Caring Is a Delicate Balance: Understanding the Issue of Disruptive Behavior in the Workplace
Category: Nursing
Unknown Facts How Diet Affects Mental Fatigue & Burnout A Guest Post by Katrina Jane Rice
When you first think about fatigue, what usually comes to mind is the physical kind. But there is another form of fatigue that potentially wreaks havoc on your thought processes, motivation and overall success – it is called mental fatigue.
Mental fatigue is usually a result of carrying out extensive and difficult cognitive tasks. One good example to mention is studying for the bar exams. If you put your body in this kind of stress day in and day out, you will start to feel a strong case of mental fatigue. They call it burnout.
Karla Ivankovich, professor of psychology at the University of Springfield, Illinois said that a key sign of mental fatigue is the difficulty in initiating and sustaining cognitive performance and voluntary activities.
Typically, mental fatigue is a normal thing. It usually disappears after you take a break from tedious cognitive tasks. But if you do not rest, you potentially jeopardize your efficiency in every task you perform. It means it could feel too difficult to go to the gym, go back to work or even buy some groceries..
According to Ivankovich, mental fatigue affects your motor control and coordination and it is normally expected that mental fatigue can truly impact your optimal performance in every aspect in life.
Your body can only take so much stress until it starts to burn out.
In serious cases, mental fatigue can become extremely draining that the associated health problems become chronic or irreversible. As per Ivankovich, employing effective coping mechanisms can be helpful to combat mental fatigue, and this starts with living a healthy lifestyle and eating a balanced diet.
Anybody who is experiencing mental fatigue or burnout has surely not followed a healthy eating pattern. If you feel like you are headed down this path, there are a number of dietary reasons behind it. Below are only some of the common causes that you can immediately reverse making changes your diet.
Lack of Magnesium
Magnesium helps support your nervous system.
It can alleviate stress levels by boosting your energy production and improving your quality of sleep. You can help reverse this lack of mineral in your body by eating more nuts, seeds, legumes and tofu. It is also found in whole grains, wheat bran and leafy vegetables.
Lack of Vitamin C
The adrenal gland has a huge responsibility in regulating your stress.
And when you do not get enough vitamin C, it cannot produce the stress hormones, particularly cortisol, your body needs. Cortisol helps regulate your metabolism, control your blood sugar levels and reduce inflammation. It also assists memory functions which are vital when you are feeling mentally fatigued.
Increase your vitamin C intake by eating more fruits like oranges, mandarins and kiwis. some vegetables like broccoli and other green leafy vegetables are rich in vitamin C too. For most people who do not have the time to eat right, they source their vitamins from dietary supplements.
Lack of Vitamin B
Your adrenal gland has a huge responsibility in regulating stress and it needs vitamin B to maintain its optimal function. The B vitamins are considered to be your friends in helping fight stress and supporting your energy levels. You can get more B vitamins from fish, milk, legumes, whole grains, chicken and red meat.
Too Much Caffeine
Every stressed person probably has a love for caffeine. It stimulates your fight and flight response and helps generate cortisol which gives you that temporary energy boost. But drinking too much caffeine can ultimately contribute to sleeping problems and anxiety.
Reverse this problem by swapping your morning coffee to a decaf tea. Watch out for other caffeine sources like chocolate, sodas, and black tea. Drinking green tea is preferable as it contains lower levels of caffeine but ranks high in antioxidants.
Adding an exercise routine to your lifestyle can also help you relieve mental fatigue and burnout.
Try to lose the fat you have gained from all the stress you just went through. After cutting out the other stressors in your life, get a gym membership or join a fitness club. This will also help your body release endorphins – a “feel good” hormone responsible for that happy feeling you get after every workout session.
The lack of vitamins and minerals is not just the only source of your stress. Though getting that in check will help you reverse mental fatigue, you also need to learn how to delegate your work.
If you are in the position to give away some of your tasks to other, do it for your own sake. If not, find the main source of your mental fatigue, prioritize what needs to be kept and cut out what you can. Know where your limits are so that you can alleviate and prevent mental burnout in the future.
Email Katrina at katrina.earthwell@gmail.com with any questions.
Health Care Bill Endangers Coverage: A Message From AARP
Premiums would become unaffordable for many older Americans: Originally published |Comments: 14
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A new analysis of the American Health Care Act passed by the House of Representatives estimates that 23 million people would lose their health insurance if the bill were enacted into law. People age 50 to 64 would be hit particularly hard, especially those with lower incomes.
