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STRESS
And how to cope with it!
Stress must be:

   1. Recognized

   2. Identified

   3. Measured

   4. Interrupted
Webster’s Dictionary Definition



• A physical, chemical, or emotional factor that causes
 bodily or mental tension and may be a factor in causing
 illness or disease
Bodily changes from stress
• The heart beats faster
• Blood vessels in the stomach and intestines and along the
    surface of the skin constrict
•   Blood pressure increases
•   Blood supply to the large muscles increases the dilation of
    the arteries serving the extremities
•   Pupils of the eyes dilate, increasing the amount of light
    striking the retina
•   Adrenal glands on the top of each kidney secrete
    adrenaline making available more energy
•   Breathing becomes faster and deeper
If this happens to the body during stress . .



• Can prolonged stress be good for the body?
Evaluating your job’s stress level
• Conflicting demands by bosses and co-workers
• Little sense of control over your job
• Working under the pressure of deadlines
• A fast work pace with little chance of relief
• Dealing with the public as customers
• Monotonous repetition
• Work paced by a machine




• Any three = STRESS
Job health scale: physical stress
         • Lower-risk
            • Clerical
            • Sales
            • Engineers
            • Top management



         • Higher-risk
           • Construction workers
           • Craftsmen
           • Laboratory workers
           • Machine repair workers
Job health scale: emotional stress
          • Lower Risk
             • Child care
             • Doctors
             • Personnel Managers
             • Teachers



          • Higher Risk
            • Middle management
            • Nurses
            • Waitresses
            • Secretaries
            • Air traffic controllers
Coronary patients and stress



• Coronary patients report significantly longer working
 hours than their healthy counterparts; in fact, those who
 worked more than 48 hours/week were twice as likely to
 suffer an attack as those who worked 40
Can Stress be measured?
• Psychologists Holmes and Rahe studied 5000 medical
    patients in the late 60’s and early 70’s
•   They asked all 5000 to rate the impact of certain life
    events on physical and mental well being
•   Narrowed the list to 43 stressful life events
•   Documented a positive correlation between life events,
    stress, and illness
•   Published the Holmes and Rahe Stress Scale as a
    predictor of illness which later was renamed the Social
    Readjustment Rating Scale (or, SRRS)
Social readjustment rating scale
• Life event                                   Change Units
   • Death of a spouse                               100
   • Divorce                                          73
   • Marital separation                               65
   • Death of a close family member                   63
   • Personal injury or illness                       53
   • Marriage                                         50
   • Fired at work                                    47
   • Marital reconciliation                           45
   • Retirement                                       45
   • Pregnancy                                        40
   • Death of a close friend                          37
   • Change line of work                              36
   • Foreclosure                                      30
   • Change in responsibilities at work               29

  150 points = increased probability of an illness
Social readjustment rating scale
• Life event                                   Change units
   • Son or daughter leaving home                     29
   • Trouble with in-laws                             29
   • Outstanding personal achievement                 28
   • Wife begins or stops working                     26
   • Change in living conditions                      25
   • Revision of personal habits                      24
   • Trouble with boss                                23
   • Change in work hours                             20
   • Change in residence                              20
   • Change in schools                                20
   • Change in church routine                         19
   • Change in sleeping habits                        16
   • Change in eating habits                          15
   • Vacation                                         13
   • Christmas                                        12
   • Minor violation of the law                       11

  • 300 points = probability of major stress
Simple example
•   Sex difficulties                     39
•   Revise personal habits               24
•   Change is social activities          18
•   Marriage                             50
•   Change in sleeping habits            15

• At this point, there’s an increased probability that you are going to
    get sick

•   Personal illness                     53
•   Change in financial state            38
•   Change in living conditions          25
•   Change in residence                  20
•   Pregnancy                            40

• At this point you’ve probably been sick once or twice and now you
    are facing major stress!
Another common example
• Marriage             50
• Sex difficulties     39
• Separation           65

• You’re sick


• Personal illness     53
• Divorce              73
• Christmas            12

• You’re stress out!
Another example
• Speeding ticket                 11
• Christmas                       12
• Week’s vacation                 13
• Car payment                     17
• Oversleep and miss Church       19
• Work consistent overtime        20
• Diet                            15
• Another speeding ticket         11
• YMCA closes to paint pool       18
• Forced to give presentation     15


