Escolar Documentos
Profissional Documentos
Cultura Documentos
Stress
Management and
Prevention
1
Program Resource
Guide
2
KA P L A N U N I V E R S I T Y
By
Kiley Acra
Kaplan University
10/24/2017
Table of Contents
UNIT 1 THE NATU RE OF STRESS
Information to Remember........................................................................4
Self-Assessment Exercises.......................................................................5
Journal Writing.........................................................................................7
Information to Remember........................................................................8
Self-Assessment Exercises.......................................................................8
Journal Writing.......................................................................................10
Information to Remember......................................................................13
Self-Assessment Exercises.....................................................................13
Journal Writing.......................................................................................15
Information to Remember......................................................................17
Self-Assessment Exercises.....................................................................17
Journal Writing.......................................................................................20
Information to Remember......................................................................24
Journal Writing.......................................................................................24
UNIT 6 REL AXATIO N TECHI QUES 1 : BREATHI NG , M EDITATI ON, AND M ENTAL
IM AGE RY
Information to Remember......................................................................27
Self-Assessment Exercises.....................................................................27
Journal Writing.......................................................................................29
Information to Remember......................................................................32
Self-Assessment Exercises.....................................................................32
2
UNIT 8 PHYSIC AL EXERCISE AND ACTIV ITY
Information to Remember......................................................................35
Self-Assessment Exercises.....................................................................35
Journal Writing.......................................................................................38
Information to Remember......................................................................41
3
Unit 1: The Nature of Stress
1
Unit
Information to Remember:
The stress response: When the body response to stress with the fight-or-flight response. When faced with
stress there are two actions taken; the fight action causes short and intense anaerobic work or the
flight action giving the body endurance to run. The flight reaction is also associated with freeze
reaction: standing still with no reaction. (Seaward, 2015, p. 6).
The general adaptation syndrome: When faced with chronic stress, the body goes through a series of
phases; alarm phase, resistance phase, and exhaustion phase. Repeatedly being faced with stress
affects with body. Issues that may arise include increased size of the adrenal cortex, continuously
released stress hormones, atrophy, fewer white blood cell, bleeding ulcers, and death. (Seaward,
2015, p. 13).
Wellness paradigm: A wellness paradigm is the balance of mental, physical, emotional, and spiritual well-
being of one’s health. Each person’s paradigm may balance differently. However, the four
components work closely with each other so the four determine the wellness. (Seaward, 2015, p. 20-
22).
4
Self-Assessment Exercise:
Wellness is made up of many parts of life; spiritual well-being, emotional well-being, mental
(intellectual) well-being, and physical well-being. Each of these components are important when it
Spiritual well-being is known as a system of personal values along with a purpose in life
(Seaward, 2015, p. 22). Spiritual well-being can be religious but it is almost more than that. It can be
anything where a person takes time to connect with the world around them; for examples prayer,
mediations, yoga, or just simply taking a moment to relax and claim the mind. Spiritual well-being is
important for a healthy life because it gives a person hope, positive outlook, forgiveness, self-
acceptance, sense of warmth, and peace (University of Northern Iowa, 2017). Examples include doing
something against your values and allowing yourself to forgive so you can move forward or finding
5
p. 22). Positive ways to express emotions is to calmly talk them out, use enjoyable activities to
express the emotions, or the use of a breathing technique. Being able to control emotions leads to
wellness and lower stress levels by preventing the buildup of emotions and letting them take control
in a negative way leading to depression (Seaward, 2015, p. 22). Noticing that you do not have control
“Mental (intellectual) well-being is the ability to gather, process, recall, and communicate
information” (Seaward, 2015, p. 22). Stress can affect our abilities to recall information or to make
proper decisions. This can affect our wellness and cause higher stress levels. In stressful situations, it
is best to stay claim and take a minute to take deep breaths. This allows the nervous system to slow
down so proper decisions can be made or to recall information that was forgotten at the time.
Physical well-being is the body’s systems ability to function at its best (Seaward, 2015, p. 22).
A balance of proper physical activity and a healthy diet leads to a positive physical well-being. When
stress levels rise so does heart rate and blood pressure. When the body cannot return to a normal heart
rate or blood pressure there is an increase chance of diseases or even death (Seaward, 2015, p. 22).
However, a person who has a positive physical well-being can return to homeostasis.
The environment in which I live has an impact on my wellness paradigm. I live within a
military environment and physical well-being and emotional well-being is great concern of each
individual. Dealing with the stress of this environment has an impact on emotional well-being of all
family members involved. To improve the quality of the emotional well-being, we focus on physical
well-being. Having a positive physical well-being helps bounce back from the emotional part in a
6
2
Unit
Journal Writing:
7
septal area, hypothalamus, thalamus, pituitary gland, amygdala, and hippocampus. The neocortical
level is made up of the cingulate gyrus, neocortex, and the frontal lobe. (Seaward, 2015, p. 47)
Autonomic nervous system: The autonomic nervous system consists of the sympathetic and
parasympathetic nervous systems. The sympathetic nervous system functions as the fight-or-flight
response by releasing catecholamines, epinephrine, and norepinephrine. The parasympathetic nervous
system functions as energy conservation and relaxation, anabolic functioning. (Seaward, 2015, p. 49-
50)
Self-Assessment Exercise:
Stress is something that everyone has to deal with and everyone most likely experience at least one
type of stressor every day. After a while stress can start affecting our bodies. It causes issues with our
nervous system and our immune system. Once these systems are affected, other issues occur.
Preventing as much stress as possible or even learning to handle stress is good for our health.
