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Top 10 Ways to Survive the Stress of Dread-Cember

Julie Entwistle, MBA, BHSc (OT), BSc (Health / Gerontology)

It was an effective exercise in venting and I feel much better. I wrote my blog on “Dread-cember” listing all the reasons I strongly dislike this month and the holiday season in general. Then, I read it over, accepted my grievances, realized I was being grumpy (albeit honest) and admitted that I don’t want to bring other people down who legitimately love this season.

However, I will equate my problems this month with one word – STRESS.  In one week it all begins…  December is, legitimately, the most stressful month of the year. Shopping and presents, food preparation, cards, socializing, crowds, different schedules and routines, decorations, spending, pressure to buy the right thing for the right person – and not forgetting anyone.

Instead of harping on all the reasons I struggle this time of year, I am going to be productive and offer some practical suggestions for people that also have issues getting through to January. Here are Julie’s TOP 10 TIPS based on my own experiences as a busy mom, but also as an occupational therapist who often helps people to break down tasks into more manageable, and less stressful chunks:

  1. PLANNING – this is everything. Often the stress of shopping is not the shopping per se, but rather the planning beforehand. Who do I need to buy for? What will I get them? When do I need to deliver it or mail it so it is received on time? Spending endless hours in the mall looking for the “right gift” works for some, but for others some planning ahead of time can really reduce the stress of the season.
  2. ORGANIZATION – plan it, buy it, store it, and then cross it off your list. Make separate lists – cards to send, presents to buy, food to coordinate, functions to attend, decorating to do – then set it and forget it. Pull out one list a week, tackle it, and then discard. Repeat.
  3. START EARLY – don’t be a dude (sorry boys) and end up in the mall on the 24th. If you do, say hi to my husband. Seriously though, starting early can really reduce the pressure to get it all done in time. Personally, last year I was done my shopping September 9, and this year I bought my first present in February and was done in August. Soon, I will use Boxing Day to shop for the next Christmas. But being done early lets me focus on other things in December, and allows me to avoid the crowds and chaos on the roads and in the malls.
  4. GIVE BACK – nothing says Christmas more than charity. Think of those less fortunate, donate your time, no-longer used items, or money to those that are less fortunate. Get your kids involved with this by sponsoring a family, sorting through toys they no longer need, or having them come with you when you drop off donations. Have a social gathering and in lieu of a hostess gift, ask for items for the local food bank.
  5. GET OUTSIDE – I agree with this completely. Cold schmold. Put on some layers and get some fresh air. Snow is beautiful, the air is crisp, and getting outside will really assist with de-stressing and avoiding seasonal affective disorders. If it is windy, hit the trails to escape the wind chill. If you are alone, listen to some tunes. Last winter I would always hike with my snow pants on so that if the mood struck, I was freely able to stop for some snow angels (which I do).
  6. MAKE A BUDGET AND STICK TO IT – this world of abundance does not mean we need to live that way. What can you afford? Make a list within your budget, total it, and stick to it. Financial strain is stressful anyway, let alone this time of year when there are high expectations to buy the right gift, that “wow” item, and to think of so many people. Simplify – draw names, play a gift-giving game, or just consider “togetherness” and a pleasant meal as your gift to each other. Consider giving people photos you have taken in the year that you can print in larger sizes for minimal cost, or do what we do and make a DVD of the kids from the year set to their favorite music for the grandparents. This year, we realized we have a bunch of Visa points and will be clearing these off to save our bank account.
  7. MAKE IT PRACTICAL – Sometimes the practical gifts are the best. Kid’s activities are expensive and some money towards the hockey skates, dance outfit, or Karate uniform would be appreciated by most parents. Or, everyone needs haircuts and Mom’s love Starbucks or Tim’s, getting their nails done, a massage, or maybe even a house cleaning service as a treat.
  8. LAUGH – Never underestimate the value of a good laugh. Time with friends or a good movie can do wonders for the psyche during this hectic time. My favorite holiday movies are Christmas Vacation and Elf, and of course the timeless A Christmas Story. Grab some eggnog or a warm tea, curl up with a blanket and laugh for a while…
  9. SIMPLIFY – try buying things online. They come to your door! Shopping online provides a practical way to compare prices, avoid the crowds, save some travel and search time, and to look around without being bothered. Toys, books, games – these are all great online gifts.
  10. DELEGATE – can anyone help you? Perhaps provide a list of items to your spouse that they can grab on their lunch break maybe for the teachers, bus driver, or the table gifts or stocking stuffers. Do you have a parent that can hit the mall with a list for you? Can the kids help you with stuff envelopes and mailing these? You don’t need to tackle the stress of Christmas alone.