• You can experience all of this and have no stress!
Type “A” behavior
• Accentuate key words in sentences
• Rapid speech
• Walk, move, eat rapidly
• Impatient
• Superficial reading
• Poly-phasic thinking
• Dominating conversations
• Guilt feelings during vacation
• Obsessed with work
• Chronic sense of urgency
• Hostile toward other type-A’s
• Nervous habits
• Complete jobs rapidly
Warning signs of stress
•   Irritable or depressed     •   Hypermobility
•   Pounding heart             •   Sweating
•   Impulsive behavior         •   GI problems
•   Urge to hide or cry        •   Neck-back pains
•   Inability to concentrate   •   Migraines
•   Accident prone             •   Appetite changes
•   Fatigue                    •   Smoking
•   Floating anxiety           •   Drug use
•   Keyed-up                   •   Alcohol use
•   Nervous tics               •   Nightmares
•   Nervous laughter           •   Neurotic behavior
•   Speech changes             •   Frequent urination
•   Teeth grinding             •   Loss of energy
•   Insomnia                   •   Procrastination
Escaping stress
• Work off stress         • Help others
• Talk out your worries   • Do one thing at a time
• Accept what you can’t   • Give in occasionally
  change                  • Be available
• Avoid self-medication   • Get enough rest
What if you can’t escape stress?
• Give your best effort   • Welcome challenges
• Act promptly            • Set realistic goals
• Meet responsibilities   • Balance work and play
• Develop alternative     • Avoid spontaneous
  solutions                 habits
• Plan ahead              • Control your own life
• Set realistic time      • Don’t procrastinate
  priorities              • Ask for help in prayer
Additional helpful hints
• What’s the worst that can happen
• Have a personal prioritized “to-do” list
• Recognized that some things are worth doing poorly
• Set aside self-indulgence time daily; spend time with God, pray
• Don’t add more to your schedule
• Analyze how you’ve coped before
• Listen to yourself when struggling
• Not everyone has to like you
• If all goes wrong, try a new way
• Get outside help; professional and/or help from above
• Use leisure activities to your advantage
• Exercise regularly
Exercise protocol


        • 5 minute warm-up
        • 30 minutes of exercise
        • 3-5 sessions per week
        • Wear ventilated clothing
        • 5 minute cool-down
Use job time effectively
• Make a fresh daily “to-do” list each day
• Make a list of “goals” for the week, month and year
• Work when you work the best
• Screen out needless interruptions
• Read some books as you would a newspaper
• Delegate the easier tasks
• Be rigid on meeting cut-off times
• Don’t be preoccupied with a watch
• Procrastinate creatively
• Plan time for the unexpected
• Don’t let good times intrude
• Say no quickly
• Keep your desktop clear
PeanutsCartoon
• Good ole’ Charlie Brown
Linus was telling Charlie Brown and Lucy . . .

 “I was just trying to talk to that little cute girl up the street”
“But I couldn’t say a WORD . . . I just STOOD there all
 embarrassed and confused” . . . .
“I got so self-conscious I didn’t know what to do!”
So I HIT her ! ! !
Stress must be recognized, identified,
measured and interrupted

