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Professional Presence and Influence

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ULT

Western Governors University
Professional Presence and Influence
ULT

January 22, 2016

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A 1. Models of Health and Healing
Everyone has their own belief when it comes to health and healing. Some people may believe in power of pray with no conventional medicine. Others believe western medicine can cure what ails them.
Today I will discuss the difference between Era II and Era III models of health and healing relating to what it means to be human.
Era II is known as the mind-body model. This model was developed in the 19th century. It is believed to have conscious thought that assist in healing the body. “"Psychosomatic" aspect: that emotions and feelings can influence the body's functions.” (Dossey, n.d., p. 1). With Era II arose negative attitude, feelings and thoughts cause disease. Bad attitude equaled disease. With this discovery, people’s emotions can affect their heart rate, blood pressure, etc. Then Dossey realized positive thoughts, attitude and prayer can make people healthy. “Now, this has been sort of turned on its head and we recognize that thoughts, emotions, attitudes and feelings can really be used to make people healthy.” (DiCarlo, 1996, p. 1).
Dossey’s discover of Era III involves consciousness which affects not only your body, but individuals miles away. This era is known as the mind-body-spirit model. Within Dossey’s research, he discovered the mind is different from the brain. When people die, their spirit lives on to assist in research to help with diseases.
The difference in Era II and III is that era II has the basic power of prayer within the individual. Depending on your attitude being positive or negative is whether you will get a disease or how you will heal from a disease. The difference in being human in era III, power of prayer can heal others near or far and your spirit will live on after death.
A 2. Models and Professional Presence As a nurse for 10 years, I have come across people with different beliefs that have shaped me into how I am today. In Era II, mind-body has a direct correlation to situations regarding anxiety for instance. If a patient is anxious, naturally the heart rate will be elevated. With deep breathing and conscious thought, heart rate will decrease. I see this almost daily.
People with negative attitudes are not the only ones who are diagnosed with diseases. Diseases are possibly environmental or genetic. Religious or nonreligious, people can be cured with modern medicine or cannot due to the severity of the disease.
A 3. Influence on Nursing Practice
As a new nurse, I remember feeling overwhelmed with task to do daily with multiple patients. How could I assess, chart, give meds and care for 5 patients all at the same time. I was distracted for years. There was no time to feel empathy or compassion for my patients. Many nights I would go home thinking this is not why I became a nurse. After years in a civilian hospital and nursing homes I decided to take a job at a small military hospital.
Wounded soldiers were flying home and staying in the hospital with no family or friends. With the decreased patient load and paperwork, I was able to sit at the bedside and listen, feel compassion and empathy. As I listened to their stories of bravery and heart break to lose a fellow soldier. With each patient I was assigned to, my heart grew bigger and bigger. I became more mindful of patients and their struggles. Theses soldiers looked brave with tattoos, harsh facial expressions and demeanor, under all that, they were human. They had feelings like the rest of us.
With that experience back in 2007, I started using empathy and compassion in all patients I come in contact with. I will have a moment outside a patient’s room to myself. Take a couple deep cleansing breaths to focus of this patient and their needs. This has helped with my mental focus on patient in front of me.
B 1. Personality Assessment Submission

