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“ Hope is like a road in the country; there wasn’t ever a road,

What’s Next? Renegotiating Life after Treatment Mindy Gribble RN HNB-BC WINGS Survivorship Program Coordinator Marshfield Clinic. “ Hope is like a road in the country; there wasn’t ever a road, but when many people walk on it, the road comes into existence .” - Lin Yutang. What’s next?.

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“ Hope is like a road in the country; there wasn’t ever a road,

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  1. What’s Next?Renegotiating Life after TreatmentMindy Gribble RN HNB-BCWINGS Survivorship Program CoordinatorMarshfield Clinic “Hope is like a road in the country; there wasn’t ever a road, but when many people walk on it, the road comes into existence.” - Lin Yutang

  2. What’s next? • Core values and continuity; scholar vs. expert • Survivor wisdom: why renegotiation matters • Controllable vs. not: Organizing our challenges • “Renegotiation” toolbox: research –based Options • Mindfulness: Neuroplasticity and “The Two Wolves” • Cognitive Reframing: Connection and “ The Power of Vulnerability” • Questions and discussion

  3. Core values and continuity; scholar vs. expert • “Cancer is rock your soul experience. • To be effective health care consumers, cancer survivors must first learn to renegotiate life, • to live for the moment.” -Meg Gaines

  4. Psychosocial Effects, Impacts and Realities cognitive familial behavioral financial spiritual logistical social educational

  5. The Nature of Physical Stress It’s up to me which wolf I should feed.” Central and Peripheral Nervous System: • Autonomic N.S. • Parasympathetic branch • Sympathetic branch • “Autonomic Nervous System Imbalance” • Neuroplasticity Research

  6. “The trouble with the rat race is that even if you win, you're still a rat.” - Lily Tomlin

  7. Controllable vs. Not: Organizing our challenges • Take care of these aspects of your life. • Relationships occupy this quadrant. • The past and some of the present and future are here. • Learn from and bring acceptance and forgiveness to this quadrant. • Cost vs. benefit? • Learn to let go if cost exceeds benefit and not meaningful. • Let go of what occupies this quadrant.

  8. “Renegotiation” tool box: research –based options • Mindfulness: neuroplasticity and “The Two Wolves” • Cognitive reframing: connection and “The Power of Vulnerability”

  9. The story of the two wolves: Managing your thoughts, feelings and actions • “In my brain I have two wolves… • It’s up to me which wolf I should feed.” • -Cherokeewisdom

  10. Mindfulness : Dr. Amit Sood “Mindfulness means: paying attention in a particular way; on purpose, in the present moment, and nonjudgmentally.” - Jon Kabat-Zinn

  11. Two Brain Networks Task + Network Default Network Bush G. Neuropsychopharmacology 2010; Raichle, ME. PNAS 2001

  12. Step 1: Savor the world with Joyful Attention Pay attention to novelty Step 1.1: Cultivate aKind AttentionAttend with CALF Compassion Acceptance Love Forgiveness

  13. Joyful Attention

  14. Compassion Acceptance Love Forgiveness The Bless You Exercise

  15. Kind Attention

  16. The healing art of cognitive reframing: Connection and the Power of Vulnerability • Brene Brown is a research professor at the University of Houston. View at TED http://www.ted.com/

  17. Video clip will be inserted here

  18. “Wholehearted” • Allow ourselves to be seen, really seen. • Love with our whole heart. • Practice gratitude and joy. • Remember always, • “I am enough.”

  19. “Hope is like a road in the country; there wasn’t ever a road, but when many people walk on it, the road comes into existence.” - Lin Yutang

  20. “To be effective health care consumers, cancer survivors must first learn to renegotiate life, to live for the moment.” -Meg Gaines Summary: • Core values and continuity; scholar vs. expert • Survivor wisdom: why renegotiation matters • Controllable vs. not: organizing our challenges • Renegotiation tools: research –based options • Mindfulness: Neuroplasticity and “The Two Wolves” • Feeding joyful attention and kind attention= rewiring • The healing art of cognitive reframing vulnerability • Questions and discussion: renegotiation • Relationship with self/expert commentary ?

  21. “The best and safest thing is to keep a balance in your life, acknowledge the great powers around us and in us. If you can do that, and live that way, you are truly wise.” - Euripides (484 BC - 406 BC)

  22. References • Distress Management. (2010, April). The Journal of the National Comprehensive Cancer Network. 8 (4). Retrieved from http://www.nccn.org/JNCCN/toc/2010april.asp#distress • Cella, D., Mahon, S., Donovan, M. (1990). Cancer Recurrence as a Traumatic Event, Behavioral Medicine, 16, 15-22. • National Cancer Institute. (2011). Post-traumatic Stress Disorder. Retrieved July 25, 2011, from http://www.cancer.gov/cancertopics/pdq/supportivecare/post-traumatic-stress/HealthProfessional/page1

  23. Kabat-Zinn, J. (2005). Wherever you go, there you are: mindfulness meditation for everyday life. New York: Hyperion. • Hanh, T. N. (1993). Love in action: writings on nonviolent social change. Berkeley, CA: Parallax Press. • Sood, A. (2010). Train you brain, engage your heart, transform you life. Rochester, MN: Morning Dew Publications.

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