Happy, Healthy Docs and Health Professionals

Joint Commission Re-Names "DISRUPTIVE BEHAVIOR" - Will It Change How The Issue is Addressed?

As of 7-1-12, The Joint Commission has revised the term disruptive behaviors in Leadership Standard LD.03.01.01 (first out in 2009) regarding the culture of safety, to behaviors that undermine a culture of safety. Why? “Initially the Joint Commission decided to use the term disruptive behavior because it was commonly used in the literature and recognized by most individuals in the workplace. However, Joint Commission staff have since learned that the term disruptive behavior is not viewed favorably by some health care practitioners and is even considered ambiguous for some audiences. For example, some physicians have expressed that strong advocacy for improvements in patient care can be characterized as disruptive behavior. Also, the phrase disruptive behavior may be used in the context of a care environment that has become temporarily unsettled by the behavior of a patient, a resident, or an individual served. Using the language behaviors that undermine a culture of safety offers a better way to describe the problem addressed by the standard.”¹

Leadership Standard LD.03.01.01 says “Leaders create and maintain a culture of safety and quality throughout the [organization].” The above wording changes are as follows, in Elements of Performance: A 4 and A5 (old wording is in parentheses):

A 4. Leaders develop a code of conduct that defines acceptable (disruptive, and inappropriate behaviors) behavior and behaviors that undermine a culture of safety.
A 5. Leaders create and implement a process for managing (disruptive and inappropriate behaviors) behaviors that undermine a culture of safety.²

Will this change in phraseology affect the processes that health organizations now use to deal with intimidating and angry behavior? Might this softer approach allow such negative behaviors to be discussed more openly and be more frequently addressed? Or might it water down the issue and hamper facilities from addressing head on, what is essentially, call it what you will, disruptive behavior?

What's your opinion? Your comments are welcome and appreciated.

Our Disrupting Disruptive Behavior and Anger Management: Taming the Beast seminars can help your facility or company with these issues. We also offer individual Anger Management Coaching.

1, 2 - Joint Commission Perspectives®, January 2012, Volume 32, Issue 1 Copyright 2012 Joint Commission on Accreditation of Healthcare Organizations

Holiday Gifts for Relaxation, Stress Relief and Wellness

  Dear Readers,

 

I wish you all a happy holiday, and a healthy, peaceful and abundant new year!

 

And in these last few days of gift buying, here's some great ideas for promoting relaxation, wellness and fitness with holiday gifts, and even buy these for other gifts in 2012.  Purchase them with general gift cards from the company, or buy the specific items below. AND REMEMBER TO TAKE CARE OF AND PAMPER YOURSELF by asking for these or similar gifts for yourself, in addition to buying them for others.  Or just buy yourself one of these gifts now to make the holidays more relaxing!

  
For Relaxation: 
Massages (single ones or bundled packages)
Manicures / Pedicures / Hair salon appointments
A day at the spa
Meditation classes series
Meditation CD's
Yoga classes series 
New age or other relaxing music 
 
For Reading / Writing / Relaxing Hobbies:
Writing journals

Books
Health magazines subscriptions
Drawing pads

 

For Nutrition:
Lunch coolers for brown-bagging healthy meals
Herbal tea packages with mugs or hot drink cups

For Exercise:
Exercise classes series
Exercise videos
Yoga outfits
Exercise outfits
Exercise sneakers / shoes
Hats, gloves and scarves for walking in cold weather

If we at Visionary Health Solutions can be of help to you in 2012 with our Wellness and Emotional Health Seminars, Anger Management Coaching, Corporate Coaching for executives and staff, or Personal Coaching for private individuals, please contact us at (631) 269-7048 in New York.

Visionary Health Solutions - New Name & Services: Anger Management, Visionary Leadership Coaching & Team Building

Ex: SEE "REVERSING NEGATIVE BELIEFS 'BLUEPRINT' " VIDEO BELOW.

In the year since my last post, a lot has changed - we have a new name, Visionary Health Solutions, and new services. In addition to Wellness, Stress Management and Personal Development Seminars for medical and other companies, our newest "Health Solutions" include Anger Management 1:1 coaching and classes; Team Building and Group Coaching sessions; and individual Leadership and Personal Coaching for executives and other leaders, and for other employees or private persons wanting to move forward or being mandated to get help in their personal or professional lives. Visit us at www.VisionaryHealthSolutions.com

Our new "Visionary" services incorporate cutting-edge techniques that can have profound effects. We help clients build and envision successful futures while helping them get "unstuck" and unearth blocks they have to getting there, and then move them toward their goals. Have you tried "The Secret" and visualized your future but are still stuck here? Then you need "The Secret" to "The Secret" - unlocking your subconscious negative beliefs that keep you trapped. And that's what we provide in our coaching sessions and seminars - processes that can flip around sometimes lifelong struggles that work more quickly and deeply than traditional methods. 

I explain more in this "Reverse Your Negative Beliefs 'Blueprint' "
6 minute video. Stay tuned for more on these subjects! 

  

Anger Mangement Video - A Holiday Gift

I'd like to wish you peaceful and joyous holidays, and most of all a relaxing break from work.  Make time for self-care, connecting with others, and for quiet introspection as you enter the new year.

