Body’s Responses to Stress & Crisis.

Subject: Medical and Surgical Nursing I (Theory)

Overview

Stress may have negative effects on one's body, mind, intelligence, social life, and spirituality. Because stress has an impact on the entire person, the results are typically mixed. Stress can physically endanger a person's physiological equilibrium. Stress might result in emotionally unfavorable or unproductive feelings about oneself. Social stress can affect how well a person gets along with other people. Stress may test a person's spiritual beliefs and morals. Stress has been connected to a variety of diseases. Stress has two different reactions: physiological and psychological. The reticular formation, pituitary gland, and medulla oblongata exhibit the physiological response. The psychological response includes comforting others, expressing emotions, etc.

Body’s Responses to Stress & Crisis

Stress may have negative effects on one's body, mind, intelligence, social life, and spirituality. Because stress has an impact on the entire person, the results are typically mixed. Stress can physically endanger a person's physiological equilibrium. Stress might result in emotionally unfavorable or unproductive feelings about oneself. Social stress can affect how well a person gets along with other people. Stress may test a person's spiritual beliefs and morals. Stress has been connected to a variety of diseases.

In times of stress or danger, the body has a preserving mechanism that automatically activates. It might be the result of modifications to the body's internal environment. The nervous, endocrine, and immune systems are most impacted by stress and crisis. These include CNS, adrenal gland, lymph glands that affect all organ of the body. If the body responds to stress, the hypothalamus is stimulated, them sympathetic nerves prepare the body for self-defense.

There are two of the Stress Response

  • Physiological Response
  • Psychological Response

Physiological Response to Crisis

It might be challenging to know what to do when a loved one is going through severe emotional pain. It's normal to feel intimidated and overpowered. It is simple to overreact when one is feeling threatened by the circumstance. We now think that unless we are qualified professionals, we lack the abilities to help someone in need. In times of emotional stress, a supportive friend or family member may in fact be a more effective support than a professional. You are a much more natural support because you are close with the individual. Professional qualifications are not as strong a force as love, which is also a stronger healer. That being said, I believe we can all learn some calming and grounding techniques that help us face the fear of overwhelming situations. Please read “The Danger and Opportunity in Crisis” before continuing.

This is what I’ve learned about being with those who are in emotional crisis:

  • An emotional crisis is a deep-seated scream for attention that needs to be heard.
  • Every emotional crises has a specific cause. Nothing ever "simply occurs" by itself.
  • Although all parts of life have a physiological component, we are more than our body chemistry, and our emotional crises is not only a matter of neurochemistry.
  • In every encounter we have, there is always a deeper significance.
  • The process of letting go and rearranging one's life to a greater sense of authenticity and wholeness frequently begins with an emotional crisis.
  • We possess an unquenchable human spirit and a survival-oriented psyche. We may encounter situations that are overwhelming.
  • It is not essential to comprehend what is taking place.
  • It is not necessary to understand what is happening.
  • Being present with what is happening is crucial.
  • Being with someone is significantly more beneficial than correctly identifying and treating a disease.
  • The thing we dread the most is frequently on the opposite side of our strength and enthusiasm.
  • Being afraid does not imply that we are incapable or weak.
  • There is a part of us that is absolutely undamaged, is whole, and connected to a creative life force flowing through all things, every moment, including this one, regardless of what is occurring right now or what has occurred in the past.
  • Every aspect of life is advancing toward greater harmony and completeness. Falling apart and breaking down are necessary steps in the process of becoming more whole. Every moment carries the opportunity for transformation.
  • We are capable of facing and overcoming almost anything.

