| Current revision |
Your text |
| Line 1: |
Line 1: |
| - | {{Lesson plan/Header}}
| + | : 0.75 hr |
| | | | |
| - | == Subject ==
| |
| - | {{prompt|What is this lesson plan about?}}
| |
| - |
| |
| - | == Authors ==
| |
| - | {{prompt|List who wrote this lesson plan.}}
| |
| - | (Chris Jorgensen or Brian Sundberg probably created this)
| |
| - |
| |
| - | == Scope ==
| |
| - | {{prompt|What is included in this lesson, what's not and why.}}
| |
| | : SAR Fundamentals Manual: Ch.16 "Stress in SAR" | | : SAR Fundamentals Manual: Ch.16 "Stress in SAR" |
| | : Basic SAR Skills Manual: F-3 | | : Basic SAR Skills Manual: F-3 |
| - |
| |
| - | == Objectives ==
| |
| - | At the conclusion of this lesson the participants:
| |
| - | # will be able to ...
| |
| - | == Time Plan ==
| |
| - | Total Time: 60 minutes
| |
| - | * 2013-02: 58 min
| |
| - |
| |
| - | See {{nbw|2016|10|26}}
| |
| - | {{lesson slides start}}
| |
| - | {{lesson slide|00:00|6 min}}
| |
| - | ''Shock the students, by not providing any introduction.''
| |
| - | ''Don't allow any discussion or comment.''
| |
| - |
| |
| - | ''Play "Floating Stone" video (4 min) -- without comment''
| |
| - | * ''Allow people to stew over it for some time''
| |
| - |
| |
| - | {{lesson slide|00:06|}}
| |
| - | ''Bring them down by allowing the students to discuss incident.
| |
| - |
| |
| - | How would you sum up what you saw?
| |
| - |
| |
| - | ''Answer questions and provide backgronud as they ask.
| |
| - |
| |
| - | Floating Stone Lake Provincial Park is 42 km NW of St. Paul.
| |
| - | http://www1.travelalberta.com/en-ca/index.cfm?pageid=4&Search=Details&ID=58901
| |
| - | http://www.floatingstonelake.com/
| |
| - |
| |
| - | Happened in 1999? http://www.naarsdiveteam.org/callout.html
| |
| - |
| |
| - | Darcy, the person who drowned had the key to the Seadoo so person who made it to it couldn't start it.
| |
| - | Alcohol was not involved.
| |
| - | The video was distributed to SAR by the family to help in training.
| |
| - |
| |
| - | No PFDs.
| |
| - | {{lesson slide|00:11|4 min}}
| |
| - | ''Talk them down by getting them to reflect
| |
| - | * What have you been feeling in your body?
| |
| - | * What emotions were you feeling+
| |
| - | * Were you watching your fellow students? How do they look?
| |
| - | {{lesson slide|00:15|2 min}}
| |
| - | Introduce topic title
| |
| - |
| |
| - | Introduce Instructor
| |
| - |
| |
| - | Present Objectives
| |
| - |
| |
| - | '''Objective'''
| |
| - | # to recognize the different types of stress
| |
| - | # understand how they affect people
| |
| - | # understand different coping methods
| |
| - |
| |
| - | {{lesson slide|00:17|2 min}}
| |
| - | Why do we study stress?
| |
| - |
| |
| - | * '''You will see and do things that will stress you ... Finding a body ... Assisting with a removal ... Witnessing others' pain and loss'''
| |
| - |
| |
| - |
| |
| - | {{lesson slide|00:19|2 min}}
| |
| - | * QUESTION: How does it make you feel?
| |
| - | * QUESTION: Did you want to talk about it ... why?
| |
| - |
| |
| - |
| |
| - | {{lesson slide|00:21|2 min}}
| |
| - | * '''Comfort Zone''' - everyone has a comfort zone unique to them
| |
| - | ** E.g. An undertaker, after dealing with 5 dead bodies in one moring may be thing ... Lunch Time
| |
| - | ** A SAR worker would not normally want to see 5 dead bodies in a career
| |
| - | ** '''What is your comfort zone ... do you know?'''