According to the nonpartisan Congressional Budget Office (CBO), premiums for a 64-year-old earning $26,500 a year would increase by a whopping $14,400 in 2026. In addition, people with preexisting conditions may not even be able to purchase health insurance because the prices would be prohibitively high.
Three weeks ago, the House voted 217 to 213 to repeal and replace the Affordable Care Act (ACA) without waiting for the CBO to analyze the effects of the legislation. Today the CBO and the staff of the Joint Committee on Taxation (JCT) provided their assessment, which is required before the bill can be sent to the Senate for consideration.
Among other things, the CBO estimated a reduction in the deficit of $119 billion under the bill over a 10-year period. The bill would lower health-related spending by the federal government through steep reductions in Medicaid and the replacement of current subsidies with less-generous tax credits. At the same time, the bill would grant large tax cuts to drugmakers and insurance companies.
The congressional analysts warn that for a significant segment of the population, the individual insurance market “would start to become unstable in 2020” because of two provisions added to the House bill in the days before the May 4 vote. One would allow states to receive waivers allowing insurers to eliminate coverage for essential health benefits, such as emergency services, hospitalization and chronic disease management. The other is a waiver that would allow insurers, contrary to current law, to charge higher premiums to people with preexisting conditions such as cancer and diabetes.
According to the report, “less healthy people would face extremely high premiums” in states likely to receive these waivers. “People who are less healthy (including those with preexisting or newly acquired medical conditions) would ultimately be unable to purchase comprehensive nongroup health insurance at premiums comparable to those under current law, if they could purchase it at all.”
AARP reiterated its strong opposition to the bill and called on the Senate to shelve the House-passed legislation. AARP said the bill would impose an “age tax” on older Americans by allowing insurers to charge premiums five times what they charge others and cutting the current level of subsidies.
“The CBO analysis found that premiums would go up to unaffordable levels by inflicting an age tax and removing current protections for people with common conditions including diabetes and weight gain,” said Nancy LeaMond, AARP Executive Vice President. “Putting a greater financial burden on older Americans is not the way to solve the problems in our health care system.”
AARP said it rejected the bill because it worsens the financial outlook for Medicare by reducing Medicare’s revenue and slashes Medicaid spending by over $800 billion over 10 years.
Trump Calls for a Massive Cut in Medicaid
New budget proposal also would slash health research funding
En español | The Trump administration today released a federal budget proposal that would cut more than a trillion dollars over 10 years from Medicaid, the nation’s largest source of health care coverage, which provides a lifeline for children and adults with disabilities and low-income seniors. Under the president’s proposal, Medicaid would face a $600 billion decrease. That’s in addition to the more than $800 billion cut in the American Health Care Act (AHCA) passed this month by the House of Representatives.
The budget, released while President Trump was in the Middle East on his first foreign trip as president, also would shrink funding for the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), the Children’s Health Insurance Program (CHIP), Social Security disability, environmental protection, and housing and transportation assistance.
At the urging of the president’s daughter Ivanka Trump, the budget proposes spending $25 billion over the next 10 years on paid parental leave, a new initiative.
Members of both parties in the House and the Senate have strongly opposed trimming Medicaid in the past.
Many of the other cuts also face strong bipartisan opposition on Capitol Hill. For example, Rep. Tom Cole (R-Okla.), chairman of the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies, has sharply criticized the cuts earmarked for the NIH and CDC.
White House Budget Director Mick Mulvaney reiterated the administration’s view that the AHCA does not go far enough on Medicaid. “We go another half a step further and ratchet down some of the growth rates that are assumed into AHCA,” he said in a call with reporters on Monday.
During today’s press briefing, Mulvaney said that “we’re no longer going to measure compassion by the number of programs or the number of people on those programs, but by the number of people we help get off of those programs.”
AARP staked out a strong position against the president’s budget.
AARP “opposes the budget proposed today because it explicitly harms the very people we are counting on the President to protect,” said AARP Executive Vice President Nancy LeaMond in a statement. “Today’s budget proposes to cut Social Security benefits, as well as funding for critical health, hunger, housing and transportation assistance to low and middle income seniors. The budget sends a powerful message to older Americans and their families that their health and financial security is at risk.”
AARP sounded a positive note on the administration’s parental leave initiative. “We do want to acknowledge the Administration’s paid leave proposal,” LeaMond said. “Although it must be improved so that it addresses the workplace needs of family caregivers, we hope that it leads to a national conversation about ways to support family caregivers in the workplace.”
The budget assumes economic growth reaching 3 percent a year by 2021, a figure widely seen as unrealistic.
The budget also includes a dramatic decrease in the Supplemental Nutrition Assistance Program (SNAP), also known as food stamps. “If you are on food stamps, we need you to go to work,” said Mulvaney. “If you are on disability and should not be, we need you to go back to work.”
