• Bullying vs. Harassment – Know the Differences

    Why your company needs an anti-bullying policy

     

    Bullying in the workplace is a common occurrence that’s often ignored or overlooked by management. Sometimes it may be ignored because, unlike sexual harassment, there’s usually no legal requirement that an organization have an anti-bullying policy. It also may be overlooked because leaders take a hands-off approach, believing employees should work out their own issues. It may sometimes be ignored because more than 70 percent of bullies in the workplace are the bosses, according to the Workplace Bullying Institute. 

    Bullying vs. harassment
    The opportunity for bullying at all levels is enhanced by the anonymity of social media, and workplace bullying can be fueled by the political or economic environment. However, in the workplace it is usually different from what you may remember as schoolyard bullying. The schoolyard bully is often the misfit or the loner, while the workplace bully may be a highly skilled, ambitious employee who seeks to harm or intimidate coworkers who might share his credit.

    Bullying is related to other forms of harassment, and the types of harassment prohibited by law can be seen as a form of bullying. But there are differences. Bullying includes any words or actions that make an employee feel uncomfortable, threatened, or intimidated. Employers should ensure that employees feel safe at work and that minor conflicts don’t escalate to an uncontrollable level. Bullying leads to low morale, poor performance, and high turnover. But it’s also important to note that a large proportion of workplace violence is carried out by employees who were bullied or hazed, which creates an antibullying culture.

    Creating a policy and culture
    An antibullying policy should be similar to other workplace harassment policies. It should include definitions, explanations, reporting procedures, consequences for violations, and antiretaliation provisions.

    The policy should clearly define bullying and specifically state that the company will not tolerate it. Workplace bullying can be defined as (1) abusive conduct that is threatening, humiliating, or intimidating; (2) actions that interfere with others’ work (e.g., sabotage) or prevent work from getting done; or (3) verbal abuse. You should cite numerous examples of the type of behavior that can constitute bullying, including:

    • Threatening or intentionally intimidating someone, such as violence and blackmail;
    • Shouting or raising your voice in public or in private;
    • Not allowing someone to speak or express himself (e.g., ignoring or interrupting);
    • Hurling personal insults, using obscene gestures and using offensive nicknames; and
    • Publicly humiliating someone in any way (e.g., spreading rumors or hazing).

    You must enforce your policy fairly and consistently to build an antibullying culture. Steps that will build such a culture include:

    1. Conducting a thorough investigation when bullying is reported.Investigate bullying claims the same way you would investigate claims of sexual harassment. Request written statements from the victim, accused bully, and any witnesses. Document the investigation and your findings so you can support any action you take.
    2. Encouraging immediate reporting, and ensuring retaliation doesn’t occur. The complaint process should be similar to your other harassment complaint procedures. Employees should know to whom they can report bullying, and the process should facilitate speaking up as soon as possible after an incident, without fear of retaliation from the company.
    3. Providing training for managers on bullying behavior and how to enforce the policy. Each incident will have a different precipitating cause and will occur under various circumstances. Managers should be taught to provide a safe workplace where standards promoting a positive attitude, respect, and workplace decorum are enforced.

    Bottom line
    Developing an anti-bullying strategy, both to reduce the chance of violence and to build a positive culture, is the right thing to do. It will create an environment that will generate the best work product from your employees and the best business results.

    Joe Godwin is a management consultant with F&H Solutions Group. He may be contacted at godwin@fhsolutionsgroup.com.

    Need to learn more? Bullying is just one sign of a breakdown in company culture. There’s also sexual harassment, racial discrimination. Hostile work environment.When the workplace culture perpetuates these types of unlawful activities under Title VII of the Civil Rights Act of 1964 or other laws, employers are at extreme risk of costly lawsuits—not to mention irreparable damage to the company’s reputation and brand, employee morale, and other negative consequences.

    Employment law attorney Mark Schickman will present Culture Club:  The Link Between Workplace Culture and Workplace Harassment Claims” at the 22nd Advanced Employment Issues Symposium in Las Vegas on November 17. This session will examine recent cases illustrating the ways in which aggressive business practices may foster a culture that breeds harassment claims, how to evaluate whether company leaders’ messages and tone aligns with your efforts to maintain a harassment-free culture, and more. For more information on AEIS, click here.