But the biggest thing I think we need to realize is that not everyone enjoys this time of year. For some, it will bring terrible or sad memories, guilt, pressure, stress, financial hardship, anxiety, and loneliness. Respect that not everyone can manage this season as they would like, and if that means you are missing a card, an email, present or phone call from someone you expected to hear from, let it go. We all have different capacities to manage stress, and the holiday season is no exception.

 

Previously posted December 2014

 

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Fall Prevention O-Tip of the Week: Keep Frequently Used Items Within Reach

Our O-Tip of the week series we will be providing valuable “OT-Approved Life Hacks” to provide you with simple and helpful solutions for living. 

For the month of November, Fall Prevention Month, our O-Tip series will provide helpful ways to prevent falls at home and in the community.

Keep frequently used items in easy to reach locations to reduce the need for using a chair or ladder to reach items in high cupboards or the top shelf of the closet.  If these items are required, ask a family member or neighbor to help you reach them instead of attempting to do so yourself.

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Keeping Up Appearances: Social Media and Self-Esteem

Guest Blogger:  Susan Wang, Occupational Therapist

In the current age of media, the internet and social media sites (especially Instagram) contribute heavily towards bombarding young girls with images and videos of models. Approx. 90% of adolescents use social media daily, frequently for more than 2 hours a day.  Girls are more exposed in higher rates to media than boys which make females much more vulnerable to the negative impacts of media than boys. With the rise of social media use for marketing and advertising, content creators and models can interact heavily with their viewers through comments and live videos. They create heavily curated profiles and document intimate moments of their lives that thousands (sometimes millions) of individuals follow and keep up with. This, in addition to the popularity of Instagram use by celebrities, can create the illusion of forming authentic relationships with their audience. The interactive nature of social networking also provides opportunities for girls to compare their appearance with their peers. For example, taking selfies may cause women to scrutinize their own image from an observer’s perspective, which is then further reinforced by instant feedback on their appearance through the form of comments and ‘likes.’

Social media presents unique pressures on body dissatisfaction and disordered eating. It is a highly visual environment in which appearance ideals and the pursuit of thinness are promoted. Indeed, the interactive nature of social media appears to contribute to increases in disordered eating. As social media marketing and advertising continues to grow, competition amongst content creators and “influencers” also rises. There is a need to create a persona and create images/videos that stand out amongst the thousands of other marketers competing for the same sponsorships. This results in models utilizing photo editing apps to alter their images. With the rise of “FaceTune” and other photo editing apps, it is increasingly easier for individuals to alter their images, without needing to consult professionals or develop skills in photo editing. This has resulted in girls comparing themselves to unrealistic beauty standards.

In addition, celebrities such as Kim Kardashian have normalized the usage of surgical enhancements. Lip injections, breast augmentations, “fillers”, and other cosmetic surgery has been on the rise in recent years.  Cosmetic doctors have reported an increase in teens seeking lip injections, citing photos of Kylie Jenner as an inspiration. Studies have shown that women who rated their self-esteem, life-satisfaction, and attractiveness as low, were more likely to undergo cosmetic surgery.  This study also indicated that women with high social media exposure were more likely to undergo plastic surgery.  There is also an increase in the number of teenagers seeking plastic surgery. In 2017, approximately 220,000 cosmetic procedures were performed on patients aged 13-19 and social media plays a large part in this trend.  The average Millenial takes over 25,000 selfies in their lifetime, which is one of the major reasons for the self-esteem issues in this age group. In a recent American Academy of Facial Plastic and Reconstructive Surgery survey, more than 40% of surgeons said looking better in selfies on Instagram, Snapchat, and Facebook was an incentive for patients of all ages getting surgery. This is magnified for teens, who use social media more often.