My gift to you is a new video, "Anger Management Guided Introspection."  With the stress of the holidays, the economy, and patients - tempers can flare - often at the most inopportune time. And perhaps your anger gets the best of you more often than you'd like.  Or you know someone else like that.  This short video on Youtube, using a sample new coaching technique (see next paragraph), offers a simple way to better handle anger.  Find 10 quiet, private minutes and try this guided meditative process that helps you get to what's underneath your anger so you can better manage it and not let it control you. 

And by the way, thanks for your support this year by attending or scheduling my seminars, and/or reading my blog.  I have great new things in store for 2010 (including 2 newly healing ankles, thank God) - a website and new company name (referred to in the video), new seminars, and a new service, Visionary Leadership Coaching.  I look forward to seeing you and working together again soon, or meeting you for the first time, in 2010.  Have a happy and healthy new year!

Congress Gets Serious About Stress and Mindfulness

Listen to this inspiring YOUTUBE video I found regarding mindfulness. In a Congressional hearing, Rep. Tim Ryan (D-OH) asks Secretary of Health and Human Services Kathleen Sebelius about stress reduction via mindfulness, and how it can help our nation.  What's this about?

Stress management requires being mindful, or self aware in a given moment.  For example, if I'm feeling strong anger, rather than reacting and yelling, I might ask, "What am I feeling right now?  What's going on in my body?"  I might answer, "I'm really feeling hurt under the anger, and my heart is pounding."  So to slow the pounding and feel the hurt rather than yell, I breathe deeply for 10 minutes.  Being mindful helped me create a workable stress management strategy.  Now I'm calmer, I feel better physically, and I prevented an argument.   

Mindfulness meditation is an excellent tool to learn self-awareness - and to manage stress.  It helps with anger management, reducing violence, ameliorating pain, curbing compulsive/addictive behaviors, and more - areas now getting national attention.  So next time I'm upset and want to soothe myself with a donut, I might instead become aware that I'm really feeling disappointed and take a walk instead.

To do it:  Sit quietly.  Close your eyes.  Take deep breaths.  Become aware of your breath, your emotions, your body, by asking, "How am I experiencing myself?" For example, ask, "What emotion am I feeling right now?"  Or, "Where is there tension in my body?"  Then sit with that awareness.  Ask again:  "What emotion am I feeling now?"  A new one may rise up into your awareness.  Do this for 5-10 minutes. 

With practice you'll really get to know yourself well.  Becoming aware of your emotions is important, especially if this is difficult for you.  Why is it important?  Until you know how you truly feel about something, you won't change it.  Emotion is a much better motivator than denial. 

Disruptive Behavior - Owning Your Anger

 

"Disruptive Behavior" is the 2009 buzz word by The Joint Commission with their new Leadership Standard LD.03.01.01 mandating hospitals to address this issue head on.  A major hallmark of a disruptive individual is an angry outburst, often at the most inopportune times - in front of colleagues, patients, and their family members.  The "classic" profile of disruptive physicians are male surgeons who yell in the operating room, but they are by no means the only doctors who may engage in this behavior.  In fact nurses and other health professionals also project their anger outwardly.  Often such individuals have difficulty taking responsibility for their behavior.  Instead they blame their anger on others, such as laboratory personnel who produce late test results.  While it's true that poorly functioning departments or hospital systems can be very frustrating, screaming at those who work in them is not the answer. 

If you are quick to respond with anger in frustrating situations, especially if it happens more than you - or others - would like, the problem may also lie within you.  When I first saw the above cartoon, I  thought Lucy's response to "Why are you always yelling at me?" might be, "Because you're an idiot!"  To my surprise, she took responsibility for her yelling.  That is the start of the healing process for those who can't control their anger.  Chronically angry people may blame others for everything and see themselves as right.  They can't see how their outbursts exacerbate their problems.  They don't do this on purpose.  They really believe they're not at fault. 

This topic can take up many blog posts.  As a first step, ask yourself:  "How well do I handle my anger?  Does it handle me?  Do I feel powerless to control it?  Does it get in my way at work?  Is it affecting my relationships?"  If you answer yes, consider that you could possibly use some help.  The first step is owning the fact that this area of your life isn't working and is causing you pain.  Give it some thought, and stay tuned for more on this.  

Stress Management: Relax and Trust You'll Get What You Need

I'd like to share a stressful personal experience that ended up better than I could have imagined - a common life occurrence.  A not often discussed Stress Management tool when difficulties arise, is to fully feel your emotions, then let go of control and trust things to work out.  Be open to all possibilities, and know you'll get what you need.  As a friend said about my "cashew butter" story, we're not forgotten in any moment. 

 

So - I went to Trader Joe's to find out they no longer sell Cashew Butter (it was the cheapest place to buy it).  This is one of my favorite foods.  I was INFURIATED, and completely blown away.  I couldn't get over this, for hours!  What a loss!  (This was big, as I have food allergies and a limited diet to begin with.)  