A crisis situation is not only about the person experiencing the emotional suffering. It is about everyone involved. Everyone in the room feels afraid, unsafe, and overwhelmed. The following techniques are for all involved

  • Breathe: One of the most powerful tools we have is the breath. When in crisis it is normal to hold one's breath. The fight or flight response sends a message throughout the entire body. All unnecessary systems shut down, muscles contract and adrenalin are pumped into the system, which magnifies anxiety and agitation. When one is holding the breath or breathing in a shallow way, the whole body is constricted and the effects of fear expand. So take a slow deep breath and release it with a sigh. A sigh sends a signal to the body to relax. Ask your loved one to take some slow deep breaths with you. If you did nothing else, breathing deeply helps us face into things because as we breathe deeply, the oxygen is traveling throughout our entire system. We begin to slow down and feel calmer. Encourage your loved one to continue taking long, deep, slow breaths, releasing them with a sigh.
  • Honesty: Acknowledge what is happening. Let the person know you care. Admit that you feel afraid or feel overwhelmed and don’t really know what to do, but you’re willing to be here with her or him. Even though your loved one is having a big emotional experience, they are likely to have very keen radar for sincerity or truth, otherwise known as a “bullshit meter” (technical term ☺). Avoid using platitudes and denial. People usually appreciate and relax when others are honest with them. Denial helps no one. It is ok to admit that you may feel helpless and wish you had a way to make the loved one feel better.
  • Control: When someone is in emotional crisis, they are usually hyper-vigilant. Any attempt to control a person in crisis will usually exacerbate the crisis. Let your loved one know you want to help them figure out what they need and want, and that you are there for THEM.
  • Presence: A solid presence is very comforting. To stay present to the situation, focus on what is happening right now. Focusing on what has happened in the past or might happen in the future takes you out of this moment and makes it difficult to respond to what is happening now. Do not over-react. Talk in a slow, calm manner, continues breathing slowly and deeply, focus on your loved one, providing a steady presence.
  • Suspend the need to fix: Trying to brainstorm solutions and ‘fix’ the situation is not helpful at his time. Trying to fix the situation is often about the helper needing to feel in control, rather than actually providing help. Think about what has been helpful to you, in times of distress.
  • Deep Listening: Listen, Listen, Listen. Tell your loved one that you are interested in what is going on for him or her. Listen even if you don’t understand what your loved one is saying. Suspend your own judgment and know there is meaning is this, even if you do not see what it is. Try to find a place of fascination in yourself…the inner workings of the psyche are quite brilliant in its coping ability. When we can move from trying to control and stop the process, the process can actually become quite fascinating.
  • Expressing Emotions:Allow your loved one to express feelings. Simply hold witness to these feelings. If you are having trouble being with your loved one's feelings, admit that to yourself and your loved one. Often our loved ones feel responsible for our feelings or are unable to express their own authentic feelings because of our difficulty in being with them. It’s ok to set limits. Let the person know you will © 2006 Debbie L. Whittle holds space for their feelings as long as they are not destructive. If anger is a prevalent feeling, suggest beating a pillow, stomping in the woods, making sounds like growling or toning, etc. Suppressing feelings are often part of the cause of an emotional crisis.
  • Trust the Process: Be aware that emotional crisis is often the first step in the process of releasing and reorganizing one’s life into a greater sense of authenticity and wholeness. The breakdown is often a step toward a breakthrough. Let your loved one know you believe they are going through an important process and you are willing to support them to find what they need.
  • Ask what is needed: Despite what it looks like, most people know what they need, most of the time. Ask your loved one what they think they need. Support your loved one to find what works for them.
  • The Basics: The emotional crisis requires getting down to basics. It is really very little that must be done. Food, Water, Rest, and perhaps a walk are all you need to concentrate on. Avoid sugary foods. Sugar triggers emotional instability. A high protein meal is helpful to a ground and often balances the emotions. Be sure your loved one drinks plenty of water. Walking or sitting on the earth is a good grounding technique. Holding someone’s ankles gently for several minutes draws their energy back into their body. Emotional crisis is often very draining. Your loved one may need a great deal of sleep to recoup the energy expended. You also need sufficient rest and may need help from other friends or supporters.
  • Providing Comfort: Often a person in crisis feels ungrounded and unsupported. Perhaps they would like a warm bath, or to wrap up in a warm blanket. Ask your loved one if they would like a hug or would allow you to hold them. A good way to hold someone to provide support is to sit on the floor with your back against a wall or stable piece of furniture. Have your loved one sit in front of you, back towards you, leaning back allowing you to support him or her with your arms gentle holding them. Encouraged them to breathe deeply and sigh. This is a good way to release tension and when they feel supported they can often surrender into a deeper place of ease. Do not be surprised if emotional release also comes with this surrender. You might also try rubbing your loved one’s back or feet. Think about what would help you feel more relaxed and cared about if this were you.
  • Non-Pathology: Being with a loved one during emotional crisis takes a lot of time and energy. If you must seek outside support, be sure it is what your loved one wants. Your love and support cannot be duplicated. If at all possible find ways to support yourself and your loved one without pathologizing the experience. Trust there is a much larger process moving through this individual than an “illness.”
  • Spiritual Support: Seek whatever spiritual support and faith make sense to you and your loved one. Ask for the transformation of this situation. You need not know what that might look like. Be open to the notion there is a larger creative intelligence flowing through all things all the time. Every moment has the potential for transformation.

