SAMAGRA – Professional support

Relaxation programme for Surgeons & Physicians (SIPS)

SIPS is a special programme for surgeons developed by ‘An Illuminator’ based on the clinical studies and researches of Dr. Shivani Menon (Director of Global wellness & Preventia Healthcare).

SIPS is a 3 stage programme to reduce psychological-neurological and physiological stress…

Stage:1           Eyes and neurological stress relief (physio-neurological support)

Stage 2:         Neurological support and special support for surgeon to support their burn-                              out stress. an integrated approach with endocrinology studies.

Stage 3:         Waves /vibration therapy for physiological stress relief.

Details about SIPS:

What is SIPS?       How it works?   

Surgeons – The Heavyweights of the Medical Profession

According to a list compiled a few years ago, being a surgeon was considered the 4th most stressful job, preceded by those of fire fighters, big CEOs and taxi drivers. What’s more surgeons are even more likely to experience depression and suicidal idealation than their counterparts in other sectors of healthcare. This greatly reduces their satisfaction with work, and can consequently complicate patient safety and quality of patient care, and contribute to an increase in medical errors. Burnout has probably always been a part of Surgeons’ lives. Burnout is a state of emotional, mental, and physical exhaustion caused by excessive and prolonged stress. It occurs when you feel overwhelmed, emotionally drained, and unable to meet constant demands.

 

Just as the impact of burnout stifles healthy professional growth, emerging research shows that the chronic psychosocial stress that characterizes burnout not only impairs people’s personal and social functioning, it also can overwhelm their cognitive skills and neuro endocrine systems — eventually leading to distinctive changes in the anatomy and functioning of the brain.

Clinical Observations:

Burnout Affecting Areas

  1. Amygdalae (Theamygdalae are the two almond-shaped groups of nuclei located deep and medially within the temporal lobes of the brain in comple. This brain structure that is critical in emotional reactions including fear and aggression.)

 

Participants in the burnout group had relatively enlarged amygdalae , and also appeared to have significantly weaker connections between the amygdala and brain areas linked to emotional distress, specifically the anterior cingulate cortex (ACC). The more stressed an individual reported feeling, the weaker the connectivity between these brain regions appeared on the R-fMRI.

The frontal cortex, a brain area essential to cognitive functioning, begins to thin as part of the normal aging process, but patients suffering from burnout showed more pronounced thinning in the mPFC compared with the controls. The normal effects of aging were also more prominent in the scans of the burnout group.

Other brain structures also showed signs of wear and tear: Burnout patients appeared to have larger amygdalae and shrinking in the caudate, which correlated with their perceptions of workplace stress.

the over activation in the amygdala leads to impaired modulation of the mPFC regions, which then triggers further stimulation of the amygdala — leading to even more activation of the mPFC. As this cycle spirals further out of control over time, neural structures begin to show signs of wear and tear, which lead to cortical thinning as well as memory, attentional, and emotional difficulties.

 

  1. Significant reductions in grey-matter volumes (Grey mattercontains most of the brain’s neuronal cell bodies).

The grey matter includes regions of the brain involved in muscle control, and sensory perception such as seeing and hearing, memory, emotions, speech, decision making, and self-control.

  1. Hippocampus (The hippocampus is a major component of the brains of humans and other  Humans and other mammals have two hippocampi, one in each side of the brain).

Hippocampus plays important roles in the consolidation of information from short-term memory to long-term memory, and in spatial navigation. Alzheimer’s disease, the hippocampus is one of the first regions of the brain to suffer damage; memory loss and disorientation are included among the early symptoms. Damage to the hippocampus can also result from oxygen starvation (hypoxia), encephalitis, or medial temporal lobe epilepsy. People with extensive, bilateral hippocampal damage may experience anterograde amnesia—the inability to form and retain new memories.

  1. Caudate (The caudate nucleus is one of the structures that make up the dorsal striatum, which is a component of the basal ganglia)

While the caudate nucleus has long been associated with motor processes due to its role in Parkinson’s disease, it plays important roles in various other nonmotor functions as well, including procedural learning, associative learning and inhibitory control of action,  among other functions. The caudate is also one of the brain structures which compose the reward system and functions as part of the cortico–basal ganglia–thalamicloop.

  1. Putamen (The putamen is a round structure located at the base of the forebrain (telencephalon).

The putamen and caudate nucleus together form the dorsal striatum. It is also one of the structures that comprises the basal ganglia. Through various pathways, the putamen is connected to the substantia nigra and globus pallidus. The main function of the putamen is to regulate movements and influence various types of learning. It employs GABA, acetylcholine,and enkephalin to perform its functions. The putamen also plays a role in degenerative neurological disorders, such as Parkinson’s disease. —

Structures known to be susceptible to neurotoxic changes arising from the excessive release of glutamate

(Glutamate is an amino acid, it is involved in cognitive functions such as learning and memory in the brain)

Biometrics of Burnout

In addition to dysregulation in brain function, emerging evidence suggests that — much like other chronic stress conditions — burnout also leads to turmoil within the regulation of the body’s neuro endocrine system. The hypothalamic–pituitary–adrenal (HPA) axis is an important component in the regulation of the stress response, controlling the release of the “stress hormone” cortisol.

Under normal conditions, when we perceive a threat — whether it’s a snake in the grass or an upcoming deadline — a rush of cortisol is released into the body.

Once released into the bloodstream, cortisol triggers potent reactions throughout the entire body, ranging from cardiovascular activity to the immune system and memory formation. Once the threat has passed, cortisol levels fall off, and these systems return to baseline levels. However, when stress becomes chronic — as in the case of burnout — the body fails to return to normal, leading to a cascade of potential health problems.

Under conditions of prolonged stress, the HPA axis ceases to produce higher-than-normal levels of cortisol: When cortisol levels remain too high for too long, the body responds by eventually downshifting cortisol production to abnormally low levels, a state called hypocortisolism. These abnormally low levels of cortisol are associated with severe stress and trauma, as though the body’s stress response system itself has been burned out.

An analysis of saliva samples showed that both burnout groups had significantly lower morning cortisol levels compared with a group of healthy control subjects — a sign that their bodies were responding to long-term stressors.

Additional research suggests that hypocortisolism induces low-grade inflammation throughout the body, which in turn contributes to severe health problems, including buildup of plaque in the coronary arteries. One large study of nearly 9,000 adults found that burnout was a significant risk factor for developing coronary heart disease, which can lead to heart attacks.

Project Summary:

 

Project:                           Samagra – The professional Training programme

Category:                                Reflections’ –Entire relaxation programme

Customization:                      SIPS (Special Intervention method for Professional Surgeons)

Developed by                                     ‘An Illuminator’  (www.anilluminator.com )

Clinical studies & researches:      Dr. Shivani R Menon (Director, Global Wellness)

Implementation :                             Luminous Trust.

 

AIM:                                            Improve the ability to handle Neurological, Physiological and psychological stress and its variants.

 

Gen. Methods:                        CWT (Cognitive Wellness therapy)

Stimulation therapies (endocrinology integrated procedures)

Wave /vibration therapy based on music & sound energy management.

Reflexology.

REST

Total duration:                                   45 minutes.

Position:                                               Leaning or lying down posture.

REST support:                                    Mild aroma

Low light

Relaxation music (or live music / sound of water)

 

 

 

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