  • The Scoop on Low-Dose Aspirin
    by BERKELEY WELLNESS  |  

    You’ve probably seen low-dose aspirin in the drugstore, in packages with a red heart on them, as well as ads promoting aspirin for its heart benefits. You may even be taking “baby” aspirin, following your doctor’s advice—or on your own, “just to be safe.” So you may be surprised to learn that there’s still controversy about low-dose aspirin as a preventive for heart disease.

    The evidence is indeed solid concerning aspirin therapy for secondary prevention—that is, for preventing recurrences in people who’ve already had a heart attack, angina, or ischemic stroke (the most common type of stroke, caused by a blood clot). That’s the only explicit heart-health claim the Food and Drug Admininstration (FDA) allows aspirin companies to make. However, for healthy people without symptoms or a history of cardiovascular disease (CVD)—that is, for primary prevention—the benefit is far from clear, and recent research has made it more uncertain.

    Aspirin helps prevent heart attacks and ischemic strokes by decreasing the tendency of blood to clot. On average, all it takes is about 81 milligrams (one-quarter of a standard 325-milligram tablet) a day to accomplish this, though some experts advise 162 milligrams a day or 162 to 325 milligrams every other day.

    Unfortunately, even at low doses, aspirin can cause stomach or intestinal bleeding and ulcers. It also increases the risk of hemorrhagic (“bleeding”) stroke slightly, at least in men. If aspirin were developed today, there’s little chance it would be approved for over-the-counter sale because of these risks. (In fact, all pain relievers have serious risks.) Stomach bleeding may not sound that scary, at least compared to a heart attack, but it can lead to potentially deadly complications, especially among older people and heavy drinkers.

    So the trick is to figure out for whom the potential CVD benefits of aspirin therapy outweigh the risks. Experts disagree about which high-risk people are good candidates. And some believe that no one should be taking aspirin for primary prevention.

    The Task Force weighs in

    In 2009 the U.S. Preventive Services Task Force, a government-appointed panel of experts that evaluates medical research, expanded its recommendations about aspirin for primary prevention. It gave different advice for men and women, since CVD affects them differently, and thus aspirin has different potential benefits in them. Notably, men have a higher risk of heart attack at younger ages; women have a higher lifetime risk of stroke.

    The Task Force concluded that doctors should encourage low-dose aspirin in men age 45 to 79 to help prevent heart attacks, and in women age 55 to 79 to help prevent ischemic strokes—but only when the potential benefit outweighs the risk of gastrointestinal bleeding. To weigh your risks and benefits, it advised consulting your doctor, as well as using an online CVD risk assessment tool. Because of insufficient evidence, the Task Force gave no advice for people 80 or older, for whom the potential benefits and risks are greater.

    The American Heart Association gives no specifics—it merely recommends aspirin therapy for primary prevention in people at high CVD risk. That means, again, talking to your doctor.

     

    On the other hand

    The Task Force based its guidelines for primary prevention on nine studies, including the well-known Women’s Health Study, which helped identify aspirin’s anti-stroke effect in women. Other researchers, however, have looked at some or all of these studies and concluded that the data do not support the use of aspirin in healthy people, even those at higher risk—either because the overall results were not significant, or because the very modest benefit was offset by adverse effects. The doubters include experts at the FDA, who a few years ago decided not to allow the labeling of aspirin for primary prevention of CVD. Both sides make good arguments, which hinge largely on methodological issues of the studies.

    Adding to the doubts about aspirin therapy for primary prevention are several recent studies that focused on people with diabetes, published too late to be included in the Task Force’s review. People with diabetes are at least twice as likely to have a heart attack or stroke, so they are obvious high-risk candidates for aspirin therapy. That’s why the American Diabetes Association and American Heart Association have for years advised aspirin for primary prevention in most people with diabetes. But the new studies raised questions about this advice. This June, in a revised position statement, the two associations concluded that results have been inconsistent and overall suggest only a modest benefit for people with diabetes, which may be outweighed by the risk of bleeding. Thus, they now recommend aspirin primarily for men over 50 and women over 60 with diabetes, if they have at least one other CVD risk factor and are not at high risk for bleeding.