Instagram vs. Reality

There are existing efforts to combat the rise in unrealistic beauty standards by raising awareness about the increasing use of photo editing apps. One such example is a community on the forum “Reddit” that posts side-by-side comparisons of edited images posted by models and celebrities and non-edited photos or videos depicting what they actually look like. While some of the posts contain borderline offensive/body-shaming comments, the concept can be helpful, especially for young girls, in highlighting the efforts and altering (posing, editing) that goes into celebrities’ images.

Some additional helpful resources we came across include:

References:

Brown, A., Furnham, A., Glanville, L., & Swami, V. (2007). Factors that affect the likelihood of undergoing cosmetic surgery. Aesthet Surg J, 27 (5). 501-508.

Paul, K. (2018, October 10). Do Instagram and Snapchat distort how teenagers see themselves? MarketWatch. Retrieved from
https://www.marketwatch.com/story/the-unsettling-relationship-between-selfie-filters-and-plasticsurgery-2018-08-02

Paul, K. (2018, September 30). More than 200,000 teens had plastic surgery last year, and social media had a lot to do with it. MarketWatch. Retrieved from https://www.marketwatch.com/story/should-you-let-your-teenager-get-plastic-surgery-2018-08-29

Fardouly, J., Diedrichs, P. C., Vartanian, L. R., & Halliwell, E. (2015). The mediating role of appearance comparisons in the relationship between media usage and self-objectification in young women. Psychology of Women Quarterly, 39, 447–457.

Oberst, U., Wegmann, E., Stoft, B., Brand, M., & Chamarro, A. (2017). Negative consequences from heavy social networking in adolescents: The mediating role of fear of missing out. Journal of Adolescence, 55, 51-60.

Costa, L. D. C. F., de Vasconcelos, F. D. A. G., & Peres, K. G. (2010). Influence of biological, social and psychological factors on abnormal eating attitudes among female university students in Brazil.

Journal of Facial Plastic Surgery (2014). Selfie trend increases demand for facial plastic surgery. Retrieved from https://www.aafprs.org/media/press_release/20140311.html

Salmela-Aro, K,, Upadyaya, K., Hakkarainen, K,, & Lonka, K. (2016). The Dark Side of Internet Use: Two Longitudinal Studies of Excessive Internet Use, Depressive Symptoms, School Burnout and Engagement Among Finnish Early and Late Adolescents. Journal of Youth and
Adolescence, 46 (2). DO – 10.1007/s10964-016-0494-2

de Vries, D. A., & Peter, J. (2013). Women on display: The effect of portraying the self online on women’s self-objectification. Computers in Human Behavior, 29, 1483e1489. https://doi.org/10.1016/j.chb.2013.01.015 .

Spettigue, W., & Henderson, K.A. (2004). Eating disorders and the role of the media. The Canadian Child and Adolescent Psychiatry Review, 13 (1), 16-19.

 

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Fall Prevention O-Tip of the Week: Improve Grip and Visibility on Exterior Surfaces

Our O-Tip of the week series we will be providing valuable “OT-Approved Life Hacks” to provide you with simple and helpful solutions for living. 

For the month of November, Fall Prevention Month, our O-Tip series will provide helpful ways to prevent falls at home and in the community.

Exterior steps can become extremely slippery in wet, snowy or icy weather.  Painting over your outside stairs with a mix of paint and sand will help to increase grip and improve visibility.  Be sure to always keep your steps clear and use salt in the winter months to ensure steps aren’t a fall hazard.

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The Rights of a Child

Written by Justine Huszczynski, Occupational Therapist

November 20th marks the date when Canada adopted the United Nations Convention on the Rights of the Child (UNCRC). Simply put, the UNCRC is a treaty that outlines the basic human rights for children and youth.

