Showing posts with label Exercise. Show all posts
Showing posts with label Exercise. Show all posts

Feb 3, 2015

Find a Balance...


I wish I had that kind of energy every day....

I put some links for you to check out when your not at work doing what she is doing hee heee....


How to Stay Energized Throughout Your Nursing Shift



Working a 12-hour shift is challenging in any field, and nurses specifically must deal with physical, emotional and relational stressors that can deplete their energy more than many other workers. 
A number of factors can also determine how taxing a nurse’s shift is, including:
•  Patient load and acuity levels; 
•  Amount of ancillary staff support;
•  Documentation requirements; 
•  Level of co-worker/provider engagement; 
•  Ability to take breaks and make nutritious food choices; 
•  Personal health status; 
•  Ergonomics of the work environment;
•  Type of flooring and shoes worn; 
•  Available patient handling assistance devices; and 
•  Shift schedule.
With so many factors at play, what can a nurse do to survive and thrive through a long and challenging shift? NurseZone.com spoke to some clinical health and wellness experts who offer these tips:

1. Control what you can control 
“While you may not have any control over your patient load or acuity, you can make use of any assistance devices available to you. You may not get to choose what shift you work, but you can do your best to maintain a regular routine. Likewise, you probably don’t get to choose the flooring at your facility, but you can invest in a good pair of running shoes,” remarked Dan Donahue, MEd, director of employee health and wellness at Providence St. Peter Hospital in Olympia, Wash.
2. Focus on eating and movement 
Cathy Turner encourages nurses to consider long-term health and wellness.
Cathy Turner, MS, encourages nurses to focus on their long-term health and energy over just making it through the next nursing shift.
“In order to keep their energy up, nurses should especially pay attention to their eating and their movement,” offered Cathy Turner, MS, director of health promotion at Virginia Hospital Center in Arlington. “It is ideal to eat both regular meals and to have an energy-boosting snack between meals such as a piece of fruit and some cheese.  I recommend that every time you eat that you include a protein source because protein takes longer to digest and it is what feeds our energy levels over the long haul.”
“Often people think they have to have a 30-minute, heart-rate-increasing workout for it to count for anything.  But research is showing that just 5-10 minutes of exercise can boost your energy levels.” Turner explained. “There are yoga poses you can do at your workstation, do a quick stairs workout, or even some seated chair exercises if you just need to get off your feet.” 

3. Be wise about caffeine and energy drinks 
When it comes to caffeine consumption, Donahue said that moderation is key. 
“In the right amount and time, caffeine can be beneficial and help improve mood, attention, concentration and energy levels. Too much sugar or caffeine [>400mg] early or through mid-shift will have a negative effect later when the consumer will experience a drop in their energy level. It's better to have a little bit throughout the shift,” he said. 
“Nurses should be aware that energy drinks can also contain high levels of taurine and guarana and other ingredients that may boost the caffeine levels and have other undetermined effects,” Donahue added. “Instead of looking to caffeine to boost energy, nurses should be concentrating on staying hydrated. I recommend trying to drink 90 ounces of water a day.”

4. Realign your attitude, reinforce your team 
“An important part of having a successful shift is about attitude and remembering what you are there for--your calling and desire to go in and help these patients,” offered Christine Slohe, RN, BSN, PHN, emergency room nurse at St. Mary Medical Center in Apple Valley, Calif. 
“Also, I think it is often overlooked how important co-workers are to the success of a shift,” Slohe continued. “When I have some downtime, I go and help another team member, then they reciprocate later--it helps to keep the flow instead of having highs and lows throughout the shift. I am fortunate to work with a great group. Our motto is: If you see a need, fill a need.”

5. Make breaks count 
While the “ideal” schedule for nurses’ breaks would be approximately every three hours throughout a 12-hour shift, Donahue knows that in reality most nurses try to work a break in whenever they can get it.
“The most important thing is they at least get some sort of break and it would be nice if they could remove themselves from their work environment and get their mind, eyes and body in a whole different state,” he said.
Turner recommends deep, mindful breaths as a way to come back to your center and to reenergize. 
“When you are taking your break, it is a mental recharge to sit there and have your mind focus on something different,” reflected Slohe. “I like to go outside and get out of the enclosed environment. That is more rejuvenating than just sitting in the break room.”

6. Don’t forget the long run 
Getting through a single nursing shift shouldn’t be the only focus, though.
“Nurses should be looking at their long-term health and energy levels and making an investment there, not just figuring out how to make it through the next shift,” encouraged Turner. “Being an effective caregiver means caring for yourself.”
“I always tell people to seek balanced input for the body, mind and spirit. I believe we need input on all three levels to feel whole and healthy and have a good outlook and positive energies,” Donahue said. “I believe we also need to schedule body/mind/spirit ‘time’ in order for it to consistently happen and to gain the benefits.”

