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LearnWell Dental Institute Managing Stress: Living without Stress Overload
Welcome to this 3-contact-hour Continuing Education course (RN-CEP 11430, MFT- PCE 39) with instant online processing and certification 24/7. Study the course below, take the 12-question multiple-choice TEST, register and pay online. If you score 75% or above, you may print your CE certificate on your printer as soon as you finish. If you have difficulty printing your certificate, click here.. You may retake the test once.
1: What is Your Stress? Basics: http://psychcentral.com/library/stress_manage.htm 1.1. STRESS is the internal or external force that causes a person to become tense, upset or anxious. Distress is negative stress that may causes illness. What we usually call stress may be better called distress. Eustress is positive stress that stimulates a person to function better. Burnout is a state of exhaustion that results from repeated emotional pressure. Our bodies try to keep in balance (homeostasis), but stress may upset that balance. Hans Selye explained stress through GAS (general adaptation syndrome), a way that the body tries to keep in balance. The GAS stages are alarm, resistance and exhaustion. Stress is either acute (short-term) or chronic. People with chronic stress, such as ongoing conflicts, respond less well to many vaccines, and are more likely to develop colds, memory loss, heart attacks, strokes, problems with their immune system, digestive problems, headaches, ulcers and have some types of obesity. Researchers now categorize people as either hot or cool responders to stress. Cool responders responded less to higher cortisol levels than hot responders. Cool responders just do not react to stress as much as hot responders. Women, children, young adults, divorced and separated persons tend to have higher stress levels. Men, married people, and individuals between ages 55 and 64 tend to have lower stress levels.
1.2 How the Body Copes With Stress The body reacts to stress by secreting two types of chemical messengers - hormones in the blood and neurotransmitters in the brain. Scientists think that some of the neurotransmitters may be the same or similar chemicals as the hormones but acting in a different capacity. Some of the hormones travel throughout the body, altering the metabolism of food so that the brain and muscles have sufficient stores of metabolic fuel for activities, such as fighting or fleeing, that help the person cope with the source of the stress. In the brain, the neurotransmitters trigger emotions, such as aggression or anxiety, that prompt the person to undertake those activities. Normally, stress hormones are released in small amounts throughout the day, but when the body is under stress the level of these hormones increases dramatically. The release of stress hormones begins in the brain. First, a hormone called corticotropin-releasing factor (CRF) is released from the brain into the blood, which carries the CRF to the pituitary gland, located directly underneath the brain. There, CRF stimulates the release of another hormone, adrenocorticotropin (ACTH), which, in turn, triggers the release of other hormones - principally cortisol - from the adrenal glands. Cortisol travels throughout the body, helping it to cope with stress. If the stressor is mild, when the cortisol reaches the brain and pituitary gland it inhibits the further release of CRF and ACTH, which return to their normal levels. But if the stressor is intense, signals in the brain for more CRF release outweigh the inhibitory signal from cortisol, and the stress hormone cycle continues. Researchers speculate that CRF and ACTH may be among the chemicals that serve dual purposes as hormones and neurotransmitters. The researchers posit that if, indeed, these chemicals also act as neurotransmitters, they may be involved in producing the emotional responses to stress. The stress hormone cycle is controlled by a number of stimulatory chemicals in addition to CRF and ACTH and inhibitory chemicals in addition to cortisol both in the brain and in the blood. Among the chemicals that inhibit the cycle are neurotransmitters called opioid peptides, which are chemically similar to opiate drugs such as heroin and morphine. Dr. Kreek has found evidence that opioid peptides also may inhibit the release of CRF and other stress-related neurotransmitters in the brain, thereby inhibiting stressful emotions. Source: http://www.drugabuse.gov/NIDA_Notes/NNVol14N1/Stress.html
1.3 STRESSORS are the pressures from the inside or the outside that cause stress. Stress is your RESPONSE to these stressors. Some common stressors are anger, conflicts, illnesses, violence, money difficulties, job problems, tests, tense relationships, competition, changes and losses. Review the Model of Stress.