The brain is the organ that programs our bodies. It is divided up into three parts; the vegetative
level, the limbic system, and the neocortical level (Seaward, 2015, p. 47). Each of these divisions are
important for the brain to function as a whole. The vegetative level contains that brain stem. The main
functions of the brain stem are controlling the involuntary functions like the heartbeat and respiration
(Seaward, 2015, p. 47). Without this part of the brain, we could not even do the main thing that keeps
us living; breathing. Next, the limbic system which contains that hypothalamus, thalamus, amygdala,
and the pituitary gland; together they work to control homeostasis (Seaward, 2015, p. 47). Without
this part of the brain, the body could not keep a normal body temperature or detect hunger. The final
part of the brain is the neocortical level, which works as an area to process sensory. This is where we
decide if there is a treat to us and how we should react (Seaward, 2015, p. 48). Together, these
All of this information about the brain was discovered through neuroscience. According to
What is Neuroscience (2016), “the three main objectives of neuroscience are too: understand the
8
human brain and how it functions, understand and describe how the central nervous system develops,
matures, and maintains itself, and analyze and understand neurological and psychiatric disorders, and
discover methods to prevent or cure them.” While studying these objectives, neuroscientists learned
one important concept that brought about more questions about this subject. They learned that the
brain had neuroplasticity. “The brain can generate new connections to various brain cells, recruit
various brain tissues for a host of functions, and generate new cell growth” (Seaward, 2015, p. 58).
With this new knowledge, there are new questions forming treatment diseases.
When the nervous system is affect by stress, there are a number of conditions that can occur.
Bronchial asthma occurs from the anxiety that is associated with stress. This condition produces a
secretion of the bronchial fluids and causes inflammation of the smooth-muscle making it hard to
breathe (Seaward, 2015, p. 84). Tension headaches are also brought on by stress. These headaches
occur from the flexing of the face and neck (Seaward, 2015, p. 84). Another way people may express
stress is through tightening of the jaw during sleep. Temporomandibular joint dysfunction consists of
clinching the jaw tight while grinding the teeth together during periods of sleep (Seaward, 2015, p.
84). Irritable bowel syndrome is a syndrome that a person may experience when they are dealing with
chronic stress. When suffering from this syndrome, a person may experience stomach pain, cramps,
diarrhea, nausea, constipation, and flatulence (Seawards, 2015, p. 84). Finally, coronary heart disease
can occur with prolonged stress. Over time stress can cause a number of issues like high blood
pressure, and weight gain. High blood pressure and weight gain are both also causes for coronary
heart disease putting a high stressed person at higher risk for the disease (Seaward, 2015, p. 85). The
immune system is also affected by stress. When the immune system is compromised by stress the
number of B-lymphocytes decrease which puts us at greater risk of becoming sick and getting a cold
9
(Seaward, 2015, p. 87). The common is consist of coughing, sneezing, and fatigue. Not all of these
conditions are life threating, but if stress if not controlled a person’s life could be threated.
Journal Writing:
How is stress or anxiety about people affecting your life?
The stress caused by other people is a neustress in my life. I immediately think about friends
when I think about stress caused other people. It seems like friends think they have a place of say
about my life. For example, when I want to have a salad and water for lunch but they wanted to go out
for pizza and beer. They give me a hard time and try to get me to give into their ideas. This is not a
relocating across country due to my husband’s job. I was comfortable where I was working, the search
for a new job, and not knowing anyone is making me feel a lot of anxiety every day.
The stress about the world is a neustress for me. Hearing about the country being attacked, the
hurricane, and all of the conflict among the people makes me feel sad. However, it is not directly
affecting me. I do not feel overwhelmed by it, but knowing all of these events are taking place cause
How is stress or anxiety about food and eating habits affecting your life?
Eating habits are affecting my life in a positive way. I am motivated to eat nutrient dense foods
that fuel my body to give me energy. However, there are times where I do get distracted and consume
foods that are high in sugar or bad fats. When this occurs, I wake up the next day more motivated to
10
improve my diet. This is a stressor that I feel every day, but it is a stress that pushed me to make
healthy choices.
How is stress or anxiety about sleep and sleeplessness affecting your life?
Stress about sleep and sleeplessness if another neustress. There are many days where I feel
fatigued and mornings where I feel like I did not sleep well. I acknowledge the issue of being tired
and try to make time to get to bed early that evening. I am not contently worried about my sleep or
How is stress or anxiety about exercise or lack of physical activity affecting your life?
The stress I feel about exercise is a eustress in my life. Exercise is something I look forward to
on a daily basis and gets me going in the mornings. I am motivated to get up 4 to 5 days of the week
and either do some cardio or weight resistance training. This is a great stressor in my life because it
Summary
Overall these stressors are not affecting me too much. Out of six stressors, I had one distress,
two eustresses, and three neustresses. However, that one distress may cause health issues if it becomes
prolonged. According to Seaward (2015), prolonged health may cause nervous system disorders like
asthma, tension headaches, and coronary heart disease. Prolonged stress can even affect the immune
system by causing disorders like the common cold, allergies, arthritis, and ulcers (p. 84-88). With the
use of mindfulness, stress can be controlled and decrease the chances of developing nervous system
and immune system disorders. There are a variety of mindfulness-based stress reduction programs
available and these approaches have shown the decrease of anxiety in people (Stahl & Goldstein,
11
2010, p. 29). Anyone who suffers from prolonged distress would benefit from the use of mindfulness-
3
Unit
based stress reduction programs. It may be a step toward improving your all over health.
12
Self-Assessment Exercise:
The Tibetan culture created their own beliefs about the mind and stress that gives new ideas about
how to manage stress. According to Seaward (2015), negative desires, like expectations, conditions,
and fears, with strong attachments are found to lead to the stress we feel (p. 120). For example, when
buying a new vehicle, you expect it to be in perfect condition and not have any mechanical issues. A
few days later, something mechanically goes wrong with the vehicle. Instantly you might feel anger
and stress because you expected it to run perfectly fine. If this expectation was not put into place, you
may have calmly called the dealer ship and get the issues taken care of without any stress. A calm
mind that is separated from desire leads to healing and inner peace (Seaward, 2015, p. 120).
Mindfulness can remind us to keep our mind clear of negative desires that causes stress, anger, and
anxiety. What I personally learned from the Tibetan culture is a life of less desires makes for a happier
life style.
There are many theories about how the body deals with stress. They are all different but at the
same time they all have a common ground. The main purpose of these theories is how we are
designed to protect our mind from threat of painful and dangerous situations in life (Seaward, 2015, p.
