Tuesday, February 16, 2010

Final Chapter in this class, New Chapter to my life

In Unit 3, I scored myself "7" in Physical, "9" in Mental, and "8" in Spiritual.
In Physical, my score is still "7". I scored myself for not exercising routinely 4 to 5 days a week and not having a better nutritious diet. My score still is a "7". Because of my class load and my workload not easing up, I'm not able to do the exercise routine as my goal. But, I have been reassigned to a later shift starting the March 2010 schedule and can make the 6am to 8am slot at the club to workout. My diet, nutrition issues have been structured with my ability to make my lunch daily instead eating out of a fast food restaurant. For my late afternoon cravings, I have already purchased nutritious snacks and fruit to save me from eating a bad chocolate chip cookie or bag of fatty chips.
In mental,my score dropped one notch to "8". For my college composition and our healing classes, I've received an enormous amount of information to process. Both classes met voids in my knowledge base and I'm still trying to dig out. As I finish my Capstone next quarter, I know that I will easily be able to bring up my scoring as soon as I evaluate and place all productive and important items in their right places for my effective utilization later.
In Spiritual, my score of "8" has not changed. I continue to use the Golden Rule as I live my life and work with others. I do not see me becoming part of a congregation real soon related to my priority of my family, myelf, and my patients. My extended family and friends around me, continue to reflect those mutually admired and respected attitudes to each other and to my family. My wife and I have surrounded ourselves with healthy, pleasant, and morally honest folks.

My last 9 weeks has been an extreme eye opener. I always believed myself to be hard working, honest, and kind hearted to everyone in my family and those around me. I have unfortunately realized that in processing the distracting, unpleasant, and non-productive thoughts, that I'm emotional lazy. I have always believed myself to be productive, supportive, and overall a good person. But through the meditation sessions, I couldn't believe how emotionally cold and distant I truly was existing as an individual. It's good to look the part of having 'all your ducks in a row' but selfishly at the cost of placing your love ones and others at a distant 2nd. This class has quickly given me the ability to calmly and honestly process all thoughts through relaxation exercises, to calm me, to focus on the important thoughts I will use to make me and everyone around me healthier. During the class, I actually got emotionally shaken by my realization. My lovely wife continues to support me as we work through my 'smack in the face' epiphany. We will continue to enjoy our ventures together as we celebrate our 21st wedding anniversary this year.
I have found my new found ability to explain how our minds benefit from our healing minds a start to assist my patients to a quicker recovery. I understand that most of my patients will be hesitant in trying to use the new information on relaxation or meditation procedures. But, I'm in it for the long haul. I know that home health is my last frontier as a nurse before retiring. I will definitely get it my all over the next 15 years.
Thank you very much for the opening I needed to live a healthier life.
Respectfully, Steve Tardy RN/WCC

Saturday, February 6, 2010

Unit 9 Project

Unit 9 Project
Introduction: Why is it important for health and wellness professionals to develop psychologically, spiritually and physically? What areas do you need to develop to achieve the goals you have for yourself?

From a leadership point of view, you need to understand the clinical aspects of your job. You need to believe in a philosophy of wellness and you must be committed in your heart to be successful. Your clients and patients will accept your education, your support, and your spiritual “kick in the butt” if needed, because you are the example for them to emulate. If you’re a physical fitness trainer but you don’t have chiseled abdominal muscles, but can show by example that you practice good nutrition and ‘practice what you preach’ with your knowledge of exercises appropriate for their problem, they will listen and follow.

Spiritually, as a nurse that practices using ‘The Golden Rule’ daily and has worked with the dying patients in a Hospice setting, I’m able to reach my patients and clients at this emotional level. Physically, though I am overweight, since Christmas, I’m able to work out at the gym 4 to 5 days weekly and feel good. My blood pressure is within range and my total cholesterol is below 180. I have plenty of stamina for my daily job and after hour activities. I try to eat as healthy as possible. Now, I make my lunch daily and stay away from eating out. My overweight problem is a portion control issue and I’m working on not eating late at night.

Psychologically, I continue to need work. As a male nurse in a predominately female environment, I feel a pressure to always be in charge and always have the right solution. I also over extend myself by taking on too many tasks. Consequently, I let my wife down, placing her and her feelings behind others. It will take more practice, but I enjoy the exposure to mindfulness meditation. It’s great to be able to label an emotion like ‘anger’ and bring it back to the breathing. I hope I can salvage my stupidity with my wife.

II Assessment:How have you assessed your health in each domain? How do you score your wellness spiritually, physically, and psychologically?

