-Listen actively to descriptions of stressors and the stress response. Having an opportunity to speak about stressors is helpful in dealing with stress overload. Listening engenders trust and trust is the first step in the process of helping clients to reduce the psychological distress of stress overload (Ackley & Ladwig).
-Categorize stressors as modifiable or nonmodifiable. Removing or minimizing some stressors, changing responses to stressors, and modifying the long-term effects of stress are all actions that can assist those with diabetes and stress (Ackley & Ladwig).
-Encourage social support for older adults. Stressors in highly valued roles affect physical health only when there is insufficient emotional support from social networks (Ackley & Ladwig).
-Explore possible therapeutic approaches such as cognitive behavior therapy, biofeedback, neurofeedback, pharmacologic agents, and complimentary and alternative therapies. These types of therapies decrease the sympathetic nervous system response to stress. Neurofeedback promotes optimum functioning of the central nervous system, induces relaxation, and supports healthy balance, flexibility, and resilience. Adults who had experienced hospitalizations of at least 5 days said that spirituality strengthened their coping ability (Ackley & Ladwig).