Employee Wellness Whole Health for You and Me Objectives Consider what health is and how health is created Reflect on your mission, aspiration and purpose (MAP)
Understand how your MAP relates to your personal health and well-being Strengthen skills for supporting the creation of health and well-being for both you and those around you Learn about Employee Whole Health in VHA Your turn: What are your objectives? What do you want out of todays session? What will make our time together meaningful? Community Agreements Be Present
Be Healthy Be Curious Be Honest Be Silent Culture (sometimes)
Be respectful Vegas Rules Others? Ways to Participate As a Vacationer As an Explorer As a Sophisticate
As a Prisoner Whole Health Bingo 7 Introductions Your Name Your Role in VA What brings you joy?
The Vision Why are we here? When health is absent, wisdom cannot reveal itself, art cannot manifest, strength cannot fight, wealth becomes useless, and intelligence cannot be applied. Herophilus The Economics and the Outcomes
UC Project for Global Inequality Whole Health: Investing in Your Future How you live here determines how you live here The Root Cause of U.S. Healthcares Failure
The root cause of the crisis is that we have put the disease at the center, not the person. 13 Whole Health: A Partnership Whole Health is an approach to health care that empowers and equips people
to take charge of their health and well-being, and live their life to the fullest. Whats What the matters matter with to you? you? Why Whole Health for Employees in VHA?
How many of us have made a choice in the past 24 hours that was inconsistent with our own personal health values? Why Whole Health for Employees in VHA? Because we all face challenges in living our best lives 40.0% 32.5% % of Employees
30.0% 27.9% 25.3% 20.4% 20.0% 21.6% 15.2%
10.0% 0.0% VHA U.S. Population % Smokers % Obese % Physically Inactive HealthyPeople 2010 Smoking Goal HealthyPeople 2010 Obesity Goal
Health care workers have high rates of unhealthy behaviors and chronic health conditions Growing Chronic Disease Burden as we Age 60% Employee Age and Chronic Disease 51% 50%
Compared to the U.S. health care workforce as a whole, VHA employees are older with a mean age of 48 years; the burden of chronic disease is significant with increasing age of our workforce. 42% 40% 34% 30% 30% 30%
Our Health Impacts our Work: Impact on Absenteeism Mean Days Away from Work by Number of Chronic Conditions Mean Days Away from Work by Number of Poor Health Behaviors 3 poor behaviors 8.47 2 poor behaviors
6+ chronic conditions 7.26 1 poor behavior 4-5 chronic conditions 5.64 No poor health behaviors
0 Days Away 4 7 2-3 chronic conditions 3.92 2
9.16 5.23 0-1 chronic conditions 6 8 10
0 3.6 1 2 3 4 Days Away
5 6 7 8 9 10
Our Health Impacts our Work: Impact on Burnout Mean Burnout Score by Number of Chronic Conditions Mean Burnout Score by Number of Poor Health Behaviors 3 poor behaviors 2.48 2 poor behaviors
6+ chronic conditions 2.33 1 poor behavior 4-5 chronic conditions 2.16 No poor health behaviors
2 2.5 3 Were here to serve the Vets but I think the employees have to feel like theyre supported and heard and you know, they have to feel well enough to wait on patients. You have to feel good yourself to help somebody else feel well. To improve their health... Its like the airplane, you put the oxygen on
yourself before you attend to your children with oxygen, you know, youve gotta take care of yourself so you can help others.[supervisor] My practicing self-care is helping me teach my clients how to practice self-care so by me getting supported in it, Im role modeling for them. Im teaching them and I see the positive impact it makes. When were healthy, our clients do now we are educating our veterans on the Whole Health
