Unit 9 Final - Integral Health Plan

Integral Health Plan

            The concept of human flourishing encompasses more than just good health, more than just well-being. It speaks rather to a state of vibrant dynamic growth, a love of life and living, and a sustained happiness that reflects the interconnectedness of the self and the world and which results in the simple joy of being alive. Achieving human flourishing is within everyone’s reach and as a health care professional I can think of no better goal than to accept each interaction as an opportunity to share the gift of flourishing. To do so however requires the experience of flourishing in one’s own life. The path begins with developing the psychological, spiritual and physical aspects of the self; development of these aspects begins with an objective assessment of one’s current status followed by setting realistic goals designed to achieve “profound and enduring (integral) health, happiness (authentic), and wholeness (genuine)” (Dacher, p.3). To that end I begin with the objective assessment of the four aspects of integral health; Psychospiritual, Biological, Interpersonal, and Worldly.

THE ASSESSMENT:

            Psychospiritual

            As I look into the motivation for my actions I find that I have moved away from reaction, for the most part, and into acting through vision and values derived from my life’s experiences, culture and education. I am a logical, reasoning person who looks at a problem from the worldly perspective of balanced columns of pluses and minuses. I adopt a neutral emotional state and experience transient pleasure. I have often been characterized as being black and white, a linear thinker. While this has served me well over the years I recognize that I use this method as an attempt at control rather than to accept.

            I now realize that this view of the world is restrictive, that I am missing the subtleties that make each experience more than my worldly knowledge. Dacher explains that information is a means but that essential truth is a way (Dacher, 2006). In seeking essential truth, meaning and fulfillment the purpose of my life can be revealed and true sustained happiness experienced.

            Biological

            In evaluating my physical status I look at nutrition, exercise, disease prevention and health promotion.

            Nutrition: I began my path to wellness 5 years ago with evaluating and changing my eating habits. I am now mindful of my diet and make food choices based upon their nutritive content, mindful of caloric intake. I drink plenty of water daily. This has resulted in a healthy weight, BMI, and cholesterol levels. I make every attempt to spend my food dollar in consideration sustainable agricultural practices and humanly treated animals. But I do so at my convenience without making the extra effort needed to make a substantial difference.

            Exercise: Injuries sustained in a motorcycle accident two years ago have served well as an excuse not to exercise as much as I should. I am currently regaining strength and flexibility through therapeutic yoga three times a week, swimming and activities of daily living. I have not worked on strength and endurance or aerobic exercise since the accident.

            Disease Prevention: I am proactive with my health with regular physician visits, blood screenings, dental and eye exams. I know and watch my health indicators, comparing them to years past for fluctuations. Despite all of this, and knowing what I know, it amazes me that I still smoke and have been doing so for 37 years.

            Health Promotion:  I “listen” to my body and perform meditative scans frequently sending healing messages as needed. I do not accept stress as a rule and when it does occur I use breathing, walking or simple awareness to return my body to balance. I commune with nature as often as I can, enjoying fresh air and sun.

            Interpersonal

            This is a challenging area in which to remain objective. In reviewing my life I have always worked from the “you” perspective, putting everyone else’s needs before my own. Somehow pleasing others was a measure of my self worth. But after 54 years I became exhausted, the “you” attitude unsustainable because there was no “I” left in the equation. It has always been my philosophy to help the person standing before me, so I retreated from people, ostensibly to lick my perceived wounds, keeping only my immediate family and a single friend in my life.  I have been seeking to replenish myself for three years now and am making progress. Today I still struggle with finding my self worth without ego centered dependent relationships. Intellectually I know that self worth is loving-kindness within, in practice it is a work in process.

            Worldly

            I am filled with gratitude that I do not currently have to worry about survival, having adequate resources to maintain my preferred minimalistic lifestyle. My work is school and caring for my disabled husband, both of which provide some modicum of meaning and fulfillment but often leaves me empty, looking for true purpose. School will end, my husband will heal.

I am aware of community, national and global issues. I read publications, watch various news programs, and monitor the activities in my community. Yet, short of recycling and voting, I do not participate as an activist, volunteer, or teacher.