There are four kinds of Guardians: Guardian-Supervisors (ESTJ), Guardian-Inspectors (ISTJ), Guardian-Providers (ESFJ), and Guardian-Protectors (ISFJ). The first step to take is to read your free Keirsey report (this is clickable below). We offer several different reports, and the first one is on us. Let's get started by taking a look at your first report. If you like what you read and want to go deeper on the specific kind of Guardian you are, you can do so by purchasing one of the other reports we offer below. Thank you for taking the Keirsey Temperament Sorter! | Custom Report | Report Description | Status | View | Purchase | | The Career Temperament Report is designed to help job seekers, those undertaking a career change, and students planning for future careers understand how the needs and preferences of temperament shape... (hover mouse for more) | | | $19.95 | | The Classic Temperament Report provides individuals seeking better understanding of themselves and others an in-depth interpretation of their temperament and type. This 18-page report includes... (hover mouse for more) | | | $14.95 | | The Learning Styles Temperament Report provides students, teachers, and parents with deeper analysis to maximize the impact of their educational strategy. It analyzes each student's personality type and learning... (hover mouse for more) | | | $14.95 | | The Temperament Discovery Report provides an introduction to your personality type. It provides a springboard for those wishing to pursue self-directed research and study of their personality type and... (hover mouse for more) | | | $7.95 | | | | | | FREE | * Purchase 2 reports and receive 20% off the total * Purchase 3 reports or more and receive 30% off the total | | The Classic Temperament report, Learning Styles Temperament report, Career Temperament and Temperament Discovery report are delivered in pdf format. Please wait a few moments for your report(s) to be created and downloaded for viewing. You will need a pdf viewer, such as Adobe Reader, to read these reports. | | |

Your KTS-II History: Retake the KTS-II | Name | Date | Temperament & Type | | Casey | Jan 17, 2016 | Guardian | | Casey | Jan 01, 2016 | Guardian | Go to Results | |

B 2. Test Analysis
As a single mother, working full time and going to school, I can say this analysis is correct with the exception of a few things. “Sharp eye for proper procedures” I believe there is more than one way to get a job done. If I complete a task one way and coworkers or my children completes the task in a different way that is ok. As long as the task is completed in a safe way. I am ok with that.
B 2a. Preferences Alignment For the most part the test is spot on with my relationships, favorite activities and career choices. With a stressful life style, sometimes law and order is relaxed within my family. I have learned to pick my battles with two teenagers. Having fun with my friends is important. But, when it’s time to work or take care of the kids, fun is in the back seat. Guardian is a great choice for being a nurse. Smooth working environment and get the job done is the way I work.
B 2b. Potential Challenges or Barriers As a Guardian, rational personality type will have potential challenges working together as a floor nurse. Rational personality type is more self-contained and independent. Nursing is a team concept. I do not believe rational personality with be a team player. Rational personalities are also skeptical. If a fellow nurse asks questions, but are always skeptical of your answer, then I would feel non trustworthy to that nurse.
C 1a. Whole Person Goals Physical Goal | Run 5k without difficulties by March2016 | Physical Goal | Increase protein to 70 grams a day. | Emotional Goals | More patience with my children after work. | Emotional Goals | Be kind to unkind co-worker | Spiritual | Pray nightly | Spiritual | Attend church at least once a month | Vital rhythmic | Increase energy | Vital rhythmic | Rhythmic breathing with running |