Among other rights, the UNCRC outlines “survival and development rights” which are explained as “the basic rights to life, survival and development of one’s full potential”. Looking into this a little deeper, Article 23 under the “survival and development rights” states:

“Children who have any kind of disability have the right to special care and support, as well as all the rights in the Convention, so that they can live full and independent lives.”

So, how is Canada ensuring that the rights of children with disabilities are being fulfilled? Of course, we have public healthcare which provides children prompt access to medical attention. But Article 23 goes beyond this. It also includes the right to services – therapy services perhaps – that children with “any kind of disability” should be able to access such that they can become independent adults and experience a fulfilling life.

While Ontario offers plenty of publicly funded early intervention services for children with disabilities (based on the availability of government-funded children’s treatment centres across the province), how are the outrageous waitlists for some of the most valuable services offered in these centres acceptable? For example, in 2013 the Toronto Star surveyed nine of the government-funded treatment centres and found average waitlist times ranging from one to four years for a child to receive intensive behavioural intervention (IBI) therapy.

So how does this follow the guidelines of the UNCRC? Honestly, it doesn’t. Simply having a service available to a child with a disability is not enough. The service needs to be provided. Long waitlists do not allow children to “live full and independent lives” but in fact can stifle a child’s development by denying access to programs that are most effective as “early intervention”.

Therefore, while we celebrate how far we have come to secure the rights of children, we need to look ahead and aim for a brighter future for those children that may need some extra support – sooner rather than later. An example of striving for a brighter future comes from the parents of one of my clients who devoted their time to being their child’s advocate when “he didn’t have a voice”. After this young client was denied services by one of the government-funded children’s treatment centres in Ontario, his parents scheduled a meeting with their local Member of Provincial Parliament (MPP) to advocate for their son’s dire need for early intervention services. As a result of the advocacy skills of my client’s parents, the MPP ordered the treatment centre to complete a reassessment and the child was granted the early intervention services that he absolutely deserved and required. During a conversation with the mother of this client, she stated, “It is my job to be make my child’s life better”. This statement is heartwarming, and perhaps we should view it as a challenge. A challenge for all of us – therapists, health professionals, teachers, citizens, governments– to truly make it our “job” to ensure children are given the best life possible. So take the challenge and advocate for our children – ask more questions, get second opinions, research the available charitable funding, schedule meetings with your MPP, school board trustee, and don’t take no for an answer.

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Fall Prevention O-Tip of the Week: Let’s Get Physical

Our O-Tip of the week series we will be providing valuable “OT-Approved Life Hacks” to provide you with simple and helpful solutions for living.

For the month of November, Fall Prevention Month, our O-Tip series will provide helpful ways to prevent falls at home and in the community.

Did you know that taking part in regular physical activity including cardiovascular, strength-building and balance activities can help to prevent falls as you age?  Speak with your physician or Occupation Therapist about which activities are safe for you and maintain a regular routine to help reduce your risk.

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Senior Safety and the Vital Role of Occupational Therapy

Canada’s population is aging. In 2015, there were almost 6 million people over the age of 65 – that is nearly 1 in 6 Canadians. As we grow older, we face an increasing risk of falls, accidents, disabilities, and illnesses.  As a senior how can you stay safe and healthy?

Why is Older Adult Safety Important?

Older adult health and safety is important for maintaining our ability to age in place of choice.  Statistics Canada has highlighted the following safety risks for older Canadians:

  • 89% of Canadian seniors had at least one chronic health condition. Arthritis and rheumatism were the most common.
  • 25% of Canadian seniors reported having 2 or more chronic conditions such as high blood pressure, arthritis, back problems and diabetes.
  • 63.7% of Canadian seniors reported to have been injured in a fall.
  • There are 3.25 million people aged 65 and over in Canada who have a driver’s license.
  • 92.1% of seniors live in private households.

These statistics demonstrate the increased risk to seniors for health and other safety concerns.

Occupational Therapists Can Help!

