Together we can and do…

…make a difference to the people around us. And there is no better day than today to celebrate the difference even a small change, of a number of committed people, passionate about our health and the NHS can make. Today is NHS change day but it will go on well beyond just today. Driven by real people for the benefit of us all. Because it is not politically driven, or backed by financially heavy flashy advertising campaigns, so far it hasn’t hit the top news stories but it’s early in the day yet.

“The beauty of the NHS Change Day movement is that it is far more than making a promise, it is a statement of intent to make care better for those who need it,” says Pollyanna Jones

My pledge was to share my skills and experience as a mental health professional, especially about children’s mental health and the importance of a good work life balance.

If you have any particular concerns about a child’s mental health drop me an email and I will advise you as best I can. I may not be able to individually help you all but I can point you in the right direction and I have a number of books and resources I can recommend for using with young people of all ages and for different situations.

One of the tools that has really helped with both children and adults mental health, by explaining what happens inside the brain when we become very anxious or angry, is the BrainBox resource.

Today we are launching the updated version of the BrainBox and it is now available to order online for £39.99 +PP
You can make an order by using the paypal button on our website or by sending in a purchase order

http://thebrainbox.org.uk

The BrainBox has been around for quite a few years now and has proved its worth in helping both children and adults make sense of the situation they may have found themselves in and empower them to do something about it. The updated version is more portable than before making it more accessible for use by youth workers, teachers, health professionals and in fact anyone working with young people or adults. It is easy to read with clear explanations and pictures to demonstrate the fight and flight response as well as some breathing and visualisation techniques you can immediately put into practice.

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As the stresses and strains of everyday life takes it’s toll on the mental health of adults this in turn has a knock on effect for our children. They cannot escape from the financial or relationship anxieties that may be causing problems in their own homes. Anxiety is more catching than the common cold. If you as a parent feel anxious it is very likely those feelings will be passed on to those closest to you. In today’s world with the modern technology available we could work 24/7 and I often hear of colleagues having difficulty in switching off. I myself have been a victim to the work gremlin leaving little time for myself or family but for whose benefit was this? Indeed did anyone at all benefit from such an unbalanced work and life regime?

Having experienced such a life changing event brought about by a diagnosis of cancer I have had time to reflect on my own experiences. As a Service Lead, my mantra to my small team was for them to look after their own mental health first and foremost and I did all I could to enable this to happen for my staff. However I am not so sure I was as good at listening to my own advice. Being able to reconnect with my family and friends has made me realise what I could so easily have missed out on if I had carried on the way I was. I was not unhappy as I loved my job it is just about finding the right balance. So I urge you just to check out that you are using your time well and especially making sure you have enough time for YOU. By valuing yourself and giving yourself and your family and friends the time they deserve you will be acting as a good role model and will help towards better mental health for all.

Good luck to Kate and Lorna today who will be playing their part for change day by offering healthy eating advice at our local hospital. And to Pollyanna and her colleagues who will be speaking at the Health and Care Innovation Expo in Manchester today. In Pollyanna’s own words
‘A seemingly simple gesture could end up being the one thing a patient remembers about their care’

So a very happy and health day to you all.

Deborah

PS Bathroom progressing well

Only 4 days to go – I am often asked “what can I do to help?”

In four days time,on March 3rd 2014 the NHS will witness its second NHS Change Day.

The first NHS Change Day on March 13th 2013 was unprecedented. A single tweet sparked a staff-inspired social movement that saw people take collective action and in doing so make 189,000 pledges. It was a proud moment, especially for me, as Pollyanna was one of the passionate young people behind making this happen.

That’s my girl!

This year the goal is for 500,000 pledges.

These pledges harness the passion, drive, commitment and innovation that we see every single day from staff. Reminding us all of the excellent dedication and service that is unique to our country. It gives the NHS at all levels the boost to challenge the status quo and try something simple but different to improve patient care.

It invites us all as staff or users of the NHS to pledge our support in continue to make the NHS service the best health service in the world, no easy task in this financial climate. It is NOT politically driven and believe me the politicians have tried to harness the excitement and passion this revolutionary movement has caused.

Please take a moment to have a look at the NHS change day website by clicking or copying the link below

http://changeday.nhs.uk/home

There are some fantastic stories on this website about the improvements that have been made as a result of Change Day. Many of which, are still having a positive impact on individual practice, improving care for patients.