Physiological Responses to a Stressor

It is ‘fight or fight’ response in which the body prepares itself for survival. When an individual face stress, his/her body adjust automatically to maintain equilibrium there are three major homeostatic mechanisms:

  • Medulla Oblongata:
    • Controls vital function(either increase or decrease)
  • Reticular Formation:
    • Controls vital function as well as continuously monitor the physiological status of the body.
  • Pituitary Gland:
    • Supplies numerous hormones that control vital function, hormones are necessary for adaptation to stress. In a case of the stress, the pituitary gland work of all the glands some of the hormones it releases will stimulate certain glands to produce hormone and other to produce fewer hormones. A body reacts to stress both generally and in s local way.

References

  • Mandal, G. (August 2013). A Textbook of Adult Health Nursing (2nd ed.). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
  • medicarepdf.net/tag/definition/page/3/
  • power2u.org/downloads/RespondingToEmotionalCrisis.pdf
  • ssuu.com/homeworkping/docs/62914591-case-study.docx
Things to remember
  • Stress may have negative effects on one's body, mind, intelligence, social life, and spirituality. The nervous, endocrine, and immune systems are most impacted by stress and crises.
  • An emotional crisis is a deep-seated scream for attention that needs to be heard.
  • The body's physiological reaction is a "fight-or-flight" response in which it gears up for survival.
Questions and Answers

Stress may have negative effects on one's body, mind, intelligence, social life, and spirituality. Because stress has an impact on the entire person, the results are typically mixed. Stress can physically endanger a person's physiological equilibrium. Stress might result in emotionally unfavorable or unproductive feelings about oneself. Social stress can affect how well a person gets along with other people. Stress may test a person's spiritual beliefs and morals. Stress has been linked to a variety of diseases.

In times of stress or danger, the body has a preserving mechanism that automatically activates.

It may result from changes in the internal environment of the body. During stress and crisis, nervous, endocrine and an immunological system is most affected. These include CNS, adrenal gland, lymph glands that affect all organ of the body. If the body responds to stress, the hypothalamus is stimulated, them sympathetic nerves prepare the body for self-defense.

There are two of stress response:

  • Physiological response.
  • Psychological response.

Physiological Response to Crisis

It might be challenging to know what to do when a loved one is going through severe emotional pain. It's normal to feel intimidated and overpowered. It is simple to overreact when one is feeling threatened by the circumstance. We now think that unless we are qualified professionals, we lack the abilities to help someone in need. In times of emotional stress, a supportive friend or family member may in fact be a more helpful support than a professional. You are a much more natural help because you are close with the individual. Professional qualifications are not as strong a force as love, which is also a stronger healer. Having said that, I think we can all benefit from learning some calming and grounding skills to help us deal with our anxiety of being overpowered by circumstances. Before continue, please read "The Danger and Opportunity in Crisis."