| |
| - |
| |
| - | {{lesson slide|00:23|2 min}}
| |
| - | * '''Types of Stress''' - ''(Thinking and Emotions Overhead [BASIC SAR 727])''
| |
| - | ** '''GOOD STRESS (Eustress):''' person performs at a level not normally experienced. E.g. mom lifting a car off her child. A stage of '''"hyper-alert"''' or getting into the game of sports
| |
| - | ** '''BAD STRESS (Distress):''' instead of lift the car of her child, mom steps in front of traffic. Often results in alcohol abuse and other problems such as '''FEAR (chap. 5)'''
| |
| - |
| |
| - | {{lesson slide|00:25|5 min}}
| |
| - | * '''OVERHEAD - Four Stages of Fear or Distress''' [Slide 25]
| |
| - | ** '''1. Alarm''' - A state of alertness as a result of some stimulus. Anxiety appears as a natural reaction to what could happen
| |
| - | ** '''2. Reaction''' - The body physically gears up for reaction
| |
| - | *** Muscles tighten
| |
| - | *** Sweat glands close down
| |
| - | *** Sugar is released for energy
| |
| - | *** Adrenaline is produced
| |
| - | *** Heart rate increases
| |
| - | *** If allowed to progress, anxiety can turn to '''OVERT FEAR'''. At this point TRAINING AND EXPERIENCE (your comfort zone) come into play.
| |
| - | **** '''''"You will NOT rise to the level of your expectations, but fall to the level of your TRAINING"'''''
| |
| - | ** '''3. Response and Options''' [Slide 26]
| |
| - | *** Fight or Flight kicks in
| |
| - | *** Adrenaline rush occurs
| |
| - | *** '''Methodical approach''' to the problem with a parn and precise moves... '''OR'''
| |
| - | *** Scatterbrained thinking with no plan and refusal to believe the situation is really as bad as it appears '''(DENIAL)'''
| |
| - | *** '''Complete panic''' with frozen limbs & mind (crying, trembling, naseau, vomiting)
| |
| - | *** depends on your level of training
| |
| - | ** '''Rest'''
| |
| - | *** Sharp emotional letdown after intense situation
| |
| - | *** This will come whether wanted or not
| |
| - | *** Often a complete emotional and physical drain
| |
| - | *** Chances of shock is real
| |
| - | ** '''ALARM > REACTION > FIGHT or FLIGHT > REST'''
| |
| - |
| |
| - | {{lesson slide|00:30|1 min}}
| |
| - | * Stress is only a problem with it overwhelms your coping mechanism
| |
| - |
| |
| - | {{lesson slide|00:31|1 min}}
| |
| - | * '''Stress Duration Types'''
| |
| - | ** '''Acute Stress / Delayed''' - single event or past event
| |
| - | ** '''Cumulative Stress''' - burnout after extended time (can be weeks or years)
| |
| - | *** EMT's / Paramedics in large centres generally have a care expectancy of approx. 15 years at which point they "burn out"
| |
| - |
| |
| - | {{lesson slide|00:32|5 min}}
| |
| - | * '''QUESTION''' - What causes stress?
| |
| - | ** ''Have class give examples''
| |
| - | ** Are they '''''Acute''''' or '''''Cumulative?'''''
