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How your body may REACT…
Page 4
How your body may REACT…
• Fast, shallow breathing
How your body may REACT…
• Headaches
How your body may REACT…
• Constant fatigue
How your body may REACT…
• Sleep disturbances
How your body may REACT…
• Tendency to sweat
How your body may REACT…
• Nervous twitches
How your body may REACT…
• Cramps or muscle spasms
How your body may REACT…
• Pins and needles
How your body may REACT…
• Hypertension
How your body may REACT…
• Nausea and dizziness
How your body may REACT…
• Constipation or diarrhoea
How your body may REACT…
• Food cravings
How your body may REACT…
• Indigestion or heartburn
How your body may REACT…
• Loss of appetite
How your body may REACT…
• Loss of libido
How your body may REACT…
• Fainting (syncope)
How your body may REACT…
• Chest pain
How your body may REACT…
• Teeth grinding at night
How you may FEEL…
Page 4
How you may FEEL…
• Irritable
How you may FEEL…
• Aggressive
How your body may FEEL…
• Depressed
How you may FEEL…
• Fearing failure
How you may FEEL…
• Taking no interest in others
How you may FEEL…
• Loss of sense of humour
How you may FEEL…
• Ugly
How you may FEEL…
• Fear that you may be seriously ill
How you may BEHAVE…
Page 4
How you may BEHAVE…
• Finding it difficult to make decisions
How you may BEHAVE…
• Concentration difficulties
How you may BEHAVE…
• Frequently crying
How you may BEHAVE…
• Nail biting
SYSTEMIC COMPLICATIONS
Page 4
Metabolic Syndrome
Page 6
Metabolic Syndrome
Raised BMI • central obesity • insulin resistance
Men > 102cm
Women > 88cm
Metabolic Syndrome
Raised BMI • central obesity • insulin resistance
Abnormal cholesterol
TC > 5
High
triglycerides
Low HDL
Metabolic Syndrome
Raised BMI • central obesity • insulin resistance
Abnormal cholesterol
Diabetic or abnormal
blood sugar
Above 5.6
Metabolic Syndrome
Raised BMI • central obesity • insulin resistance
Abnormal cholesterol
Diabetic or abnormal
blood sugar
Raised Blood
Pressure
Metabolic Syndrome
Raised BMI • central obesity
• insulin resistance
Abnormal cholesterol
Diabetic or abnormal
blood sugar
Raised Blood
Pressure
Metabolic Syndrome
Raised BMI • central obesity • insulin resistance
Abnormal cholesterol
Diabetic or abnormal
blood sugar
Raised Blood
Pressure
Stress
Assessment
Planning
Implementa-tion
Evaluation Nursing
Care Plan
Tell me how you’re feeling…
Page 7 & 19
www.mnilifestyle.co.za
The Holmes and Rahe Stress Scale
Life change units
The Holmes and Rahe Stress Scale Life Event Value Tick 1 Death of spouse 100
2 Divorce 73
3 Marital separation 65
4 Jail term 63
5 Death of close
family member
63
6 Personal injury or
illness
53
7 Marriage 50
8 Fired at work 47
9 Marital
reconciliation
45
10 Retirement 45
The Holmes and Rahe Stress Scale
Score interpretation
<150 You have only a low to moderate chance of
becoming ill in the near future
150-299 You have a moderate to high chance of becoming ill
in the near future
300+ You have a high or very high risk of becoming ill in
the near future
Pages 7 and 19 of manual
Page 9
The Glazer-Stress Control Lifestyle Questionnaire
The Glazer-Stress Control Lifestyle Questionnaire
The Glazer-Stress Control Lifestyle Questionnaire
The Glazer-Stress Control Lifestyle Questionnaire
1-2-3-4-5-6-7
Doesn’t mind leaving things temporarily unfinished
Must get things finished once started
Calm and unhurried about appointments
Never late for appointments
Listens well, lets others finish speaking
Anticipates others in conversation (nods, interrupts, finishes sentences for others)
Never in a hurry, even when pressured
Always in a hurry
Able to wait calmly Uneasy when waiting
Glazer-Stress Control Lifestyle Questionnaire
Score interpretation
0-29
Type B1
Tend to the extremes of non-cardiac traits. Behaviour
expresses few of the reactions associated with cardiac
disease.
30-59
Type B2
Behaviour is on the less-cardiac-prone end of spectrum.
Generally relaxed & copes adequately with stress.
60-79
Type AB
A mixture of A&B patterns. Healthier than A1/A2 but
potential for slipping into that behaviour
80-109
Type A2
In direction of being cardiac prone, risk not as high as A1.
Pay careful attention to advice for all Type As
110-140
Type A1
This score, and esp. if >40 and/or smoke: at very high risk of
developing heart disease
Pages 9 & 20
of manual
Page 15
“A state of physical, emotional and
mental exhaustion caused by long
term involvement in emotionally
demanding situations” – Ayala Pines and
Elliot Aronson
“A state of fatigue or frustration
brought about by devotion to a
cause, way of life, or relationship
that failed to produce the
expected reward” – Herbert J. Fruedenberger
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
1 Do you feel run down & drained
of physical or emotional energy?
2 Do you find that you are prone
to negative thinking about your
job?
3 Do you find that you are harder
& less sympathetic with people
than perhaps they deserve?
4 Do you find yourself getting
easily irritated by small
problems, or by your co-workers
and team?
5 Do you feel misunderstood or
unappreciated by your co-
workers?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
1 Do you feel run down & drained
of physical or emotional energy?
