Transcript Document
Fisher Institute for Wellness and Gerontology Jane Ellery, Ph.D. Director of Wellness Management Ball State University My “Journey” BA, Purdue – Movement and Sport Science MA, The Ohio State University – Exercise Physiology (Cardiac Rehabilitation Focus) Experience: – – – – – – Work Physiologist Cardiac Specialist Cardiac Rehabilitation Coordinator Worksite Health Education Director Managed Care Preventive Health Consultant Worker’s Compensation Exercise Consultant PhD, University of South Florida – Public Health (Community and Family Health) Wellness Management and Integrative Health Jane Ellery, Ph.D. Director of Wellness Management Ball State University Wellness: Achieving Balance in Life Dimensions of Wellness Physical Emotional Social Intellectual Occupational Environmental Spiritual Physical Physical wellness is the process of having a healthy body – – – – – – I exercise regularly. I balance the amount of food I eat with the amount of exercise I do. I eat a healthy diet. I manage stress and do some activity that elicits the "relaxation response" for at least 15 min./day. I abstain from addictions including caffeine, nicotine, alcohol, and drugs both OTC and illicit. I take proactive steps to avoid and prevent injury, illness, and disease (including sexually transmitted diseases). Emotional Emotional wellness is the process of creating and maintaining a positive realistic self concept and enthusiasm about life. – – – – – I recognize that I create my own feelings and am responsible for them. I can express all ranges of feelings including hurt, sadness, fear, anger and joy and manage related behaviors in a healthy way. I accept and appreciate my worth as a human being. I avoid blaming other people or situations for my feelings and behaviors. I can realistically assess my limitations and cope effectively with stress and ego. Social Social wellness is the process of creating and maintaining healthy relationships – – – – – – I communicate honestly and directly. I resolve conflict in a healthy, timely manner. I give and take equally in cooperative relationships. I treat every person with respect. I use my economic resources to support socially responsible choices. I maintain a strong mutual, interdependent social support system. Intellectual Intellectual wellness is the process of using your mind to create a greater understanding of yourself and the universe. – – – – – – I view learning as a lifelong process. I question my views & change them in accordance with new information. I listen to ideas different from my own and constantly reexamine my judgments on social, cultural, gender, race, ethical and political issues. I take risks, learn from my mistakes and question authority. I appreciate and explore the creative arts of theater, dance, music and expressive art. I seek opportunities that challenge my critical thinking skills. Occupational Occupational wellness is the process of making and maintaining choices that are meaningful and that contribute to your personal growth as well as to the work you are doing. – – – – – I have chosen a job role that I enjoy and that matches my values and lifestyle. I have developed marketable job skills and keep them current. I balance work with play and other aspects of my life. I earn enough money to meet my needs and save to provide economic stability for myself and/or family. My work benefits individuals and or society. Environmental Environmental wellness is the process of making choices to create sustainable human and ecological communities, improving qualities in air, water, land and space. – – – – – I am moving toward limiting my consumption. I minimize using products that require a disproportionately high cost to deliver. I live in harmony with nature and the universe. I take personal and social responsibility for creating sustainable communities. I recognize my impact on the environment and take deliberate action to minimize my impact, including responsible population control. Spiritual Spiritual wellness is the process of "experiencing life" while seeking meaning and purpose in human existence. Spirituality allows one to have consistency between values and behaviors. – – – – I appreciate the individual uniqueness, diversity and need for connectedness among all people. I have a consistency between my beliefs, values and behaviors. I recognize that there are many spiritual paths and that every spiritual tradition recognizes and teaches basic precepts or laws of wise and conscious human conduct. I integrate my "spiritual practice" within everyday life of work, family and relationships. How do you manage the process of living well? The Wellness Journey… Simplify your stuff Simplify your diet Simplify your exercise Watch your thoughts Rest your mind Search for meaning and purpose Serve others… it’s good for you Individual Change Alone is Not Enough… Successful Wellness Management… Requires the integration of wellness at multiple levels; including: – – – – Individual (empowering individuals to take charge of their personal well-being) Organizational (health enhancing policies and programs) Environment (designing and building healthy environments) Community (Working with others in the community to improve the health of the Nation) Broad Approaches to “Health” Health Promotion Prevention, Early Detection, and Risk Reduction Wellness Your Definition of/expectations from… Health Wellness Health Promotion Medical Care WHO Definition of Health Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. – Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 states (Official Records of the World Health Organization, no. 2, p 100) and entered into force on 7 April 1948. – The Definition has not been amended since 1948. Merriam-Webster Definitions Health – The condition of being sound in body, mind, or spirit; especially: freedom from physical disease or pain Promotion – The act of furthering growth or development of something Prevent – to keep from happening or existing Early – Near the beginning of a course, process, or series