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COPING WITH ANGINA AND STRESSFUL EVENTS: MANAGING UNPREDICTABLE AND UNAVOIDABLE EVENTS
Imagine shovelling snow and getting a sudden, crushing chest pain. Next thing you know you are in an Intensive Care Unit in hospital.
Imagine being woken up by the smell of burning coming from downstairs, your house is on fire and your children are asleep in the third floor attic bedroom with no fire escape.
Imagine going into work to find a television crew in your office and a presentation ceremony organized by your boss who has selected you as the best worker of the year.
Imagine winning the local lottery first prize of five thousand pounds.
Each situation you have imagined may fill you with feelings of fear, panic, and confusion. The crises which involve threats to your life or to your relatives’ lives will almost always involve real emotional pain. The crises with the promise of success and personal gain may still fill you with dread as well as pleasure, since public honour and attention is not always welcomed. How you react again depends upon what that event means to you. And again, there are helpful and unhelpful methods of coping.
Research on how people cope with major disasters shows that those who come out of it best, with fewest emotional problems, are those who can talk about the problems and their feelings within hours of the event. But talking is not enough, it is also necessary to identify what practical problems must be overcome and at the same time to identify what emotions are aroused and how these can be understood and channelled into a sense of personal control and purpose.
Returning to an event which could happen to many readers of this book, that of having a heart attack and waking up in hospital.
1. Identify those aspects of the event which threaten
you
How badly affected are you?
What danger are you in?
What can be done to minimize your danger?
What risks do you take of trying to help yourself?
2. Identify the personal impact of the event
E.g. do you feel pain, fear and anger?
Do you feel helpless?
Do you feel responsible, guilty or embarrassed?
Do you anticipate successfully overcoming this setback?
3. Identify what you can do to manage your feelings
about the event
Can you let your feelings out, be prepared to be helpless and vulnerable and in other people’s control?
Can you learn from how other people have coped?
Can you identify aspects of your problems that you can control yourself, such as feeding yourself, learning to do relaxation exercises to reduce the effect of stress on your heart as it heals?
4. Identify how you can bolster your health and
well-being
For example, after the first two or three days of complete rest are over:
Relax to ease the pain and reduce your reliance on pain medication.
Do ‘normal’ activities such as dictating instructions or managing home or work problems in order to remind yourself and others that you are not just a passive patient but a person who will eventually be able to look after themselves again.
Take emotional breaks from being a patient and under threat, by joking, by allowing yourself to take time out to enjoy talking about normal activities and people unrelated to your hospital stay.
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