Chapter 10 - Stress Response & Stress

Adverse Childhood Experiences (ACEs)

Early exposure to stress

• abuse

• violence against parent

• living with people who have substance use disorders

How does the body respond to stress?

• Increased BP, hr, co, RR

• 
  

General Adaptation Syndrom (GAS)

Consists of how the individual responds

• Alarm Stage

• Resistance Stage

• Exhaustion Stage

Alarm Stage

• Body is in fight or flight

  • Hemodynamics increase

  • Pupils dilate

  • Senses magnified

  • Increase glucose for energy

  • Decreased digestion

  • Cortisol production & release

Resistance Stage

Occurs if threat continues

Exhaustion Stage

Resources are depleted

• Long term cortisol exposure → Vulnerability to Stress Related Disorders

  • MDD

  • Insomnia

  • Heart disease

  • Weight gain

  • Digestive problems

Meditation

Training the mind by quieting the SNS

Mindfulness Meditation

• Focusing on the present/what’s around us

• Being in tune with your environment

BEING IN THE MOMENT!!

Cognitive Reframing

Changing an individuals perception of stress

** practice used in CBT

Journaling

Can help identify stressors

RN Priority

Recognize when stress

• overwhelms coping mechanisms

• impairs functioning

• becomes a crisis