It’s easy to stand back and assess when things are not going well. So, looking at each area, I would subjectively determine the impact to quality of life for my environment and myself. For example, if I don’t feel energetic in accomplishing the physical tasks of my life, I would evaluate all aspects that are making me less productive.

Since this quarter started, Physically, I would score myself as a ‘7’. I take points off for being overweight, not able to work out 4 to 5 days consistently as I would like, and not eating a consistently nutritious diet. I can walk and run farther and faster than I did when my kids were younger. I'm also taking vitamin supplements to add to my malnutrition. I have great energy for work and after hour activities like school. Psychologically, I would score myself a ‘6’. Remember, ‘us guys’ always have our stuff together under pressure. LOL! I'm proactive in my life and that insures that I'm not surprised with distractions or detours. I take a point off for trying to do too much and not meeting my project completion dates. I take ‘3’ points off for not supporting my wife and her responsibilities. Spiritual I would score myself an ‘8’. As an enthusiastic patient advocate, I'd ‘climb the highest mountain’ for my patients. I do believe in God but not the structure of church. As a little child attending Protestant church and Sunday school, I found the church environment great but some of the people running the church did not live by the Golden Rule daily. Their ‘Sunday Bests’ only came on Sunday for church. I do believe in the Golden Rule regardless of the situation or the day of the week. I know that God understands that I work Sundays and can’t attend church. I believe that I'm a solid patient advocate nurse and treat my patients as if they were my mother, father, brother or sister.

III Goal development:List at least one goal you have for yourself in each area, Physical, Psychological (mental health) and Spiritual.

Physical-Steve will work out at the gym for 1 hour daily, four days a week, starting week of 022110.
Psychological-Steve will sit down with his wife nightly and review her daily current events starting week of 022110.
Spiritually-Steve will teach weekly, one patient on breathing meditation for lowering blood pressure, chronic pain, etc, starting week of 03072010

IV Practices for personal health:What strategies can you implement to foster growth in each of the following domains; Physical, Psychological, and Spiritual. Provide at least two examples of exercises or practices in each domain. Explain how you will implement each example.

Physical-My goal is to get to the gym, to work out at least one hour before going to work, four days a week. The night before, I should setup my clothes, my lunch, and collect the dog food bowls, to make the morning chores go quicker. Make sure the alarm clock is set. The work out bag should be in the car, with new clothes and toiletries for afterwards. I will setup my blackberry calendar to alert me the afternoon before of my work out days. The two exercises that allows the time for walking meditation is the treadmill and the stationary bikes. I place my headsets on, my Hawaiian CD on, and a hair band to keep the sweat out of my eyes. Afterwards, regardless of how many patients that I have to see, meetings that I attend, or long distances I travel, the thinking and exercising is wonderful for relaxation and anti anxiety issues.

Psychological-Sit down with my wife nightly and listen to how her daily activities happened. What? People would say that you should listen to your wife. But, unfortunately, just listening versus listening to pay attention, listening to show concern and support is different. First, until it becomes a habit, my blackberry calendar will make sure no other activities are scheduled during that hour. At the beginning of my work shift, I will plan my day to make sure I get off on time to meet my wife. As I enter the house, I turn off all radios, cell phones, and televisions, distracting tools that would take away from our time. We both sit down on our soft sofa. The pillow top bed is out of the question. The bed could be distracting in so many ways. You could fall asleep. Why am I going to so much trouble? I don’t tell my wife enough and sometimes I forget that without her support, her wisdom, and an occasional swift kick, I would not be able to be successful. Whoever said that “behind every great man is a great woman”, was truly describing my scenario. Though I know it to be a crutch, the encouragement, the energy, and cheerfulness I get from her is amazing. I wish I could repay one tenth as much as she provides for me. So, my task is to commit to evening listening sessions with her. I hope that I’m up for the task. It’s the right thing to do for everyone to feel good.

Our company has a hospice entity within our office. In the room next to our conference room, they have established a ‘Mourning Star’ program for children. These children meet together weekly for counseling sessions within the playful area. Each child has lost a parent, brother, or sister during the last year. The children will continue to meet the medical social workers (MSW) until they ‘graduate’ from the program. Since 2004, I have donated money, toys, and refreshments but never myself or my time. I’ve been afraid to look these children in the eye for fear of my emotional breakdown. Once again, as a guy, the stereotypes that we should always be strong, for my sake, want to be helpful, caring, and supportive of these guys. So, my goal is to actively participate monthly with the Mourning Star children in their counseling sessions after my Capstone has been completed in May 2010. My participation will include setup, counseling session mediator, and of course, clean up. My targeted age is the junior high students. These students believe that they are adults, but in emotions, experiences, and problem solving capabilities, they are still children. I want to teach them how to use the breathing meditation when they are stressed. Their age makes them vulnerable to their insecurities, not to mention the turmoil that they try to keep hidden of their loss. I have already attended the counseling workshop offered by the summertime program called Camp Erin. Our company puts on a summer camp for these Mourning Star children. I am prepared to start this goal with nervous enthusiasm. I believe that the mindfulness meditation I researched will get me through.

