to lose bone. At menopause, if we do not intervene, this loss accelerates significantly. Bone strength comes from calcium, and we need about 1000 mg a day. The richest sources of calcium are dairy products. Low fat products are just as good as full fat for your calcium intake (and better for your heart!). 06/10/12 Dr Ram Bahadur 88
  • 89. Summary: Take Home Points 1. You are valuable! Self-care is the foundation to vitality and remaining professional. 2. Stress happens: Look for and anticipate stress. 3. Take action immediately to manage energy, reduce stress and avoid burnout. 06/10/12 Dr Ram Bahadur 89
  • 90. To Conclude… Take advantage of the valuable resources available inside or outside of your workplace – bottom line is get help! 06/10/12 Dr Ram Bahadur 90
  • 91. Peace Of Mind Once Buddha was travelling with a few of his followers. While they were passing a lake, Buddha told one of his disciples, "I am thirsty. Do get me some water from the lake." 06/10/12 Dr Ram Bahadur 91
  • 92. The disciple walked up to the lake. At that moment, a bullock cart started crossing through the lake. As a result, the water became very muddy and turbid. The disciple thought, "How can I give this muddy water to Buddha to drink?" 06/10/12 Dr Ram Bahadur 92
  • 93. So he came back and told Buddha, "The water in there is very muddy. I don't think it is fit to drink.“ After about half an hour, again Buddha asked the same disciple to go back to the lake. The disciple went back, and found that the water was still muddy. He returned and informed Buddha about the same. After sometime, again Buddha asked the same disciple to go back. 93 06/10/12 Dr Ram Bahadur
  • 94. This time, the disciple found the mud had settled down, and the water was clean and clear. So he collected some water in a pot and brought it. Buddha looked at the water, and then he looked up at the disciple and said," See what you did to make the water clean. You let it be, and the mud settled down on its own -- and you have clear water. Your mind is like that too ! When it is disturbed, just let it be. Give it a little time. It will settle down on its own. You don't have to put in any effort to calm it down. It will happen. It is effortless.“ Having 'Peace of Mind' is not a strenuous job; it is an effortless process! 06/10/12 Dr Ram Bahadur 94
  • 95. The End 06/10/12 Dr Ram Bahadur 95