Gaining Energy and Reducing Stress

Chapter 3


Gaining Energy and Reducing Stress




Gaining Energy, Persistence, and Perseverance





Learning Objectives for Gaining Energy, Persistence, and Perseverance




Health professions are physically and mentally demanding. The fast-paced environment is full of problems to solve and decisions to make. The work requires good judgment because answers are rarely black and white. A lot is at stake, including lives. It takes a lot of energy and persistence to be a health professional (Figure 3-1).



Think about the challenges a health professional faces on a typical day that take persistence to overcome. You might have to:



The list is virtually endless. You need strategies to build, maintain, and boost your energy.



Major Sources of Energy


How many times have you heard that your body needs fuel? While this is true, it’s just one piece of the puzzle. Energy requires a balanced diet, physical activity, adequate sleep, satisfying work, and opportunities for positive interaction. A gap in any of these components can really sap your energy levels.



Get Enough to Eat and Drink, But Not Too Much


Let’s start with nutrition, since food is the primary source of energy. Just eating is not enough. In order to function well on a daily basis, you need to choose food that produces stable blood sugar and provides vital nutrients throughout the day. Eating a healthy breakfast is important to your energy as well as keeping your weight in check. A mix of protein, healthy fats, and carbohydrates low on the glycemic scale will help you to start your day alert and will keep you energized until lunch. Hydration is also necessary in maintaining healthy circulation and normal brain function.


In many health care settings, there are days when you will have little or no time for lunch. A supply of low-glycemic snacks stashed away in your purse or backpack may come in handy on these days. Nuts, dried fruit, or energy bars are easy to store and eat whenever you have a spare moment or need to energize yourself.




Get Enough Sleep


Neuroscientists still have much to learn about sleep. It seems that the body uses sleep to repair cells, and the brain uses sleep to cement memories and integrate experience and learning in the form of building neural connections. Your body needs a minimum amount of sleep in order to perform these functions. The necessary amount varies, but it is usually between six and eight hours. Adolescents may need at least ten hours of sleep to thrive, and infants may need at least sixteen.


Who hasn’t had the experience of going to bed so tired that you cannot imagine ever recovering, and then waking up eight hours later feeling refreshed? Clearly, something quite restorative happens during sleep.


By the same token, the consequences of too little sleep, especially on a prolonged basis, can be devastating to your state of mind and energy level. Your critical thinking skills deteriorate, leading to poor decisions and bad judgment. Your alertness is submerged, leading you to overlook important cues when communicating and treating patients. Your mood and emotions may be brittle, causing you to experience anger, depression, or frustration you would normally move past. Somebody who is sleep-deprived is in no condition to be at work.




Find Work You Love


As a health professional, you have chosen work that is meaningful and socially proactive, so you have already made a good choice in finding engaging work. Health professions are a unique blend of novel challenges such as physical activity, demanding thinking, social connection, and spiritual meaning. The more skilled and intuitive you become, the more engaged you can be as your interest and energy levels increase.


Still, even engaged professionals have to constantly renew their engagement at work. For one thing, even the most interesting work can lose its appeal if it becomes routine. To combat this tendency, you can reframe your view of your role. You can recognize that you are a big help to many people every day, even people you may not know such as family members of your patients. You may be an inspiration to others. Even if your job seems routine, take pride in the skills you worked so long to develop.


Besides adjusting your attitude, you can also adjust your routine. Introduce yourself to co-workers you don’t know, or learn more about those you don’t know well. Have lunch with different people. Learn a new skill. Research a health issue you encounter frequently. Drive to work by a different route. Every novel change can renew interests you once treasured.




Short-term Strategies for Boosting Energy


Everyone’s energy fluctuates throughout the day because of our circadian rhythms, eating patterns, stress, emotional experiences, work load, and general health. So how do you boost energy when you really need it during those low-energy times? Plan ahead. Only you really know your individual energy pattern. Align the day’s tasks to coincide with your own high-energy times as much as possible. If you have an energy dip after lunch, for instance, plan tasks that keep you moving around to restore your energy. Pick a time for your most mentally demanding tasks when you know you will be alert and able to concentrate. Let’s examine some of the tools you have at your disposal to recharge your energy throughout the day.