No matter how big or small the pledges were – from a clinician trying a child’s medicine to understand how it tasted to a receptionist promising to smile more, – they gave us all a focus and reinforced our belief in the values of the NHS.

We can all play an important part in keeping it that way –now and in the future. NHS Change Day 2014 promises to build on the amazing achievements to date. It will see many thousands more people passionate about great patient care pledging to make a difference, sharing what they do and inspiring others to do the same.

You can play your part too so back to that question

“is there anything I can do to help?”

This is something that won’t just have a positive effect on me but for anyone who uses the NHS.

Anyone can make a pledge today. Including those that use the services it provides.

Those of you who may see a better way but don’t feel they have the power or permission to make it happen, I am personally asking YOU to join with like-minded people and ignite the spirit of collective action.

“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has” quote by Magaret Meade

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Find out more about the amazing award Pollyanna won with some colleagues that will result in a visit to Harvard later this year.

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http://www.mixprize.org/story/biggest-ever-day-collective-action-improve-healthcare-started-tweet-0

To make your pledge you can either follow the link to the Change Day website above or sending me your pledge via this blog, text, Facebook or email and I will add it to the wall for you. I think I can even setup our own pledge wall.

Kate, my lovely sister is taking part and has pledged to share her knowledge about healthy eating at the Lister Hospital on Monday March 3rd. She will be standing alongside other people passionate about making a difference to all of our health. If you are there please pop along and say hello to her.

My pledge is to share my skills about children’s mental health via my blog and to inspire others towards having a healthy work life balance.

So if you really want to do anything to help you have a few days left so please add your pledge.

Thank you

Deborah xxx

Today is …

..NHS Change Day, and I am feeling good.

I am proud to be a nurse.

Today I pledge to continue to honour my profession and use my skills and passion to improve the mental health and emotional well being of all I come in contact with.

I pledge to support my organisation in improving the mental health of our staff in order for them to act as good role models, feel comfortable to talk to patients about mental health and in turn improve the general health of our community.

Hertfordshire Community Health Service can feel proud of its staff who really want to make a difference to the health of their community.

As a patient I pledge to talk to the staff, who are treating me for myeloma, about my mental health and emotional well being. I shall demonstrate it is good to talk about mental health and the difference it can in turn make to physical health.

Today I appreciate all that life has given me and YES that does include Cancer. I thank the cancer cells for the challenge to become stronger and the opportunities that have been presented to me since the diagnosis. I thank it for teaching me how better to live in the moment, for inspiring me to write the blog, for the wonderful people I have met on my journey and for opening my eyes and ears to all that is good in the world.

I appreciate life and thank God,The Universe ( including the Parellel one!) science, human kind, evolution, dinosaurs, consciousness and whatever made , brought about, contributed to life today.

Being emotionally and mentally healthy doesn’t mean never going through bad times or experiencing emotional problems. We all go through disappointments, loss, and change. And while these are normal parts of life, they can still cause sadness, anxiety, and stress.

The difference is that people with good emotional health have an ability to bounce back from adversity, trauma, and stress. People who are emotionally and mentally healthy have the tools for coping with difficult situations and maintaining a positive outlook. They remain focused, flexible, and creative in bad times as well as good.

So who wouldn’t want to help others to feel emotionally healthy, what a privileged position I am in.

In order to maintain and strengthen your mental and emotional health, it’s important to pay attention to your own needs and feelings. Don’t let stress and negative emotions build up.

Try to maintain a balance between your daily responsibilities and the things you enjoy. If you take care of yourself, you’ll be better prepared to deal with challenges if and when they arise. Remember the blog about the importance of looking after yourself.

Here are a few tips for improving your mental health today:

  • Do something today that has a positive impact on someone else. (I am sure you all do this everyday anyway , just become more aware of it). Being useful to others and being valued for what you do can help build self-esteem.
  • Practice self-discipline. Self-control naturally leads to a sense of hopefulness and can help you overcome despair, helplessness, and other negative thoughts.
  • Learn or discover something new today. Think of it as “exercise for the brain”.
  • Enjoy the beauty of nature or art. Studies show that simply walking through a garden can lower blood pressure and reduce stress. Physical exercise releases endorphins, powerful chemicals that energize us and lift our mood.
  • Manage your stress levels. Stress takes a heavy toll on mental and emotional health, so it’s important to keep it under control. While not all stressors can be avoided, stress management strategies can help you bring things back into balance.
  • Limit unhealthy mental habits like worrying. Try to avoid becoming absorbed by repetitive mental habits – negative thoughts about yourself and the world that suck up time, drain your energy, and trigger feelings of anxiety, fear, and depression.
  • Appeal to your senses. Stay calm and energized by appealing to the five senses: sight, sound, touch, smell, and taste. Listen to music that lifts your mood, place flowers where you will see and smell them, massage your hands and feet, or sip a warm drink.
  • Make time for contemplation and appreciation. Think about the things you’re grateful for. Meditate, pray, or simply take a moment to pay attention to what is good, positive, and beautiful as you go about your day.