better. [front-line employee] approach being more invested in all the things that contribute to their health; whether its the exercise, the diet, stress reduction, sleep; all the different self-care behaviors, and I think if employees cant model those things and havent already begun to incorporate those things into their own life, its very hard to teach those things to patients. [leadership] Put on Your Own Mask First The Path Forward
Circle of Health Components of Proactive Health and Well-being An Invitation Dream Rangers Reflection: Living Life to the Fullest Share with a partner
What is something you would do if you had more time for yourself? What really matters to you in your life? Complete the first part of your PHI What do you live for? What matters to you? Why do you want to be healthy? (brief) What really matters to you in your life? What brings you a sense of joy and happiness? (full) On a scale of 1-5, rate your physical well-being mental/emotional well-being how it is to live your day-to-day life Mindful Awareness
Mindful Awareness A way of being in the present moment. on purpose. nonjudgmentally When are you most
Aware Present Centered Focused Calm Mindful Awareness and Meditation Formal and informal practices
Breath Awareness Seated Meditation Moving and Walking Meditation Mindful Eating Compassion Practice Contemplative Prayer Mantra Repetition Mindfulness Everywhere Fortney L, Luchterhand C, Zakletskaia L, Zgierska A, Rakel D. Abbreviated Mindfulness Intervention for Job
Job Satisfaction, Satisfaction, Quality Quality of of Life, Life, and and Compassion Compassion in in Primary Primary Care Care Clinicians: Clinicians: A A Pilot
Pilot Study. Study. Ann Ann Fam Fam Med. Med. 11(5); 11(5); 412-420. 412-420. 2013 2013 Mindful Awareness Benefits Benefits Mind
less emotional distress, anxiety, depression, anger, worry, and rumination Benefits Body ease chronic pain, decrease hypertension, stress hormones and inflammatory molecules, increase immune function Benefits - Behavior increase non-reactivity, smoking cessation, decrease binge eating, reduce illicit substance use, decrease sleep disturbance, Suggestions for practicing
Mindfulness Videos: Downloadable Listen with your whole body video products Deep breath before each interaction VA CALM Intro to Mindfulness Threshold exercise Video Toolkit: A toolkit on how to Centering develop Mindfulness Program The moment you sit in your chair Mindfulness Audio Podcasts: Audio
Supportive group files which can be used to plug and play mindfulness sessions. Daily practice Others? http://www.virtualtoolbox.ca/ Walking the Circle of Health Circle of Health Components of
Proactive Health and Well-being Walking the Circle Look around the room at the different areas on the wall signs Move to an area you feel is a strength for you. Noticing What was the hardest part of
making this a strength? What enabled you to become successful in this area? Walking the Circle Look around the room at the different areas on the wall signs Move to an area for growth that you would like to learn more about or set a goal around. Noticing
What makes this area a challenge? How important is it for you to make a change in this area? Reflection Own Well-Being Spend a fewYour
minutes ratingHealth Where Iand am Now and Where I Want to Be on a scale of 1-5 for the eight areas of Whole Health Employee Wellness BREAK Almost everything will work again if you unplug it for a few minutes
including you -Anne Lamott Exploring the Circle of Health A Brief Look at a Few Components Working Your Body Few people know how to take a walk. The qualifications are endurance, plain clothes, old shoes, an eye for nature, good humor, vast curiosity, good
speech, good silence and nothing too much. -Ralph Waldo Emerson Daily Activity Reflection At your table consider: If I wanted to make a change in the area of Working the Body, what would I like to do? What would be the first step in making this change?