121). The theories are explained and structured differently compared to one another. However, each
thorniest had the right idea about how the mind reacts when it comes to being faced with these painful
and dangerous situations. They all came to the same conclusion. In the end, it is obvious that self-
awareness, is an important process to be able to overcome these defensive actions (Seaward, 2015, p.
121). While the theorist was studying what happens to the body during this time, they all found their
own evidence. People have experienced all these different actions explained by these theorists.
13
However, even when people have different experiences when dealing with stress and pain in life,
there seems to be one outcome when it comes to moving past the situation.
Everyone faces fear at some point in their life. Fear can affect a person, but it depends how the
person copes with the fear on how server it may affect them. One example of how to cope with fear is
by using behavioral therapy. Behavioral therapy uses relaxations techniques to makes the person less
sensitive to the stress the fear may cause (Seaward, 2015, p. 139). Mindful breathing from the
release the anxiety and stress caused by the fear (Stahl & Goldstein, 2010, p. 42). When being faced
with fear, take a few minutes to breathe from the belly while focusing on each breath going in and out.
Once the few minutes are over, you can face the fear while being more relaxed.
When communicating with others, it is important to give them the up most respect during the
communication from start to finish. There are many ways to improve communication style and here
are five examples: maintain eye contact, use minimal encouragers, as questions carefully, good
paralanguage, and be courteous. Maintaining good eye contact tells the speaker you are giving them
your full attention, and when the eyes wonder around it may look like you are thinking about
something other than the conversation (Seaward, 2015, p. 323). Next, using minimal encouragers
makes for less distractions to the speaker. These encouragers include saying “oh” and “uh-huh,”
which is okay to do, but too many can interfere with the speaker (Seaward, 2015, p. 323). Like
minimal encouragers, the use of questions is similar. Asking questions can clear up what is being
communicated, but too many questions can become defensive to the speaker (Seaward, 2015, p. 323).
Also, paralanguage is an important communication style that everyone might struggle with at some
point. Paralanguage includes volume, tone, and pitch when talking (Seaward, 2015, p. 322). Talking
loud enough but not too loud, using a tone that does not put to people to sleep but also will not make
14
people uncomfortable, and a pitch that everyone can handle are all important elements when you are
speaking. Finally, be courteous when someone is talking. These means no distractions like the cell
phone or just being honest during the communication (Seaward, 2015, p. 317). With the use of these
Journal Writing:
Take some time to write about whatever came up for you mentally, emotionally, and physically when
During the five-minute mindful breathing, I had mental, emotional, and physical emotions
come up. At the beginning, I felt relaxed and at peace while focusing on my breaths going in and out.
However, about two minutes into the breathing, my mind started to wonder. According to Stahl &
Goldstein (2010), it is normal for the mind to wonder but noticing it and bringing it back to focus if
the correct way to handle it (p. 43). During the time my mind was wondering, I felts stressed because
I started thinking about making a grocery list so I cane go to the store before dinner time. This then
reminded me that I needed to make some phone calls before the end of the day. At this point, I started
thinking I should not be thinking about these things right now. I was a little annoyed at myself for not
focusing but I stop thinking that as soon as I remembered the attitude of mindfulness: nonjudgement.
Nonjudgement during mindfulness includes “not labeling thoughts, feelings, or sensations as good or
bad, right or wrong, fair or unfair, but simply taking note of thoughts, feelings, or sensations in each
moment (Stahl & Goldstein, 2010, p. 42). Applying this quality of mindfulness, I regained me focus
and thought about my breathing. I become relaxed again by the end of the five minutes.
Summary
15
Overall, the five-minute mindful breathing was a success for me. I can see and feel why this is
4
Unit
a good technique to use in our everyday lives. It gives a chance for the mind to rest, but it also teaches
the mind to focus on the basics and leave the stress that is occurring in life currently. When focusing
on the basics, I felt relaxed and more able to control the stress I was feeling. Controlling stress is a
16
healthy external relationship, it is important to express acceptance, peace, compassion,
communication, and respect for everything around you (Seaward, 2015, p. 197-198).
Self-Assessment Exercise:
I would describe self-esteem as how well we view ourselves. Low self-esteem is related to
looking down on our self, but high self-esteem is related to confidence. Self-esteem also is related to
how well we cope with stress. Having low self-esteem may make it harder to cope with stress.
According to Seaward (2015), people with low self-esteem have personalities that are stress-prone
related (p. 162). However, high self-esteem may make coping with stress easier. “High self-esteem is
a prerequisite for creating stress-resistant personalities because it is directly linked to the accessibility
of one’s internal resources” (Seaward, 2015, p. 162). Having that confidence in one’s self gives us
power to fight through the stress without feeling the pain of it.
Relationships, values, and a meaningful purpose in life are affected by stress. There is an
internal and an external relationship. A healthy internal relationship consists of nurturing yourself
(Seaward, 2015, p. 197). When faced with stress, we may forget to nurture yourself which puts
pressure on your internal relationship. Internal and external relationships work hand in hand, so when
stress affects our internal relationship, it also affects our external relationships. We may become
distance from others or even irritable when we are struggling with our internal relationship. Being
able to focus on the root of the issue is when we can have our best relationships.
Value are also affected by stress. According to Seaward (2015), we hold values and when there
is conflict with a person’s value system stress occurs (p. 199). For example, a person’s values
education and getting a college degree. However, there is conflict with finances and time making
getting an education difficult. The conflict is affecting the person’s values causing stress.
17
Finally, our purpose in life is also affected by stress. Every person has some type of purpose in
life. This purpose is why we wake up in the mornings and leaving our family for the day. However,
there comes a time in life when that purpose comes to an end. According to Seaward (2015), having a
purpose in life keeps our spiritual health positive, but once we lose touch with that purpose our
spiritual health declines (p. 199). When a high school boy puts in hours of hard work to play college
football, but gets severely injured and can no longer play, he is going to feel the stress of this. Having
many purposes in life can keep us going even when one purpose does not work out.
