Wednesday, October 31, 2012

Working Artfully within the Medical Center


Working Artfully within the Medical Center
By:  Lolly Forsythe-Chisolm and Alanna Berman

“Creativity is not a talent but a way of operating.”
~ John Cleese

Healthcare acts as a microcosm of our rapidly changing culture. The arts are working their way back into care and wellbeing. To recognize that Art can take many forms, the Integrative Care team assigned our first art intern to interview staff within the hospital that are doing their job in a creative manner. Having an appreciation of the arts can encourage a creative work environment as well as inspire value and meaning within any duty, career or job.

The framework and focus of this project was to ask ten University of Maryland Medical Center staff three questions:  How did you decide on your profession, what keeps you excited to come to work, and do you have a core belief which keeps you anchored in times of challenge or stress. These questions are important to ask ourselves in times of change both in our culture and our workplaces. Acknowledging what is important in our lives is the start of stress management and self-care.

Each story we heard from our coworkers was interesting and varied. To organize and present a small portion from each staff member, we decided break it down into “Ten lessons the Arts teach” from a list created by Elliot Eisner.

Good judgments about qualitative relationships. Harold Hardinger has been a nurse for 39 years. Harold came to trauma after time as a Navy Corpsman. Working in the Trauma Resuscitation Unit, he loves that it is different every day. He has to have good judgment and bring that to his “gut feeling” about how a patient is doing. His positive outlook and job satisfaction comes in part from the “feeling of saving a life.” Harold swims and enjoys time on his farm in order to de-stress.

Problems can have more than one solution. Dan Eisner is an Occupational Therapist and life coach at the hospital. Dan knew he did not want a desk job. His passion is “learning about the process of change.” Knowing that there is creativity in solving a problem or challenge, Dan has focused on including patients in their care using principles of emotional management and balance. Dan’s core belief is one of evolution, “we are on this plane to learn and evolve.” Dan spends time in nature, exercises and enjoys family and pets to reconnect and find balance.

Learning in the arts requires the ability and willingness to surrender to the unanticipated possibilities of the work as it unfolds. Brian Nelson is a Nurse Case Worker at the hospital. Brian came to nursing after recognizing the flexibility of hours and reliable pay. Brian enjoys that “no two cases are the same” as well as the challenge of helping families navigate unanticipated possibilities within discharge details. Brian has a core belief and pride in the teamwork that he feels at University of Maryland Medical Center. Brian is trained as a Massage Therapist and offers this service to co-workers during times of stress. Time with his family is a priority as Brian is a coach for his children’s sports teams and enjoys athletics.

The arts celebrate multiple perspectives. Brian Burke is a Clinical Education Specialist with experience as a Pediatric nurse at the Medical Center. After volunteering with The Leukemia & Lymphoma Society, Brian switched to nursing from a career in banking. Brian spoke about being able to see the big picture within the acuity of a situation or challenge. Having the ability to take a step back for multiple perspectives has offered Brian the chance to bring a unique compassion to his nursing and now his work within the Department of Clinical Practice and Professional Development. Admiring the “commitment and energy of nursing,” Brian uses a positive attitude and belief in nursing education to help “create an environment for the patients to which they do not otherwise have access while hospitalized.” As a core belief, Brian values relationships, working toward a goal and education. Time with his growing new family is a top self-care priority in Brian’s life.

The arts make vivid that neither words in their literal form nor number exhaust what we can know. Becky Halagarda is a Child Life Specialist with a Masters Degree in Social Work; she works in the Pediatric Hematology/Oncology Department at the hospital. Guiding children and families through difficult diagnoses, Becky knows that sometimes it is not the words that offer solace but the artistic expression. She often uses art and creativity to make the hospital world/equipment less threatening for children. She finds inspiration in her work when she experiences the “resilience in children and families.” She offered the reminder that the staff can share and tell stories in order to advocate for the creative care that treats the whole patient. Becky uses athletics as her self-care and her faith as a resource for balance in her life.

The arts teach that small differences can have large effects. Richie Stever is a Project Manager at the hospital. It is Richie’s job to “keep the hospital building healthy so patients and families can come to get healthy.” On the roof of the North hospital 14 stories high, Ritchie is responsible for the management and construction of a new air ventilation system which will make a difference in the hospital’s air quality. “Changing the building’s performance by constructing a new X Ray room in the front of the house and installing new ‘green’ equipment in the back of the house” is what keeps Richie excited about his work.  Fishing, biking and spending time with his kids is what helps him re-charge.

The arts teach us to think through and within a material. Chris Shippen is a nurse lactation consultant for the Division of Women’s and Children’s Health, working out of the Mother/Baby/Gyn Unit at the Medical Center. Chris has used her 30-plus years of nursing experience to think through some ways to creatively “process events which will affect the life of an Obstetrics (OB) nurse.” She teaches her OB student nurses to use journaling during their clinical work. Through her work lecturing about bereavement and breastfeeding, Chris finds satisfaction impacting lives in a positive manner. Her core beliefs in spirituality as well as the fact that there are so many opportunities to learn and grow in nursing keep her coming to work day after day. Chris’s self-care involves using Integrative Care modalities for herself as well as finding creative ways to offer relaxation to patients, families, and staff.