 

In the aisle at that moment, I heard a voice ask, "Do you have a food processor?"  I turned around to see a man who looks like my superintendent's double.  I said, "Yes, why?"  He said, "I make my own cashew butter.  Just put in a little oil and it comes out fine."  I said, "Do you use roasted or raw nuts?"  He said, "Roasted."  So I went up the aisle and bought 2 1-lb. bags of roasted cashew pieces.

 

I got home and whipped out my food processor.  I threw in a bag of the cashews, processed, and Voila!!  Cashew butter!!  That tastes good!  And I didn't even have to add the oil.  I was amazed!  And the one bag, at $3.99, filled an old 1-lb. cashew butter jar that would have cost me $4.49 (at Trader Joe's vs. at least $7 in any other store).  So now I was no longer infuriated.  I felt grateful, happy, proud of my new talent, and thrilled that man (who is not actually my super's brother) was standing there at that exact moment in Trader Joe's.  

 

This was no coincidence.  The universe conspired to create these exact circumstances - no one could have planned it better.  So I went from fury, to shock, to curiosity, to determination and to gratitude and relaxation in a few hours, and went to sleep knowing I had been well taken care of.  And if you look in your own life, you'll find similar circumstances.  There really is a silver lining in every cloud.  You just have to trust it will reveal itself.  So if you have such stories, or good recipes for nut butters, please share them in a comment below! 

Learn to Reverse Negative Behaviors in a NO-COST STRESS MANAGEMENT Phone Seminar 2/17/09

 Are you stressed out because you have not very useful behaviors you'd like to change but can't?  Do you get easily angered and yell?  Are you disorganized?  Do you procrastinate, overeat, smoke, etc.?  Everyone has something.  So why don't we change?  One reason is we believe we can't.  You might find yourself thinking, "It's too hard, too much work, takes too much time, I'm not capable of changing that, I don't know how, I've tried and it didn't work, etc."  Most of us unconsciously think these thoughts all the time.  What we don't realize is that they drive our behaviors and keep us stuck in the negative ones.

A trick to changing behaviors is to bring to conscious awareness the UNDERLYING BELIEFS we have about not being able to change them, and to replace them with beliefs that work.  To help you see this in action, I'm offering a FREE TELEPHONE SEMINAR tonight from 8-8:45 pm EST.  I'll do a GUIDED RELAXATION EXERCISE to help you work on your particular problem.  You call in from the comfort of your home or office.  CLICK HERE TO REGISTER.  This session will also provide a sample of what we'll do in the Meditation and Relaxation Training Phone Seminars (DESCRIPTION) on 2/19, 2/26 and 3/5/09 from 7-8am or 8-9 pm.  Read more about that in the post below, which also tells you how to enroll in the 3 session series. 

Stress Management for Valentine's Day - A Gift of Relaxation

In these scary economic times, it's easy to blow up at those we love.  Fear and feeling out of control can be all-consuming, and can wreak havoc in our relationships.

While you can't control the economy, you can control your reactions to it - with meditation and deep breathing exercises.  These improve communication.  You start conversations from a calmer place, more aware of your feelings.  I was touched by a quote in the "Mutts" comic in today's Newsday by Heather Cortez:  "To the world you may be one person, but to one person you may be the world."  Stress - about money, work or anything else - can erode any relationship, personal or professional.

  To help, consider giving the gift of relaxation - to yourself, for Valentine's Day, a birthday.  I'm offering a 3-week Meditation and Relaxation Training Telephone Seminar Series (description) on 2/19, 2/26 and 3/5/09 at 2 times:  7-8 am or 8-9 pm.  You attend from the comfort of your home or office, and the ongoing weekly support will motivate you to practice.  To enroll, click on "Register" and "pay" in this sentence, or by clicking on the 2 links under "Meditation Classes" under my photo (left).   

Meditation and deep relaxation soothe the soul, and provide a sense that all will be OK, at least for now.  Done regularly, that reassurance - especially nowadays - can feel like a million bucks.  Ask me, I know.  

Meditation Phone Conference Seminars

In an attempt to join the technologically savvy, I've designed a new seminar series on my favorite topic, "Meditation and Relaxation Techniques" that will be offered as a phone conference series.  You call in, and I'll teach you simple meditation and the deep-breathing based techniques of abdominal breathing and visualization by phone.  It takes ongoing practice to learn these.  As a start, I'll offer 2 series of 3 1-hour classes, one from 7-8 am, and one from 8-9 pm, on Thursdays, February 19, 26, and March 5, 2009.  Read the details here: Download Meditation Classes Flyer.

My experience teaching these techniques is that some prefer to learn them in the privacy of their own homes, offices or other location, without having others next to them peering at them with their eyes open.  If that describes you, these are ideal.  They're also ideal if you want to do this at convenient times, want ongoing instruction, and to be able to fall asleep after doing this (not during it, of course).   

Please join me in this new venture which could open many possibilities for you.  Enrollment takes 2 steps:  payment and registration.  You can do that on this blog.  Simply look UNDER MY PHOTO for "MEDITATION SEMINARS."  Under that, please click on "PAYPAL BUTTON" and "REGISTRATION FORM."  After you pay and register, you'll get confirmation and dial-in instruction emails from me.  I look forward to helping you really learn how to relax!