Values, attitudes, and beliefs are easily confused with one another, but they have their own
meaning. When we value something, we find it important in our life. Values can include love, honesty,
self-esteem, independence, leisure, education, and forgiveness (Seaward, 2015, p. 199). While
attitudes are related to how we feel about something. I may have a good attitude about something or a
bad attitude. According to Sharma (2016), our attitudes about a person or something leads to how we
behavior toward a person or the situation. Finally, beliefs is defined as, “a state or habit of the mind in
which trust or confidence is placed in some person or thing” (Merriam-Webster, 2017). Beliefs are
mostly connected to being religious, but a person does not have to be religious to have their own
beliefs.
When trying to make a change, like a bad spending habit, the Stages of Change Model can be
used to have a successful outcome. The first step is precontemplation stage. In this stage, the person
does not see there is a problem or is in denial (Seaward, 2015, p. 237). The person spending money,
does not keep track of a budget or does not see the importance of one. The second stage is
contemplative stage, where the person may start to think there needs to be a change (Seaward, 2015,
p. 237). In our example, the person spending money realizes there is an issue and thinks about
changing the bad habit in the future. The third step is the determination. According to Seaward (2015),
18
this stage is “a period where willpower is called into plat to put the thought process of behavior
change into action” (p. 237). With the spending habit, the person may make a budget of his
spending’s. The fourth stage is the action stage, here the change is being made (Seaward, 2015, p.
237). The budget that was made is being used and tracking where his money is being spent is his
action. Stage five is the maintenance stage. In this stage, the person was successful at changing the
bad habit and they are sticking to the action plan like it is a natural habit (Seaward, 2015, p. 237). The
man is sticking to the budget and continues to track his money while being successful. The final stage
is not always a stage that everyone does, however it is very possible it could happen to anyone. This is
the relapse stage, where the bad behavior has come back into action (Seaward, 2015, p. 237). The
person spending the money has stop using the budget, is not tracking money, and is spending money
19
Journal Writing:
FEAR: anxiety, distress, jumpiness, nervousness, panic, tenseness, fright.
Fear is a terrifying feeling personally. I feel this emotion in my chest because my chest gets
tight and my heart rate increases. When I think about fear and the related words, I imagine myself
running or avoiding situations where fear may occur. “Fear stimulates a physical response to flee and
hide from threats that are intimidating, overwhelming, and somethings fatal” (Seaward, 2015, p. 135).
When it comes to me facing my fears, I need to work on the physical response that makes me want to
Confusion, uncertain, puzzled, foggy, and unaware are all hard emotions to feel. I feel these
emotions in my head. I have constant thoughts and questions going through my head when I am
confused about something. Just thinking about the emotion confusion makes me think about things
like why is this happening, what is happening, was this my fault, could I have done something
differently. Different thoughts come with different situations. An example of a time in my life when I
was confused was during my grandmother’s death. I continually asked myself why this was
Anger, aggravation, annoyance, frustration, irritation, and rage are strong emotions to feel.
When I feel these emotions, I feel it in my hands. Clinching my fist shows that I am feeling anger.
This motion makes the anger lessen for just a quick second. When reading through these words, I
have thoughts of making bad choices and saying things I do not really mean. According to Seaward
(2015), anger produces energy and physical strength that can cause unhealthy reactions. Being able to
20
21
SADNESS: despair, hopelessness, insecurity, misery, unhappiness.
Sadness is an emotion we should learn to handle before it controls us. I feel sadness in my
throat. When I feel sad, I feel a ball in my throat. I try to swallow the ball I feel, but other times it
comes out as tears if I were to cry. When I think about this emotion, I imagine my husband, my dog,
and blankets. These are things I want when I need comforted from the sadness. Constant sadness is
unhealthy and is a sign of depression, which should be acknowledge right away (Seaward, 2015, p.
140). However, it is normal to feel sad time to time but we should also know how to cope with the
feeling.
Feeling shame and guilt is a horrible gut feeling. Therefore, I feel shame in the pit of my
stomach. When I have done something that I regret, it eats at my stomach until I fix the issue or until I
forget about it. I have become nauseous and sick in the past from feeling shame. When I think about
shame and regret, I imagine hurting the feeling of another person or disappointing someone that
means a lot to me. It is hard for me to cope with the emotion of shame since it usually involved
another person. The best thing that I can do is either work it out with the other person or push the
LOVE: affection, arousal, attraction, caring, compassion, desire, fondness, infatuation, kindness,
22
Love is an important emotion to feel in life. I feel the emotion of love in my arms. I hug those
who make me feel loved. It is a natural habit to hug my parents, sister, my husband, and even pets.
Hugging is a way for me to share the love I get from these people and give it back to them. When I
read the word love, I think about what I have, the things my family and friends do for me, and how
lucky I am to feel this emotion so often. Love is an emotion that everyone should feel multiple times a
day. I feel that is balances out all of the bad emotions we can feel on a regular basis.
It is always enjoyable to feel amused, content, enthusiasm, excited, and pleasure. When I feel
these emotion, I feel it around my mouth because when I am enjoying moments in life I am smiling
and laughing. When I think about these emotions, I think about family and friends and special
moments in my life. According to Seaward (2015), joy occurs when we are present in my moment and
living (p. 141). When I am with family, friends, and having special moments in life, I know I am
living in my moment and soaking it all in while having no other thoughts on my mind.
Summary
Everyday everyone feels multiple emotions. We may even feel the same emotion multiple
times in the same time. Some emotions may be stronger than others, but learning to cope with all
our emotions decreases the stress we feel on a regular basis. To cope with our emotions, we first
must recognize our emotions as they come. To do this we should be paying more attention to our
self and the situation when we feel an emotion. Noticing where in the body we feel the emotion,
how they manifest, and what comes to mind during this time is mindfully becoming aware of your
emotions (Stahl & Goldstein, 2010, p. 74). Once we are aware of the emotions as the come about
we are able to cope with what we are feeling. Common emotions we deal with include fear,
confusion, anger, sadness, shame, love and joy. I feel each off these emotions on different areas of
23
my body. It took for me to actually feel the emotion to actually know where I was feeling the
5
Unit
emotion. I also have different thoughts and imagines with each emotion. Again, I did not know what
I imagined when I felt these emotions until I had the chance to feel the emotion and mindfully think
about where I was feeling the emotion. It really takes living in the moment to know what you are
feeling.
