8/4/2019 Stress Management Medical Students
1/47
Dr.T.V.Rao MD
STRESS MANAGEMENT INSTUDENTS
DR.T.V.RAO MD 1
8/4/2019 Stress Management Medical Students
2/47
THE CHALLENGES IN COLLEGE
The best years of your life? Expectations..
Even positive change is stressful
Greater academic demands Unstructured time
Decreased adult availability
Being on your own in a new environment
Changing relations with family
DR.T.V.RAO MD 2
8/4/2019 Stress Management Medical Students
3/47
CHALLENGES OF
COLLEGE: CHOICES
Alcohol and other drugs
Sex-identity, values, practices
Food
Sleep
Balancing Academic and Extracurricular
Roommates
DR.T.V.RAO MD 3
8/4/2019 Stress Management Medical Students
4/47
LIFE MANAGEMENT SKILLS:
DR.T.V.RAO MD 4
GENERAL: Life management skills, for thepurposes of this section, include stressmanagement, time management,
information management, financialmanagement, personal healthmanagement, and crisis management.Personal planning and adeptness at
managing each of these issues willincrease the serenity and reduce thestressors within a busy, productive life.
8/4/2019 Stress Management Medical Students
5/47
DR.T.V.RAO MD 5
8/4/2019 Stress Management Medical Students
6/47
Personal planning
and adeptness at
managing each of
issues will
increase the
serenity andreduce thestressors within a
busy, productive life.
PERSONAL PLANNING
DR.T.V.RAO MD 6
8/4/2019 Stress Management Medical Students
7/47
EVERY BODY IS UNDER STRESS
Every human on the earth will experience stress, even
medical students and physicians--it is a commondenominator in life. Some stress is good stress (eustress) that is
helpful and assists the drive toward achievement and success.Negative stress (distress) affects life in an adverse manner and
is a common cause of ill health in our society. Individuals who
ignore stress signals or who cope in a negative fashion will
experience escalating symptoms of stress. The symptoms may
appear as burnout, exhaustion, emotional illnesses such asdepression and anxiety, and physical illnesses such as ulcers,
heart attacks, hypertension, and abuse of alcohol and other
drugs with all the social and professional consequences.
DR.T.V.RAO MD 7
8/4/2019 Stress Management Medical Students
8/47
WHAT IS STRESS?Stress is your mind and bodys responseor reaction to a real or imagined threat,
event or change.The threat, event or change are commonly
called stressors. Stressors can be internal
(thoughts, beliefs, attitudes or external(loss, tragedy, change).
DR.T.V.RAO MD 8
8/4/2019 Stress Management Medical Students
9/47
ADOLESCENTS AND STRESS ?
Teens are under more stress
Since adolescence is a period of significant changes
physical,
emotional, social, and
academic changes
many than at any other time of life.
8/4/2019 Stress Management Medical Students
10/47
It's important to remember
that stress is a natural part
of life. Experiencing stress
can be good, but it can also
have negative effects onone's well being. What
makes stress a positive or
negative factor lies with
how effectively the personexperiencing the stress is
able to manage it.
STRESS IS GOOD AND BAD TOO.
DR.T.V.RAO MD 10
8/4/2019 Stress Management Medical Students
11/47
Medical education has
deleterious consequences.
