Showing posts with label diaries. Show all posts
Showing posts with label diaries. Show all posts
Wonder Me!

5 Ways to Stay Motivated When You’re on the Verge of Burning Out

Feb. 19, 2016

Know your strengths and accept your limits


“The number of hours in a day is fixed, but the quantity and quality of energy available to us is not,” say Tony Schwartz and Jim Loehr in The Power of Full Engagement: Managing Energy, Not Time, Is the Key to High Performance and Personal Renewal. Their message: To be a consistently high performer, you have to manage your energy, not your time.
If you typically manage your time—say, by creating to-do lists, prioritizing tasks, and scheduling dedicated time for each of those activities—you know how easy it is to get derailed in the course of an ordinary business day. A single email or conversation can break your focus or completely rearrange your priorities.
By managing your energy, you can bring your best performance to whatever activity that comes up, whether it’s being 100% present in conversations, contributing creative ideas in a meeting, or fully focusing on a critical task. You can achieve results that are far superior to the incremental gains you might get from time management techniques.
But how, exactly, do you manage your energy? Start with these five tips.
1. Recognize the Race You Need to Run
When you’re aiming to deliver high performance on a critical, lengthy work project, you’ll often hear people say, “It’s a marathon, not a sprint.” In other words, you should reduce your pace, so you don’t burn out during the long slog ahead of you. But when it comes to delivering consistently high performance, it might not be the ideal analogy.
“I have a mantra that some people find scary,” admits Amy Feirn, a Houston-based principal with Deloitte Consulting LLP. “I think it’s a marathon and a sprint.”
Here’s an example: Say a business development manager leading a team in a bid for a multi-million-dollar contract recognized that the relentless focus on the high-stakes end goal was sapping the team’s confidence. One month into the pursuit, they were already showing signs of burnout.
To re-energize the team, the manager identified three smaller goals: conducting an analysis of the competition, negotiating with suppliers, and writing the proposal. With this plan, the team was able to work in a series of “sprints” to cross the ultimate finish line and win the bid.
“I actually get more energy from the sprint,” says Feirn. “And I use the downtime to prepare for the next sprint. That’s how I know we’re making progress—breaking the whole project into pieces helps me get to the end of the marathon.”
2. Be an Energizer
In The Hidden Power of Social Networks: Understanding How Work Really Gets Done in Organizations, authors Rob Cross and Andrew Parker report on research that found that people who energize others are higher performers themselves.
But according to the authors, being an energizer doesn’t equate to being an entertainer, charismatic, or intense. “Rather, they bring themselves fully into an interaction.”
This comes easiest to Feirn when she’s playing the role of career advisor. “What gives me a great deal of energy is helping the people around me chart their own career paths,” she explains.
Think about the times when you’re most able to listen, be fully present, and energize others. Build more of those interactions into your day, and you’ll find that your performance gets a boost, too.
3. Know What Drains You and What Sustains You
Don’t come to Feirn looking for a pity party. “What drains my energy is when people dump problems in my lap with no solutions,” she says. “It’s a cliché, but if you’re going to bring me a problem, you’d better also have an idea for a solution.”
Leaders like Feirn know what drains them and take steps to avoid those conversations, tasks, and events. Instead, they build more of the activities that energize and sustain them into their days.
“Blocking time on my calendar for valuable family events is crucial for me to maintain high energy—especially since I travel so much,” says Feirn. “It’s important to allow yourself to manage your world in a way that works for you.”
4. Pace Yourself Like an Elite Performer
What do elite musicians, actors, and chess players have in common with top athletes? According to professor K. Anders Ericsson and his colleagues at Florida State University, it’s interval training. Ericsson’s team found that these professionals maximized their productivity by working in focused 90-minute bursts, followed by some recovery time.
The same type of structure can be applied to your everyday work routine. To maximize bursts of performance time, structure your workload into 90-minute chunks. Follow each with an activity that will renew you, such as taking a walk or socializing with a friend at work.
“Deloitte’s NextGen leadership program helped me give myself permission to structure my day so that it gives me the energy I need,” says Feirn. “I need physical and mental breaks throughout the day. It might be a walk around the block or a coffee run. Taking multiple short breaks helps me gain more energy and be more productive.”
5. Don’t Be a Professional Pretzel
“Trying to be someone you’re not is hard work,” says Feirn. “It drains your energy!”
Being a professional pretzel—i.e., twisting into someone other than yourself—is exhausting work.
The alternative—being your authentic self at work—might seem scary and exhausting, too. But actually, it’s a huge relief. When you stop fighting against your strengths and start using them, you’ll unleash energy rather than consume it. You feel more at ease and perform better.
As a leader, Fairn explains, “I strive to be real, open, and unpretentious, so people can be themselves around me and access the most energy. I generate that vigor by really getting to know the people I work with and finding out what’s important to them personally.”
In short, managing your energy means being authentic at work and encouraging others to do the same. Discover and play to your signature strengths, make room for your team to play to theirs, and as a result, you’ll be able to unleash greater performance as a team.