| |
| - | ** '''Biogenic''' - caffeine, nicotine, amphetamine
| |
| - | ** '''Environmental''' - noise, light, dust, extreme temps, confined zpace (comfort zone)
| |
| - | ** '''Psychological''' - relationships, conflicts, lack of appreciation, abuse
| |
| - | ** '''Personality''' - need for love, guilt, fatigue, pain, sensitivity to criticism
| |
| - |
| |
| - | {{lesson slide|00:37|5 min}}
| |
| - | * '''OVERHEAD''' - ''Signs and Symptoms of an ACUTE Stress Reaction [SLIDE]''
| |
| - |
| |
| - | * '''Cognitive'''
| |
| - | ** Blaming somenone
| |
| - | ** Confusion
| |
| - | ** Memory problems
| |
| - | ** Poor attention span*
| |
| - | ** Difficulties with decision making*
| |
| - | ** Heightened or lowered aletness
| |
| - | ** Difficulties with problem solving
| |
| - | ** Disorientation
| |
| - | ** Slowed thinking
| |
| - | ** Poor caculations
| |
| - | ** Poor concentration*
| |
| - | ** Difficulty naming familiar objects
| |
| - | ** Seeing event over and over
| |
| - |
| |
| - | * '''Physical'''
| |
| - | ** Nausea
| |
| - | ** Vomiting
| |
| - | ** Tremors (lips, hands)
| |
| - | ** Feeling uncoordinated
| |
| - | ** Profuse sweating
| |
| - | ** Chills
| |
| - | ** Diarrhea
| |
| - | ** Dizziness
| |
| - | ** Chest pains
| |
| - | ** Difficulty breathing
| |
| - | ** Shock symptoms
| |
| - | ** Rapid heard beat*
| |
| - | ** Rapid breathing
| |
| - | ** Excessively elevated blood pressure
| |
| - | ** Headaches*
| |
| - | ** Muscle aches
| |
| - | ** Fatigue
| |
| - |
| |
| - | * '''Emotional'''
| |
| - | ** Anxiety
| |
| - | ** Fear
| |
| - | ** Guilt
| |
| - | ** Grief
| |
| - | ** Anger
| |
| - | ** Depression
| |
| - | ** Sadness
| |
| - | ** Feeling lost
| |
| - | ** Feeling abandoned
| |
| - | ** Feeling isolated
| |
| - | ** Worrying about others
| |
| - | ** Wanting to hide
| |
| - | ** Wanting to limit contact with others
| |
| - | ** Irritibility
| |
| - | ** Feeling numb
| |
| - | ** Startled
| |
| - | ** Shocked
| |
| - |
| |
| - | * '''Behavioural'''
| |
| - | ** Change in anxiety
| |
| - | ** Change in speech
| |
| - | ** Withdrawal
| |
| - | ** Angry outbursts
| |
| - | ** Suspiciousness
| |
| - | ** Change in communications
| |
| - | ** Change in interactions with others
| |
| - | ** Increased or decreased food consumption
| |
| - | ** Increased alcohol consumption
| |
| - | ** Intense fatigue
| |
| - | ** Antisocial acts
| |
| - | ** Hyper-alert
| |
| - |
| |
| - | {{lesson slide|00:42|5 min}}
| |
| - | * '''OVERHEAD''' - ''Signs and Symptoms of a CUMULATIVE Stress Reaction [Slide]''
| |
| - |
| |
| - | * '''Stage 1: The Early Warning Signs'''
| |
| - | ** Vague anxiety (feeling of impending doom)
| |
| - | ** Excessive and constant fatigue
| |
| - | ** Feeling of depression
| |
| - | ** Boredom with one's job or home life
| |
| - | ** Apathy
| |
| - |
| |
| - | * '''Stage 2: Mild cumulative stress reaction'''
| |
| - | ** Lowered emotional control
| |
| - | ** Increased anxiety
| |
| - | ** Sleep disturbances
| |
| - | ** Headaches
| |
| - | ** Irritability
| |
| - | ** Muscle aches and pains
| |
| - | ** Loss of energy
| |
| - | ** Depression
| |
| - | ** Hyperactivity and restlessness
| |
| - | ** Excessive fatigue
| |
| - | ** The beginnings of withdrawal from friends, family and coworkers
| |
| - | ** Nausea
| |
| - | ** Increased
| |
| - |
| |
| - | * '''Stage 3: Moderate cumulative stress reaction'''
| |
| - | ** Skin rashes
| |
| - | ** Generalized physical weakness
| |
| - | ** Strong feeling of depression
| |
| - | ** Increased alcohol abuse
| |
| - | ** Increased smoking
| |
| - | ** High blood pressure
| |
| - | ** Migraine headaches
| |
| - | ** Loss of appetite
| |
| - | ** Angry outbursts
| |
| - | ** Marital conflict
| |
| - | ** Loss of sexual appetite
| |
| - | ** Ulcers
| |
| - | ** Severe withdrawal from friends, family and coworkers