Trainees (students, interns, and
residents) suffer high levels of
stress, which lead to alcohol and
drug abuse, interpersonal
relationship difficulties
depression and anxiety, and
even suicide. Medical students
have mean anxiety scores one
standard deviation above thoseof non-patients, and their
depression levels increase
significantly
IMPACT OF MEDICAL EDUCATION AND
STRESS
DR.T.V.RAO MD 11
8/4/2019 Stress Management Medical Students
12/47
SIGNS AND SYMPTOMS OF STRESS
Physical
Poor appetite or overeating
Feeing tired and fatigued
Various aches and pains ---headache body achemuscle pain
Nausea & abdominal Pain
Sleep problems Falling sick very often e.g. fever cough cold
diarrhea
( because of lowering of immunity due to stress)
8/4/2019 Stress Management Medical Students
13/47
Feeling low
Nervousness and Anxiety
Excessive Anger orDepression
Being easily upset
Poor self confidence
Low self esteem
Lack of Concentration Poor performance in
studies
MENTAL STRESS
8/4/2019 Stress Management Medical Students
14/47
EXERCISE REDUCES STRESS
As a way of draining off stress energy, nothing beats aerobicexercise. To understand why, we need to review what stress is.People often think of stress as pressure at work, a demandingboss, a sick child or rush-hour traffic. All these may be triggers
but stress is actually the body's reaction to factors such asthese. Stress is the fight-or-flight response in the body,mediated by adrenaline and other stress hormones, andcomprised of such physiologic changes as increased heart rateand blood pressure, faster breathing, muscle tension, dilated
pupils, dry mouth and increased blood sugar. In other words,stress is the state of increased arousal necessary for anorganism to defend itself at a time of danger.
DR.T.V.RAO MD 14
8/4/2019 Stress Management Medical Students
15/47
Eustress or positive
stress occurs when
your level of stress is
high enough tomotivate you to
move into action to
get thingsaccomplished .
EUSTRESS
DR.T.V.RAO MD 15
8/4/2019 Stress Management Medical Students
16/47
Distress or negative
stress occurs when
your level of stress is
either too high or toolow and your body
and/or mind begin to
respond negatively to
the stressors.
DISTRESS
DR.T.V.RAO MD 16
8/4/2019 Stress Management Medical Students
17/47
As you begin to experiencea stressful event orperceive something to bestressful psychologicalchanges occur in yourbody. This experience orperception disrupts yourbodys normal balanceand immediately yourbody begins to respondto the stressor(s) aseffectively as possible.
ALARM STAGE
DR.T.V.RAO MD 17
8/4/2019 Stress Management Medical Students
18/47
THE PARADOX OF MEDICINE:BALANCING BETWEEN THE FACT THAT PEOPLE ARE
MOSTLY THE SAME & YET UNIQUELY DIFFERENT.
The Bell Curve
Individuals are all
Genetic Snowflakes
DR.T.V.RAO MD 18
8/4/2019 Stress Management Medical Students
19/47
Most people who need care dontseek it or receive it
Stigma, cultural pressure,mistrust, lack of information keeppeople out of care
So do lack of resources;treatment and medication areexpensive
Care is disjointed
Some schools dont seeemotional well-being and growthas in their mission
OBSTACLES
DR.T.V.RAO MD 19
8/4/2019 Stress Management Medical Students
20/47
Relationship problems
Depression
Anxiety
Eating Disorders
Substance Abuse
Sleep Problems
COMMON PROBLEMS
DR.T.V.RAO MD 20
8/4/2019 Stress Management Medical Students
21/47
Situational
Developmental
Generalized anxiety
disorder
Performance
Panic disorder, OCD,
phobias
ANXIETY
DR.T.V.RAO MD 21
8/4/2019 Stress Management Medical Students
22/47
35% of adult populationexperience insomnia
11% of college studentsget a good nights sleep
Loss of cognitivefunctioning, driving
Increased risk ofdepression
< 7 hours yields sleepdeprivation
SLEEP PROBLEMS
DR.T.V.RAO MD 22
8/4/2019 Stress Management Medical Students
23/47
LEARN STRESS MANAGEMENTEMOTION FOCUSED STRATEGIES
L
E
A
R
N
SDR.T.V.RAO MD 23
8/4/2019 Stress Management Medical Students
24/47
LEARN STRESS MANAGEMENT
Laugh
E
A
R
N
SDR.T.V.RAO MD 24
8/4/2019 Stress Management Medical Students
25/47
STRESS MANAGEMENT TIPS
Making little changesin your life can really add up to a big feelingof relief.
Learn to recognizewhen you are feeling stressed and simpleways you can relax.
Take a break. Have a cold drink, get some fresh air, or close youreyes for a minute to refocus.
