a presentation for the somc medical imaging department kendall l. stewart, md, mba, fapa
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A Presentation for the A Presentation for the SOMC Medical Imaging DepartmentSOMC Medical Imaging Department
Kendall L. Stewart, MD, MBA, FAPAKendall L. Stewart, MD, MBA, FAPAMarch 2, 2002March 2, 2002
Dealing WithDealing WithStressStress
Some Practical Questions & Answers Some Practical Questions & Answers
The Portable Mentor Presentation Series
SOMCPress
What’s in this forWhat’s in this for me?me?
• Stress happens!• Stress can and does diminish the quality
of our lives.• You can learn to cope more effectively
with stress.• Individualized approaches are the only
ones that work.• This presentation may produce some
insights that you can use.
Even the smallest sustained change takes real effort. “Parking the Impala”
What isWhat is stress?stress?
• A physical, chemical or emotional factor that causes bodily or mental tension and may be a factor in disease causation
• Bodily or mental tension resulting from factors that tend to alter an existing equilibrium
We are all like balls connected with strings. “Jonathan’s trials as a first year teacher.”
What are some of the common What are some of the common
unpleasantunpleasant stressesstresses in our in our lives?lives?• Illness• Unemployment• Conflict• Increasing
demands• Crime• Death• Information
overload
And we call it women’s liberation. “Claudia gesturing, on phone and pulling away with the door open.”
What are some of the common What are some of the common
pleasantpleasant stressesstresses in our in our lives?lives?• Retirement• Vacation• New baby• Moving• New job• New phase of life• Children leaving
home• Family visits
A woman won the lottery. She asked the preacher to tell her husband.
How are stress andHow are stress and healthhealth related?related?
• More than 200 points on the Social Readjustment Assessment Scale in one year was associated with an increased incidence of– Myocardial infarction– Psychiatric illness– Peptic ulcer disease– Infection
What are theWhat are the relative relative scoresscores of some common life of some common life events?events?
Life Event Relative Score
Divorce 73
Retirement 45
Child Leaving Home 29
In-law Trouble 29
Vacation 13
Christmas 12
Your first day on a new job, look cool. “You look more like one of us.”
WhatWhat disordersdisorders are are negatively affected by stress?negatively affected by stress?
• Psychiatric disorders
• Cardiovascular disorders
• GI disorders• Neurological
disorders• Musculoskeletal
disorders
What are someWhat are some
psychologicalpsychological responses to responses to stress?stress?• Irritability• Preoccupation• Difficulty with
concentration• Anxiety• Depression• Sleep changes• Avoidance• Psychological
defense mechanisms
Denial is a powerful defense. “Your racehorse, Suzy, called today.”
What are someWhat are some
physiologicalphysiological responses to responses to stress?stress?• Increased heart
rate• Increased
respiration• Increased
perspiration• Diarrhea• Tremor• Flushing
Stress can be very uncomfortable. “Treating a MI patient in the Air Force”
What What factorsfactors often distract us often distract us from the realization that we are from the realization that we are stressed?stressed?
• Time pressure• Demand for
productivity• Emphasis on quantity• Materialism• Competition• Selfish interests• No sense of purpose or
meaning• Longer task lists• Resentment
You can know too much. “We hope to get better speakers next year”
What are someWhat are some unhealthy unhealthy strategies?strategies?
• Working harder• Taking it out on
others• Withdrawing• Ignoring issues• Congregating with
other miserable people
• Doing nothing
• Eating• Drinking• Using chemicals• Indulging in
pathologic relationships
• Ruminating• Being a couch
potato
Forget changing others. Change yourself. “Waiting on my wife”
What are some healthyWhat are some healthy
mental mental strategies?strategies?
• Meditation• Healthy distraction• Thought stopping• Ventilation• Reframing• Ignoring• Assertiveness• Prayer
Even ugly pictures look better in an attractive frame. “Reframing on call duties as ministry”
What are some healthyWhat are some healthy
physicalphysical strategies?strategies?
• Exercise• Proper diet• Recreation• Avoidance of
stressful situations• Lifestyle change• Physical labor• Use of sensory
override techniques
Few of us enjoy vigorous exercise. “Combine it with something your do enjoy.
What are some suggestedWhat are some suggested next next steps?steps?• Decide whether stress is an issue you want
to address in your life.• Decide on your priorities.• Make a commitment.• Identify measures of your success.• Organize your “project team.”• Set incremental goals.• Celebrate all progress.• Be realistic.
Celebrate small accomplishments. “Climbing Camelback mountain”
WhatWhat insightsinsights can I take can I take away?away?
• Stress happens.• Not all stress is bad.• There are many successful strategies for
minimizing the negative impact of stress on our lives.
• The most effective strategies are individualized and dynamic.
• Dealing more effectively with stress will improve your productivity and the quality of your life.
Where can I learnWhere can I learn more?more?
• Stewart, Kendall L, Stress Management: Dealing Effectively with Stress at Work and in Life. A SOMC White Paper, 2002. (Watch for it on http://www.somc.org)
• Davis, Martha, McKay Matthew and Eshelman, Elizabeth Robbins, The Relaxation & Stress Reduction Workbook. 5th ed., New Harbinger Publications, 2000.
• Carnegie, Dale, How to Stop Worrying and Start Living. Pocket Books, 1985.
• Weeks, Claire, Hope and Help for your Nerves. Signet, 1991.• Davidson J. The Complete Idiot’s Guide to Managing Stress,
Alpha Books, 1996• How to Master Stress http://www.mindtools.com/smpage.html
How can we How can we contactcontact you? you?
Kendall L. Stewart, M.D.Kendall L. Stewart, M.D.Medical DirectorMedical Director
Southern Ohio Medical CenterSouthern Ohio Medical Center
1805 27th Street1805 27th StreetPortsmouth, Ohio 45662Portsmouth, Ohio 45662
740.356.8153740.356.8153
stewartk@somc.org www.somc.org
Southern Ohio Medical CenterSouthern Ohio Medical Center SafetySafety QualityQuality ServiceService RelationshipsRelationships PerformancePerformance
WhatWhat questionsquestions do you have?do you have?
www.somc.orgwww.somc.org
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