As we know, everyone is different; not all things will be equally beneficial to all people.

Some people feel better relaxing and slowing down while others need more activity and more excitement or stimulation to feel good.

The important thing is to find activities that you enjoy and that give yourself a boost today you never know you might fancy doing it all again tomorrow!

I will get back on track tomorrow about ….which therapy, I just wanted to honour and share in the NHS Change Day today.

If you are a health professional or patient please make a pledge today by visiting:

http://www.changemodel.nhs.uk/pg/groups/33183/NHS+Change+Day/?community=NHS+Change+Day

A Special Request…

I would really appreciate it if you could share your pledge with me through your comments on this blog – Come on i know a lot of you read the blog now it’s your turn – Thank you

Scores on the board:

Physical health = 5.5 ( the leg pain is improving or at least kept at bay with the pain killers)

Mental Health = 2 It feels good to have my positive mentally healthy head back on!

Which therapy is best for me?

Oh dear it’s another early start for me as I avoided taking a sleeping tablet last night. I have however still had 5 hours sleep which, for me, is pretty good going and I have at my disposal a day of succumbing if need be, but I do hope not.

I have been thinking about mental health, as I usually do, and the minefield of different types of therapy and therapists out there. How does one choose which is best for them. I of course have my own ideas and preferences but these are based entirely on my own experiences and my personal  map of the world.

This blog post would be far too long if I were to tell you even a little about some of these in one fell swoop so I shall do so over the next few days.

I shall start with sharing my own journey into therapy and why and how I have come to the conclusions I have. Please do remember these are not necessarily the right ones they are just MY beliefs and like I said based on my experience of the world so far. I am forever in training and learning more, so develop new thoughts and ideas as I go along.

Many years ago, person centred counselling was the buzz word and therapy around, and I took up the opportunity to train undertaking a diploma in counselling at my local college. As part of the training you go into therapy yourself.

I will be explaining more about what each therapy contains in a little more detail in the days to come, but generally this type of therapy is one where you sit and talk as much or as little as you want , and the therapist skilfully listens and reflects back, clarifying what they think they have heard. Some people go into this type of counselling for many years.

When working as a specialist nurse for children, mostly teenagers, who had been in care, I
listened to their experiences of counselling, and decided for myself that there must be a better approach to helping this group of young people. Many of them had told their stories over and over again to numerous social workers etc. Some of the young people were now living semi independently alone in their own bedsits. They often reported how unhelpful they found it to go and sit with a therapist where they felt they had to bring up there past yet again and then return to their homes to mull it over. They also reported that they were looking for more practical advice and support rather than someone to feedback what they think they had just heard. I felt fully in agreement with that and was anxious about the effect some of this therapy was having upon them. This is what led to my journey into finding out more about Human Givens (HG) and completing a diploma with the Human Givens Institute to become an HG therapist. During this time I managed (quite a feat I must say) to get hold of some funding to employ two qualified human given therapists to work with this group of vulnerable young people. This produced some excellent results and some very positive anecdotal feedback from the young people themselves. HG therapy is short and quick and does not require the client to go over their story in great deal or in fact at all in some circumstances. You will just have to wait a few blogs to find out more!

As I was coming to the end of my HG training I stumbled across Neuro- linguistic programming (NLP) and as I have previously explained in an earlier post.

https://mymyelomajourney.wordpress.com/2013/02/26/nlp-and-my-personal-journey/#comments

I found this personally life changing. NLP to me, is more of an attitude and a deeper understanding of what is happening in my mind and body as well as the external world around me. For me it is a toolbox of different techniques drawn from, or very similar to, a number of other therapies such as Cognitive Behaviour Therapy, Narrative Therapy , Psychoanalytic Therapy and Human Givens. NLP uses a range of techniques to help the client and the therapist gain a better understanding of their own world and resources, helping the client to move forward in their lives.