Stay positive to help friends and family cope with stress.
Let others know you're feeling overwhelmed and tell them howthey can help.
Allow yourselfto simply say "no" to friends and family when youknow you cannot meet their demands without becomingoverwhelmed.
8/4/2019 Stress Management Medical Students
26/47
Can you change yourstressors by avoiding oreliminating them?
Can you reduce their intensity(manage them over time
instead of immediately)
Can you shorten yourexposure to stress (take abreak, leave)
Can you devote the
time necessary to make
a change
RECOGNIZE WHAT YOU CAN CHANGE
DR.T.V.RAO MD 26
8/4/2019 Stress Management Medical Students
27/47
CULTURES, HUMOR & MEDICINE
Greeks home of the comediane
Native Americans Clown Doctors
Voltaire:
The Art of Medicine consists of amusing
the patient while nature cures thedisease.
Medicine today?DR.T.V.RAO MD 27
8/4/2019 Stress Management Medical Students
28/47
An attitude toward life.
Taking your workseriously but yourselflightly.
Humor is healthy.
Humor connects us toothers!
It makes us MOREeffective!
WHAT IS HUMOR?
DR.T.V.RAO MD 28
8/4/2019 Stress Management Medical Students
29/47
HUMOR A GREAT TONIC TO STRESS
ENJOY IT
Humor is a wonderful stress reducer, an antidote to upsets.
Laughter relieves tension. In fact, we often laugh hardest when
we have been feeling most tense.
Humor is an individual thing - what is funny to one individual
may be hurtful to another. It is wonderful when patients can
poke fun at themselves. We can also do this with patients, but
we have to be careful and respectful in what we say. If you think
of something funny that may help the patient, say it if you feel it
will ease their tension and not be offensive. I will often throw ina quip or joke when I think it is appropriate. When it is done
sensitively, laughter is a great gift to people you care about.
DR.T.V.RAO MD 29
8/4/2019 Stress Management Medical Students
30/47
Gather Data
Provide Rapid Access toCare
Offer Education andOutreach
Involve Students
Coordinate Care
Be aware of communityresources
Understand your limits
WHAT SHOULD COLLEGES DO?
DR.T.V.RAO MD 30
8/4/2019 Stress Management Medical Students
31/47
Documentation
How busy is counseling? Identify
patterns and peak times of use.
Where else do students get
care?
How many students take time off
for medical reasons? Who comes
back?
How many students arehospitalized?
GATHER DATA
DR.T.V.RAO MD 31
8/4/2019 Stress Management Medical Students
32/47
EDUCATION AND OUTREACH
Be known. Get out in the community.
Train residence staff to recognize warning signs ofcommon problems.
Serve as liaisons/consultants to residence staff, deans,coaches.
Supervise student groups: peer counselors, wellnessreps, advocacy groups
Offer for-credit course to freshmen on stress and timemanagement
DR.T.V.RAO MD 32
8/4/2019 Stress Management Medical Students
33/47
WELLNESS ACTIVITIES
Start a Wellness Center on campus
Focus on prevention: Eat, Sleep, Exercise
Engage Students in community- study breaks, hikes,
massage
Teach yoga, sleep hygiene, relaxation response as part ofleading balanced life.
Have annual wellness or caring events or maximizeacademic potential, minimize stress
Student Wellness Reps.
DR.T.V.RAO MD 33
8/4/2019 Stress Management Medical Students
34/47
Practice time management
Learn relaxation exercises.
Rehearse and practice situations.
Learn practical coping skills.
Decrease negative self talk.
Learn to feel good with a workable resultDont be aperfectionist.
Build a network of friends.
Stress Management Plan
8/4/2019 Stress Management Medical Students
35/47
Ultimately, the only people whocan get through to studentswith any consistency are thestudents themselves PeerCounseling/ EducationPrograms
Student Health Advisory Group
Wellness representatives in thedorms
Mental Health Advocacy Group
Involve in screenings andeducation
INVOLVE YOUR STUDENTS
DR.T.V.RAO MD 35
8/4/2019 Stress Management Medical Students
36/47
Legal issues
Confidentiality
What about parents?