The president’s budget is the first step in a lengthy process. Congress will set its own priorities as it develops its own budget resolution.
Also of Interest:
- AARP opposes health care bill
- House approves bill slashing health coverage
- Find out who voted for harmful health care bill
- Join the AARP Online Community Forum to discuss your opinion on current issues
Join AARP Today — Receive access to information, benefits and discounts
A Senior Caregiver’s Guide to Prevent Falls A Guest Post by Roger Sims
Falls are the primary cause of fatal and nonfatal injuries in the elderly. Every year, more than two million seniors are rushed to the emergency room after falling.
Several things can lead to the elderly falling, such as:
- Vision problems
- Difficulty walking
- Medication side effects that cause vertigo
- Foot or leg pain
- Household hazards
There is nothing to worry about, as it is easy to eliminate risk factors for falling. Fortunately, falls are easily preventable. Taking the right precautions can make your loved one’s home a safe environment. To ensure the safety of your loved ones, take the following steps to avoid these accidents.
Removing Household Hazards
Household hazards are the easiest risk to eliminate. As your parents get older, mobility can become an issue. Start by removing clutter around your house. These potential hazards include things like electrical cords, loose rugs, and knick-knacks. Clear all pathways of objects they might trip over, and do a thorough examination of their home.
You may find you’ll have to do minor repairs to correct a sloping step, broken tile, or loose floorboard. Rearrange their furniture so they will always have something stable to hold onto as they walk around. If they use a mobility device like a cane or wheelchair, increase doorway widths to 36 inches so they can maneuver easily.
Addressing Eye Problems
Of course, removing excess clutter and creating safe pathways won’t help much if they can’t see where they’re going.
Failing eyesight that comes with age can cause elderly people to misjudge distance and depth. Not only would it be hard to determine how far away a table edge is, but they could also have difficulty navigating staircases when going down.
The best way to avoid this issue is to regularly get your elderly loved one’s eyes checked in case their prescription needs to be updated. Encourage them to always wear their prescription glasses, even if it’s just for a short trip to the bathroom in the middle of the night.
Ensure your home is well-lit and light switches are easily accessible. A lack of literal blind spots will aid your aging loved one in moving around the house, regardless of the time of the day.
Reading glasses should not be worn while walking, especially outside. Those who wear progressive lenses should ask their doctors for a separate pair for general outdoor activities, as these types of glasses may interfere with distance perception.
Increasing Physical Activity
One of the best ways to help prevent falls is to improve their balance by strengthening their core and lower muscles. As your loved one ages, their physical fitness and abilities may begin to decline. Muscle tone will gradually disappear and flexibility will decrease. This can be easily combatted by regularly engaging in light exercise.
Activities that focus on strengthening the core, improving strength in the lower extremities, and improving balance are suggested to any senior looking to start a new exercise program. For caregivers, check out your local community centers to find fitness classes that are senior citizen friendly. Tai Chi is one often-recommended exercise. If you can’t find a class your aging loved one would like to join, simply encouraging them to walk a little bit each day is fine.
Some older people may not be inclined to start a new exercise program, for any number of reasons. In such a situation, offering to join your aging loved one in classes or short walks every day may encourage them to participate. Not only will you be helping them stay fit, but you’ll also be able to bond with them over a new activity.
For elderly individuals who already have trouble walking unassisted, it may be advisable to invest in equipment that allows them to walk independently while still having constant support. Canes and walkers are ideal for a senior who still wishes to get around but who may already have trouble doing so without a little helping hand.
Implementing Other Safety Precautions
Even the ideal physical fitness level for your loved one’s age stands no chance against slippery floors or just plain bad luck. As a final precaution against easily avoidable falls, it’s best to look into safety equipment that can be installed around your home to eliminate any chance of an accident.
Bathrooms are particularly notorious for slips and spills, for both elderly and young patients. Implementing assistive devices should be a top priority. Look for grab bars that can be attached to shower walls and bathtub sides, as well as non-slip bath mats that allow the elderly to stand without worrying about sliding on wet tiles. For those unable to stand in the shower, a bath chair can make showering a safer and more independent experience. Transfer benches are another option to help your senior get in and out of the shower.
Additionally, installing handrails on both sides of your stairs is recommended to ensure your loved one’s safety when they use the stairs. These handrails can provide a stable device for them to hold onto, but they can also be used in the event of a fall. Grabbing onto the rail can either stop the fall and allow them to steady themselves or can be used for them to get back up.