Detect – To discover or determine the existence, presence, or fact of Risk – The possibility of loss or injury Reduce – To diminish in size, amount, extent, or number Wellness – The quality or state of being in good health especially as an actively sought goal Risk Reduction, Prevention, and Early Detection Programs Taking steps to decrease the chance of developing a disease or other health concern: – – – Lowering your blood pressure Losing weight Stopping smoking Focus on parts of self “Normal” as a criterion Professional directs action Primarily “Physical” emphasis Wellness An integrated method of functioning which is oriented toward maximizing the potential of which the individual is capable, within the environment where he is functioning – Halbert Dunn, 1977 Focus on Promoting/ Protective Factors What makes us strong? What experiences make us more resilient? What opens us to more fully experience life? What in organizations makes us grow? How can we give meaning to life? What produces high level well-being? Salutogensis and Sense of Coherence (Antonovsky, 1979) Your world is understandable: Stimuli from internal and external sources is perceived as structured and predictable. (Comprehensible) Your world is manageable: Resources exist to meet demands posed by stimuli (Manageability) Your world has meaning: Demands are challenges worth spending energy/effort on (Meaningfulness) Tasks that Should be Considered Manage the pace of life Set priorities Develop needed personal and occupational skills Connect people As a manager, think about the needs of the whole person… body, mind, and spirit Wellness Programs Quality of life/life satisfaction monitoring Blend of body/mind/spirit… a holistic approach Unique person directs action Multidimensional expression across lifespan Number and quality of friendships/social support Mental engagement Environmental awareness Community Collaboration Advocating for sidewalks, bike trails and health-related community planning Health related speakers from community Local restaurants sponsoring low fat foods and cooking classes Children of employees creating health posters and messages Sponsor parks and recreation programs Involve health related organizations in programs for employees The Power of Relationships Relational Theory suggests social connectedness is the primary determinant of health (sign language interpreters and carpal tunnel… nurses and back injuries) Gallop research in organizational development suggests relationships are what drive organizational health and vitality Resilient Employees… (David Lee, www.HumanNatureAtWork.com) Believe they are part of an organization that matters and is worthy of pride Have a chance to make a difference, a chance to matter Experience self-efficacy Experience control in their jobs Have the chance to learn and grow Are “kept in the loop” Are treated with respect Believe their manager, and management in general, cares about them as human beings Trust management’s ability and intentions Believe they, and their work, are appreciated Workforce Resilience: WellForce Development (Ideas to consider) Treat dollars spent as an investment… not a cost (like training) Resilient employees: – – – – – Bring high energy, enthusiasm, and goodwill to their work Don’t “sweat the small stuff,” but instead have their eye on the big picture Are “engaged” – want their organization to succeed Respond to change and challenge with flexibility, optimism, and confidence Operate at peak effectiveness in challenging situations (David Lee) Use workforce resilience as a competitive advantage for your company Ensure that your workers are fast, friendly, flexible, focused, and have fun First, Break All the Rules: What the World’s Greatest Managers do Differently Buckingham and Coffman (1999) Healthy Employees: Know what is expected of them Have materials and equipment Do what they do best everyday Have received recognition in the past 7 days Feel supervisor/ someone at work cares Had a progress report in the last 6 months Feel their opinions count Know, and agree with, the mission/purpose of the company Feel co-workers are committed to quality Have a best friend at work See the opportunity to learn and grow at work Competitive Attitude – Red Zone Competitive Short term Defensive Seeks to win – Self only Feels like war Reactive - Rigid Jim Tamm, 2004. Radical Collaboration: Five Essential Skills to Overcome Defensiveness and Build Successful Relationships Thumb Wrestling Objective – Win Points Select a partner No talking 1 point per thumb pin Start and stop by my signal Keep count of your points Collaborative Attitude – Green Zone Collaborative Long-term Seeks mutual gains Sees others as partners Seeks solutions not blame Open to influence – Flexible Seeks understanding Thumb Wrestling Objective – Win Points Select a partner No talking 1 point per thumb pin Start and stop by my signal Keep count of your points Red Zone Green Zone Outcomes of a Salutogenic Focus? Positive family and community experiences Schools emphasize global development Work/training emphasizes skill development, structure, and appropriate challenges Individual commitment to growth and effort Indicators of Movement toward Salutogenesis Persistent presence of a support network Chronic positive expectations; tendency to frame events in a constructive light Tendency to adapt to changing conditions Rapid response/recovery due to repeated challenges Increased appetite for physical activity Movement Toward Salutogenesis Episodic peak experiences Sense of spiritual involvement Increased sensitivity Tendency to identify and communicate feelings Repeated episodes of gratitude, generosity and related emotions Movement Toward Salutogenesis Compulsion to contribute to society Persistent sense of humor Community Change Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has. – Margaret Mead US anthropologist & popularizer of anthropology (1901 - 1978) Fisher Institute for Wellness and Gerontology Jane Ellery, Ph.D. Director of Wellness Management Ball State University