8:00-8:30                       introduction to seminar, review of objectives, pre test, group interaction on stress
8:30-12:00 and 1-5 pm  seminar instruction including the history of stress as we know it; definitions of stress; easily recognized stressors, common complaints of patients who
           &                          are affected by stress; physiological responses to stress: Holmes-Rahe Stress scale administration; how stress affects patients with diabetes, obesity,
day 2                              asthma, depression, cardiac disease, fibromyalgia and more;
8-11:30                           Stress management techniques including controlled breathing/relaxation, breathing to counteract the sympathetic nervous system response to stress.,
                                        practice techniques; relaxation techniques including jacobson's, visual imagery, practice techniques; the history of manual therapeutic massage,
                                        physiological effects of massage, diagnoses that can benefit from massage, precautions and contraindications, demonstration, practice;geridance,
                                        therapeutic benefits of dance, dance in chair/with assistive device, independ.Demonstration , practice techniques, tai chi, benefits of tai chi exercise,
                                        goals of tai chi, demonstration video, video class led by tai chi master; cognitive therapy, the benefits of exercise to elp decrease stress and its
                                       physiological response; other modalities that maybe used to decrease physiological manifestations of stress;  medicaitons used to manage stress
                                       with side effects; other stress management techniques suc as social support, laughter, spiritual support, sleep and more.
11:30-12:00 pm              case studies, group discussions, post test and evaluation instructions