This article originally appeared on The Muse


Wonder Me!
sometimes I've learned very specific small-detailed details/specifications in a certain medical specialty that makes me wonder if it matters if I eventually decide to work in primary care instead of specialty care. However, I think ... IT MATTERS... certain specifications may not matter much on a surface but it matters a lot in a pt I believe! The specific size of a lesion in the liver of pt may just need monitoring right now => that would be a relief for the pt! So, I'd say it matters!!!
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Wonder Me!
I found pt education very satisfying. Being able to articulate clinical findings, lab results and explain them in lay people term as well as help them work towards health within their means is quite satisfying. For example, pt with low vit. D, I helped them towards modifying their diet with lactaid or the like. I love it when pt asks you for more info. Love how attentive they are. It makes me feel like I'm a true provider. Able to provide health promotion to them. 

Whenever I look at the paramount amount of info. we have digest for our didactic class, I remind myself that such info. would be very essential for my clinical practice and pt education that I'll be able to provide. It serves as a good motivating factor for me to study harder so that I can do better and provide better care. 
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Wonder Me!
Here I am... trying to do the shadow health again. After my experience with real patient, I feel shadow health does little if anything to my skills. If anything it does, shadow health makes me work slower in terms of collecting trash data instead of focused data.  I tried to do like what shadow health preaches in real life. What does it do? It took me too long, and I get lots of useless data instead of data that I can use to manage the patient.
Instead of shadowhealth, I'd rather do:
- case base scenarios
- MCQ
- Real pt interactions
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Wonder Me!
I'm a bit frustrated......................................... I'm getting fatter due to no time to work out..... I'm losing motivations because sometimes instructors will throw out questions I did well but keep the questions I did wrong and I got worse scores than others because the questions thrown out are the ones that I did right but others did wrong. Therefore, the ones that I did wrong but others did right count and that hurts!!!!!!!!!!!!!! ....... I've tried not to study for the grades but grade matters in terms of how I believe I reallly know the materials!!! I thought I did!!!! until ..... I was hoping for an A but I feel like I'm getting B+............................................... I got de-motivated!!! Welll............ Let's just try to study so that I really udnerstand the materials, not the grades!!!!!
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Wonder Me!
Sometimes I ponder on the so-called 't'nh dda`n ba`'. Why is that being petty so associated with women? I think about all the social suppression on females in many male-dominated cultures: females not considered for certain jobs, even in female dominated fields if she lets it known that she may be pregnant, women earning less, etc. Why is that? I deem it's because of the lack of resources that women have. The less resources you have, the more violent and petty you are. Because of the women's physique, they can't actually be overtly violent, they turn out to be passive-aggressive and petty. In a few other minority 'exotic' tribal cultures in which women are dominated, they also exhibit these so-called gender-assigned male traits: chasing for mates, etc. I wonder if it's 'ti'nh dda`n ba`' should be reassigned as lack-of-resources and vice versa.....
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Wonder Me!
Pharmacology study/exam tips:

Sooooo..... I was told that first, you see if all drugs are treating the indicated condition? If they all treat the same condition, see if they are all equally efficacious. If they are all equally efficacious, you look at the side effects profile. If they all have similar side effects profile, you want to see if they are used for very specific cases?  Also, see if which one is less dosing schedule/frequency, and if which one is cheaper/less expensive.