Spiritually-I want to share with a patient each week the use of meditation along with their conventional treatment for high blood pressure, chronic pain, irritable bowel syndrome, or asthma. My supervisor allows time during a home visit, to educate, to support, and implement health promotion and illness prevention programs. With the high cost of medical care, what best way to share with a tight budgeted senior citizen than meditation that only costs several minutes of their time. They don’t have to go anywhere or buy any extra equipment. They can try some unconventional program in the privacy of their home without the risk of embarrassment or ridicule. We could start off with the basic breathing meditation. If there are active, we could encourage the walking meditation. Either way, I need to have them look at all the good and bad distractions in their lives. With each breath, appreciating the good thoughts and using a breath to make the bad distractions to be less distracting. All these years, the prejudice, the opinions, and negative descriptions of past occurrences, can be placed comfortably to one side, to make room for calmness, acceptance, and kindness. With these resolutions, the blood pressures and the chronic pain can only get better. Maybe they can restart a long time past activity.

V Commitment:How will you assess your progress or lack of progress in the next six months? What strategies can you use to assist in maintaining your long-term practices for health and wellness?

My goals, objectively speaking, are very specific. They are measurable to determine if they were achieved. By achieving my physical goal, I should see increased happiness, energy, and productivity. I’m over weight, my cholesterol is on the high side of normal, and as well as my blood pressure. Each six months, I receive a mini physical with lab work. All these diagnoses can be measured too. My participation in the Mourning Star program will be evaluated on-going by the MSWs for achievement of the children’s personal and emotional goals. Will I be sleeping in my bed with my wife, or sleeping alone, or in the same house can be measured.

Finally, I can verify my long term practices for health and wellness are still working, by how I feel. I should be at peace, be positive, and always be that ‘glass half full’ guy. I should be taking less medication. I will be that overly optimistic, little ‘Martin Sunshine’ when all my office dilemmas hit the fan. With a few spare moments, a quiet intervention within me and everything is achievable and good.
Respectfully, Steve Tardy

Tuesday, February 2, 2010

Unit 8 Loving-Kindness, Subtle Mind Most Beneficial to Me

First, its great having the Dacher CD to assist with practice. Whether its in my computer, my CD player at the gym, or my CD player in my car, I'm able to take a couple of minutes, relax, get focused, and process those thoughts, negative or positive. I find the sounds of the ocean so soothing as I find Hawaii my happy place. Also my Hawaiian music CD is not too far away. During the day, I can keep on track, stress less, energized, and positive in my patient or family approaches. I find the Loving-Kindness and the Subtle Mind mental fitness activity to be most useful and beneficial. Both are simple in utilizing breathing to handle distractions, negative or positive ones.
For example, last week, my son, in between jobs and possible Army enlistment, and ADHD in the past, finally took us, his parents, up on a suggestion, that if "he had a plan, we would all work it out". Over 8 years ago, when he left home, because of his distract ability and hyperactivity, we all did not get along. My practice for mental fitness, using Loving-Kindness, dramatically helped me through all my animosity and found my week with my son productive and fun. We truly enjoyed each other's company. I'm proud, regardless of being employed or not, has kept his chin up and continues to be a great father to his children. I'm impressed and proud that he has decided to become a soldier and protect our country.
Respectfully, Steve Tardy