Occupational Therapists are trained professionals who address all aspects of getting people back to doing things they want to do, need to do, or have to do, but may be experiencing challenges when doing so.  Occupational Therapists can support older adult’s health and well being through providing supports for seniors to maintain active social connects, manage changes in health conditions, and to continue engaging in activities that provide them with meaning and joy.

These are the following areas that an OT can help keep seniors safe and healthy!

Fall Prevention 

Falls are the leading cause of injury among older Canadians with 20-30% of seniors experiencing one or more falls each year.

Occupational Therapy can help seniors prevent falls by assessing their functional status and reviewing the hazards in their environment that may put them at risk for falling. Strategies to prevent falls can be discussed, such as:

  • General Education on how to do activities differently to stay safe.
  • Equipment and devices to assist.
  • Home modifications such as lighting, flooring, organization, and layout.
Aging in Place

In 2011, 92 % of all seniors ages 65 + lived in private homes, and over 10 million seniors are living with a chronic condition.  Older adults also have disproportionately higher rates of unmet care at home. Thus, ensuring these individuals function safely and independently at home is a high priority.

Occupational Therapy can help by assessing the home and the homeowner to ensure a proper fit between the person and environment to promote overall health and safety.  Additionally, an OT can prescribe the proper assistive devices, education and help people plan ahead so they can “ age in place” without being at risk.

Keeping Senior’s Active

Remaining physically active as you age can help reduce, prevent or delay diseases and can help to manage stress, improve mood and boost cognition.  Statistics show that 57% of Canadian seniors consider themselves physically inactive.

Occupational Therapy can help seniors remain physically active by:

  • Creating custom activity plans based on health and abilities.
  • Helping seniors create a daily schedule that includes physical activation.
  • Helping seniors to find appropriate facilities and groups to join or other productive and meaningful activities.
Sleep

Sleep is important for recovering from illness and injury, staying healthy, and ensuring people have sufficient energy during the day to accomplish life roles. Difficulty sleeping is a common and detrimental issue for people in various life stages.

Occupational Therapy can help seniors reduce sleep problems by:

  • Reviewing sleeping positions and patterns to suggest improvements for both comfort and quality of sleep.
  • Assessing the bed, mattress, and pillows to ensure the body is sleeping in the optimal position for comfort.
  • Prescribing assistive devices to improve sleep positioning, bed transfers, and bed mobility.
  • Helping people to implement a new sleep routine that will improve your sleep quality and duration.
Cognitive Impairments

According to the Alzheimer’s Society of Canada as of 2016, there are an estimated 564,000 Canadians living with dementia – plus about 25,000 new cases diagnosed every year.

Occupational Therapy can help people with dementia or who have altered/declining cognition by:

  • Educating people and loved ones on how to maximize function while still promoting independence and safety in the completion of activities of daily living.
  • Assessing cognition, abilities, and environment to make suggestions on ways to compensate for declining cognitive skills through direct therapy or environmental modification.
  • Developing routines and schedules that promote independence and eases the role and need for a caregiver.
  • Prescribing safety equipment and devices to optimize function.
Transition Stages
  • Occupational Therapy can play a crucial role in helping seniors through live transitions this by:
  • Identifying, planning and helping people engage in finding new meaningful occupations outside of work.
  • Providing education on role changes, spending time with family and friends, healthy lifestyles and choices.
  • Helping discover new ways to occupy their time, participate in leisure activities and find new interests.
  • Improving quality of life through promotion of independence and pain management strategies.

 

For more information on how Occupational Therapists help improve the lives of older adults check out our infographic:  Occupational Therapy Works for Seniors.

 

Resources

http://www.statcan.gc.ca/pub/11-402-x/2012000/chap/pop/pop-eng.htm?fpv=3867

https://www.tc.gc.ca/media/documents/roadsafety/cmvtcs2013_eng.pdf

Turcotte, M (2014). Canadians with unmet home care needs.

http://www.statcan.gc.ca/pub/75-006-x/2014001/article/14042-eng.pdf

http://www.caot.ca/default.asp?pageid=1454

http://www.caot.ca/default.asp?ChangeID=1&pageID=621

http://www.caot.ca/default.asp?pageid=1501