Activity Tools


Use quick bursts of movement and activity to raise your energy. For instance, if you practice yoga, self-defense, aerobics, or dance, you can take a moment to perform a favorite exercise to increase your heart rate and circulation. Other activity tools include:





Refreshment Tools


Try the following strategies for an energy boost:



Wash your face, hands, and wrists in cold water to stimulate circulation.


Apply a cool, damp compress to hydrate and relieve the area around your eyes.


Look on the bright side of a problem or tedious task. Can you learn something new? Can you remind yourself to see the value of what you are doing? This small attitude adjustment can restore interest and energy.


If you are allowed to do so at work or on your breaks, listen to music.


Close your eyes for a few minutes and let your cares draw away.


If your energy depletion is severe, and if permitted, take a 20-minute nap—but no longer. You don’t want to descend into deep sleep and wake up more groggy than refreshed.


Avoid energy-sapping activities in the middle of a demanding routine, such as television, Internet, and email.


Other unconventional ideas are included in Box 3-1.






Long-term Strategies for Gaining Energy


If you feel that you suffer chronically from low energy, plan to make some long-term changes. Many people can generate more energy by following healthy habits.



Lose Weight


If you suddenly had to carry around a 20-pound sack of flour strapped to your abdomen, you would definitely notice the load, and the energy that it took to carry it. If you are overweight, you probably put the weight on gradually. You adjusted to the stress it placed on your bones and muscles, so you hardly noticed the energy your excess weight robbed from you over time.


Almost without exception, people who lose significant weight are amazed at their newfound supply of energy. Losing weight is a difficult challenge requiring strong motivation and perseverance. Only you can motivate yourself to rise to the challenge, but regaining your lost energy might be part of that motivation. Even while you are losing weight, though, the exercise that is part of most weight-loss plans will begin restoring your energy right away. Try to include exercise as part of your weight-loss plan.



Evaluate Your Diet


If you are chronically tired, you may not be eating the right kind of diet. Heavy meals can make you feel lethargic as your blood is diverted from nourishing your brain to digesting your food. Foods high in sugar can spike your blood sugar, creating a short burst of energy followed by a long crash. Ideally, you want a consistent supply of nutrients that keeps your blood sugar steady and your brain supplied with glucose—the only substance it can burn—all day long.


Breakfast is an important part of such a program because it “breaks” the “fast” of sleeping all night, giving your body a much needed injection of blood sugar to start your day off right. After that, select protein, healthy fats, and carbohydrates that are low on the glycemic index and full of soluble and insoluble fiber (Box 3-2). Low-glycemic carbohydrates release sugars slowly and promote a feeling of fullness. Adding these foods to your diet will help to prevent blood sugar spikes and insulin surges that deplete sugars from the blood and prepare them for storage as fat.





Sleep Well


If you don’t sleep well, find out why and make adjustments. Most of the time, it is just a matter of going to bed earlier. In some cases, you may have to make a few more alterations such as cutting out late-night TV or eating earlier in the evening. Making your bedroom dark, quiet, and cool can help optimize the brain’s ability to sleep. Develop a routine by waking up at the same time every day, going for a run, showering, and eating breakfast before going to work.



If you snore, wake up with headaches, or feel exhausted despite sleeping all night, you might have sleep apnea. People who suffer from sleep apnea frequently stop breathing during the night, which deprives the brain of oxygen and stresses the heart. Seek help at a sleep clinic, where the clinician may recommend a polysomnograph (sleep study) and possibly prescribe a continuous positive airway pressure (CPAP) device. In rare cases, you may have a thyroid test to make sure you don’t have hypothyroidism, which can cause fatigue.


Finally, if stress and anxiety are giving you insomnia, pursue some of the remedies discussed later in this chapter.




Persistence and Perseverance


Now that we’ve examined ways to boost and maintain your energy levels, keep in mind that the health care environment requires you to know how to be persistent. During stressful times, your perseverance will make a big difference.