Unit 7 Meeting Asciepius

It was easy to come up with a wise person. My Grandmothers, my great Uncle Oliver, my childhood hero, General Robert E. Lee. It was easy to imagine a comfortable unspoken conversation, my mind with theirs. What was hard and probably needs practice is to imagine the white light from their head, mouth, and heart, attached to me, bathing me with their wisdom, goodness, and strength. I could only be distracted and think of the movie, "The Day the Earth Stood Still", with Michael Rennie and Patricia Neal, with the robot with the light beam out of its head. I can honestly say that the interaction of these people has already occurred. I believe I walk this earth with a little bit of all of them inside of me. They all exhibited outstanding ethics and morals, with kindness and humility. Maybe in a daydream or just thinking as I sat next to my Grandmother shucking corn or preparing green beans for steaming. Or, I walked in my Uncle Oliver's shadow in the Summer of 1968 at the airshow and contemplated how amazing, how thoughtful, how kind he was taking my brother and I to see the aerial exhibits, not knowing of his suffering with cancer. That cancer took his life in December 1968.
In the last couple weeks, I have sat in my car, eyes closed, and listening quietly to Hawaiian music. I was trying to catch my breath or trying to understand how to approach my patient, or how to diminish the distractions from the previous patient encounter. I also found my mind settling into a positive understanding of how to talk with my wife, versus sitting in solitaire approach.
My patients have already benefited from information from the article "5 Paths to Peace."As a wound and ostomy nurse, recently I have had several patients with severe wounds or colostomy issues that required anti-anxiety medication. If at all possible, my patients need to be alert in order to participate in their own independent care. I found the basic breathing meditation very useful for one ostomy patient, who couldn't look at her wound, more or less touch the wound for wound care. Today, we no longer use Xanax and she is on her way to independence with her ostomy.
As a nurse, I need to have the 100% confidence of my patient to be successful. They need to respect my professionalism in order for the health promotion and education that I provide, to be absorbed and demonstrated back, as confirmation of independence. As I approach them with non-conventional treatment and homeopathic solutions, as I explain aromatherapy or visual imagery, I can't be reciting this info as if I'm reading a book. Last quarter, I was pleased to have had the CAM course with Kaplan. A lot of treatment modalities were finally discussed completely and I have incorporated them into my interventions. I now understand that meditation is more than just "close your eyes, and breath deeply." My patients depend upon me to have a full library of interventions for all those thousands of patients I have not yet met. The better I'm trained in spiritual well being, the better my patients will handle their stressful issues.
In my personal life, I hope to turn around the negativity that currently flows in my house. I know that "mindfulness meditation" will open up my wisdom in order to solve my current crisis, and to minimize its occurrence in the future.
Respectfully, Steve Tardy

Unit 6 Universal Loving Kindness & Integral Assessment

The "mantra" listed on pg 93 of Dacher was awkward and was not something I would say myself. I changed it to say, "May all my love ones be free from suffering. May all my love ones find long term health, happiness, and wholeness. May I assist all my love ones to be free from suffering. May I assist all my love ones find long term health, happiness, and wholeness." I found because this phrase was a mouth full, I felt shifted to memorize, which distracted me from goal. I will definitely need to work on the Universal L-K.
First, this quarter at Kaplan, honestly, has been miserable. For the last year and a half, I have taken a full load each quarter and survived. This quarter I was definitely tested. When I started this class some 8 weeks ago, I was not planning to simultaneously work full time at Visiting Nurses, not including, go through a complete computer charting class over 6 weeks. When it rains, it pours, our office and our patients since November 2009, has been hit by the Swine Flu. We are shorthanded. I've been working 115 hr pay periods to keep up. So, I'm severely distracted. I have assessed that I have neglected my lovely wife. In my despair to keep up with all my juggling plates in the air, I have withdrawn myself away from what is truly important. My meditation and visual imagery, I hope long term, takes me to avoid all distractions, negativity, and encourages me to rid myself of hesitation to reach out, to hold, to caress what is dear to me.
I need to to succeed or I will fail what is most important to me.
Respectfully, Steve Tardy

Unit 5 Subtle Mind versus Loving-kindness

In both tracks, I believe that the speaker's voice is appropriate to deliver the message of calmness, loving-kindness, and becoming positive in our thoughts. The tranquil sounds of the ocean is very soothing in both tracts. One of reasons I love Hawaii is for the sounds of the waves on the beach and the clean smells in the air.
In Loving-Kindness, the positive as well the negative images are processed. Both have equal attention, hopeful, the negative becomes positive. I love our attempt to take in our loves' suffering and exhale out their peace and healing.
In the Subtle Mind, our breathing is like a protective shield. If we have unwanted or distracting thoughts, use your breathing to push them aside. As we breathe, we hope to venture through calm-abiding to unity consciousness. Each time we practice we hope to achieve this goal. I believe with practice we can reach the unity consciousness state for our best achievement to contentment.
If I'm physical well, my organs and limbs are able to handle the work load. If I have mental wellness, being in the right frame of mind makes my efforts better and consistent. But my spiritual well being, has a direct impact to both the mental and physical state that I'm in. It's not if or can't do something, but it is fulfilling my abilities for the right reasons. If I'm physically weak from sickness or fatigue, my spiritual wellness will give me the direction and strength to endure and complete my tasks. My spiritual well being will navigate my mind through negative distractions or profane choices to result in the best solution. It might be corny, but I live my life using the "Golden Rule". The spiritual well being makes sure that I always follow in that path.
Respectfully, Steve Tardy