Dr MargiAnne Isaia, MD MPH

1. www.enthusiasticlife.net with Dr MargiAnne Isaia,MD MPH Occupational Wellness…

2. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS questionnaire Do you enjoy going to work most days? Do you have a manageable workload at work? Do you feel that you can talk to your boss and co-workers when problems arise? Are there unpleasant or dangerous physical conditions at your job site? Do you participate in the process of decision-making at your job? Do you have conflicting or uncertain job expectations? Are there opportunities for growth, advancement, or promotion? Is you job secure? Are you involved in unpaid work? Do you have leisure time? If you answered "NO" to any of the questions, it may indicate an area where you need to improve the state of your occupational wellness

3. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS The Value of Work There is an intrinsic value of work to the health and life satisfaction of the worker. Work is integrally involved in the process of identity development and self-esteem. The loss of work has been associated with extremely negative reactions that include psychological or physiological distress, loss of social contact and suicide. Work could be a potential source and site of significant stress (given the importance of work and the total number of hours spent in work by employed people).

4. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Includes: The level of satisfaction and enrichment gained by one’s work and the extent to which one’s occupation allows for the expression of one’s values; The contribution of one’s unique skills and talents to the community in rewarding, meaningful ways through paid and unpaid work, as well as the balance between occupational and other commitments; Attitude toward leisure activities, and vocational goals; One’s attitude toward work and ability to balance several roles; The ways in which one can use skills and abilities to contribute to the community

5. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Healthy work place - a work place with reduced stress disorders, satisfied and productive workers and profitable and competitive organization. Occupational Stress – Stresses inherent and associated with various work roles; consists of harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker. It can lead to poor health and injury. The concept of OS is often confused with Challenge. Challenge energizes us psychologically and physically, and it motivates us to learn new skills and master our jobs. Challenge is an important ingredient for healthy and productive work. It could be referred as Positive OS. When the challenge turns into job demands that cannot be met, the stage is set for illness, injury, and job failure.

6. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Strain – Strains are the behavioral, physiological, and psychological processes that occur under the influence of stress and disrupt normal functioning: (a) psychological, (b) physical, (c) interpersonal, and (d) vocational. Coping– Psychological and physical resources used to counter the effects of occupational stress: (a) self-care behavior, (b) social support systems, (c) cognitive skills, and (d) recreational activities. Stressor – Refers to anything external or internal that causes stress either psychologically or physiologically. Turnover – Refers to the phenomena of individuals voluntarily quitting or resigning from an organization.

7. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Case Scenario # 1: Crystal is a 35 year old Caucasian woman, with a master degree in Education. She is seeing a Career Counselor because she is considering quitting her current job as Math teacher in a large suburban high school. She is married, with a ten year old step-daughter. Crystal reports a considerable amount of dissatisfaction with her current job, particularly related to the stress of many responsibilities and long working hours. Her dissatisfaction accumulated for several years, but recent events made her feel much stressed. A newly hired principal instituted administrative tasks that she finds insulting to her experience. She has interactions with the parents that discouraged her greatly by their little involvement in their children’s school activities. Also, she has students who deal with increasingly difficult problems at home. On the other side, she taught an elective advanced Math course with very capable students and she valued the relationships she developed with the students.

8. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Case Scenario # 2: For weeks David, now 44 year old, had aching muscles, loss of appetite, restless sleep, and a complete sense of exhaustion. At first, he tried to ignore these problems, but eventually he became so short-tempered and irritable that his wife insisted he get a checkup. Now, he is sitting in the doctor's office and wondering what the verdict would be. He just told the doctor that he is working in a company where nobody is sure about his job. The workers are expected the same production rates even though two guys are now doing the work of three. He is working twelve-hour shifts six days a week. Guys are calling in sick just to get a break. Morale is so bad they're talking about bringing in some consultants to figure out a better way to get the job done.

9. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Job Stress Health complaints (headache, upset stomach, sleep disturbance, difficulty in concentration, short temper), disturbed relationships with family and friends, job dissatisfaction, and employee turnover, low morale often provide the first signs of job stress. Chronic Occupational stress plays an important role in several types of chronic health problems-especially cardiovascular disease, musculoskeletal disorders, and psychological disorders. Stress increases the Reactive Oxidative Species (ROS) which contribute to lipid per oxidation (increased MDA, biomarker) and biological damages all over the body.

10. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Occupational wellness means to be able to undergo new growth and be ready to change occupations. Career development is a process that unfolds gradually over life span. It is a continue process that involves multiple roles. Over the life span there are several stages: growth, exploration, establishment, maintenance and decline.

11. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Life stage/life span and cycling and recycling of developmental tasks: Growth Adolescence (14-25): Developing a realistic self-concept; Early adulthood (25-45): Learning to relate with others; Middle adulthood (45-65): Accepting one’s limitations; Late adulthood (over 65): Developing non-occupational roles Decline Adolescence: Giving less time to hobbies; Early adulthood: Reducing sports participation; Middle adulthood: Focusing on essential activities; Late adulthood: Reducing working hours

12. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Occupational Wellness is realized when: A person is doing exactly what he/she wants to do in life (the choice of profession, personal performance, job satisfaction and enrichment in one’s life through work) A person is comfortable with the future plans. ENVIRONMENTAL WELLNESS The impact on the environment and balance between home and work life, as well as an individual’s relationship with nature and community resources

13. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS Bible references… “Whatever your hand finds to do, do it with your might; for there is no work or device or knowledge or wisdom in the grave where you are going….” Eccl 9:10. (NKJV)

14. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net OCCUPATIONAL WELLNESS CLASSIC QUOTATION “To the dwellers in Eden was committed the care of the garden, "to dress it and to keep it." Their occupation was not wearisome, but pleasant and invigorating. God appointed labor as a blessing to man, to occupy his mind, to strengthen his body, and to develop his faculties. In mental and physical activity Adam found one of the highest pleasures of his holy existence. And when, as a result of his disobedience, he was driven from his beautiful home, and forced to struggle with a stubborn soil to gain his daily bread, that very labor, although widely different from his pleasant occupation in the garden, was a safeguard against temptation and a source of happiness.” EGW {PP 50.1}

15. Dr MargiAnne Isaia,MD MPH www.enthusiasticlife.net REFERENCES: Granello, D. H., & Young, M., Counseling Today, Foundations of Professional Identity (2012) Roscoe, L.J., Wellness: A Review of Theory and Measurement for Counselors, Journal of Counseling & Development ■ Spring 2009 ■ Volume 87 National Institute of Occupational Safety and Health (NIOSH) working group: Sauter, S., Murphy L., Colligan, M., Swanson, N., Hurrell, J. Jr., Scharf, F. Jr., et al.- Publication No. 99-101 Elizabeth Kendall, Patricia Murphy, Veronica O’Neill, Samantha Bursnall, Occupational Stress: Factors that Contribute to its Occurrence and Effective Management 2000 by WorkCover Western Australia Zunker, V., Career Counseling A Holistic Approach 8th edition (2012), Chapter 2