24
Journal Writing:
Take some time to write about whatever came up for you mentally, emotionally and physically when
The walking meditation was a good experience and made me think and feel a lot of things I
normally do not while walking. A walking meditation is a walk with purpose to relieve stress and
anxiety by paying attention to every movement and being aware of your own body (Stahl &
Goldstein, 2010, p. 58-59). I am the type of person that stresses over every little thing and have
frequent anxiety attacks. During the walking mediation, I had mental, emotional, and physical
feelings cross my mind and body that help relieve the feeling of stress and anxiety.
Mentally, I wanted to achieve this exercise. In past exercises, I have struggled focusing,
keeping my mind from wondering, and sticking to the exercise throughout the whole practice. I start
thinking about things I need to do, what I should make for dinner, and more. My mind wonders about
the stressors and my anxiety. I also always feel like I need to be doing something and I have a hard
time doing claiming things so walking slowly was not satisfying for me. However, I stuck with it,
Emotionally, I did feel claim after I get over the feeling of needing to do something faster
pace. The deep breathing and really pulling my focus to my feet as they step down onto the ground,
picking my food up, and moving it forward. Once I was claim from focusing on these things, I no
longer felt the daily stress or anxiety for a short period of time.
Physically, I felt strong. As I was walking and focusing on my feet touch the ground and come
off the ground, I also felt my muscles in my legs allowing me to make these motions. When you stop
and slow down and really think about the simple things, you realize how much your body allows you
25
to do. Not only were my feet allowing me to walk, but my legs and knees also had to put in the work
In the end, I came out of this with new mental, emotional, and physical thoughts. Adding a
daily or bidaily routine like this into my life would be beneficial. I would have a moment to release
the stress and anxiety and just enjoy the feeling of calmness for a period of time. This would also give
Summary:
Mindful walking has a positive affect one the body. It is a tool used to relieved stress and
anxiety (Stahl & Goldstein, 2010, p. 58). However, it allows you to really take in the small things
about life while clearing the mind. I become aware of many things mentally, emotionally, and
physically. Awareness is one of the four steps to initiate cognitive restructuring (Seaward, 2015, p.
228). Mindful walking would be a great starting point to improve behavior issues which will also
improve your overall health. I could tell a different in my behavior in the small amount of time this
mindful walking exercise took. Mentally, I was able to claim down and focus, even when I felt like I
needed to walk faster or do something more important. Emotionally, I was able to release the stress
and anxiety. Then physically, I really thought about the simple things, like my feet moving and how I
was using my legs. When taking time to relax, get clam, and focus on the small things in life seem
much easier and I feel like I could handle anything thrown at me in that moment. Now, that I am back
to feeling stress and feeling like I have one hundred things to do, I do not think I could handle
anything thrown at me. However, with more practice, I hope I can feel that way more and more
26
Unit 6: Relaxation Techniques 1: Breathing,
6
Unit
Self-Assessment Exercise:
Part of a well-rounded healthy life style includes a low stress level. If struggling to lower your
stress level, meditation and relaxation are just two techniques that can be added into your daily
routine to help achieve a lower stress level. There are a variety of relaxation techniques and
27
Diaphragmatic breathing is different than the normal, involuntary breathing we do regularly.
According to Seaward (2015), diaphragmatic breathing is a controlled deep breathing that comes from
our diaphragm and is a simplest form of a relaxation technique (p. 368). During this breathing, you
focus on taking a deep breath into the diaphragm, hold that breath for one second, and then push that
breath out for a few seconds. Repeating this technique creates our body to go into a relaxed state of
mind. The body is able to go into a relaxed state of mind because the pressure from expanding the
chest wall and muscular contraction is no longer a stress on the body and the sympathetic drive
decreases while the parasympathetic takes over and allows the body to return to normal hemostasis
(Seaward, 2015, p. 369). Once thoracic breathing is started, the relaxed state is gone and they body
When engaging in diaphragmatic breathing, there are three important steps that should be used
to be successful during the technique. The three insteps include a comfortable position, concentration,
and visualization. Step one, getting into a comfortable position includes laying down, sitting, or even
standing; once the corrected technique is learned, is can be done anywhere (Seaward, 2015, p. 370).
Step two, concentration, consist of directing your attention to breathing into the belly, holding the
breath, and releasing it without allowing the automatic motion of breathing into the thoracic cavity
from happening (Seaward, 2015, p. 371). Finally, step three, visualization consist of imaging the
breath of air going into the nose or mouth and then imaging the breath of air leaving the nose or
mouth (Seaward, 2015, p. 372). Repeat the visualization with each breath that is taken in and expelled
The use of meditation effects the mind and body in many positive ways. According to Seaward
(2015), meditation influenced a person’s mood, immune function, sleep, chronic pain, and different
parts of mental, emotion, and physical well-being (p. 391). A person may feel less stressed, become
28
sick often, sleep better at night which means being less tired during the day, lesson back or knee pain,
and just feel happier in all aspects of their life. These results happen from mediation because when the
body is at rest and the mind is connecting with the body oxygen consumption is lowered, blood lactate
levels are lowered, skin resistance is higher, the heart rate is decreased, the blood pressure is
decreased, muscle tension is decreased, and alpha waves are increased (Seaward, 2015, p. 377).
Mediation will have some type of effect on just about anyone who tries it.
Imagery and visualization are useful when it comes to relaxation. One type of way imagery is
useful in tranquil natural scenes. This consist of re-creating a favorite place that is relaxing and using
it to put thoughts in perspective allowing the body to feel relaxed and letting it return to hemostasis
(Seaward, 2015, p. 423). A second way imagery is useful for relaxation includes behavioral changes.
When trying to turn a bad health habit like smoking or working too much into good habits like
spending more time exercising or spending more time with family, mental imagery during relaxing
along with other strategies can make these changes less stressful (Seaward, 2015, p. 425). The final
way imagery is useful in relaxation includes internal body images. Internal body images consist of
using imagery during relaxation for the purpose of healing a disease or illness one is suffering from
(Seaward, 2015, p. 427). Imagery and visualization is a technique anyone can use for many purposes.
ways to heal the body. Each of these methods calm the body and help the body return to homeostasis.
