stressor(potential)+perception

--> can be purely internal -generated by thought without exernal event

"good stress"

managable levels of stress for a reasonable duration which mobilize us to meet our basic needs and tackle life's challenges and demands

EMOTIONAL
• Emotional fragility
• Anger /short temper
• Crying / weepy

Racing mind
• Depression
• Anxiety / fearful
• Apathy / aloofness
• Numbness
• Feeling overwhelmed

WORK
• Errors
• Negative attitude
• Loss normal routine
• Don’t complete tasks
• Indecisiveness
• Procrastination
• Loss diligence

• Cynical

1. reduce workload

2. take time out daily

3. daily meditation/relaxation

4.debrief with communicating

5. time management

6. include fun activities

7. diet

8. exercise

9. sleep

1. Dec White Cell Count

2. Inc cortisol
3. Dec sugar metabolism, greater storage as fat
4. Dec Growth Hormone

Growth Hormone

-dec E

-weight gain

-dec immune response

-inc cholestrol

-dec libido

-don't feel have right
-feel anxious and uncomfortable about confrontation
-don't think we have the skills

-worry about consequences (anger, rejection)
-won't get outcome want
-needs vulnerability

1. describe the action/event as objectively as possible.

-id and describe problem without judgement, critism or blame

2. describe your response.how it affects you

-if the feeling and indicate degree 

3.state preffered outcome

4. listen to response

(can change order)

In Practice a dog has been hit by a car and has lacerations to one of its lower limbs. It needs bandage changes every 3 days but the client is consistently late by 2-3 days. There is infection starting.
Response: you say nothing to the client but grumble to other staff and do the best you can. You can see clearly that the wound is not healing well and know that it is painful for the dog.

Is this response passive, aggresive, or assertive?

In Practice a dog has been hit by a car and has lacerations to one of its lower limbs. It needs bandage changes every 3 days but the client is consistently late by 2-3 days. There is infection starting.

Response:you berate the client and accuse them of being slack and not caring about their pet.

Is this response passive, aggressive or assertive?

In Practice a dog has been hit by a car and has lacerations to one of its lower limbs. It needs bandage changes every 3 days but the client is consistently late by 2-3 days. There is infection starting.

What would a assertive response be?

Group work at University – Fred tries to dominate the group with his opinion about how to approach the work and starts giving orders to people.

What would a passive response be?

Group work at University – Fred tries to dominate the group with his opinion about how to approach the work and starts giving orders to people.

Response:you hold in your anger over 2-3 weeks then one day explode and criticise Fred for being self centred and trying to control everybody.

Is this passive, aggressive, or assertive?

You finish a consultation and send the owners to the front counter for medication and to pay. You come out of your room and see the nurse contradicting your medication instructions “You don’t really
need those – these other ones are better.”

Response: You say, “Your behaviour is recurrently appalling” and walk off.

What communication style is this?