Nurses' Wheel of Life: Creating Balance and Wellness

- See more at: http://www.nursetogether.com/nurses-wheel-of-life-creating-balance-and-wellness#sthash.1If71zh6.dpuf




One of my favourite tools to create balance and wellness while nursing is the ‘Wheel of Life’. You may have seen this before in articles or books. I think its simplicity is its strong point, and I have used one every 12 weeks for the past 4 years to assess how my life is going. I then use it to set my 12 week goals and actions. Many of my clients find it a useful starting point too.
Using it can highlight imbalances in your life or make you think about areas of you and your life that you have been ignoring. There are no right or wrong answers; it is only for you.
The Wheel of Life:
  1. Health - Physical and psychological
     
  2. Work - Do you like your job, does it 'suit you’?
     
  3. Money - Income vs spending and debts
  4. Your ‘inner circle’ - Friends and social life
     
  5. Your family, partner, parents, and pets.
     
  6. Home - Town, area, house/flat
     
  7. Fun, challenge and excitement - Travel, performing, hobbies
     
  8. Development and learning/spirituality/community

Spend some time thinking about each life area, and be honest, how ‘happy’ are you with each one right now? Give each area a score out of 10 to indicate how happy you are with that area at the current time. This will be from 0 (it couldn't be worse) to 10 (it is absolutely perfect!)
Then be bold! What would make that area a ‘10 out of 10’ score? What would be the best thing for your psychological well-being regarding money, work, or family relationships?

This is to challenge you to think about what you really want in your life. Think big. If you feel that ‘something is missing’, then this simple exercise can help to point to what that may be.

You can organize this information in a way that suits you. You can use these action pages or use a journal/ notebook or A4 papers in a smart file, or a spreadsheet - it’s up to you!


When I started to do the exercises 10 years ago, I used an A4 file to hold the information for each section with sheets of notes, pictures from magazines, and lots of colours. I still use a similar system in an A5 notebook - my 12 week action book - as this works for me. Put it on whatever format you like to use, as long as you look at it regularly (daily is best), write lots of information in it, and use it to inspire you.

nuring wellness wheel of life
                            
When you have identified what you would like in life, think of one action for each section that will move you closer to your ultimate goal. Then decide exactly when you will do it - the sooner the better - then do it! It can be as simple as buying a health magazine this afternoon, eating an extra piece of fruit each day this week, phoning an old friend for a chat, taking your child to the cinema - whatever is right for you. Do it today, or at least this week. Make a start!


You can work through with a coach, a friend or a nursing co-worker, which will help. With the first coaching book that I used, I worked through the exercises with one of my sisters, and it was very helpful to share our experiences, motivate each other, and have someone to be accountable to for nursing wellness.

- See more at: http://www.nursetogether.com/nurses-wheel-of-life-creating-balance-and-wellness#sthash.1If71zh6.dpuf

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Sep 11, 2011

Diabetes and Diet and Excercise

A healthy diet, not a "diabetes diet"

Diets for people with diabetes, weight, heart disease or other health problems are all very similar. That is because a healthy diet is the same for almost everyone. That means:

  • Eat less fat and less sugar 
  • Eat smaller portions of meats and dairy products
  • Eat more vegetables, fruits and whole-grain or unprocessed starches 
It is true you will have to reduce sweets because they usually have high fat and high sugar. Cake, cookies and ice cream can all be part of your diet if you control the size of your servings.
 

Plan healthy meals

It is important to plan so you are balancing the different foods you need each day. Every meal should include something from each of the basic food groups:
  • Vegetables and starches (carbohydrates)
  • Low-fat meats, dairy products or certain types of beans (proteins)
  • Margarine, oils or fats present in the foods you eat or prepare
Here is an easy way to think of what a balanced meal might look like on your plate: three-quarters of the plate surface should be covered with vegetables, fruit or grains. The other quarter should have meat or dairy products.

Done correctly, good meal planning can reduce the need for insulin or other medicines. The best way to find a way that will work for you and your family is to talk to a dietician. Either your doctor or Priority Health can suggest a dietitian available to help in your local area.


Watch portions

 For example, a healthy portion of protein - chicken breast, or steak, or a hamburger - is 3 oz., which is about the size of a pack of cards. Some people weigh their food to make sure they are eating the right amounts. There are other ways that your doctor or a dietitian can show you.