1.4 CHECK your stress level with some of the following stress tests. Record it. Stress & Depression Stress Toughness Test 5 Area Stress Test Self-Assessment Tests http://www.green-river.com/spoints.htm
2: How Do You Get Quick Relief? Can I get Quick Relief? Stress is best taken care of right away actively and effectively. Deal with the immediate issue first, be optimistic, see things in the context of a larger positive plan that makes sense to you, and recognize that troubles are temporary. Don't blame yourself needlessly. Meditate, pray, relax one muscle at a time, and ever so often enjoy a massage.2.1 Stress-Relief to do right now: Practice deep breathing, tighten and relax the parts of your body, refocus your thinking to something pleasant, put things into perspective, find time to be alone, talk to a friend or family member and involve yourself in some recreation or physical work. Avoid sugary snacks, smoking, alcohol, drugs, overeating and caffeine. 2.2 Break the stress cycle. By doing some short-term stress-relief,
you break the stress cycle that can spin out of control. If you do not relief
the immediate stress, the stress may keep on accumulating until it becomes too
great to bear. Stress can lead to burnout, workaholic
and adjustment disorders, posttraumatic stress disorders, and diseases related
to the cardiovascular, immune and digestive systems. 2.3 Recognize stress as a normal part of living. Everyone faces it to some degree. The causes of stress can be good or bad; desirable or undesirable, such as a promotion on the job or the loss of a spouse. Properly handled, stress need not be a problem. But unhealthy responses to stress, such as driving too fast or erratically, drinking too much, or prolonged anger or grief, can cause a variety of physical and mental problems. Even on a very busy day, find a few minutes to slow down and relax. Talking over a problem with someone you trust can often help you find a satisfactory solution. Learn to distinguish between things that are worth fighting about and things that are less important. Source: http://www.cdc.gov/nasd/docs/d001201-d001300/d001245/d001245.html
3: How Do You Develop Stamina to Prevent Stress? You can prevent stress. Don't feel that you are a victim. Build a good support group around you. Improving your emotional, physical and spiritual health may take care of part of your stress. Do exercise (researchers found that students who worked out half-an-hour on a treadmill lowered their scores on an anxiety test by 25%). 3.1 Explore your life-style approach to Stress Reduction. Strive for balance, talk, write, prioritize, relax and help others. Learn to defuse stress by making a habit of planning ahead, being positive, taking breaks, and rehearsing (that is, walking through) difficult anticipated situations. You can develop the stamina that makes you more stress-resistant through simplicity, exercise, humor, nutrition and some 10 Lifestyle Tips. The most common stress in the USA is problems with work. 3.2 At various times of your life, you may be controlled mainly by your 1) emotions, 2) principles, or 3) mission. Emotionally-controlled people are often at the mercy of their moods and other people's attitude. That may be very stressful. But they can gain emotional strength by learning to focus on healthy emotions and filling their lives with positives. Principle-controlled people live by some givens and when situations or people interfere with these, high stress can result. But they can learn flexibility and give in where that is appropriate. Mission-controlled people live by some vision and try to move in a selected direction. All can find their perspective and balance by developing stress resistance through special stress-resisters and healthy lifestyles. 3.3 Stress Interventions: Review some ways to develop stamina to prevent stress:
Physical activity:
Nutrition:
Social support:
Relaxation:
4: How Do You Prevent Stress Overload? What about stress overload? When all the components of your life fit nicely together, you can go through life with normal, bearable stress. When your physical, mental, emotional, social or spiritual health is damaged, stress becomes a byproduct of that health problem. Thus taking care of that problem may also take care of that stress. Thus proper eating, exercise, relationships, meditation and spiritual exercises all contribute to stress-relief. In may ways, stress is an attitude. If you let everything bug (or distress) you, you will have a lot of stress. 