The biggest difference between the traditional therapies and the newer therapies like HG and NLP is the scientific evidence to back these newer theories up. However both of these are going through much research and analysis and the evidence is stacking up as to the positive impact they are having, so I hope they will soon be fully accepted and more respected by the scientific and academic community. All I can share is that for me personally and from what I have seen and experienced with my clients the techniques have had good results.

Since setting up a small team of mental health advisors and employing two excellent Clinical Psychologists I have been very lucky enough to listen and learn a little from them and their views and experiences. I have also experienced the support from a Clinical Psychologist on my own recent health journey as I tried to come to terms with my diagnosis. I learnt from them the importance of knowing and understanding something about my narrative. The story of my life to date and why this might be important in understanding the here and now. So I have a much more respectful view of why sometimes this may be appropriate.

At the end of the day , I believe it’s back to that old sage TIME. For me it is all about giving myself and the client time to think and explore together their resources and the best tools I have to share with them in the given time and situation being presented. Therapy is not something you do to some one else it is a journey you go on together with the therapist acting as a guide along the way. I believe you come into therapy to change your future not your past, but having a greater understanding about how your past history may have influenced your thinking today can be the key in helping you move forward.

So we have lots to explore together and over the next few blogs, I will talk in more depth about the different approaches and types of therapy you can access to help you with this.

On a different note, today I hope to bag up all the lovely scarves and hats that have been donated so far, ready to deliver to the Macmillan Centre next week. I shall make sure I get some photo’s to show you.

I also hope to have a visit to the wholesaler’s and start to better organise all the gear I have collected for the Village Secret event. So not much time for succumbing today I just hope my body agrees!

Have a happy day.

Are you getting your messages from the universe yet? If not don’t forget you can have them emailed to you for free by signing up at:

www.tut.com

Deborah x

A very proud mum and the NHS change day…

I am very proud of both of my daughters but today I want to share with you the success of my eldest daughter and how I feel so proud of her, especially in the last few weeks and months.

Pollyanna is undoubtably a very bright and focused young lady. This is not only demonstrated by her academic achievements that include, a first degree in politics and philosophy, a distinction in Masters of research, and her recent completion of the CIMA
(Chartered Institute of Management Accounts) course, (so far she has passed all of her exams for this with flying colours and is all set to receive her qualification as a charted accountant). I also want to acknowledge her dedication in supporting my own organisation, me personally and the rest of her family.

Pollyanna is always ready to help her elderly grandmother calling her most days and visiting her weekly, she supports her sister with her baby Elliot, and of course is there for me and her step father, calling us daily with offers of support and regular visits.

She finds the time and energy to do all this whilst finishing her NHS graduate scheme, which was no mean feat to get on (the competition was very tough) and is juggling her studies with her regular work place.

I am sure like me, having the support of a caring partner helps, so I must also thank her lovely boyfriend for his contribution.

I certainly appreciate that I couldn’t achieve all I do without the support and care of my loving husband and I often think Colin should be on my trusts pay role with the unseen time he spends rushing around printing, binding and generally supporting me behind the scenes. No wonder the poor guy has chest pains! Maybe I had better take a look at his work / life balance! Colin really is the wind beneath my wings.

Pollyanna has lots of resilience factors and her mothers drive, energy and enthusiasm for life.

Only a few years ago her paternal grandfather, to whom she was very close, died of Myeloma and her biological father has only recently got over ( if you can get over such a thing) bowel cancer. Now with my own diagnosis to come to terms Pollyanna’s powers of resilience and positive mental attitude are really coming into play

She is presently being offered various jobs and has to consider her next move very carefully. There is nothing tying her in to the NHS and with her connections in the city she could easily get a job with a bank earning mega bucks.

But not Pollyanna she is passionate about the NHS and making a difference, (now where may that have come from, I wonder ?).

Relatively recently , together with a few of her young graduate colleagues, they came up with the idea of the NHS Change Day.

This day is drawing close, it is set for March 13th, so only one week to go.

If I had been well and working (not signed off on sick leave) , I would have been more involved in our trusts drive to get our staff involved. I do hope, however, that many of the staff have read the newsletter that came out on February 27th . It was all about the NHS change day and how our chief exec David Law, is calling on us all to make a pledge.

David Law, will pledge…….”We will discuss how to reduce paperwork for the clinical teams”

and…The Quality Directorate Team pledges that on that day, each member of the Quality and Governance Directorate will visit one of the Trust’s services to meet the patients and team members, find out more about the services offered and support them to get involved in the day.