The arts help us learn to say what cannot be said. Reverend Susan Roy is the head of Pastoral Care Services at UMMC. Susan was planning to spend her career as a Lutheran Pastor in Parish Ministry. She “allowed faith to lead” her to serve in specialized ministry at the Medical Center. At the hospital, she has been inspired by the diversity of opportunity, the chance to meet new people, and the “unexpected” nature of her days. Susan uses stories from her faith to create poetry which helps her deal with challenges of a busy hospital. For Susan, writing poetry helped to “capture the rawness and find expression for strong feelings.” Susan’s faith forms her core belief in “compassion for all” and her self-care involves spending time with pets, friends, and family.

The arts enable us to have experience we can have from no other source. Robert Wright is a Volunteer for the Medical Center as a member of the Trauma Survivors Network. Rob’s motorcycle accident was seven years ago; he has been coming in as a visitor for patients for four years. Rob decided to become a volunteer when he realized that some patients did not have support and many would benefit from a perspective which differed from the medical focus. Inspiration comes for Rob when he is able to see a patient become motivated to move through great odds after hearing about his journey of daily hard work and triumph to get back to wellbeing.  Rob values the chance to tell this story and connect to others through the Trauma Survivors Network Support Group. During times of stress, Rob is reminded and “humbled” that he has “already been to flat line and there is nowhere to go but up from there.”

The arts position within the medical center acts as a symbol for what we believe is important as a culture. Mark Walker is a new nurse on Gudelsky 9 Surgical Intermediate Care Unit. He came to nursing after a career in Finance and Real Estate as a licensed Settlement Agent. Recognizing that the sales world taught him valuable people skills, Mark wondered if the job in Real Estate was the best place for his talents and time. He realized that nursing offered him the ability to “make a difference in someone’s life in a 12 hour shift.” With his core belief that “we are all part of the same stuff,” Mark has a commitment to teach nurses people skills, compassion and to include mind, body and Spirit to treat the whole person/patient. Each is an important aspect for what we value as a culture and a changing healthcare environment. For self-care, Mark spends time with family and makes time for meditation and spiritual inquiry.

Each of the staff members spoke of the importance of relationship both within family as well as work. They all also recognized that hospital-wide there is a range of opportunities and encouragement to continue to evolve and learn both from educational opportunities as well as from   each challenge. As we spoke to each staff member, it was evident that working artfully involves a willingness to imagine a bigger picture, to experiment, and to be flexible. Staff also all had a thorough recognition of resources available as well as a willingness to use thoughtful self-reflection when facing difficulty. Working artfully included a range of self-care habits which staff used to recharge and reconnect. Each also had a desire to pass on knowledge using communication as well as valuable training, and experience.

Within the rapidly changing culture and healthcare environment, self-care must be a priority. As a quick assessment, ask yourself these same three questions:  How did I decide on my career?  What keeps me excited? And what value system do I turn to when there is challenge?  Life stress often takes hold when we say “Yes” without first reconnecting to priorities. After taking this inventory, look for creative solutions or different ways to manage or share duties to work artfully within your position. Simply reconnecting to what is important can bring a new clarity and excitement to your daily tasks.

For more information about the Integrative Care Program at UMMC and their offerings, please contact Lolly at lforsythe@umm.edu.

SOURCE: Eisner, E. (2002). The Arts and the Creation of Mind, In Chapter 4, What the Arts Teach and How It Shows. (pp. 70-92). Yale University Press. Available from National Art Education Association Publications (NAEA). http://www.arteducators.org/advocacy/10-lessons-the-arts-teach.

Thursday, July 19, 2012

Easy Self-Massage Tricks for Upper Back Pain


Many people live with chronic upper back pain.  If it is due to muscular irregularities, you can try these easy self-massage techniques – all done with a tennis ball!


Using a wall is the easiest and most convenient way to use a tennis ball to massage your back.    Lean in to it gently and roll around until you find your tight areas.  Press in on them with as much or little press as is comfortable for as long as is comfortable. 
The ball can go anywhere on your back - EXCEPT your spine.    
Alternative placement:  Place the ball between you and a firm-backed chair.
Again, move the ball around anywhere on your back, avoiding the spine.
No chair or wall?  Try placing the ball in a sock and pulling it around on your back using both hands.  This is a little more difficult than the chair or the wall, but still feels really good.


A fourth method is to use the floor.  This would be the same positioning as the wall and chair, only horizontal instead of vertical.

The most important thing to remember is listen to your body.  Press in when it feels good and lighten up if it hurts.  If you are not sure, ask your professional massage therapist or your doctor.