| |
| - | ** Constantly feeling angry
| |
| - | ** Crying spells
| |
| - | ** Serious depression
| |
| - | ** Serious anxiety
| |
| - | ** Problems with clear thinking and decision making
| |
| - | ** Problems with memory
| |
| - | ** Rigid thinking patterns
| |
| - |
| |
| - | * '''Stage 4: Cumulative stress reaction'''
| |
| - | ** Severe depression
| |
| - | ** Severe anxiety
| |
| - | ** Low self-confidence
| |
| - | ** Inability to appropriately manage one's job or personal affairs
| |
| - | ** Severe withdrawal
| |
| - | ** Excessive alcohol abuse
| |
| - | ** Uncontrolled emotions
| |
| - | ** Suicidal thoughts
| |
| - | ** Muscle tremors
| |
| - | ** Feeling desperate and out of control
| |
| - | ** Severe fatigue
| |
| - | ** Overreaction to minor events
| |
| - | ** Agitation
| |
| - | ** Constant tension
| |
| - | ** Hostile feelings
| |
| - | ** Homicidal thoughts
| |
| - | ** Chronic state of anger
| |
| - | ** Accident prone
| |
| - | ** Carelessness
| |
| - | ** Development of moderate to severe thought disturbance
| |
| - | ** Hallucinations
| |
| - | ** Sleep disturbance
| |
| - |
| |
| - | {{lesson slide|00:47|2 min}}
| |
| - | * '''Poor Defense Mechanisms'''
| |
| - | ** Repression - don't talk about it "just leave it alone"
| |
| - | ** Denial - deny that you have any symptoms of stress
| |
| - | ** Rationalization - explain away poor performance
| |
| - | ** Humour - not always used properly
| |
| - |
| |
| - | {{lesson slide|00:49|2 min}}
| |
| - | ''Strong Defense Mechanisms
| |
| - | * talking
| |
| - | * exercise
| |
| - | * eating healthy
| |
| - | * keeping to routine
| |
| - | * peer group
| |
| - |
| |
| - | {{lesson slide|00:51|8 min}}
| |
| - | * '''Critical Stress Debriefing / Defusing'''
| |
| - | ** Professional services are available
| |
| - | *** Its most effective if you simply talk about things, and soon
| |
| - | *** Get help for your team, and yourself
| |
| - | *** Stress is not a weakness
| |
| - | *** If you had bad vision, you would get it fixed
| |
| - | ** EMS has the system in place, they use it, and SAR fell through the cracks
| |
| - | ** Don't underestimate its effects
| |
| - |
| |
| - | {{lesson slide|00:59|1 min}}
| |
| - | Questions
| |
| - | {{lesson slides end}}
| |
| - |
| |
| - | == Aids ==
| |
| - | {{prompt|What materials are needed or useful in presenting this lesson.}}
| |
| | : (Floating Stone Video) | | : (Floating Stone Video) |
| - |
| |
| - | * [[/Restricted|non publishable material]]
| |
| - | * info sheet see {{nbw|2016|11|19}}
| |
| - |
| |
| - | == Question bank ==
| |
| - | {{prompt|List of questions suitable for an review/exam of this section.}}
| |
| - | See {{subpage|Question bank}}
| |
| - |
| |
| - | == Frequently Asked Questions ==
| |
| - | {{prompt|What are some of the questions that students typically ask. Include the answers.}}
| |
| - |
| |
| - | What time of year was the incident?
| |
| - |
| |
| - | == Feedback ==
| |
| - | {{prompt|When has this lesson been presented. What was the feedback.}}
| |
| - |
| |
| - | == License ==
| |
| - | {{prompt|What can others do with this lesson?}}
| |
| - |
| |
| - | Recommended license below. Fill in the year and the author's name(s):
| |
| - |
| |
| - | Copyright © YEAR, Author.
| |
| - | This work is licensed under a
| |
| - | Creative Commons Attribution-NonCommercial 2.5 Canada License.
| |
| - | To view a copy of this license, visit
| |
| - | http://creativecommons.org/licenses/by-nc/2.5/ca/
| |
| - | or send a letter to Creative Commons, 559 Nathan Abbott Way, Stanford, California 94305, USA.
| |
| - |
| |
| - | == Reference Material ==
| |
| - | {{prompt|If you need to cite sources, do so here.}}
| |
| - |
| |
| - | * [[CISM]]
| |
| - |
| |
| - | == Notes ==
| |
| - | {{prompt|Any additional notes, etc.}}
| |