I've learned the following about dealing with people who are experiencing emotional crisis:

  • An emotional crisis is a deep-seated scream for attention that needs to be heard.
  • Every emotional crises has a specific cause. Nothing ever "simply happens" by itself.
  • Although all parts of life have a physiological component, we are more than our body chemistry, and our emotional crises is not only a matter of neurochemistry.
  • In every encounter we have, there is always a deeper meaning.
  • The process of letting go and rearranging one's life to a higher sense of authenticity and wholeness frequently begins with an emotional crisis.
  • We possess an unquenchable human spirit and a survival-oriented psyche. We may encounter situations that are overpowering.
  • It is not essential to comprehend what is taking place.
  • Being present with what is happening is crucial.
  • Being with someone is significantly more beneficial than correctly identifying and treating a disease.
  • The thing we fear the most is frequently on the other side of our strength and enthusiasm.
  • Being terrified does not imply that we are inadequate or weak.
  • There is a part of us that is completely undamaged, is whole, and connected to a creative life force flowing through all things, every moment, even this one, regardless of what is occurring right now or what has occurred in the past.
  • Every aspect of life is advancing toward greater harmony and wholeness. • The potential for transformation is present in every moment. • Breaking down, falling apart, IS part of the process of moving into a greater state of wholeness.
  • We are capable of facing and overcoming almost anything.

An emotional crisis affects more than just the individual going through it. It concerns everyone who is involved. Everyone in the room is uneasy, overwhelmed, and terrified. The techniques listed below are for everyone engaged.