    If you do not have diabetes, you may wonder what this has to do with you. But if there are uncertainties about aspirin’s benefit for these people at high risk, that raises questions about primary prevention for everyone.

    Risky confusion

    If you already take low-dose aspirin, make sure your doctor knows, and review this decision periodically. Do not start taking aspirin on your own. A few years ago a survey in the American Journal of Preventive Medicine found that 30 percent of people over 40 who are at low CVD risk were taking low-dose aspirin, which makes no sense. And 31 percent of people with a history of CVD, most of whom should be taking aspirin, were not taking it.

    It’s a familiar refrain: talk to your doctor about your risk factors for heart disease and stroke. That survey also found that 28 percent of people who are at high risk for CVD thought they were at low risk, while 44 percent at low risk thought they were at high risk. It may help to fill out one of the risk assessments with your doctor. If that suggests you’re a good candidate, and you’re not at elevated risk for bleeding, you might consider aspirin therapy.

    Bottom line: It’s far more important to take a statin if you have undesirable cholesterol levels, and an antihypertensive drug if you have high blood pressure, than to take aspirin. Even better, try to correct these problems by losing weight, exercising more, improving your diet and quitting smoking.

  • 8 Of the Most Common Triggers of Depression
    by Margaret Wood Sept. 19, 2017

    According to the World Health Organization (WHO), 350 million people worldwide suffer from depression – and 20% of people with major depressive disorder develop psychotic symptoms.

    In an article on depression written by Ann Pietrangelo and medically reviewed by  George T. Krucik, MD, MBA on January 28, 2015 Pietrangelo states that:

    Sadness and grief are normal human emotions. We all have those feelings from  time to time, but they usually go away within a few days. Major depression is something more. It’s a period of overwhelming sadness. It involves a loss of interest  in things that used to bring pleasure. Those feelings are usually accompanied by other emotional and physical symptoms. Untreated, depression can lead  to serious complications that put your life at risk. Fortunately, most people can be effectively treated.”

     

    Types of Depression

    According to the National Alliance on Mental Illness (NAMI), depressions are classified according to their unique identifiers:

    • Major Depression – a single bout or can be recurring leading to Persistent Depressive Disorder
    • Bipolar Disorder aka Manic Depressive Illness – cyclical with alternating highs and manias
    • Post-Partum – typically attributed to hormonal changes, lack of sleep and the overwhelming care of a new baby
    • Psychotic Depression – hallucinations, delusions or paranoia ae part of a major depression

     

    This raises 2 question: Does depression stem from a single cause or event? Or is it a case of multiple causes – a compilation of issues resulting in mood change?

    It can be either. Situations that trigger depression in one person may not affect another in the same way. However, in many cases there appears to be more than one reason. Sometimes the reason(s), or part of the reason, may be obvious…or not.

    Here we will examine the 8 most common triggers of depression:

    1.   Is it Genes or Environment?

    So far, no single gene has been identified as a contributing factor to depression. Yet studies indicate that depression may run in families. Statistically, if one parent becomes severely depressed, your chances of becoming depressed are approximately 8X more likely to occur – certain people therefore, may be predisposed to depression. Alternately, the environment rather than genes may have the most impact; when depression is the norm, it may become so ingrained that only complete removal from the toxic  environment in conjunction with behavior modification therapy could start the healing process.

    2.   What are the Economic Impacts

    • Depression ranks among the top three workplace issues, following only family crisis and stress. (Employee Assistance Professionals Association Survey, 1996)
    • Depression’s annual toll on U.S. businesses amounts to about $70 billion in medical expenditures, lost productivity and other costs. (The Wall Street Journal, 2001, National Institute of Mental Health, 1999)
    • Depression accounts for close to $12 billion in lost workdays each year. Additionally, more than $11 billion in other costs accrue from decreased productivity due to symptoms that sap energy, affect work habits, cause problems with concentration, memory, and decision-making. (The Wall Street Journal, 2001, National Institute of Mental Health, 1999)

    3.   How Does Gender Impact Depression?

    • Women experience depression at twice the rate of men. This 2:1 ratio exists regardless of racial or ethnic background or economic status. The lifetime prevalence of major depression is 20-26% for women and 8-12% for men. (Journal of the American Medical Association, 1996)
    • Postpartum mood changes can range from transient “blues” immediately following childbirth to an episode of major depression and even to severe, incapacitating, psychotic depression. Studies suggest that women who experience major depression after childbirth very often have had prior depressive episodes even though they may not have been diagnosed or treated. (National Institute of Mental Health, 1999)

    4.   Alcohol

    Seeking to escape depression, many people turn to alcohol as a form of self-medication; however, prolonged use of alcohol is also known to bring about depression. People that fall into this category are not capable of recognizing this; they need a support group, such as family and friends as well as professional support through professional counseling and therapy organizations.