Being in a homeostasis state does different things to our body that is healthy and allows us to be
29
Journal Writing:
Mindful of how you interact with yourself?
In the back on my mind, I know how important it is to have a positive relationship with
yourself. However, I struggle with the way interact with myself. I send unkind messages to myself on
a daily basis. The things I say to myself are things are things I would never say to a friend, a family
member, or even a stranger on the street. When I am giving myself these unkind messages, I cause
unnecessary stress and anxiety. With is extra stress and anxiety, I feel unhealthy emotions. These
emotions could be sad or angry depending on the situation. Not only do I feel these emotions, but my
self-esteem level is also lowered. When I feel bad about myself by body feels restless and unloved.
Even though I do struggle with the way I interact with myself, I have come to learn
things about myself during these times of struggle. In high school, I sent unkind messages to myself
about my body image. From this I learned how strong I was when it came to fitness and eating a
healthy diet. In my early college days, I sent unkind messages to myself about not being able to fit in
and being unsuccessful. Then I learned I was great at meeting new people and I was much smarter
then I was leading myself to believe. Now, I tell myself unkind messages about failing in the
workplace. I am working on getting comfortable with a new job and succeeding at it. When working
on bettering my self-messages, I become nervous and worried all at the same time. However, when I
Seeds of suffering?
30
When I send unkind messages to myself, I am watering the seeds to my own suffering. For
example, I am currently sending myself unkind messages about how I am failure in the workplace like
mentioned before. With this thought crossing my mind every day, I am watering the seeds by lowering
my self-esteem and not doing my best in the workplace. If I stop watering the seeds, my life would be
different. I believe if this unkind message did not cross my mind, I would be confident at my new job
and not worry about how I am doing and what other workers and customers are thinking about me. I
would also have a better self-esteem is all areas of my life while also being happier more often since I
When it comes to day-today- feeling of resentment, I back down and shut down. I let people
walk all over me when I am in a disagreement or uncomfortable situation. I do not like having to
disagree with others or tell them something they do not want to hear. I would never be rude to
someone or want to upset them, however it would feel like a weight has been lifted off of my
shoulders if I were to stand up for myself in the proper way. Although, I feel when I am in these
situations with others, it is because the other person may be struggling from their own conflicts. I
always give others the benefit of the doubt and feel compassion for them even when I have to let them
Reflection on writing?
Self-compassion is an import quality to have when it comes to being mentally well. Self-
compassion leads to a better relationship with yourself and with others. Loving-kindness meditation is
a way to improve your self-compassion and relationships with those you love and even those who you
struggle to have relationships with (Stahl & Goldstein, 2010, p. 145-146). As a person who has
struggled with self-love throughout my life and continues to water the seeds, I could benefit from
31
loving-kindness mediation. I struggle more with my internal relationships than relationships with
7
Unit
others. However, to extend compassion and love to others you have to be able to hold compassion for
yourself (Stahl & Goldstein, 2010, p. 145-146). Loving-kindness mediation will allow me to better
my internal relationship, but also become better even better when it comes to me relationships with
32
Self-Assessment Exercise:
Making mindfulness apart of our busy lives crates a level of wellness. There are many ways
to bring mindfulness into one’s life. However, one way to preform mindfulness that includes low
impact physical activity is mindful lying yoga. Lying mindful yoga requires lying on a soft floor and
moving through motions that do not require standing or sitting while becoming aware of each
movement you make, your breaths, posture, thoughts, and emotions (Stahl & Goldstein, 2010, p. 91).
With other methods of mindful practices, they require the participant to sit, stand, or lay still for the
entire practice. However, for some people, like myself, I struggle with staying still and having to
focus when I know I cannot move. When I am thinking about sitting still, I also lose focus on bring
awareness to my thoughts and breathings. Knowing I could move around and feel like I am being
somewhat active, I was more able to focus one really get the most out of this practice.
When participating in mindful lying yoga, there are many poses to choose from. For example,
a few of the poses include supine pose, supine full body stretch supine twist, leg stretch, single knee
to chest, pelvic rock and tilt, bridge pose, rocking back and forth, leg side stretch, cobra, cow pose, cat
pose, and bird dog pose (Stahl & Goldstein, 2010, p. 92-104). When I tried out this mindful practice
myself, I picked out ten poses and took about twenty-five minutes to perform this practice. Then ten
poses that I chose are supine full body stretch, supine twist, leg stretch, single knee to chest, bridge
pose, leg side stretch, prone leg stretch, cow pose/ cat pose, bird dog pose, child’s pose. I help each of
these poses for about thirty seconds to one minute. During the time of each of the poses, I focused on
my breathing; I focused on my muscles from the toes to my head one at a time; and I thought about
how I was feeling during each of these poses. Once I completed one whole round of these poses, I did
33
Even though I was focused on my body and my breaths, I still felt mental, emotional, and
physical feelings. Mentally, I felt my stress level decrease. As I was telling myself to breath in, hold
the breath, and breath out a calming sensation went through my body. I instantly felted relaxed even
though I was moving my body around. Emotionally, I felt at peace and happy. Physical activity and
exercise has always been something that makes me feel good and ready to take on what the day has to
bring. However, I do a lot of running and heavy weight lifting. Even though, I am usually focused on
my breaths and my body machines, I am not fully aware of my mind and feelings. When slowing
things down, and really thinking about what I am doing and what I am thinking, I was able to let go of
harmful thoughts and think more positively. Physically, I felt strong, my muscles activating, and I felt
a slight increase in my heart rate. During some of these poses, the muscles have to be strong enough
to hold the pose. When holding the pose for a longer time, my I felt my muscles working but not too
much. However, the fact that I felt my muscles supporting me, I felt strong. Also, from my muscles
being activated, my heart rate increases just slightly. Overall, I felt positive feelings mentally,
In conclusion, mindful laying yoga is a great practice for the mind body, and soul. Not only do
you feel relaxed from the laying down and breathing, but you get to move the body into different
poses that stretched out the muscles. I felt like this practice was that most successful practice I have
done so far. I enjoy physical activity and being able to move through these motions while engaging
my muscles I was able to stay focused longer and be more aware of my whole body and mind.