  • Breathe
    • The breath is one of our most effective instruments. It is common to hold one's breath during a crisis. The body as a whole receives a message from the fight or flight response. All unneeded processes shut down, muscles tense, and the body releases adrenalin, which amplifies agitation and worry. The entire body becomes constricted and the consequences of terror grow while one is holding their breath or inhaling shallowly. So inhale slowly and deeply and exhale with a sigh. The body receives a signal to relax when you sigh. Invite the person you love to take some slow, deep breaths beside you. Even if you don't do anything else, deep breathing can assist us tackle our challenges since it sends oxygen throughout our entire body. We start to calm down and slow down. Encourage your loved one to keep inhaling deeply and slowly while exhaling long, deep breaths.
  • Honesty
    • Recognize what is taking place. Tell the individual you care about them. Admit your feelings of fear or overwhelm and your lack of genuine direction, but express your willingness to be with her or him anyhow. Even though your loved one is going through a significant emotional experience, they are likely to have an extremely sensitive "bullshit meter" (technical term â o) for sincerity or truth. Denial and clichés should be avoided. When others are honest with them, most people enjoy this and become more at ease. No one gains from denial. It's acceptable to acknowledge that you can feel helpless and wish you could do something to make your loved one feel better.
  • Control
    • In times of emotional crisis, people are frequently overly watchful. Any attempt to restrain someone who is in crisis usually makes it worse. Tell the person you care about that you want to support THEM in determining what THEY need and want.
  • Presence
    • A strong presence is incredibly reassuring. Focus on the present moment in order to remain aware of the circumstance. You can't respond to what is happening right now if you are thinking about what has already occurred or what might occur in the future. This takes you out of the present. Avoid overreacting. Talk softly and calmly, keep inhaling and exhaling slowly, concentrate on your loved one, and maintain a continuous presence.
  • Suspend the Need to Fix
    • It is not the right moment to try to "fix" the situation by coming up with remedies. Instead of truly helping, trying to cure things is frequently about the helper's need to feel in charge. Consider the things that have come in handy while you've been struggling.
  • Deep Listening
    • Please pay close attention. Inform your loved one that you are curious about how he or she is doing. Despite your inability to grasp what your loved one is saying, pay attention. Put aside your personal judgment and acknowledge that this has significance, even if you cannot yet identify it. The inner workings of the psyche are quite brilliant in its capacity for coping, so try to find something to be fascinated by in yourself. When we stop attempting to stop and regulate the process, it actually starts to become quite fascinating.
  • Expressing Emotions
    • Let your loved one express their emotions. Simply acknowledge these emotions. Admit to yourself and your loved one that you are struggling to be sensitive to their emotions. Because we find it difficult to be with them, our loved ones frequently feel responsible for our emotions or are unable to communicate their own genuine emotions. Setting boundaries is OK. Tell them you'll be there in 2006. As long as their emotions are not harmful, Debbie L. Whittle gives them space to express them. If you want to relieve your anger, try thumping a pillow, stomping in the woods, or making growling or tone noises. A lot of times, suppressing emotions contributes to an emotional crisis.
  • Trust the Process
    • Recognize that going through an emotional crisis is frequently the first step in the process of letting go and rearranging one's life to feel more real and entire. Breakthroughs frequently begin with a breakdown. Tell your loved one that you think they are going through a crucial phase and that you are ready to help them find the resources they require.
  • Ask What is Needed
    • Contrary to appearances, most people typically know what they need. What does your loved one believe they need? Encourage the person you care about to find what suits them.
  • The Basics
    • The emotional crises necessitates returning to the fundamentals. Actually, there is not much that needs to be done. All you need to focus on is food, water, rest, and sometimes a walk. Eat less sweet stuff. An emotional instability response to sugar. A high-protein meal is good for the body and frequently helps to keep the emotions in check. Make sure your loved one consumes enough water. A good way to ground yourself is by walking or sitting on the ground. Gently holding someone's ankles for a while causes their energy to return to their body. A serious emotional crisis can be incredibly taxing. Your loved one can require a lot of sleep to replenish their energy. Additionally, you must get enough sleep and may require assistance from other friends or allies.
  • Providing Comfort
    • A person in distress frequently feels unsupported and unrooted. Maybe they would like to take a warm bath or cuddle up under a warm blanket. Ask your loved one if they would prefer a hug or to be held by you. Sitting on the floor with your back against a wall or sturdy piece of furniture is a wonderful method to support someone. Your loved one should sit in front of you with their back to you. backing up allowing you to gently hold them in your arms if they need assistance. prompted them to sigh and inhale deeply. This is an effective approach to relieve stress, and when people sense support, they frequently give up and enter a more relaxed state. If this submission also results in emotional release, don't be shocked. You might also try massaging their feet or back. If this were you, consider what would make you feel more at ease and loved.
  • Non-Pathology
    • It requires a lot of time and effort to be with a loved one during an emotional crisis. Make sure it is what your loved one wants if you feel you must seek outside assistance. You can't replace your love and support. Find strategies to help yourself and your loved one without pathologizing the situation, if at all feasible. Believe that this person is going through something considerably more complex than a "sickness."
  • Spiritual Support
    • Find whatever form of spiritual guidance and belief you and your loved one can understand. Request that this condition be changed. You don't have to be aware of what that might entail. Be receptive to the idea that a greater creative intelligence permeates everything constantly. Every instant has the capacity to change.

Physiological Responses to a Stressor

The body gears up for survival via the "fight or flight" reaction. There are three primary homeostatic systems at work when a person is under stress to preserve equilibrium:

  • Medulla Oblongata
    • Regulates a crucial function
  • Reticular Formation
    • Controls essential processes and constantly checks the body's physiological condition.
  • Pituitary Gland
    • Hormones supply a wide range of hormones that regulate essential functions and are essential for stress tolerance. When under stress, the pituitary gland works with all the glands, stimulating some to generate hormones while causing others to produce fewer hormones. Stress causes a body to respond both globally and locally.

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