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Stress3 1

  • 1. STRESS And how to cope with it!
  • 2. Stress must be: 1. Recognized 2. Identified 3. Measured 4. Interrupted
  • 3. Webster’s Dictionary Definition • A physical, chemical, or emotional factor that causes bodily or mental tension and may be a factor in causing illness or disease
  • 4. Bodily changes from stress • The heart beats faster • Blood vessels in the stomach and intestines and along the surface of the skin constrict • Blood pressure increases • Blood supply to the large muscles increases the dilation of the arteries serving the extremities • Pupils of the eyes dilate, increasing the amount of light striking the retina • Adrenal glands on the top of each kidney secrete adrenaline making available more energy • Breathing becomes faster and deeper
  • 5. If this happens to the body during stress . . • Can prolonged stress be good for the body?
  • 6. Evaluating your job’s stress level • Conflicting demands by bosses and co-workers • Little sense of control over your job • Working under the pressure of deadlines • A fast work pace with little chance of relief • Dealing with the public as customers • Monotonous repetition • Work paced by a machine • Any three = STRESS
  • 7. Job health scale: physical stress • Lower-risk • Clerical • Sales • Engineers • Top management • Higher-risk • Construction workers • Craftsmen • Laboratory workers • Machine repair workers
  • 8. Job health scale: emotional stress • Lower Risk • Child care • Doctors • Personnel Managers • Teachers • Higher Risk • Middle management • Nurses • Waitresses • Secretaries • Air traffic controllers
  • 9. Coronary patients and stress • Coronary patients report significantly longer working hours than their healthy counterparts; in fact, those who worked more than 48 hours/week were twice as likely to suffer an attack as those who worked 40
  • 10. Can Stress be measured? • Psychologists Holmes and Rahe studied 5000 medical patients in the late 60’s and early 70’s • They asked all 5000 to rate the impact of certain life events on physical and mental well being • Narrowed the list to 43 stressful life events • Documented a positive correlation between life events, stress, and illness • Published the Holmes and Rahe Stress Scale as a predictor of illness which later was renamed the Social Readjustment Rating Scale (or, SRRS)
  • 11. Social readjustment rating scale • Life event Change Units • Death of a spouse 100 • Divorce 73 • Marital separation 65 • Death of a close family member 63 • Personal injury or illness 53 • Marriage 50 • Fired at work 47 • Marital reconciliation 45 • Retirement 45 • Pregnancy 40 • Death of a close friend 37 • Change line of work 36 • Foreclosure 30 • Change in responsibilities at work 29 150 points = increased probability of an illness
  • 12. Social readjustment rating scale • Life event Change units • Son or daughter leaving home 29 • Trouble with in-laws 29 • Outstanding personal achievement 28 • Wife begins or stops working 26 • Change in living conditions 25 • Revision of personal habits 24 • Trouble with boss 23 • Change in work hours 20 • Change in residence 20 • Change in schools 20 • Change in church routine 19 • Change in sleeping habits 16 • Change in eating habits 15 • Vacation 13 • Christmas 12 • Minor violation of the law 11 • 300 points = probability of major stress
  • 13. Simple example • Sex difficulties 39 • Revise personal habits 24 • Change is social activities 18 • Marriage 50 • Change in sleeping habits 15 • At this point, there’s an increased probability that you are going to get sick • Personal illness 53 • Change in financial state 38 • Change in living conditions 25 • Change in residence 20 • Pregnancy 40 • At this point you’ve probably been sick once or twice and now you are facing major stress!
  • 14. Another common example • Marriage 50 • Sex difficulties 39 • Separation 65 • You’re sick • Personal illness 53 • Divorce 73 • Christmas 12 • You’re stress out!
  • 15. Another example • Speeding ticket 11 • Christmas 12 • Week’s vacation 13 • Car payment 17 • Oversleep and miss Church 19 • Work consistent overtime 20 • Diet 15 • Another speeding ticket 11 • YMCA closes to paint pool 18 • Forced to give presentation 15 • You can experience all of this and have no stress!
  • 16. Type “A” behavior • Accentuate key words in sentences • Rapid speech • Walk, move, eat rapidly • Impatient • Superficial reading • Poly-phasic thinking • Dominating conversations • Guilt feelings during vacation • Obsessed with work • Chronic sense of urgency • Hostile toward other type-A’s • Nervous habits • Complete jobs rapidly
  • 17. Warning signs of stress • Irritable or depressed • Hypermobility • Pounding heart • Sweating • Impulsive behavior • GI problems • Urge to hide or cry • Neck-back pains • Inability to concentrate • Migraines • Accident prone • Appetite changes • Fatigue • Smoking • Floating anxiety • Drug use • Keyed-up • Alcohol use • Nervous tics • Nightmares • Nervous laughter • Neurotic behavior • Speech changes • Frequent urination • Teeth grinding • Loss of energy • Insomnia • Procrastination
  • 18. Escaping stress • Work off stress • Help others • Talk out your worries • Do one thing at a time • Accept what you can’t • Give in occasionally change • Be available • Avoid self-medication • Get enough rest
  • 19. What if you can’t escape stress? • Give your best effort • Welcome challenges • Act promptly • Set realistic goals • Meet responsibilities • Balance work and play • Develop alternative • Avoid spontaneous solutions habits • Plan ahead • Control your own life • Set realistic time • Don’t procrastinate priorities • Ask for help in prayer
  • 20. Additional helpful hints • What’s the worst that can happen • Have a personal prioritized “to-do” list • Recognized that some things are worth doing poorly • Set aside self-indulgence time daily; spend time with God, pray • Don’t add more to your schedule • Analyze how you’ve coped before • Listen to yourself when struggling • Not everyone has to like you • If all goes wrong, try a new way • Get outside help; professional and/or help from above • Use leisure activities to your advantage • Exercise regularly
  • 21. Exercise protocol • 5 minute warm-up • 30 minutes of exercise • 3-5 sessions per week • Wear ventilated clothing • 5 minute cool-down
  • 22. Use job time effectively • Make a fresh daily “to-do” list each day • Make a list of “goals” for the week, month and year • Work when you work the best • Screen out needless interruptions • Read some books as you would a newspaper • Delegate the easier tasks • Be rigid on meeting cut-off times • Don’t be preoccupied with a watch • Procrastinate creatively • Plan time for the unexpected • Don’t let good times intrude • Say no quickly • Keep your desktop clear
  • 24. Linus was telling Charlie Brown and Lucy . . . “I was just trying to talk to that little cute girl up the street”
  • 25. “But I couldn’t say a WORD . . . I just STOOD there all embarrassed and confused” . . . .
  • 26. “I got so self-conscious I didn’t know what to do!”
  • 27. So I HIT her ! ! !
  • 28. Stress must be recognized, identified, measured and interrupted