Final Project

Introduction

            As a surgical nurse, my patients rely on me to have their best interest at heart and to advocate for them during the surgical procedure.  In order to come through for my patients it is important for me to maintain my physical, mental, and spiritual health.  If I were to present myself during the preoperative assessment as distracted, unkempt, and apathetic, they would not have much confidence in my ability to take care of them.  This is why I do everything I can to assure my patients that I am trustworthy, organized, knowledgeable, and in the moment with them.  In order for me to maintain this level of care I need to keep setting and achieving goals both professionally and personally.  In my personal life it is important that I keep working towards physical, mental, and spiritual health by pushing myself physically, taking the time to meditate to lower my stress levels, and using the power of prayer to help me through difficult issues.  Professionally it is important that I increase my mindfulness to keep myself from just reacting to situations that are frustrating, and I need to keep developing my assertiveness so that I can be the best advocate for my patients.  In the following sections I will assess my health in all three domains, develop goals in each area, discuss different strategies for improving health and wellness, and define strategies for ensuring progress in each area.

Assessment

            In order for me to assess my current wellness status in my spiritual, psychological, and physical domains, I graded each domain using a low-medium-high scale.  The grade of low means that I am underdeveloped and dissatisfied with my wellness, the grade of medium means that I am somewhat developed in this area and moderately satisfied with my wellness, and the grade of high means that I am very developed and very satisfied with my wellness in this area.

            For my spiritual wellness I would grade myself at a medium level because I feel that I have had some development in this area but I feel that I can make more progress in this area.  For my physical wellness I would grade myself at a medium-high level because although I am very satisfied with my development in this area, I know that I am nowhere near my ultimate goal.  For my psychological wellness I would grade myself at a high because I feel that I have a very good understanding of my thoughts and feelings, I am great at analyzing myself and my coping skills have improved over the years.  I am very satisfied with my psychological wellness. 

Goal Development

            Setting goals is very important when you are trying to improve your wellness in each domain.  My ultimate physical goal is to be at a healthy weight and be physically fit.  The way that I can measure my progress besides the number on the scale is my progress in crossfit.  Currently I cannot do any pull-ups or a full pushup with the correct form.  My first short-term goal is to complete ten pushups with the proper form.  In order to reach this goal I plan on attending at least three crossfit classes per week and also practicing the proper form at home or work in between classes.

            My spiritual goal is to increase my communication with God through prayer.  I have never really been a religious person and until recently praying has felt hypocritical to me but I have chosen to see prayer in a different light and it has added to my spiritual health.  For my goal I would like to pray at least four times a week to give thanks for the positive things in my life, to ask for guidance through difficult choices, and to send positive energy to those that are in need of help.  I think that by incorporating this in to my life, I will feel less stress and more in touch with my spiritual self. 

            My psychological goal is a bit different.  My goal for myself is to dramatically decrease the time spent on Facebook.   I have realized lately that I have an addiction to Facebook and I check it probably more than ten times a day.  Facebook is the first thing I check in the morning and the last thing I check before I go to bed.  There have been many articles about the negative affect that Facebook has on your self-esteem and your feelings of loneliness.  To be embarrassingly honest, if I see that a friend is on a vacation, I feel guilty that I have not taken the time to do that for myself, and if a group of my friends post that they are out for a drink then I feel sad that I was not invited.  I have realized how pointless it is to focus on what other people in my life are doing instead of focusing on what I want to do or how I can improve myself.  So, my goal is to delete the Facebook application on my phone so it is not easy for me to access and maybe check it once a week.  Hopefully I will notice that I feel better about my own life and I will not want to check it at all!

Practices for Personal Health

            There are many practices that I could implement in to my life to further my development in each domain.  Two of the practices that could assist in my physical wellness is yoga and boxing.  Yoga and boxing are probably two of my favorite exercises because they allow for stress reduction and they increase your strength.  In order to incorporate these in to my life I need to schedule time for them so that I hold myself accountable for going.  Seeing as how I already want to incorporate crossfit in to my schedule three times a week I will have to schedule yoga and boxing on the other four days of the week.  I have already written out the schedule for each class so that I know when classes are offered so I can make them work with my agenda.  I already have all of the proper work out attire and equipment for each exercise so that will not become an excuse. 

            The two practices that I would like to incorporate for my spiritual wellness are volunteering and increasing my mindfulness.  I feel that volunteering at the humane society would bring me joy because I love giving love to animals.  I could start by volunteering on Saturdays so it would work out with the rest of my schedule.  I think that this would help me spiritually because I feel very connected to animals and knowing that I could help them feel loved before they are adopted or put down would mean a lot to me.  Increasing my mindfulness is also a spiritual goal for me because it brings me back to what my main objective is in life and that is to spread love.  There are many times throughout the day that I feel frustrated by someone else’s actions and to treat another person poorly because of how I feel would just keep the negative cycle going.  By increasing my mindfulness I could hopefully stop the spread of negative energy and project positive energy instead.  I can incorporate this by increasing my awareness of when I am responding to negative situations and change my reactive patterns.

            The two practices that could assist in my psychological growth are meditation and journaling.  I have always known that meditation is supposed to help reduce stress and promote relaxation but I have recently realized that it can also change the way you think about things and how you react to others around you.  Just like with physical exercise, it is important to schedule time for your meditative practices so they will actually get done.  I think that the best time for me to incorporate them is to plan on meditating when I get home from work so that I can calm my thoughts and get myself ready for a restful night.  Journaling is also a helpful practice because it allows for self-reflection.  I tried journaling in the past but I found that since I rarely handwrite lengthy papers anymore, my hand starts cramping and then it becomes less enjoyable.  To remedy this I think that I will try to journal using my computer.  I also found out that journaling every day is not necessary because most of my work days are uneventful so I would like to just journal about current thoughts/issues instead of breaking it up by days.

Commitment

            I am excited about setting goals for myself so that I can continue the development of my integral health.  Although I know what my ultimate goals are, it would be very helpful to track my progress by making smaller goals and then journaling about my progress.  For the next six months I would like to track my progress in all three domains covering my crossfit, yoga, boxing goals, and the incorporation of meditation, prayer, and journaling.  I would like to set small goals for each exercise/practice so that I can slowly incorporate them instead of setting a huge goal that I could possibly not meet.  I think that for the physical domain I can write down my monthly accomplishments and also take pictures so that I can see my progress and keep myself motivated.  As for the spiritual and psychological domains I think that it would be helpful to journal about my progress and also keep this project in my journal so that I can remind myself of my goals.  One fun project that I have done in the past that I could also do for these goals is to create magnets that I can stick to my refrigerator so I can see them everyday plus it helps me tap in to my creativity.  I am very grateful for having the opportunity to take this class.  It has really changed my outlook on life and helped me realize that there is so much more than just the physical aspect of life.