Please visit our massage therapist in our clinical practice, the University of Maryland Center for Integrative Health & Healing, for more tips and a healing massage.
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**Please note:  This does not take the place of a doctor's advice and is only to be used as a self-help tool.  Please check with you doctor if you have any concerns about your health or well being.**

Wednesday, July 18, 2012

Refreshing Anti-inflammatory Summer Salad


Photo by "South Carolina Girl" (Food.com)

In our opinion, food should both taste good and be good for you.  Healthy and delicious, three of the main ingredients of this recipe – spinach, strawberries, and walnuts – are extremely nutrient dense and all contain anti-inflammatory properties.  For example:

Spinach contains health-supportive nutrients called “glycoglycerolipids” that helps protect the lining of the digestive tract from damage, especially damage related to unwanted inflammation.

Because of their amazing combination of phytonutrients, including anthocyanins, ellagitannins, flavonols, terpenoids, and phenolic acids, strawberries have potential anti-inflammatory properties, and recent research has shown that the regular consumption of strawberries can decrease chronic inflammation.

Walnuts contain many phytonutrients, including tannin tellimagrandin and flavonol morin, which are rare and valuable as antioxidants and anti-inflammatory nutrients.

Dr. Chris D’Adamo, Assistant Professor and nutrition expert at the Center for Integrative Medicine, adds that you should try to buy organic versions of these ingredients to cut down on pesticide consumption for an even healthier meal.

Chicken and Strawberry-Spinach Salad
Recipe from Food.com (http://www.food.com/recipe/chicken-and-strawberry-spinach-salad-380158)

Ingredients
  • 3 tablespoons apple juice
  • 2 tablespoons strawberry all-fruit spread
  • 2 tablespoons balsamic vinegar
  • 1 lb boneless skinless chicken breasts
  • 8 cups bite-size pieces spinach
  • 1 cup fresh strawberries, stems removed and strawberries cut in half
  • 3 tablespoons crumbled gorgonzola
  • 2 tablespoons chopped walnuts

Directions
  1. In small bowl, mix the first three ingredients until blended; set aside.
  2. Spray 10-inch skillet with cooking spray; heat over medium-high heat. Cook chicken in skillet 15 to 20 minutes, turning once, until juice of chicken is clear when center of thickest part is cut (170°F). Remove chicken to cutting board.
  3. Cut chicken into slices. Among 4 plates, divide spinach. Top with chicken, strawberries and cheese. Drizzle with dressing. Sprinkle with walnuts.

Monday, July 16, 2012

Creative Stress Reducers

Throughout history, visual self-expression has been used for healing.  Even subconsciously, most children find themselves using a form of art to sooth themselves or satisfy an unmet need – who didn’t decorate the pages of a textbook, draw a picture of their favorite (or least favorite) teacher, or create and then destroy a clay sculpture or lego tower?  Even now, many adults I know make little doodles in the margins of their notebooks, file folders, and Post-It notes.  Why do we do this?  Simply put, because we need to! 

“Art has the potential to change lives and in profound ways. When words are not enough, we turn to images and symbols to tell our stories. And in telling our stories through art, we can find a path to health and wellness, emotional reparation, recovery, and ultimately, transformation,” says the International Art Therapy Organization [IATO] (www.internationalarttherapy.org).

Even something as simple as doodling is considered art and a form of “artistic self-expression.”  According to the American Art Therapy Association (www.americanarttherapyassociation.org), “the creative process involved in artistic self-expression helps people resolve conflicts and problems, develop interpersonal skills, reduce stress, and increase self-esteem and self-awareness.”

What are some easy, inexpensive, and time-sensitive ways that you can use art in your daily life to help find the path to health and wellness?

     1)    Doodle:  Sketch pictures that describe your mood, your feelings, or anything else that your hand and brain want you to create.
     2)    Scribble:  Create abstract pictures that are representative of your moods, feelings, or state-of-mind.
     3)    Paint (watercolor, finger paints, and acrylics tend to be the easiest to use and clean up):  Use colors as your means of artistic communication – abstract patterns and still-life works are equally helpful.
     4)    Stamp:  Colorful inkpads and fun shaped stamps can help those with less confidence in their doodling and painting abilities, and can be just as satisfying.
     5)    Cut or Punch:  Take a pair of scissors or a hole punch (there are even scissors and hole punches that make neat shapes) and create a new “canvas” out of a sheet of paper.

For those of you who don’t want to waste the paper or buy supplies, there are numerous “apps” for smartphones and tablets, as well as for the computer, that allow you to doodle, color, paint, stamp, and more.

One last note:  these works of art are for YOU.  No one else has to see them.  Some people keep them as a visual diary, others throw them out or recycle them, some paint over them, and some re-use them.  It’s your art, your self-expression, a piece of you.  Lose your stress and find yourself.


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Need some inspiration or a place to start?  You are welcome to join our Yoga & Art Class in August 2012.  Visit www.regonline.com/yoga-art-with-lolly for more details and to register.