If you are working for our organisation have you made your pledge yet?

You didn’t think a little thing like Cancer would keep me quiet and off your back did you, even if I am running a little behind schedule?

For the many readers of this blog who aren’t health professionals and we are up to nearly 10,000 views now , let me explain to you what this is all about.

This information is taken directly from NHS Change Day website:

NHS Change Day is a single day of collective action to demonstrate how small changes can have a big impact.

On the 13 March 2013 NHS Change Day will bring together the individual creativity, energy and innovative thinking of thousands of NHS staff from across clinical and non-clinical areas of work, in a single day of collective action to improve care for patients, their families and their carers.

Change Day is an NHS grassroots initiative devised and driven by new young and emergent clinical and managerial leaders from primary and secondary care across the NHS in England, who want to make this call to action the single largest simultaneous improvement event in the NHS.

It is an ambitious programme of activities aimed at galvanising and engaging the frontline in the process of improvement through individuals and teams pledging to make a change in their practice which will improve patient experience and/or clinical outcomes by spreading and adopting best practice and championing innovation.

This will be a country wide event covering the whole of the UK and will coincide with Healthcare Innovation Expo at Excel in the same day.

The idea of NHS Change Day is to create a mass movement of people working in the NHS
demonstrating the difference they can make – by one simple act – and proving that large scale improvement is possible in the NHS. The aim is for 65,000 people to take part, 65 being the number of years the NHS has been in existence.

Those who wish to take part can go to the NHS Change Day website at http://www.changemodel.nhs.uk/changeday and make their pledge online, join in the discussions on the forum and become part of the growing list of active supporters and organisations taking part on the day.

You can see how proud I am of Pollyanna for coming up with such a great idea , (alongside a few of her colleagues of course)

My pledge is…to increase the resilience of our workforce by empowering them to improve their own mental health and emotional well being and achieve a better more healthy work / life balance.

I intend to do this by writing a blog for our organisation, very similar to this one but perhaps more specifically sharing the mental health parts of this blog with all the Hertfordshire Community NHS staff.

Should I just share this blog, which could perhaps act as a good role model for coping with adversity and demonstrating resilience?

Or write a more specific new blog? I am not sure as this one is quite a bit more about me rather than how I can help others.

I know some of you reading this are working in our trust so I would value your opinion in particular. Also have you made your pledge yet?

Remember you only have a few days left to deliver your pledge.

I am also considering going down to London ( yet again but not for treatment this time) to take part in the Heath Innovation Expo being put out on to celebrate the day.

I just need to find some one to go along with who is happy to perhaps drive or at least accompany a bald, bloated but enthusiastic cancer patient who is still holding on tight to her passion for work and mental health.

I think I must also ask the nurses etc at UCLH today what they know about the NHS change day and check to see of they have put their pledge in yet.

Hmm I wonder if my own team have put out their pledges, it’s hard being out of the loop. Hopefully one of them will be reading this blog and encourage the others to get their pledges in. It doesn’t have to be anything big just one thing that you are pledging to do to make a change in practice that in turn will improve our patients experience. Please let me know.

I urge you all not to just read, or necessarily believe all the bad spin stories often reported about us in the daily papers. We are, in the majority, a caring bunch of extremely dedicated people who want to keep the NHS alive and something that our whole country can feel proud of. I do however feel thst we have the private sector biting at our ankles, hungry for a piece of the action, and just perhaps offering a cheaper but not necessarily greater quality of service. In this day of financial constraints , even at the cost of reduced quality, money talks, and with new commissioning arrangements we are all having to work with a business head on. This is not necessarily something nurses have had needed to think about never mind worry about and do before.

Well it looks like I have got plenty to keep me motivated and out of mischief, so I am so pleased those cancerous cells have been taking note and dying off. They really do have no place to hide in my body. Together we are seeking them out and if one rat gets pregnant we shall be after it and its young, (sorry poor rats I didn’t mean to necessarily pick on you as my metaphor).

I am also grateful for my ten plate spinning abilities and will certainly not let the ‘Village Secrets’, ‘ Especially for You ‘ charity scarves or ‘Hinxworth Festival Birthday Charity Party’ , fall to the ground, with much family and community support they are continuing to spin well.

So just to finish off, this post is dedicated to Pollyanna.

Thank you for being the beautiful shining star you are and letting others benefit from you glorious rays of sunshine.

Your very proud mum

Deborah

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