Self-Organised Radio and Core Networks: Achieving end-to ...
Achieving Your Better Self: A Proactive Approach to ... · Achieving Your Better Self: A Proactive...
Transcript of Achieving Your Better Self: A Proactive Approach to ... · Achieving Your Better Self: A Proactive...
Achieving Your Better Self:A Proactive Approach to Minimize
Stress & Burnout
Presented by: Dr. Robert Figlerski, Director of Behavioral Health ServicesTeam Health, Inc., New York RegionOffice: 914-949-1199email: [email protected]
14/28/2017
It All Starts Here
Structure of a typical neuron
Soma
Dendrites
Axon
54/28/2017
Evolutionary Integration of Brain Function
IPC, Healthcare
Brainstem(Reptilian Brain)
Limbic System
(Mammalian Brain)
Brain Structure
Evolved versus Primitive Brain
Stress Hormone... fright, flight, or fright
Survival instinct shapes perceptions and exaggerated threats…suppresses our “Better Angels”
4/28/2017 7
Adaptation/Evolution
Parasympathetic… “rest & digest”
Sympathetic… stimulating activities.. “Fright or Flight”
4/28/2017 8
Team Health, Inc.
The Stress EffectNegative Emotions
Heart RateBlood PressureHigher Blood SugarImmune SuppressionAdrenaline and Cortisol
Recovery period (adaptation) bring you back to a baseline state… positive emotions help manage reoccurrence of stress states
4/28/2017 9
Formulas of Adaptation
(Stress/Adaption) + Recovery = Growth
(Stress x Maladaptive Response) + Reoccurring Stressors = Burnout
4/28/2017 10
Successful Adaptation
Courage to be yourself...vulnerability is not weakness
Have honest communications
Deal with unpleasant situations quickly and directly
Courage to say “No” and sometimes “Yes”
Courage to trust
4/28/2017 11
Strategies That Fail
Denial and Avoidance
Substance Use
Anger/Rigidity
Working harder…not smarter
4/28/2017 12
Contributions to Burnout Compensation seen as unfair
Unreasonable work hours
Too much overtime & after hour work demands
Employee role poorly linked to corporate strategy
Negative workplace atmosphere
Technology insufficient* McKnight's Senior Living (Lois Bowers, 3/6/2017)
4/28/2017 15
Nursing Home Environment
Tends to Demand ReactionsMore Than Thought…The Work Environment
To Often Tells Us We Are Not GoodEnough…Sets Up for a Never Ending
Battle of Proving We Are!
4/28/2017 16
Characteristics of a Stressful Facility
Failure to Recognize SuccessBlaming Rather than TrainingPunishment versus RewardAbdication versus DelegationFire of the Day ManagementFrozen in PlacePoor Communication..Management by Surprise
4/28/2017 17
The Goal
Accurate Self-Assessment of Our Performance
Minimize Our Distortions Shaped by Reactivity
Teach Our Selves to Strive for Competence…not Perfection
Set your own measures of success
Resist internalizing unfair criticism or negative assessments
4/28/2017 18
Team Health, Inc.
Psychology
• Historically dominated by its focus on mental illness, not much focus on being satisfied with life or happy.
• Took for granted that “normal” is a natural occurring process when the right variables are present. Abnormal was a result “off course”.
4/28/2017 20
Team Health, Inc.
Positive Psychology
That being happy and living a full life is an active process that embraces a set of beliefs, values, and behaviors which
counter negative emotions and stress
4/28/2017 21
Self-Determination Theory Need to feel capable/competent
Need to feel authentic in life
Need to feel connected to others
*Tribe: On Homecoming and Belonging,Sebastian Junger, Hachette Book Group, 2016
4/28/2017 Team Health, Inc. 22
Team Health, Inc.
Overview of Positive Psychology
• Pleasant Life (enjoyment)How people enjoy relationships, hobbies, interests, entertainment, etc…
• Good Life ( engagement)Looks at the beneficial effects of immersion, absorption, and flow individuals feel when optimally engaged in activities they value
• Meaningful Life (affiliation)
How people derive a sense of well being, belonging, meaning, and purpose from being part of and contributing back to something bigger than themselves (social groups, organizations, traditions, etc.)
4/28/2017 23
Seligman’s Well-Being Theory: PERMA
Positive Emotions
Engagement
Relationships
Meaning
Accomplishment
4/28/2017 24
Team Health, Inc.
Character, Strength , and Virtues Handbook
• Wisdom & Knowledge
• Courage
• Humanity
• Justice
• Temperance
• Transcendence
4/28/2017 25
Team Health, Inc.
Wisdom and Knowledge
• Creativity
• Curiosity
• Open-mindedness
• Love of Learning
• Perspective
• Innovation
4/28/2017 26
Team Health, Inc.
The Results of the Gratitude Visit
People who were identified as being clinically depressed showed an improvement in mood to the degree they were measured as non-depressed following their Gratitude Visit.
This effect lasted for 4 to 6 weeks before they returned to a depressed state.
4/28/2017 32
Goals to Aspire to & Habits to Develop Implement a personal strategy of kindness and resist
negativity
Don’t tolerate individual or group interactions which demean others
See the best in people and help left them to a higher level of performance ... Are you mentoring someone?
Accept without judgment
Forgive more…don’t hold grudges
4/28/2017 34
Interpersonal Habits
Direct and Honest Communication
Implement Consequences in a Fair Manner
Accept you do not have control of other’s reactions to consequences
4/28/2017 35
Proactive Strategies
Put yourself in new situations and seek beauty and meaning
Reflect on your life and seek a more ideal self
Practice gratitude
Keep in mind the Big Picture, don’t dwell on small struggles
Work to maintain a compassionate heart
Analyze your self-defeating thoughts and habits
Remember not every situation requires an opinion or a response
4/28/2017 38
Proactive Strategies
Define your role in their life and don’t exaggerate your importance
Work smart and hard, but invite others to join you
Train yourself to remain positive or neutral no matter what the patient presents
Keep focused on care routine, care planning, and team work
Refuse to participate in contaminating the care environment
Accept that the patient’s suffering and anger may be beyond your control to remedy
4/28/2017 40
Team Health, Inc.
Summary
Humans are more rare than galaxies
Because the Universe is so empty of life, live is very precious and it follows that how we choose to live our day and treat others is an incredibly unique and rare moment.
4/28/2017 45