4.1 Think for Stress Resistance. In a way, the stress is in your mind. Changing your thinking changes your reaction to stress. Consider reframing, which deals with changing of the way you interpret events and situations. If you let something stress you, it will. Also make a TO-DO list and manage your time. Don't procrastinate, JUST DO IT. 4.2 Put your mind into a Stress-Free mode. Start each day with a short review of your life-mission and weekly plan. Work daily on your stress-resistance stamina through exercise, good nutrition and drug-abstinence. Then determine to enjoy the things that fit into your life that day. Deal with the things that do not fit into your life in a problem-solving way (that is, look at your alternatives and choose the best). Thus you can face each day in a STRESS-FREE mode, well prepared for the stress that will come. Explore the resources of other stress courses: www.cap10.net Get Tough With Stress Stress Management and Relaxation Randi L. Sims, Ph.D. Stress Management Consul 4.3 Stress Quotations: Consider how they may apply to you and your situation. Rule 1. Don't sweat the small stuff. Rule 2. It's all small stuff. Rule 3. If you can't fight or flee, then flow. Man's troubles are rooted in extreme attention to senses, thoughts, and imagination. Attention should be focused internally to experience a quiet body and a calm mind. - Buddha. Every good thought you think is contributing its share to the ultimate result of your life. - Grenville Kleiser. What happens is not as important as how you react to what happens. - Thaddeus Golas. No one can make you feel inferior without your consent. - Eleanor Roosevelt. Everything has its beauty but not everyone sees it. - Confucius. An optimist may see a light where there is none, but why must the pessimist always run to blow it out? - Michel De Saint-Pierre. As a man thinks in his heart, so is he. - Proverbs 23:7 of the Bible. Its not what you think you are - but what you think, you are. - Author Unknown. The mind is its own place, and in itself, can make heaven of Hell, and a hell of Heaven." -John Milton. I'm an old man and I've had many troubles, most of which never happened. - Mark Twain. When it rains, I let it. - Unknown. We are more often frightened than hurt; and we suffer more from imagination than from reality. - Marcus Annaeus Seneca. People see the world not as it is, but as they are. - Al Lee. No one dies from working too hard. But when people don't get any recognition in their work, the stress of that lack of control can kill them. - Barrie S. Greiff. 4.4 Job Stress Prevention Programs: Consider What One Organization Has Done A department head in a small public service organization sensed an escalating level of tension and deteriorating morale among her staff. Job dissatisfaction and health symptoms such as headaches also seemed to be on the rise. Suspecting that stress was a developing problem in the department, she decided to hold a series of all-hands meetings with employees in the different work units of the department to explore this concern further. These meetings could be best described as brainstorming sessions where individual employees freely expressed their views about the scope and sources of stress in their units and the measures that might be implemented to bring the problem under control. Using the information collected in these meetings and in meetings with middle managers, she concluded that a serious problem probably existed and that quick action was needed. Because she was relatively unfamiliar with the job stress field, she decided to seek help from a faculty member at a local university who taught courses on job stress and organizational behavior. After reviewing the information collected at the brainstorming sessions, they decided it would be useful for the faculty member to conduct informal classes to raise awareness about job stress-its causes, effects, and prevention-for all workers and managers in the department. It was also decided that a survey would be useful to obtain a more reliable picture of problematic job conditions and stress-related health complaints in the department. The faculty member used information from the meetings with workers and managers to design the survey. The faculty member was also involved in the distribution and collection of the anonymous survey to ensure that workers felt free to respond honestly and openly about what was bothering them. He then helped the department head analyze and interpret the data. Analysis of the survey data suggested that three types of job conditions were linked to stress complaints among workers: Unrealistic deadlinesLow levels of support from supervisors Lack of worker involvement in decision-making. Having pinpointed these problems, the department head developed and prioritized a list of corrective measures for implementation. Examples of these actions included (1) greater participation of employees in work scheduling to reduce unrealistic deadlines and (2) more frequent meetings between workers and managers to keep supervisors and workers updated on developing problems. (Source: NIOSH) How can you change your environment or lifestyle to reduce your stress? ERIC_NO:
ED288131,
Differential Effectiveness of Coping in Managing Stress and Burnout in Oncology
Nurses.
by
Rounds, James B., Jr.; Zevon, Michael A.,
1986 (ERIC documents can be reached via
www.askeric.org
) ERIC_NO:
ED316804,
Occupational Stress and Health of Women LPN's and LSW's: Final Project Report.
Working Paper No. 202, by
Barnett, Rosalind C.; And Others,
1989 4.5 Do a Stress Update with current
news, information and research:
Anxiety - Doctor's Guide to the Internet TEST Study this web-site for 3 hours for an approved 3-hours Continuing Education Certificate (0.3 CEUs). Click here for the self-correcting test. .
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