Providing the elderly with proper-fitting shoes is another important step. Make sure they wear comfortable, well-fitting—and, in the case of the ladies, low-heeled—shoes with a non-slip sole. These are essential in allowing them to move around without added difficulty and preventing them slipping on a wet surface.
Final Thoughts
Remember, if you are caring for an elderly relative, falls don’t have to happen. They are easily avoidable with the right safety precautions and a few additions like assist bars in the shower stall or handrails on the staircase.
Images
Sources:
https://www.agingcare.com/Articles/Preventing-elderly-Falls-110499.htm
https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html
https://www.agingcare.com/articles/falls-in-elderly-people-133953.htm
http://training.mmlearn.org/blog/senior-fall-prevention-help-for-caregivers
A Tribute To A Nurse: A TEDMED Talk
Published on May 8, 2017
Carolyn Jones, best known for her socially proactive photographs and documentary films, shares what makes nurses not only an invaluable asset to us as patients, but also as a society.
6 Easy Ways To Stay Organized and Productive as a Caregiver A Guest Post by Maggie Drag
Being a caregiver is arguably one of the most noble professions out there – but it can also take a serious toll on your personal life. Here are 6 work-life balance tips to help you reduce stress, and ultimately make you the best caregiver for not only your clients, but for yourself, too!
1.) Plan Ahead
If you have multiple clients, or work as a live-in caregiver, keeping track of their favorite foods, interests, and medications may seem like a job in itself. Keeping a daily planner can help! If you’re constantly on your phone, try downloading an app like Fantastical, ReQall and Evernote. They are super easy to use and will allow you to set up alerts and various notifications in case you’d like to be reminded of their doctor appointments, and even your own appointments with your caregiving agency, for example. At the end of the day, keeping on top of your clients’ needs and preferences will save you a lot of stress and in the future.
2.) De-Clutter
From old receipts and grocery lists, you may have trouble remembering which documents belongs to who! Here are some easy ways to help both yourself and your client, and try doing it together and make it fun while you’re at it! First, organize your bills and clients’ bills in a binder for safe-keeping. Next, divide up your coupons into a handy coupon organizer for easy access. Finally, keep track of your own caregiving documents, from contracts, care plans and emergency contacts in a folder. Try organizing each folder by client if you have multiple, and keep a small notepad to jot down any other helpful information.
3.) Think Ahead
As a caregiver, you know that life as you know it may change in a second, whether it be your client’s health, a sudden re-assignment, and not to mention changes in your personal life. First, make sure you have a list of emergency contacts (including your agency) prepared in case you are unable to help your client or need to be relieved at any point. Next, be sure you have a plan set up for a medical emergency based on your client’s health history. Keeping track of their food allergies for one is a simple but critical step to preventing emergencies in the future.
4.) Reconnect with Loved Ones
If you’ve lost touch with a close friend, since you started another assignment, remember this: Caring about your job is one thing, but caring about your relationships is far more important in the long run. Call your distant relative via Facetime – you could even plan a day where you help your client Facetime their grandchildren after you connect with your own family!
You carry a great responsibility as a caregiver, and while your friends and family should understand that you are often very busy, don’t forget to show them some appreciation and keep in touch!
5.) “Me” Time
Being a caregiver takes a lot of work, but it is incredibly rewarding and allows you to build meaningful relationships and touch so many lives. However, as much as you may love your job, don’t forget to carve out some time for yourself each day– even if for only an hour, to do some gardening, watch some old movies, surf the internet, and even go out for a relaxing day at the spa. If you are a live-in caregiver, ask your client if they’d like to join in on the fun! This will help you stay productive and engaged in your assignment in a much more meaningful way.
6.) Take Care of Yourself
As much as you care about your job as a caregiver, don’t forget that the first step to being an amazing caregiver is taking good care of yourself. Keep up with exercise, eat a balanced diet but make sure you’re getting the necessary rest between assignments first and foremost- especially if you work overnight. Sleep allows your body and brain to replenish, not to mention stay alert on important assignments and throughout the day if your client needs extra supervision when taking medications, for example. Losing sleep can ultimately take a serious toll on your health in the long run, so don’t be afraid to ask your agency about rescheduling your assignments or for tips on how to manage your sleep schedule to help you be your best for your clients.
About the author:
Maggie Drag is the owner and founder of a homecare agency located in central Connecticut. With over 27 years of experience in the industry, Maggie shares her knowledge and tips about care at home. Visit homecare4u.com to learn more about Maggie Drag.