Many problems yield to a solution only after attempting a number of approaches. For example, the needle will not always find the artery the first time. The first medication may prove ineffective. The patient may not become a regular until after a number of cancellations. These situations can be frustrating, but don’t think about quitting. When you dwell on the various pros and cons of a tough job, you will eventually rationalize reasons to quit. Instead, turn your attention to the next most important task, and then the next. If you practice this approach, the work eventually disappears one small task at a time.



Case Study 3-1   Picker-Upper


Penelope Traktakis added a lot of fun to the hospital pharmacy where she worked as a pharmacy technician. She had a big personality, a big family, and a big social life. She was high energy and never had any trouble getting her work done. In fact, she eagerly volunteered to help when others felt overwhelmed, making medication deliveries to the units, working overtime to fill prescriptions, and starting new lines of customers to get everything moving faster.


One Monday morning, Penny wasn’t herself. Her father, Gus, was a roofer and had fallen off a ladder. Fortunately, he only broke his leg, but it still put him out of work. With a heavy sigh, Penny started filling prescriptions at half of her usual pace.


Later that day, an irritated customer started speaking harshly to Penny. “If you can read, Penelope,” he said, reading her name tag, “the doctor wants me to take 40 milligrams now, not 20.” Penny calmly apologized to the man, but Lane, the pharmacy manager, noticed that Penny was breathing deeply. After a few minutes, he said, “Penny, could you come with me? The new epidemiologist needs some help.”


Lane took Penny to the conference room and introduced her to George Papa, a dark-haired young man hovering over a keyboard. “I don’t know how to do this,” he told Penny. “I’m studying off-label uses of atypical antipsychotics, and I can’t figure out how to access the data.” Penny sat down as George explained the criteria he was searching for. “Actually, that’s pretty easy,” she said. “You use cross tabs. Here, let me show you.”


After an hour, George had what he needed. “Penny, I think I’m going to need your expertise with SAS. How can I reach you?”


Penny returned to the pharmacy with a familiar pep in her step.




Down a Dark Road


Anthony had spent practically the whole night at the Italian Festival, and he was dazed when he arrived for his 7:00 shift on Sunday morning. As a patient services clerk, he never knew how busy his days were going to be at the public hospital he worked at downtown. Sundays were usually slower, but that wasn’t always true. As he took his seat in his cubicle, he felt like he could sleep sitting up, right there.


But there was no time for that. Somebody sat down at his station, and he drearily started collecting the information. It was middle-aged man, but Anthony barely acknowledged him until the man said he forgot his insurance card. Anthony made eye contact with the man. “How are we supposed to treat you, sir, if you can’t give us your insurance information?


“I know it’s Aetna,” said the man. “I’m a regular patient here. Do you think you have the number on file?”


“Sir, do you think I should know your policy number, if you have one? Do I look like a Rolodex to you?” The volume of his voice started to rise.


“I’ve been a patient here before,” the man said again.


“Then you should know to bring your insurance card with you!” said Anthony, almost shouting.


“Is there a problem here?” asked Ranni, who came over when she heard Anthony’s angry voice.


“Oh, just a little one,” said Anthony, sprawled in his chair and jerking his thumb toward the man. “Vincent here wants to know if I have his insurance number.”


“Excuse me, sir,” she said to the man. “I can have you helped over here.” She took the man by his hand and inserted him in Karla’s line, apologizing to the woman who would have been next for Karla. “This gentleman needs your assistance, Karla,” said Ranni.


“I know,” said Karla with a knowing glance at Ranni. “How can I help you, sir?


Ranni returned immediately to Anthony’s station, before another patient could be called. “You look like a street urchin,” she told him. “You haven’t even combed your hair, and your shirt is wrinkled.


“We don’t have street urchins in this country, Ranni,” he said with a sneer.


“You are not presentable for work. You were rude to that man. I am sending you home today, Anthony. You will be lucky if I let you come back.”





Apr 8, 2017 | Posted by in MEDICAL ASSISSTANT | Comments Off on Gaining Energy and Reducing Stress

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