Monday, 20 June 2011

The Stress Response vs Relaxation




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The Stress Response

Quite often we are not even aware of the full impact stress can have on our physical and emotional health. Stress and other Mind body interactions can be attributed to 60-90% of visits to physicians offices (Cummings, VandenBos, 1981; Kroenke, Mangelsdorff, 1989). It is imperative as health care professionals, we consider therapeutic ways in dealing with stress.  As nurses we have an opportunity to teach patients effective ways of managing stress, healing, and wellness. It is important that patients and health care providers first understand the physiology behind stress.

"Stress can be defined as, the perception of a physical or psychological threat, and the perception that one is unable to cope with the threat. This includes; major life events, trauma and Abuse, environmental signals, physical, and emotional stress". (Eva Selhub, pg 521, 2005)

As Eva Selhub notes, physiological results of stress are an increase of metabolism, heart rate, blood pressure, rate of breathing and blood flow to muscles (2005). This sophisticated body of ours prepares us for survival often before we are even consciously aware it is happening. This physiological change was first described by Walter B. Cannon as the 'Fight or flight response'. A survival mechanism beneficial to us when faced with a life threatening circumstance. Quite often however, our bodies respond in such a manner even when our lives are not in danger, we may even just be stuck in traffic. Chronic stress can lead to chronic illnesses such as heart disease, diabetes, depression, anxiety, substance abuse, gastrointestinal disorders, eating disorders, auto immune disorders, infections, and possibly even tumors (Selhub 2005).


The physiology of Stress
The Relaxation Response
After studying the physiological effects of the 'flight or fight' stress response, Cardiologist Herbert Benson discovered that by eliciting the 'relaxation response' the opposite was also true (1996). This physiologic state of calm is an equally essential survival mechanism, providing us with the ability to heal and rejuvenate our bodies. Today, the relaxation response is crucial when considering how often the fight or flight response is triggered inappropriately.

When our minds become focused through meditation, repetitive prayer, or mantras, the body responds with dramatic affects. There is a decrease in heart rate, blood pressure and metabolic rate (Benson, 1996).

How to Elicit the Relaxation Response
  • Pick a focus word or short phrase that is firmly rooted in your belief system. 
  • Sit quietly in a comfortable position.
  • Close your eyes.
  • Relax your muscles
  • Breathe slowly and naturally, and as you do, repeat your focus word, phrase, or prayer silently to yourself as you exhale.
  • Assume a passive attitude. Don't worry about how well you're doing, When other thoughts come to mind, simply say to yourself, 'Oh, well', and gently return to the repetition
  • Continue for then to twenty minutes.
  • Do not stand immediately. Continue sitting quietly for a minute or so, allowing other thoughts to return. Then open your eyes and sit for another minute before rising.
  • Practice this technique once or twice daily.
Studies and research show many medical conditions that can be either greatly relieved or altogether eliminated by utilizing the relaxation response and other forms self- care such as, exercise, stress management, and nutrition.
Here is a list of such conditions:
  • Angina pectoris                
  • Infertility
  • Cardiac arrhythmia's               
  • Insomnia
  • Allergic skin reactions                
  • Nausea and Vomiting during pregnancy
  • Anxiety    
  • All forms of pain – Abdominal, muscle, arm, and leg pain.
  • Mild and moderate depression    
  • Joint aches
  • Postoperative pain                                                    
  • Bronchial asthma               
  • Herpes simplex (cold sores)           
  • Postoperative swelling
  • Cough                        
  • Premenstrual syndrome
  • Constipation                    
  • Rheumatoid Arthritis
  • Diabetes                    
  • Side effects of Cancer
  • Dizziness                     
  • Side effects of AIDS
  • Fatigue
  • Hypertension (High blood pressure)
http://malynne.net/stress_response.html