Guess... that's how you should study too!

Think why would you choose one drug over another drug?

~Wonder Me!
Wonder Me!
http://graphics.latimes.com/retirement-nomads/

And ppl wonder why I'm so young but already been planning for my retirements!!!!!  I've seen it all... the drudgery... the poverty....... 

And that's why I don't do drugs, smoking, or anything that may affect health ------- I have a lot of years ahead of me to live... can't mess it up.... 

Realizing that I belong to the working class, I know I need to work, save, and yes, I will enjoy.

The older I get, the more I realize taking care of myself and my stuff is my duty. It's no longer optional. It's a duty. 

Song of the day: I do it my way (Frank Sinatra)
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Wonder Me!
Well, low eGFR doesn't mean the patient has a kidney damage problem. It could just mean the pt was dehydrated that date. So, you want to take a look at the creatinine level. Creatinine level is an indicator for kidney problem.
Wonder Me!
During my first clinical rotation, one of the areas I need to improve on is to conduct patient interview more efficiently.

Here's my example:

AIDET Method: Hi Mr. Lee. My name is Wonder Me! I understand that you are here for your physical. For that, I will conduct an interview intake and a physical assessment for you. I have been doing this for the past 5 years. Now I'm just practicing a little more as required for my NP program as I'm coming back to school to become an NP. I will then discuss your care with Dr. Smith to help manage your care. This should take about 20min if we both do it efficiently. Is this okay with you?


Five Step Patient-Centered Interviewing
Step 1. Set the stage for the interview (30–60 s)
  1. Welcome the patient
  2. Use the patient’s name
  3. Introduce yourself and identify specific role
  4. Ensure patient readiness and privacy
  5. Remove barriers to communication (sit down)
  6. Ensure comfort and put the patient at ease
Step 2. Elicit chief concern and set an agenda (1–2 min)
  1. Indicate time available
  2. Forecast what you would like to have happen in the interview
  3. Obtain a list of all issues the patient wants to discuss
  4. Summarize and finalize the agenda
Step 3. Begin the interview with non-focusing skills that help the patient to express herself (30–60 s)
  1. Start with open-ended request/question
  2. Use nonfocusing open-ended skills (attentive listening)
  3. Obtain additional data from nonverbal sources
Step 4. Use focusing skills to learn 3 things: Symptom Story, Personal Context, and Emotional Context (3–10 min)
  1. Elicit symptom story
  2. Elicit personal context
  3. Elicit emotional context
  4. Respond to feelings/emotions
  5. Expand the story
Step 5. Transition to middle of the interview (clinician-centered phase) (30–60 s)
  1. Brief summary
  2. Check accuracy
  3. Indicate that both content and style of inquiry will change if the patient is ready




Here's a good framework I've found:


AIDET® Five Fundamentals of Patient Communication
AcknowledgeBeing attentive and greeting the patient in a positive manner
IntroduceGiving your name, your role, and your
skill set
DurationGiving a reasonable time expectation
ExplanationMaking sure the patient is knowledgeable and informed
Thank youShowing appreciation to the patient
for her cooperation
Studer Group is the author and owner of this work. AIDET® is a trademark of Studer Group. Reprinted with permission.

Source: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Effective-Patient-Physician-Communication heJLKAJDFLAJFLKJPDADFA
Wonder Me!
I think it's kinda actually productive to be busy.... Working almost full-time and going to school full-time concurrently kinda help me prioritize and not waste time brooding over stuff and learn to be more effective and productive.... Still learning!!!! upset emoticon I remember when I was just going to school full-time without working even part-time, I felt like I was kinda wilting like a flower without water...
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Wonder Me!
Recently my Left upper eyelid keeps twitching a lot. It must have been due to my lack of sleep and my increased consumption of caffeine..... Keep fighting!!!
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Wonder Me!