    5.   Isolation and Loneliness

    • About six million people are affected by late life depression, but only 10% ever receive treatment. (Brown University Long Term Care Quarterly, 1997)
    • Solitude is not to be confused with loneliness. Most people enjoy a little alone-time; there’s a big difference though between solitude and loneliness.
    • Feeling socially isolated is confidence sapping and your inner voice begins to question your worth as a person and your value to society. The feeling that you have nothing to contribute and no one to turn to is highly stressful and can easily lead to depression.

    6.   Life events

    Any number of major life events has the potential to result in depression. Job loss, divorce or relationship breakdown and bereavement are common examples.

    7.   How Does Illness Impact Depression?

    Even short-term illnesses such as influenza can change mood, but some longer term or chronic conditions can be life changing.

    • Cancer: 25% of cancer patients experience depression. (National Institute of Mental Health, 2002)
    • Strokes: 10-27% of post-stroke patients experience depression. (National Institute of Mental Health, 2002)
    • Heart attacks: 1 in 3 heart attack survivors experience depression. (National Institute of Mental Health, 2002)
    • HIV: 1 in 3 HIV patients may experience depression. (National Institute of Mental Health, 2002)
    • Parkinson’s Disease: 50% of Parkinson’s disease patients may experience depression. (National Institute of Mental Health, 2002)
    • Eating disorders: 50-75% of eating disorder patients (anorexia and bulimia) experience depression. (National Institute of Mental Health, 1999)
    • Substance use: 27% of individuals with substance abuse disorders (both alcohol and other substances) experience depression. (National Institute of Mental Health, 1999)
    • Diabetes:5-27% of persons with diabetes experience depression. (Rosen and Amador, 1996)

    8.   Personality

    Whether due to genes, early life experiences or a combination of both, the argument is that from early adulthood some people develop a generally gloomy view on life and become critical, negative, unhappy pessimists who worry and feel personally inadequate. People with these traits are argued to be more likely to suffer with major depressive episodes.

    Treatments for Depression?

    There are many options to the treatment of depression, with successful outcomes:

    • Up to 80% of those treated for depression show an improvement in their symptoms generally within 4-6 weeks of beginning medication, psychotherapy, attending support groups or a combination of these treatments. (National Institute of Health, 1998)
    • An estimated 50% of unsuccessful treatment for depression is due to medical non-compliance. Patients stop taking their medication too soon due to unacceptable side effects, financial factors, fears of addiction and/or short-term improvement of symptoms, leading them to believe that continuing treatment is unnecessary. (DBSA, 1999)
    • Participation in patient-to-patient support group improved treatment compliance by almost 86% and reduced in-patient hospitalization. Support group participants are 86% more willing to take medication and cope with side effects. (DBSA, 1999)
  • What’s your mantra?

    My Mantra is: This too shall pass, from the 12 steps of Recovery. Though not an alcoholic myself, I went the course of recovery & support with a very dear friend many years ago – his tenacity taught me about perseverance and commitment. Here’s to you RQ, wherever you are!

    Dr. Andrea Dinardo's avatarThriving Under Pressure

    IMG_2449

    This is my mantra.

    I write it on my bathroom mirror. I post it on my refrigerator door. I tape it to my office wall. I speak of it every time I teach.

    These 4 words remind me to focus on what’s good, what’s working, what’s infinitely possible. Even (especially) when everything is going wrong.

    Focus on the good.

    Because if I can find one good thing in the course of a day, I have found my reason to live, to love, and to lead.

    Sometimes the blessings are obvious. Sometimes they’re hidden. Sometimes it’s simply breathing. Other times “it’s the moments that take my breath away”.

    Mantras wake us up.