Eating smaller meals more often during the day is a good way to keep your blood sugar at the best levels for you.
  • Eat about the same amount of sugars and starches at each of your meals and snacks to keep your blood sugar consistent.
  • Don't skip meals so you can avoid having blood sugar levels from going up and down like a yo-yo.



  • Avoid fried foods.
  • Eat smaller servings of foods with cheese or creamy sauces.
  • Choose low-fat offerings.
  • Restaurants serve very large portions. Split your entrees with others or ask for half-orders. Ask for a doggie bag before you eat and put half your plateful into it to limit the food in front of you.
  • Choose broiled, grilled or baked meat or fish. These cooking methods reduce fat and usually do not have fats added.
  • Ask for steamed vegetables and ask your waiter or host not to put any other butter or sauces on them

Exercising is essential when you have diabetes, pass this information on to your clients....

Whether you have Type 1 or Type 2 diabetes, exercise can help you live a longer and better life.

Exercise can help to strengthen your heart, control your weight, and increase how much you enjoy life. If you have Type 2 diabetes, exercise could eliminate your need to take insulin or other drugs. 

If you haven't been exercising up until now, you have plenty of good reasons to start. And if you have been exercising, congratulations. 


Set goals

Start without goals and it is too easy to stop. Most people start a fitness program for personal reasons. Some common reasons are:
  • "My clothes are a little tight around the waist."  
  • "It's getting a little harder to keep up with the kids or grandkids."
  • "I miss going out with my friends."  

Take out a sheet of paper and at the top, write, "Why Exercise?" Then start writing why you think exercise would help you. Those reasons become your goals.


No excuses

You are not alone in thinking you have good reasons not to get started. But those are probably just excuses. The American Diabetes Association dedicates an entire page on their website (www.diabetes.org) just to the excuses people have for not getting exercising. Here are a few we hear all the time:
  • "I don't have time."
    You can get positive benefits just by starting with a few minutes a day. Work up to 30 min. a day.
  • "I'm too tired."
    Try walking at lunchtime, in the morning or whenever you're rested and ready.
  • "It hurts."
    If exercise leaves you with sore muscles, go easy at first. Build up over time and there is no reason to be sore or uncomfortable. If your knees or joints hurt when you walk, consider pain-free alternatives like swimming or lifting light weights.
  • "I can't afford a gym."
    The sidewalk in front of your house is free. The bike in your garage can be dusted off. Some people do more housework for exercise.  
  • "It's boring."
    It's a simple truth: if you don't enjoy it, you won't do it. So bring a friend along. Read a magazine on a treadmill. Walk in a mall and window-shop along the way. Ride your bike in a new direction. If one exercise is getting boring, add others.


Get professional advice

Talk with your doctor. Everybody can add or enjoy some form of exercise, but diabetics have good reason to make certain they choose an activity that fits their current health. 
  • If you have experienced numbness in your feet, you should not do an impact sport like running or step aerobics without your doctor's approval.
  • If your eyes have been impacted by diabetes, you probably should not be doing an activity that either causes impact or raises your blood pressure (like weight lifting).
  • For people who are already active in sports, there are a lot of sources of online information dedicated to athletes with diabetes. For example, a group called the Diabetes Exercise and Sports Association has information and many links to help anybody from weekend warriors to professional sportspeople continue enjoying their fitness routines and activities.


Get geared up

Don't start by investing a lot of money in equipment. Start with a good pair of shoes and absorbent, seamless socks, some comfortable clothes and you're ready. Get a medical ID bracelet in case you are exercising and experience any difficulties.


Plan your blood tests

Until you know for certain how an exercise is going to affect you, test your blood glucose levels before and after an activity. Your doctor can provide good advice on what to look for and what any changes mean.


Get moving!

  • Write a plan, be realistic
    Just the act of writing what you intend to do and patting yourself on the back when you do it is a big boost to building fitness. Write down what you will do on a calendar and watch how it all adds up.
  • Don't rush it  
    Improving fitness takes time. It takes time during your day and it takes days or even weeks to reach your goals. If you push too hard, you'll feel uncomfortable. Take your time, enjoy the trip and you will enjoy the goal when you reach it.
  • Make it a team sport  
    To have a plan and stick to it is a lot easier if you have the encouragement and support of friends and family members. Invite someone to join you.
  • Everything counts  
    When all is said and done, fitness is what you get for moving a little more than you did the day before. Every move you make during your day adds to your fitness. If it's raining outside, get out your vacuum cleaner. If your day is going to be too busy, park at the far end of the parking lot and walk a little further.

-source page here....