C 1b. To achieve my physical goals while grocery shopping weekly I will make a conscious effort to buy healthier options of food with increased protein. Three meals I will consume no less than 20 grams of protein and no less than 5 grams of protein with two snacks daily. Increasing protein will aid in running to achieve my goal of a 5k by March 2016. I will start my running half a mile 4 of 7 days a week. After the first week, I will start running 1 mile 4 of 7 days a week. Third week, I will run 2 miles. Fourth week I will run 3 miles. By the fifth week, I will have met my goal. To achieve my emotion goal to have more patience with my children, I will turn the radio off in the car on the way home from work, deep breathing and think of the wonderful children I have created. Learning to be kind to an unkind co-worker is going to take some work. When I encounter him and his unkind words, I will take a deep breath and answer his question as appropriate or just walk away. Spiritual goal will be achieved by reminding myself (by sticky note on my night stand) nightly to pray to God. Thank him for my children, parents and family. Being from the south, we have a church on every corner. I will take my time and attend churches recommended to me by friends and family. Increasing my protein and running with increase my energy. In addition to running and protein I will go to bed an hour earlier. Rhythmic breathing while running has shown to help run longer distance. Practice breathing through nose and out mouth for 15 minutes before running. Slowly incorporate rhythmic breathing while running. After all eight of my goals are completed, I will be balanced as a whole. Free from the daily grind of low energy and frustration from kids and co-worker. I will be relaxed with a positive attitude.
D 1. Best Practice An optimal healing environment is a place that includes, “healing-oriented and coordinated system of health care that focuses on the individual as a whole.” (Samueli Institute, n.d., p. 1). Four different healing processes are internal, interpersonal, behavioral and external. When all four processes are met, healing is stimulated as whole with in the patient. Internal environment is the positive thought of healing from a disease can be accomplished. Understanding the diseases, treatments and the outcomes of healing with in the whole person will occur. Interpersonal environment is healing relationships with family, friends, bosses, doctors, nurse, i.e. Healing relationships provide emotional, mental and physical support. Support from interpersonal relationships aid in wellness and overall recovery from a disease. Behavioral Environment I believe is primary prevention. Eating healthy along with exercise prevent disease. Stress management and relaxation classes, are helpful for the mind and body as a whole. External Environment is the color, design and structural design. Within this concept art, music and light therapies used to promote healing and recovery. Monroe Carell Jr. Children’s Hospital at Vanderbilt is an optimal healing environment. This facility meets internal environment by way of a case manager and patient relations departments to help patients and their guardians with the knowledge and acceptance of the disease.
Interpersonal Environment is met via social workers who assist in patient and family counseling. With counseling, patients and families can achieve optimal relationships for support and maintain wellness.
Behavioral Environment within this facility has multiple departments. Champ A-team buddy program is a program that places a child with disabilities and a fit child to work towards achieving an endurance runs or triathlons. Multiple different nutrition classes and therapies are available to educate patients with sports, failure to thrive, weight management, i.e.
As a children’s hospital the common areas, walls and decorations are kids themed. With beautiful colors, tall fake trees and bright shinny stars on the ceiling make Monroe Carell Jr. a great external environment for children. Art and music therapy along with baby vibes music is another option for children and families.
Cleveland Clinic is an optimal healing environment. This facility meets internal environment by way of 40 support groups and a social workers to help with social and emotional issues of diseases.
Interpersonal environment is met with assistance from social workers and caring bridge. Social workers counsel patients and families to be optimal partners through the disease. Caring bridges is a free website to stay connected with friends and family during cancer, birth or injuries.
Cleveland Clinic has multiple nutrition classes and a fitness center to achieve lifelong health for behavioral environment. Weight management, medical nutrition therapy and community education with special emphasis on diabetes and heart-healthy eating help with prevent and curing of disease. A fitness center with an outdoor track, modern equipment and an indoor heated pool will assist with maintaining optimal fitness.
External environment is met by multiple complementary and alternative treatments. Art, music and pet therapy are available. An art show is displayed within a few buildings of Cleveland Clinic. Also in the warm months a farmers market is available on campus for patients and staff.
D 2. Professional Presence Promotion
Working in a clinic, incorporating internal and interpersonal environment with case managers, counselor or social worker to help patients with personnel relationships, understanding diagnosis and encouragement of healing. Population that is seen in my clinic is mainly military spouses and their children. Counselors or social workers would benefit this population due to spouses returning from deployment (reintegration to the family), behavior problems among children and mental illness with adults. To assist patient in increasing their exercise, a track around the clinic/hospital is a great idea. Starting a walking group with obese patients to get them up and moving with no judgement. Nutrition classes to educate and help with weight loss for people who are interested. External environment with soft light music playing over the intercom would give a peaceful feeling while being treated.

References

DiCaprio, R. E. (1996). Conversations Toward a New World View: Era Three Medicine. Retrieved from http://www.healthy.net/Health/Interview/Era_Three_Medicine/183/2
Dossey, L. (n.d.). A Conversation About the Future of Medicine. Retrieved from http://www.dosseydossey.com/larry/QnA.html
Samueli Institute. (n.d.). https://www.samueliinstitute.org/research-areas/optimal-healing-environments/ohe-framework

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