GOAL DEVELOPMENT:

            It would be unrealistic to develop all the goals needed to achieve integral health and human flourishing as these are constantly evolving. Based on the above assessment I have selected a specific goal in each area of my life, spiritual, psychological and physical, as a beginning point.

            Spiritual. I have come to consider spiritual development as the adhesive that binds the mind-body-spirit connection. As such I seek to develop awareness. By that I mean a discerning wisdom that allows me to see things as they really are rather than try to control and manipulate them to my perception of what it should be.

            Psychological. Constant fear of failure and rejection has motivated most of my adult life. This has driven me to be an over-achiever, never accepting second best as good enough, always looking for confirmation. My psychological goal then is to build self-esteem and self worth.

            Physical. It would of course make sense to select smoking cessation as a primary physical goal. But I am not yet prepared to do so. I am prepared to move my body beyond the maintenance level to include cardiovascular fitness and to build strength. By doing so I hope to realize the restrictions of COPD and build the desire to quit smoking.

PRACTICES FOR PERSONAL HEALTH:

            Dacher explains that integral practices should follow eight basic principles. They must have as their final aim the evolution of knowledge, capacity, and ability beyond what is now considered normal, be supported by inner development, be infused with aspirations of loving-kindness and virtue, be tailored to individual needs, that they require more than one helper or mentor and that we take responsibility for our own development, they must emphasize activities that are broad-based, simultaneously touching multiple aspects of life (Dacher, 2006). To that end I will adopt life-as-practice in achieving the above listed goals.

            Spiritual. Contemplative practice such as subtle mind, loving-kindness, and meditation will serve to develop awareness and self esteem. I will continue these practices daily and will further seek to enhance the practices by weekly contemplation in a natural setting. This will involve walking which will in turn connect the body to the mind-spirit practice. In addition I will actively seek teachers who can guide my path.

            Psychological. Ultimately I know that my self worth is the basis for my interactions with others. Learning to look at myself through my eyes rather than someone else’s and to stop trying to live up to what I perceive as someone’s expectations will require me to rejoin society. To that end I will participate in a women’s group I recently discovered which meets once a week. Here I will voice my honest opinions while exercising loving-kindness towards myself and others.

Further I believe it is time to participate in sharing my knowledge. Past experience tells me I have ability as a teacher. Two specific areas interest me and would be fulfilling; first to share my love of reading with those who have not experienced the joy and second to share my knowledge of nutrition with those who seek improved health. I will actively seek opportunities to teach in either or both areas.

            Physical.  Building physical strength and practicing aerobic exercise is yet another opportunity to remove myself from isolation. The yoga studio I belong to offers many different yoga practices which require more physical workout than the therapeutic practice I am currently involved with. I will increase intensity in my current program until I am able to begin aerobic activity. Yoga will also serve to enforce the mind-body connection.

Before the accident I was walking five miles a day, a meditative time for me. I will begin a walking practice again, working within my limitations and building to aerobic walking in time.

COMMITMENT:

            I selected the goals and practices listed because they were specific, measurable, attainable, realistic, and timely. I have outlined the vision and practice which, when adopted, will lead to attainment. In assessing six month progress I will revisit the plan and ask the following questions:

            Have I continued contemplative practices daily including weekly nature practice?

            Have I experienced self loving-kindness?

            Am I comfortable in the women’s group?

            Am I teaching and sharing knowledge and experience?

            Are my muscles stronger? Do I have more stamina? Have I reached 10 minutes of             aerobic activity?

            I liken achieving these goals to taking steps towards human flourishing, a process as ongoing and changing as life itself. Long-term contemplative practice coupled with frequent assessment, reviewing and restructuring goals will serve to assist in maintaining health and wellness. Practicing loving-kindness, gratitude, mindfulness and most importantly sharing the gifts with others will bring me ever closer to happiness and wholeness.

Reference

Dacher, E. (2006). Integral Health: The Path to Human Flourishing. Laguna Beach, CA. Basic     Health Publications.