2 Do you find that you are prone
to negative thinking about your
job?
3 Do you find that you are harder
& less sympathetic with people
than perhaps they deserve?
4 Do you find yourself getting
easily irritated by small
problems, or by your co-workers
and team?
5 Do you feel misunderstood or
unappreciated by your co-
workers?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
1 Do you feel run down & drained
of physical or emotional energy?
2 Do you find that you are prone
to negative thinking about your
job?
3 Do you find that you are harder
& less sympathetic with people
than perhaps they deserve?
4 Do you find yourself getting
easily irritated by small
problems, or by your co-workers
and team?
5 Do you feel misunderstood or
unappreciated by your co-
workers?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
1 Do you feel run down & drained
of physical or emotional energy?
2 Do you find that you are prone
to negative thinking about your
job?
3 Do you find that you are harder
& less sympathetic with people
than perhaps they deserve?
4 Do you find yourself getting
easily irritated by small
problems, or by your co-workers
and team?
5 Do you feel misunderstood or
unappreciated by your co-
workers?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
1 Do you feel run down & drained
of physical or emotional energy?
2 Do you find that you are prone
to negative thinking about your
job?
3 Do you find that you are harder
& less sympathetic with people
than perhaps they deserve?
4 Do you find yourself getting
easily irritated by small
problems, or by your co-workers
and team?
5 Do you feel misunderstood or
unappreciated by your co-
workers?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
6 Do you feel that you have no
one to talk to?
7 Do you feel that you are
achieving less than you
should?
8 Do you feel under an
unpleasant level of pressure to
succeed?
9 Do you feel that you are not
getting what you want from
your job?
10 Do you feel that you are in the
wrong organization or the
wrong profession?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
6 Do you feel that you have no
one to talk to?
7 Do you feel that you are
achieving less than you
should?
8 Do you feel under an
unpleasant level of pressure to
succeed?
9 Do you feel that you are not
getting what you want from
your job?
10 Do you feel that you are in the
wrong organization or the
wrong profession?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
6 Do you feel that you have no
one to talk to?
7 Do you feel that you are
achieving less than you
should?
8 Do you feel under an
unpleasant level of pressure to
succeed?
9 Do you feel that you are not
getting what you want from
your job?
10 Do you feel that you are in the
wrong organization or the
wrong profession?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
6 Do you feel that you have no
one to talk to?
7 Do you feel that you are
achieving less than you
should?
8 Do you feel under an
unpleasant level of pressure to
succeed?
9 Do you feel that you are not
getting what you want from
your job?
10 Do you feel that you are in the
wrong organization or the
wrong profession?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
6 Do you feel that you have no
one to talk to?
7 Do you feel that you are
achieving less than you
should?
8 Do you feel under an
unpleasant level of pressure to
succeed?
9 Do you feel that you are not
getting what you want from
your job?
10 Do you feel that you are in the
wrong organization or the
wrong profession?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
11 Are you becoming frustrated
with parts of your job?
12 Do you feel that organizational
politics or bureaucracy frustrate
your ability to do a good job?
13 Do you feel that there is more
work to do than you practically
have the ability to do?
14 Do you feel that you do not have
time to do many of the things
that are important to doing a
good quality job?
15 Do you find that you do not have
time to plan as much as you
would like to?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
11 Are you becoming frustrated
with parts of your job?
12 Do you feel that organizational
politics or bureaucracy frustrate
your ability to do a good job?
13 Do you feel that there is more
work to do than you practically
have the ability to do?
14 Do you feel that you do not have
time to do many of the things
that are important to doing a
good quality job?
15 Do you find that you do not have
time to plan as much as you
would like to?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
11 Are you becoming frustrated
with parts of your job?
12 Do you feel that organizational
politics or bureaucracy frustrate
your ability to do a good job?
13 Do you feel that there is more
work to do than you practically
have the ability to do?
14 Do you feel that you do not have
time to do many of the things
that are important to doing a
good quality job?
15 Do you find that you do not have
time to plan as much as you
would like to?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
11 Are you becoming frustrated
with parts of your job?
12 Do you feel that organizational
politics or bureaucracy frustrate
your ability to do a good job?
13 Do you feel that there is more
work to do than you practically
have the ability to do?
14 Do you feel that you do not have
time to do many of the things
that are important to doing a
good quality job?
15 Do you find that you do not have
time to plan as much as you
would like to?
No. Question Not at all
1
Rarely
2
Some-
times
3
Often
4
Very
often
5
11 Are you becoming frustrated
with parts of your job?
12 Do you feel that organizational
politics or bureaucracy frustrate
your ability to do a good job?
13 Do you feel that there is more
work to do than you practically
have the ability to do?
14 Do you feel that you do not have
time to do many of the things
that are important to doing a
good quality job?
15 Do you find that you do not have
time to plan as much as you
would like to?
Score Comment
15-18 No sign of burnout here
19-32 Little sign of burnout, unless some factors are particularly
severe
33-49 Be careful – you may be at risk of burnout, particularly if
several scores are high
50-59 You are at severe risk of burnout – do something about this
urgently
60-75 You are at very severe risk of burnout – do something about
this urgently
Page 10
Nutraceuticals
INOSITOL
- CNS
- Nerve guidance
- Serotonin activity
Page 13
RHODIOLA ROSEA
EXTRACT
- Alleviates depression
& anxiety
- Improves cognitive &
perceptive function
MAGNESIUM &
ZINC
- Essential minerals
- deficient in
depression