stress/sleep management

PT relation

Bio, psychological, social mechanisms intertwine to play a role in health and wellness and in patient recovery after injury and surgery

Stress

How individual reacts to physical psychosocial, environmental, other stressors/situations that are challenging

Eustress

Positive stress

Neustress

Neutral stress — doesn’t effect you

Distress

Negative stress

Stress response

Perspective and lived experience

Common ongoing origin of stress

Chronic disease

• unhealthy nutritional habits

• Digestion change

• Medication use

• Financial strain

• Depression

Stressor recognition clinicians

• client intake

• Subjective portions of our examinations

Patient stressor recognition

• self report signs/symptoms

• Journaling, coping strategies

Stress multidimensional

• emotional - moodiness

• Physical - lethargy

• Cognitive - forgetfulness

• Behavioral - drinking

Stress vs. another condition

• identify psychosocial constructs and distress (yellow-flags) to determine if you need to provide psychosocial treatment

4 options for stress intervention

• standards health and wellness interventions

• Psychologically informed PT

• Refer, consult, treat

• Immediate referral

Consultation or referral for stress management

• assessment findings

• Patient is beyond limits

PT practice standard

Addressing physical impairments based on immediacy concepts with the goal to reduce symptoms

Psychologically informed practice

Incorporate patient’s beliefs, attitudes, and emotional response into patient management

Mental health practice

Identifies and treats mental illness w/ goal to minimize impact of psychological disorder on well-being/function

Stress management

• psychologically informed practice or physical therapy to behavioral approaches

• Fitness and health through nutrition

• Time management

• Spirituality

Stress related chronic disease coping

• can be incurable

• Re-orient lifestyle

• Restore sense of control

Sleep hours

7-8 - longer life expectancy w/ chronic disease free life

Less than 5 = doubles disease risk (higher in socioeconomic status)

Sleep debt

• decreased recovery

• Mood disturbances

• Increased injury risk

• Increased perception of stress

• Increased stress and anxiety levels