    Mantras work because they wake us up. Snap us out of it. They carry us from the perpetual loop of our worries to the equanimity of present time.

    For we all need a gentle nudge in the right…

    View original post 41 more words

  • Your Health Matters: 3 Powerful Perks of Living a Life of Purpose

    Excerpt from: 3 Heart-Health Perks of Living a Life of Purpose

     

    I want to talk about having a purpose in life and how it influences health. Having a sense of meaning and direction is critical for psychological well-being. In fact, it is considered one of six key elements in a psychologically healthy life, according to researchers. The other five are autonomy, environmental mastery, personal growth, positive relations with others, and self-acceptance.

    Here’s what purpose can do for your health:

    A Life of Purpose Lowers Your Risk of Death

    In a study of 7,108 patients, researchers in Rochester, New York, looked at the impact of having a sense of purpose on longevity. They also wanted to see if purpose was significant when the other key elements of psychological well-being were met. The authors found that risk of death increased by 15 percent to 33 percent in those who felt they did not have a purpose in life, even if other key elements of psychological health were present. The power of this health risk was highlighted when the authors found that in every age group from 20 to over 80 not having a purpose in life increased risk. This study teaches us two things. First, having a purpose in life is critical for healthy aging. Second, if we have lost ours, finding it again is of uttermost importance.

    A Life of Purpose Lowers Your Stroke Risk

    A recent study provided some understanding of the health risks in those without a feeling of purpose in life. This study…published in 2015 in the journal Stroke) included people participating in the Rush Memory and Aging Project  at Rush University Medical Center in Chicago. Over many years, researchers collected information regarding quality of life and psychological well-being. After participants died, the researchers looked into the brains of these people to understand the association between psychological health and organic disease. People who had identified a purpose in life had a 46 percent lower risk of having had unidentified strokes. This risk persisted when accounting for all stroke risk factors, including a prior known stroke or narrowing of the brain arteries. The Rush study emphasizes the role of purpose in keeping your brain healthy and functional.

    This is only one such study to link purpose and brain health. Other studies have found that people who identify with a purpose in life are less like to develop Alzheimer’s disease, frailty, or disabilities.

    A Life of  Purpose Cuts Your Heart Attack Risk

    You’re probably wondering how I am going to bring this around to the heart.  At the recent American Heart Association EPI/Lifestyle scientific sessions, researchers from Mount Sinai Heart and Health System in New York City presented data from a meta-analysis of more than 137,000 people. They reported that a high sense of purpose is associated with:

    • 23 percent reduction in death
    • 19 percent reduced risk of heart attack

    In looking back at [some of my] patients, my mind fills with regret. I should have recognized immediately the consequences of what [they] told me about not having a purpose. I also should have helped [them] realize [their] worth and identify a purpose. I could have done better…

    David Archuleta, in a song entitled “Glorious,” beautifully explains how all of us can find our purpose.

    There are times when you might feel aimless
    You can’t see the places where you belong
    But you will find that there is a purpose
    It’s been there within you all along, and when you’re near it
    You can almost hear it.
    (Chorus) It’s like a symphony. Just keep listening
    And pretty soon you’ll start to figure out your part
    Everyone plays a piece and there are melodies
    In each one of us, oh, it’s glorious

    Finding Purpose in Life

    If you’re struggling to find purpose in life or know somebody who is, these simple approaches may help. I am not an expert, but they have been sources of strength for me.

    1. Reach out to others. Loneliness is a powerful driver of self-doubt and despair.
    2. Live a service-filled life. You will find great strength and a sense of purpose in helping others.
    3. Ask yourself what you love and what you draw inspiration from in your life. This may be friends, family, God, nature, or a combination of these. Focus and schedule your life so these things can routinely surround you.
    4. This is easier said than done for a lot of us. However, I believe it is part of aging and maturing in a healthy manner. I had a great opportunity for self-acceptance when my high school football coach told me, “You would be really good if you had talent.” When we recognize our individual value and worth, it is much easier to identify a purpose.

    T. Jared Bunch, MD directs heart rhythm research at Intermountain Medical Center Heart Institute in Utah, and is the medical director for heart rhythm services for the Intermountain Healthcare network. Be sure to follow Dr. Bunch on twitter.