managing caregiver stress...stress: a reaction to demands 4 “the non-specific response of the body...

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Bryan Godfrey, LCSW UNC Geriatrics Clinic 984-974-6599 [email protected] Managing Caregiver Stress

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Page 1: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

BryanGodfrey,LCSWUNCGeriatricsClinic984-974-6599bryan.godfrey@unchealth.unc.edu

Managing!Caregiver Stress!!

Page 2: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TheSelf-CareConundrum

ManagingCaregiverStress 2UNCGeriatricsSpecialtyClinic

HaveyoutriedSELFCARE?

d(it'snotthatsimple)

Page 3: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Whatisstress?Andhowdoesstressaffectthebody?

Page 4: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Stress:Areactiontodemands

4

“Thenon-specificresponseofthebodytoanydemandforchange.”

-HansSelye,1936

Stressisanunavoidablepartoflife,buthowweperceiveandreacttoitisuptous!c

Sources:https://www.stress.org/what-is-stress/andhttps://bit.ly/2EK2UoIManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 5: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TypesofStress:MildAcute

5ManagingCaregiverStress UNCGeriatricsSpecialtyClinic Sources:https://bit.ly/2LxYrqqandhttps://bit.ly/2Ta9lFh

Page 6: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TypesofStress:Good/Bad

6ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

•  Eustressvs.Distress

Sources:https://bit.ly/2GCVRAHandhttps://bit.ly/2TaRPB4

Page 7: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TypesofStress:Chronic

7ManagingCaregiverStress UNCGeriatricsSpecialtyClinic Sources:https://bit.ly/2LxYrqqandhttps://bit.ly/2AdXoY6

Page 8: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TypesofStress:Chronic

8ManagingCaregiverStress UNCGeriatricsSpecialtyClinic Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdf

Page 9: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Stress:PhysicalSymptoms

9ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

•  Chronicstressseemstocauseorworsen:•  Headaches •  Back, neck, shoulder pain •  Weight gain •  Sleep dysfunction •  Bruxism (teeth grinding) •  Tinnitus (ear ringing)

•  Common cold •  Stomach problems •  Heart disease •  Alzheimer’s disease •  Mental illness

Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdf

Page 10: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Stress:EmotionalSymptoms

10ManagingCaregiverStress UNCGeriatricsSpecialtyClinic Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdf

Page 11: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Burnout

11Sources:https://www.stress.org/what-is-stress/andhttps://bit.ly/2EK2UoIManagingCaregiverStress UNCGeriatrics

Page 12: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

WhatisSelf-Care?Whatgetsintheway?Howcanitworkforme?

Page 13: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

13ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

WhatisSelf-Care?

Self-Care:TakingCareofYourself!

“Anyactivitythatwedodeliberatelyinordertotakecareofourmental,emotional,andphysicalhealth.”

Sources:https://bit.ly/2EpIZrEandhttps://bit.ly/2RelxYs

Page 14: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Self-CareBarriers

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1.  Tooburnedouttodoanything2.  Otherpeoplecomefirst

3.  Notenoughtime

Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdfManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 15: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

15Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdfManagingCaregiverStress UNCGeriatricsSpecialtyClinic

•  Youdeservecreditfor•  Knowingyourlimits•  Knowingyouarealreadybeyondthem

•  It’sOKtoneedhelp!

1.TooBurnedOut

Page 16: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

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1.TooBurnedOut

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•  Getthehelpyouneed:

•  Takecareofphysicalhealthproblems•  Shareyourstrugglewithsomeone•  Attendtomentalhealthneeds•  Recognizewhatcausedyourburnout•  Choosetodothingsdifferentlynow

Page 17: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

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2.Otherpeoplecomefirst

17Source:https://www.apa.org/news/press/releases/stress/2014/stress-report.pdfManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 18: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

3.Notenoughtime

18Source:https://bit.ly/2Tei4qQ

1.   Noticewhereyouarecurrentlyspendingtime

2.  Doesthismatchyourvalues?3.   Realizehowlongthingstake4.   Acceptlimitedenergy5.  Remember,it’saboutprioritiesManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 19: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

3.Notenoughtime

19Source:https://bit.ly/2BEQZ8h

Youcan’tdoeverything!

ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 20: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

TheBasics

20Sources:https://bit.ly/2HMlESRandhttps://bit.ly/2Q264WP

•  Seekwaystoimprovesleep•  Takesmallstepstoimprovenutrition•  Addexercisetoyourday•  Connectwithothers•  Careforyourmentalhealth

ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 21: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Exercise

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•  AcademyofMedicalRoyalColleges(UK):•  “Ifphysicalactivitywasadrug,itwouldbe

classifiedasawonderdrug.”•  “Twiceasmanydeathsareduetoinactivity

thanduetoobesityonitsown”•  Atleast30minof“moderatelyintense”

exercise5daysperweekSource:https://bit.ly/2AKHJkBManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 22: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

ConnectingwithOthers

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•  “Numerousstudiesindicatesocialsupportisessentialformaintainingphysicalandpsychologicalhealth”

•  “Socialsupportseemstomoderategeneticandenvironmentalvulnerabilitiesformentalillness“

Source:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921311/

--FatihOzbay,MD,et.alUNCGeriatricsSpecialtyClinic

Page 23: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

MentalHealth

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COMMON: •  Overestimating what you can do à inevitable failure •  Comparing self to others + Noticing negative à low self-esteem •  Trying to meet expectations of others à weak, resentful, regretful •  Caring only for others + trying to do it all à burnout MORE HELPUFL: •  Accurately estimate abilities & needs à success, reinforcement •  Comparing self now to past self à recognizing growth and change •  Trying to meet your own expectations à powerful, motivated •  Caring for self + setting limits + asking for help à lower stress

Source:“BalancingWorkandLife”webinarbyComPsych(GuidanceResources)ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 24: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

MentalHealth

24Source:“BalancingWorkandLife”webinarandhttps://bit.ly/2GHNzr9ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 25: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Self-CareisaThingYouCanDo!

25Source:4yearsworkingasanoutpatientmentalhealththerapistJ

•  Mindfulness•  GuidedMeditation

•  ProgressiveMuscleRelaxation•  PacedBreathing(2-3-4or4-7-8)

ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 26: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Getcreative!

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•  Myself-care?

Source:https://unknownworlds.com/subnautica/ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 27: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of

Getcreative!

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•  What’sYOURS?

Careforyourselfthewayyoucareforothers.Youdeservenothingless!ManagingCaregiverStress UNCGeriatricsSpecialtyClinic

Page 28: Managing Caregiver Stress...Stress: A reaction to demands 4 “The non-specific response of the body to any demand for change.”-Hans Selye, 1936 Stress is an unavoidable part of