Flexibility, or stretching, is a type of physical exercise which helped decrease muscle tension,
decrease blood pressure, decreases the heart rate, and more (Seaward, 2015, p. 518). Therefore,
mindful lying yoga is a practice that is good for both your wellness and your health.
34
Unit 8: Physical Exercise and Activity
8
Unit
Information to Remember:
Types of physical activity: There are six parts that make up physical activity. Cardiovascular endurance is
the first one, which works the heart, lungs, and blood vessels. Muscular strength and endurance is the
second one. Muscular strength is how much weight can be exerted while endurance is how long a
muscle can stay working against a force. The third component is flexibility, which is moving a
muscle through its full range of motion. The fourth is agility, which is coordination of fine motor
skills. The fifth one is power, which is force and distance at the same time. The sixth and final
component is balance. Balance is maintaining equilibrium while moving. (Seaward, 2015, p. 516).
Aerobic vs. anaerobic exercise: Aerobic exercise includes things like running, summing, or biking. It
uses a steady supply of oxygen to muscles to keep them working over a prolong period of time,
nothing less than 20 minutes. Anaerobic exercise would include ten second sprints, running upstairs,
or weight lifting. This type of work is short and does not require oxygen to physically do the activity.
(Seaward, 2015, p. 517).
Physiological effects of physical exercise: After 6 to 8 weeks of being physically active, there will be
notable differences within your body. These changes are improving your health and making you less
likely to develop conditions or diseases. A few of these differences include decrease resting heart rate,
decrease resting blood pressure, decrease muscle tension, better-quality sleep, increased resistance to
colds, decreased cholesterol and triglycerides levels, increased heart efficiency, and decreased rate of
aging (Seaward, 2015, p. 519).
Self-Assessment Exercises:
Proposal for Health and Wellness Management
Month Year
This proposal is prepared for health and wellness management. The scope of the project outlined
includes vendors of national evidence-based products and services. To meet these needs, this proposal
offers consulting services to provide the following expertise: (a) rationale; (b) mind-body programs or
practices; (c) capital outlay; and (d) benefits.
RATIONALE
35
The purpose of this program is to reduce stress, promote wellness, and create healthier employees
physically, mentally, and emotionally.
MINDBODY PROGRAMS/PRACTICES
Programs that should be considered as part of this program include on one time with health and
wellness coaches, inside walking track, health screens, and meditation room.
CAPITAL OUTLAY
To fulfill this program, there will need to be minimal equipment and space. Equipment that is needed
consist yoga mats for meditation and speakers for a light background music in the meditation room.
Other equipment needed is medical equipment for medical screenings. Finding space within the
workplace would also be a huge benefit. This space would be used for a walking track, and private
meeting rooms for the one on one time with health and wellness coaches, and for the mediation room.
One more expensive includes salaries for the wellness coaches and the medical assistants.
BENEFITS
This program will benefit both the employer and the employee. The employees will be provided free
services to improve and manage their health. This program could leave the employee feeling happier,
more energetic, overall healthier. According to Seaward (2015), studies found that when people were
inactive for days they showed signs of depression. While those who were walking, jogging, or
running showed signs of higher self-esteem, more alert, processed information better, felt less
stressed, and less feelings of anxiety (p. 523). Not only will the employees be able to become more
active, but health screens will detect if they are safe to be active. If they are safe to be active, they will
see their health improve from the inside out, which can keep them motivated. The employers will
benefit from this by having employees more focused on work, healthier employees, lower health cost,
and less sick day call ins.
TIMELINE
Once it has been decided that this is a program you want a part of your company, we would put plans
into place right away. Turning the basement of your facility into a walking track with a mediation
room and private rooms inside of the walking track will take a few months to get up and running. It
would be predicated to take four months to be fully up and running. However, this gives the company
time to hire wellness coaches and medical assistants. We would order the equipment right away to
make sure it is ready when the program will be opened. After putting this work into this program, we
hope that this is something your company keeps up and running as long as your company is around.
PERSONNEL
To carry out this idea, there will need to be new positions available. Health and wellness coaches
should be hired to work with the employees. Health and wellness coaches provide a variety of
services. They are responsible encouraging participants to take advantage of the program to better
their health, being the clients support system, providing seminars to clients to help them understand
the program and how it relates to their health, and they can also work one on one to help the clients
come up with a plan to reach goals and create a plan of action (Wellness Coach Job Description,
36
2017). Medical assistants should also be hired to conduct health screens on the clients. According to
What is Medical Assisants? (2017), medical assistants can work in administrative positions as well as
clinical positions. Therefore, they would be able to chart medical history as well as draw blood, take
vital signs, preform basic lab test, and take electrocardiograms. With these two services, clients can
safely and effetely better there health.
TOTAL BUDGET
With the company’s large budget, we will be able to stay within the budget and provide these services.
The companies budget for the starting up of the program is $20,000. However, the startup cost will be
around $15,000. This includes buying the equipment, making rooms, and providing a simple walking
track. An average yearly budget for a wellness program that also allows for savings is $400 per
employee (How Much Does a Good Wellness Program Cost?, 2017). For our program, we are looking
at $300 dollars per employee per year.
PITCH
The purpose of this program is to reduce stress, promote wellness, and create healthier
employees physically, mentally, and emotionally. Programs that should be considered as part of this
program include on one time with health and wellness coaches, inside walking track, health screens,
and meditation room.
To fulfill this program, there will need to be minimal equipment and space. Equipment that is
needed consist yoga mats for meditation and speakers for a light background music in the meditation
room. Other equipment needed is medical equipment for medical screenings. Finding space within the
workplace would also be a huge benefit. This space would be used for a walking track, and private
meeting rooms for the one on one time with health and wellness coaches, and for the mediation room.
This program will benefit both the employer and the employee. The employees will be
provided free services to improve and manage their health. This program could leave the employee
feeling happier, more energetic, overall healthier. The employers will benefit from this by having
employees more focused on work, healthier employees, lower health cost, and less sick day call ins.