Recharge Sleep is the only medicine that gives ease. -Sophocles The Importance of Sleep Recharge: Rest and Refresh For those with <5 hours versus >7 hours of sleep:
42% greater chance of obesity 69% more hypertension 40% more diabetes 36% increase in elevated lipids 62% greater risk of stroke
152% increase in MIs Altman NG, et al. Sleep 2011;34(abstract suppl):A57. Nationalgeographic.com What You Can Do To Improve Sleep Stick to a sleep schedule Exercise is great, but not too late in the day Avoid caffeine and nicotine before bed Avoid alcoholic drinks before bed
Avoid large meals and beverages late at night If possible, avoid medicines that delay and disrupt your sleep
Dont take naps after 1500 Relax before bed Take a hot bath before bed Have a good sleeping environment Have the right sunlight exposure Dont lie in bed awake See a health professional if you continue to have trouble sleeping From the National Institutes of Health
Reflection At your table consider: If I wanted to make a change in the area of Recharge, what would I like to do? What would be the first step in making this change? Family, Friends, Coworkers No man is an island, entire of itself. - John Donne The I in illness is
isolation. The W in wellness is we. - Satchidananda Social Support Social support has as much effect on life expectancy as smoking, high blood pressure, obesity, and regular physical activity More powerful predictor of family physician satisfaction than income, staff support, job control or time pressure Can be developed professionally Identify shared values and goals with your coworkers Develop a team mission statement
Start a peer support group in your facility and personally Cultivate and nurture healthy personal relationships And not just on social media! Find a mentor or accountability partner Join a group Points to Remember Each positive interaction at work helps return the cardiovascular system back to resting levels and lowers levels of cortisol
The people we interviewed from good-to-great companies clearly loved what they did largely because they loved who they did it with. Jim Collins The most important point: remember your mission Our Mission To care for him who shall have borne the battle, and for his widow, and his orphan. Abraham Lincoln, Second Inaugural Address
March 4, 1865 Reflection At your table consider: If I wanted to make a change in the area of Family, Friends and Coworkers, what would I like to do? What would be the first step in making this change? Working with our Personal Health Inventories This Photo by Unknown Author is licensed under CC BY-NC-ND
This Photo by Unknown Author is licensed under CC BY-SA Success Stories In small groups Share about a positive change you made in some aspect of your life. Can be very big or very small. Temporary change also good. Listeners Acknowledge efforts and success Ask what helped them be successful Ask what they learned about themselves
Ask what they were able to control This Photo by Unknown Author is licensed under CC BY Success Stories What came up in your groups? What is helpful in supporting change? What did people learn about themselves? What were people able to control? What helps people successfully change their behaviors? Where would you like to grow?
With a partner Please share what makes this area important to you Listener Acknowledge your partners intentions. Reflect back what youve heard (sounds like youve been wanting to prioritize your sleep for a while now) Explore a little more (use PHI as a guide) Where are you now? What are the reasons you chose this number? Where would you like to be?
What changes could you make to help you get there? The Most Important Questions for Change Is it worth it? Can I do it? Arthurs Amazing Transformation We never have total control over everything But what might I have some control over in this moment?
This Photo by Unknown Author is licensed under CC BY-NC-ND i t Goal Setting c e ff e In Im just
vegoing to eat healthier. Its important. Ive got to do it. I need to lose weight soon. I know my weight is making my pain worse. I want to lose 35 pounds by next month This Photo by Unknown Author is licensed under CC BY-NC-SA Goal Setting i
t ec ff e In Im just going to eat e v healthier. Its important. Ive
got to do it. I need to lose weight soon. I know my weight is making my pain worse. I want to lose 35 pounds by next month Why are these ineffective goals? Not Specific Not Measurable Not Action-oriented
Maybe Realistic? Not Time-bound Overall, not SMART SMART Goal: Mapping to the MAP VALUE: to volunteer in my community (Spirit & Soul). SMART GOAL: I will count carbs daily and measure my blood sugar levels twice each day.
What hinders or supports living this value? I feel exhausted and unmotivated when blood sugar is high. WHY? Because I want to lower my A1C. What would help with energy? Lower A1C. How would I do that? Count carbs every day and check blood sugar levels twice each day. or
WHY? Because Im exhausted and unmotivated when my blood sugar is high. What would you like to be able to do with your body if you were more energetic? I would like to volunteer in my community (Spirit & Soul). SMART-MAP GOAL: In an effort to keep volunteering in my community, I will count carbs every day and check blood sugar levels twice every day. SMART Mapping to the MAP VALUE: To ride my motorcycle with my friends (Family, Friends & Coworkers).