Not sure what I'm missing in my diet, BUT I really am craving cheese. I especially love brie cheese & string cheese!!!

brie cheese
Chedda cheese

Gouda cheese
                                       



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Wonder Me!
I'm upset. I did well on my quiz#1 including 1 very difficult question. I didn't get it right because I arbitrarily guess it right, I reasoned it. I learned it. I memorized it. I spent hours and hours trying really hard to study it all. Only to get punished by 0.04% because they threw 1 question away. That's unfair. I'm just going to document it all and I will contest if it amounts the point that my grades suffer to lower next grade. They can't throw a right question and make my grade suffer. I know it's just 0.04% but it costs me sleepless nights, gym days went missing, coffee, dedication and devotion... I wanted to pride myself on really know the materials right and do better on others. I guess I need to strategize my approach. It sucks.
~Wonder Me!
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Wonder Me!
by Frederick
We, sisters, are so different from each other. But because we are bonded by blood, we take care of each other. We fight with each other only to bounce back and work hard for the sake of the other sister. We are so different personality-wise. I live in the clouds. They are very practical. But we are bonded forever <3 <3 <3

I remember once I was so stressed out and apprehended by the amount of paperwork I have to do. I screamed at sista... She was upset, of course, I would, too. But she called me back to help me. That's sisterly love :)

I was hungry but I was stingy. I didn't want to spend $$$ to eat. My lil sister with her small budget gets me Chipotle. It tasted so good. Thank you!  

Kindness impresses me <3

~Wonder Me!
Wonder Me!
John Lavery: World War I nurse
So cute... my bf texted me today. He was doing physical therapy for his grandma who's acutely staying in a rehab facility  and the staff is too busy to make sure she moves. He's basically working like a nursing assistant for his grandma. So cute! I dunno  So he was adjusting wheelchairs, moving her in and out of bed. I wasn't there. But I once saw him assess his grandma's home for fall risk assessment and her fall assessment risks in general. He gave her a hug warmly at the end. It's so cute! I guess kindness moves me. I like gentle hearts.

~Wonder Me! 
Wonder Me!
Make up:

- Bobbi Brown BB cream with moisturizer, foundation, SPF all built-in. Quick apply
- Estee lauder lipstick - light pink
- Lancome blush - light pink




My favorites:


Wonder Me!
Sometimes I wonder what I'd want to be recognized for on my deathbed? A life well-done? A job well-done! Dear God, I used all what I'm offered!

When I stand before God at the end of my life, I would hope that I would not have a single bit of talent left, and could say, 'I used everything you gave me'. Erma Bombeck
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Wonder Me!
Guido Cagnacci : Martha Rebuking Mary for her Vanity
some thoughts from her:

so she got invited to the golden key honor society. She has not even finished her 1st year of NP school yet. Tho she likes the fact that she's top 15% of the entire college, to cough up 80$ for membership with little, if anything, benefits, it seems quite expensive. Plus, the reviews from google seems controversial. More importantly, it doesn't seem to speak to her personally. She still has like more than 1 year left to go. What if she doesn't belong to the top 15% no more, what good does having the golden key membership do for her?  A line on the already very crowded resume? Only to find out that her cumulative GPA does not total up to 15% at the very end?  She likes the Golden key regalia, but that's another 55$ to cough up.  She has tried her luck at different scholarships and have had no lucks. It doesn't sound like she's gonna get another scholarship from this so-called society. Plus, the autobiography from the female neurosurgeon about how the neurosurgery committee actually did not select a 4.0GPA with glamorous research work candidate for her prestigious neurosurgeon residency because he's too perfect meaning he did not spend much time doing hands-on work. What having golden key on her resume do for her? Someone who's so vain that she just wants a line on the resume even tho her cumulative GPA is not 15%.  She feels that's so vain. She's afraid having that line on the resume will even score her minus points. It will make more sense if they were to offer that to her at the end of her second to last semester. Maybe she'll consider it when she feels she actually belongs to the top 15% at the end of her training.

(written from Her perspectives)


~Wonder Me!

Song of the day: Bang bang (Nicky Minaj, Ariana Grande, Jessie J.)
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Wonder Me!
tho it may not be right, i think intelligence is to be able to control things seamlessly in spite of the odds, it means to be able to see things from birdview (big picture)... Won't let it beat me again!
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