How much care for whom?How are sickest students
cared for?
When should students take
a medical leave of
absence? Re-entry?
UNDERSTAND YOUR LIMITS
DR.T.V.RAO MD 36
8/4/2019 Stress Management Medical Students
37/47
Orient them and make thempartners
Dont say I cant talk toyou.
Process of communicationis key: dont shut them out
Invite them to getpermission
Discuss general concerns,suggestions withoutbreaching confidentiality
WHAT ABOUT PARENTS?
DR.T.V.RAO MD 37
8/4/2019 Stress Management Medical Students
38/47
Balancing needs of
individual and community
Balancing care and
education
How are sickest students
cared for?
When should students take
a medical leave ofabsence?
Re-entry
HOW MUCH CARE FOR WHOM?
DR.T.V.RAO MD 38
8/4/2019 Stress Management Medical Students
39/47
Emotional and physical
well-being are crucial for
academic success
The entire student body
benefits from a strong
counseling program
The institution benefits by
increased retention and
graduation, which enhance
reputation
RETURN ON INVESTMENT
DR.T.V.RAO MD 39
8/4/2019 Stress Management Medical Students
40/47
Get plenty of
exercise and
sleep. Improved
focus and
concentration help
increaseefficiency, so you
can complete
tasks in less time.
EXERCISE AND RELAXATION ARE
FOUNDATION FOR EFFICIENCY
DR.T.V.RAO MD 40
8/4/2019 Stress Management Medical Students
41/47
Even during their
medical colleges
careers, many students
take on extracurricularactivities and projects
that are not covered at
medical colleges.
Extracurricular activatesreduces the stress level
EXTRACURRICULAR ACTIVITIES REDUCES THE
STRESS
DR.T.V.RAO MD 41
8/4/2019 Stress Management Medical Students
42/47
Develop mutuallysupportivefriendships/relationships.
Pursue realistic goals which
are meaningful to you,rather than goals otherhave for you that you donot share.
Expect some frustrations,failures and sorrows.
Always be kind and gentlewith yourself be a friendto yourself.
MAINTAIN YOUR
EMOTIONAL RESERVES
DR.T.V.RAO MD 42
8/4/2019 Stress Management Medical Students
43/47
STRESS MANAGEMENT TIPS
Be prepared for unexpected problems such as traffic, alost pet or a family emergency.
Prioritize. Take control of your "to do" list by decidingwhat's really most important on your list.
Write down feelingsof sadness, frustration or anger toget a clearer perspective of your emotions.
Enjoy life's simple pleasures like colorful flowers,dancing, music, and social outings, etc.
Share your talents to better the lives of others as well asyour sense of well-being.
BEST TO WAY TO OVERCOME
8/4/2019 Stress Management Medical Students
44/47
STRESS is verycommon
Use stress in apositive way Limit NOT eliminate
stress.
Use it to improveyour performance.
Learn CopingSkills
BEST TO WAY TO OVERCOME
STRESS
8/4/2019 Stress Management Medical Students
45/47
THE TAKEAWAY
Academic performance is enhanced by physicaland emotional health
We can learn to recognize problems much earlier
Depression, Anxiety and Stress are treatable
Education, Psychotherapy and Medication are alleffective
Self Care--eat, sleep, exercise--is a cornerstone ofhealth (for all of us!)
DR.T.V.RAO MD 45
8/4/2019 Stress Management Medical Students
46/47
Being in control of your
life and having realistic
expectations about your
day-to-day challengesare the keys to stress
management, which is
perhaps the most
important ingredient toliving a happy, healthy
and rewarding life.
Marilu Henner
BE REALISTIC AND NOT BE
OVERAMBITIOUS
DR.T.V.RAO MD 46
8/4/2019 Stress Management Medical Students
47/47
The programme created by Dr.T.V.Rao MD for
Students in the Developing World Email
Top Related