CLASSMATE FEEDBACK
Nice pitch Kiley. Some days I wish I had this option at my own workplace. It would be nice to
decompress after complicated moments with clients. My suggestions would be maybe as well as
offering the wellness programs, offering an incentive program that can lower medical insurance
premiums. If a walking track would be a bit too much for space a treadmill or even elliptical could be
other options to promote health and wellness and would not require as much space. Good work Kiley
and thank you for the feedback on my pitch!
SUMMARY
When a company provides a wellness program for their employees, there are many great outcomes.
The employee health becomes better, they are more likely to work more efficacy, and the employer
will spend less in health care cost each year. However, a program takes planning. Things to think
about includes the purpose of the program and how to get the most benefit from it, what types of
programs will work best with the facility you already have, what type of equipment will be needed,
37
will there need to be more positions to hire for, and most importantly a budget. In the end, starting up
a wellness program for your employees will do nothing but great things. Creating wellness helps
people handle stress, pain, and illness better than before (Stahl & Goldstein, 2010, p. 15). Everyone
comes across one of these at least once a day which can create many more issues. Teaching people to
deal with these things in a heathy way creates wellness and an allover more successful person.
Journal Writing:
OPENNESS:
After reading about the quality of openness, I immediately thought about a situation I went through
with my husband. Before we were married, we spend years getting to know each other. There was a
lot of situations where we had to be opened to each other’s perspectives. Between his very stick
religious family, my determination to go to college, and his career path life together seemed
impossible. However, we learned to accept each other’s perspectives and worked together to make it
work. We both have learned to be open to new ideas over the years.
EMPATHY:
I have been told a time or two that I am an empathic person. I have grown to be in touch with my
emotions since I was young. When reading the description of empathy, I thought about a situation
with a close friend. She was going through a rough path and I decided to be her shoulder to lean on.
This turned into crying together, being angering together, and laughing together. All of these emotions
COMPASSION:
Compassion brought up a lot of different scenarios for me. There have been many times in my life,
just like a lot of people have experienced, where someone comes to me judging about another
person’s actions. Time and time again, I put myself in that person’s shoes and explain to the person
LOVING-KINDNESS:
38
Loving-kindness is an easy quality to have in a connection with someone you love. However, we all
have people in our life we are not fond of. When reading about this quality, I reflect on bad
relationships. I can remember feeling hatred toward these people, but also feeling empathy and
SYMPATHETIC JOY:
I have felt sympathetic joy many times in my life. One situation where I have felt it is when a friend
and I were going through the same situation. We both interviewing for a great job that was hiring give
people. I found out I was not getting the job, but my friend came to me in excitement saying she got
the job. Even though I was sad about what happened to me, I was excited for her and celebrated with
her.
EQUANIMITY:
When reading about equanimity, I thought about our country under its current situations. There is so
much hatred between people. Looking at it from a big picture we are all one even if we are so
different. Accepting everyone has who they are as a person is something we all should strive for.
Treating the stranger at the grocery store the same has your favorite neighbor will help bring thing
Summary
Interpersonal mindfulness helps with making connections with the people around you. “Even
in the most difficult interactions, where you feel threatened, angry, and fearful, you can significantly
improve the relationship by bringing interpersonal mindfulness to the situation” (Stahl & Goldstein,
2010, p. 160). Studying the qualities of interpersonal mindfulness and using them during a
mindfulness can make you aware of connections you have with ones you love or those who you
struggle with. The six qualities of interpersonal mindfulness include openness, empathy, compassion,
39
loving-kindness, sympathetic joy, and equanimity (Stahl & Goldstein, 2010, p. 160-161). Next time
9
Unit
when practicing mindfulness, think about these six qualities and people that you love or do not get
along with. Keep track of what thoughts come to mind and use them to better your connections with
40
belongingness, and bonding which impacts a person’s health. The more a person feels these feelings,
the better their health and overall life will become. (Seaward, 2015, p. 352).
Additional Information
Book: Secondary Source
Stress Management: From Basic Science to Better Practice.
This book provides a variety of information about stress and stress management. This
resource could be used to look up information quickly, for research, or for career purposes.
This is an interesting video that makes you want to change an unhealthy lifestyle into a healthy
lifestyle. This is information that more people need to hear to encourage them to get active, take there
diet seriously, and learn to manage stress in heathy ways.
The American Heart Association is a great internet resource that anyone to internet access can
use. There are helpful tools to help people understand if they are being physically affected by stress,
how to manage stress, and heathy ways to deal with stressful situation.
41
References
How much does a good wellness Program cost? (2017). Wellness: The win-win wellness solution.
Resources/Worksite-Wellness/How_Much_Should_a_Wellness_Program_Cost.pdf
Linden, W. (2005). Stress Management: From Basic Science to Better Practice. Thousand Oaks,
Seaward, B. (2015). Managing stress: Principles and strategies for health and well-being (8th ed.).
Sharma, A. (2016). Notes on attitudes: Meaning, nature, components and types of attitudes.
attitudes-meaning-nature-components-and-types-of-attitudes/664
Stahl, B. & Goldstein, E. (2010). A mindfulness-based stress reduction workbook. Oakland, CA: New
http://www.heart.org/HEARTORG/HealthyLiving/StressManagement/Stress-
Management_UCM_001082_SubHomePage.jsp
Ted Talks. (2015). Your genes are not your fate. Retrieved from
42
http://www.ted.com/talks/dean_ornish_says_your_genes_are_not_your_fate
University of Northern Iowa. (2017). Spirituality and your health. Student wellness services.
Wellness coach job description. (2017). Infinite health coach. Retrieved from
http://infinitehealthcoach.com/wellness-coach-job-description/
What is a medical assistant? (2017). American Association of Medical Assistants. Retrieved from
http://www.aama-ntl.org/medical-assisting/what-is-a-medical-assistant#.WeDzM7pFz4g
What is neuroscience? (July 18, 2016). Phycology career center. Retrieved from
https://www.psychologycareercenter.org/what-is-neuroscience.html
43