4 Top Strategies for Finding Your Dream Job by Phyllis
Originally Publish Date: March 16, 2017 https://www.aorn.org/aorn-org/surgicalexpo/conference-blog/find-your-periop-dream-job
I want to share some career coaching guidance with you:
1. Build a Strong Resume that Reflects Your Worth
Ensure your full name with credentials appears at the top in the header along with your contact information. The correct formatting is, name (middle initial optional), highest academic credential, RN, certification. For example, Mary A. Smith, MSN, RN, CNOR. A summary or statement of intent is no longer advised.
Your first section should be Academic Education. Start with your highest degree. If you’re still in school, it’s acceptable to note the date you started and an anticipated date of graduation. Next list your Professional Experience, Certifications & Memberships and Continuing Education & Computer Skills. End with Honors/Awards & Achievements.
If you find a job posting on the AORN Career Center site or other site, read it carefully and make sure that important phrases contained in that job posting language are also contained somewhere in your resume. This will increase the likelihood that the computer will recognize the language and select your resume, over others, for the recruiter to read.
2. Develop an Elevator Pitch
Once your resume is pulled, it is likely that you’ll get a screening call from a recruiter. This could be a make or break conversation. A successful screening conversation is the gateway to an actual interview. When the recruiter asks, “why did you apply for this position?” or “tell me about yourself?” you must be ready to share a ninety-second clear, passionate, and compelling answer that communicates you’re a serious candidate.
Take your time to form the exact four to five sentences that make your point. It may take an hour’s worth of revisions to get this just right but the return on your investment could be huge. You want to sound prepared but not rehearsed in your delivery. You may use your elevator pitch more frequently than expected. It’s always professional and polished to have it ready when networking and speaking with colleagues or vendors.
3. Invest in Your Own Resilience
Nurses downplay the need to take care of themselves so they can take care of others. Caring comes so naturally that we often forget that we cannot render quality, safe care when we’re physically tired or energetically depleted. Ensuring that we take good care of ourselves is actually quite generous. Building resilience allows us to stay fresh and available so we can deliver a consistent caring product every day.
Here are two suggestions for keeping your resilience well full. Incorporate some silent, still time into your life. Nurses are professional doers and always on the go. That may mean you take a walk and just experience the outdoors. It could mean that you discover meditation or yoga. There’s peace in stillness and we can all use a break from the endless noise of our thoughts.
Allow yourself to be cared for by others. Nurses are always giving and the only way to balance that is to allow yourself to receive. Lose the need for control and perfection by finding a way to delegate more at work and at home. Resist the urge to host every holiday and enjoy being a guest. Both of these practices will be hard at first but stick with it and notice the change in your energy level and yourself.
It’s been my honor to be the career coach for AORN since 2012. Each year at the conference, I have the opportunity to meet some AORN members for the first time and reconnect with members from past events. The most common question I’ve been asked over the years is, “so what is coaching all about?” This brings me to my final piece of career advice – career and personal coaching.
4. Consider Career and Personal Coaching
Career coaching is a great way to get individualized guidance and assistance with establishing your professional goals, making career choices, creating an academic roadmap, polishing interview techniques, and becoming skilled in marketing yourself. It often involves reviewing and revising resumes and learning how to increase your chances of getting your resume into the right hands once it’s uploaded to an organization’s career page. Sharpening your social media skills on sites such as LinkedIn is often useful as well.
Personal coaching is the process of supporting personal growth in a nonjudgmental manner. It can be challenging to remain clear and authentic about your goals and yourself as you try to navigate your life. Responsibilities, set-backs, and the demands of an adult life can overshadow your understanding of the present and cloud your vision for the future. Our human nature creates blind spots to options and solutions. Coaching provides vital support as one explores behaviors and attitudes that can short-circuit success in life and career.
THANK YOU SeeSee. Florence “SeeSee” Rigney, RN is the oldest working nurse…!
Florence “SeeSee” Rigney is the oldest working nurse in the United States. Last May, a video of her 90th birthday celebration went viral. The recording captures her in blue scrubs and a bedazzled “happy birthday” tiara holding back tears among her cheering colleagues. For 70 years she’s worked on and off as an operating room nurse at Tacoma General Hospital. When she first started, she got paid $115 a month. These days, she gets a ton of attention for being a high-energy compassionate nurse who still moves down the halls of the surgical unit faster than women a third her age. In 2015, Rigney was on The Dr. Oz Show and nominated for a March of Dimes Nurse of the Year award. Her birthday video was shared by The Huffington Post, The Today Show and BuzzFeed. She admits she feels a bit like a local celebrity even though she’s bashful about all the publicity. “I feel very honored to think that all of this has happened to me just because I turned 90, and I’m still here!”