What interferes with living this value? Pain. What would help decrease pain? Losing weight. How would I do that? Eat 3 servings of vegetables/day 5 days/week. SMART MAP: In an effort to ride my motorcycle with my friends more often, I will eat 3 servings of vegetables/day 5 days/week. SMART Mapping to the MAP an imperfect example VALUE: To coach kids soccer. What interferes with living this value? Pain, HTN, cant get around field very well. What would help decrease these issues? I cant. Ill just quit and stay at home. I cant
coach anymore. What is it about coaching soccer that is important to you? The kids. I like to be involved in their lives and mentor them. Other than soccer, how could you live according to that value? Go to the elementary school and read to them. SMART MAP: To be involved in the lives of children, I will volunteer at the elementary school 2 days/week, reading to children (Family, Friends & Co-workers, Spirit & Soul). Resilience
Resilience is the capacity to deal successfully with the obstacles in the road that confront us while maintaining a straight and true path towards lifes goals. -Robert Brooks & Sam Goldstein What is self-compassion? 3 Elements of Self-Compassion Dr. Kristen Neff http://self-compassion.org/ Mindfulness
Noticing your suffering Sense of Common Humanity I am not alone Self-Kindness Be gentle with yourself
73 Fears of self-compassion Sometimes we fear easing up on ourselves and practicing self-kindness and care. Some common fears include: Being compassionate to myself will make me lazy. Being compassionate to myself is self-indulgent.
Ill lose my motivation to get things done. My standards will drop. But in fact Dr. Neffs research suggests that people who practice self-compassion, or are high in selfcompassion, are more motivated to work towards goals and engage in healthy behavior, and also bounce back from adversity more quickly. 74 Two Approaches to Falling Short Lack of Compassion How could I have been so stupid?!? Feelings of shame and demoralization
Giving up Compassion What can I learn from this? Feelings of hope and encouragement Trying again 75 The Self-Compassion Break This is a moment of suffering
Suffering is a part of life May I be kind to myself 76 By-Product of Whole Health for Employees Culture of Wellness Healthy Work for Employees = Whole Health for Employees = Whole Health for Veterans
How does this connect to Veteran Whole Health? Healthy employees are engaged and committed to VA Healthy employees will foster Veteran Whole Health engagement via translation of Employee Whole Health engagement into Cultural Transformation of the VA leading to the point that every employee encourages and guides every Veteran towards the Whole Health Pathway every time they see them.
Healthy Work for Employees = Whole Health for Employees = Whole Health for Veterans Driving Veteran Engagement: You get to leave tomorrow but I really want you to follow up with the Whole Health Coach. There are many things you can do to that will help you reach your goals we
discussed. I know it will work. It worked for me. FOCUS Whole Health for Employees does not target your work life but rather your whole life Only with the holistic approach can you succeed not only in your work, but in your life Employee Whole Health
Info on site wellness coordinator Info on site wellness offerings Link to employee WH material Info on monthly employee WH newsletter Your turn: What do you want at your facility? What would you commit to doing? What would you like to start?
The Path Forward What if? Paying Attention to Different Things Whats going right? What really matters? Strengths
This Photo by Unknown Author is licensed under CC BY-SA This Photo by Unknown Author is licensed under CC BY This Photo by Unknown Author is licensed under CC BY-ND To Learn More About Whole Health VA Patient Centered Care (ExternalOPCC&CT resources for Veterans & family members) http://www.va.gov/patientcenteredcare/ OPCC&CT SharePoint Hub (InternalOPCC&CT SharePoint)
https://vaww.infoshare.va.gov/sites/OPCC/Pages/Default.aspx Whole Health Library https://wholehealth.wisc.edu/ VHA Employee Health and Well-being SharePoint (InternalEHW SharePoint) https://vaww.visn23.portal.va.gov/SiteDirectory/EHPDIP/default.aspx Objectives: Were they achieved? Consider what health is and how health is created Reflect on your own health and well-being
Strengthen skills for supporting the creation of health and well-being for both you and those around you Learn about Employee Whole Health in VHA Your turn: What were your objectives? What did you want out of todays session? What made our time together meaningful? Gratitude This Photo by Unknown Author is licensed under CC BY-NC-SA
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