Many patients will be in pain and have a loss of appetite after surgery. Part of the body's response to surgery is to direct energy to wound healing, which increases the body's overall energy requirements. Surgery affects nutritional status indirectly, particularly during the recovery period, as it can interfere with wound healing and other aspects of recovery. Surgery directly affects nutritional status if a procedure permanently alters the digestive system. Enteral nutrition (tube feeding) is often needed. However a policy of 'nil by mouth' for all gastrointestinal surgery has not been shown to benefit, with some suggestion it might hinder recovery.
"It is my belief that psychotherapy has the best chance to be effective when the client and therapist have a strong therapeutic alliance. That is, they have a good working relationship and are working toward exactly the same goals using methods or approaches best suited for the client. I strive to achieve this by providing a warm and safe climate, listening closely to the needs of my clients, and discussing our options and strategies."
The true value of coaching is difficult to measure, but since JDA added coaching sessions to its Emerging Leader Program, work project quality has been higher and outcomes have improved. Further, 75 percent of folks who go through the program are promoted at least one level or more. Clark is planning to continue JDA’s coaching investment specifically to increase bench strength and to make sure future leaders in the organization are prepared.
It further identified target groups that would benefit from sports psychology, including active amateur and professional athletes; sports teams and leagues, athletes suffering from temporary or permanent injuries; as well as the family members, teammates, coaches and friends of athletes. Finally, the APA identified specific problems and the techniques that could be used to address them, including mental skills training, visualization and motivational techniques, rehabilitation counseling after injuries, stress management, boosting self-confidence, leadership and team-building training, and counseling for eating disorders or substance abuse.
During the next year, Nelson suggested a number of personnel changes. Since those came with the CEO’s backing, the HR director accepted them, no questions asked. Because she was afraid to buck the CEO’s handpicked adviser, the personnel director also said nothing about the problems that ensued. These stemmed from Nelson’s exclusive reliance on his profiling system. For example, in recommending the promotion of one East Coast store manager to regional director of West Coast sales, Nelson ignored the man’s unfamiliarity with the region and the people he was appointed to manage. Not surprisingly, that move—and many of Nelson’s other ill-conceived selections—bombed. To compound the problem, word of Nelson’s status and his often horrific recommendations circulated through the company like wildfire, leading many people to both fear and resent his undue influence over Garvin. The negative emotions Nelson generated were so intense that underperforming, newly promoted managers became the targets of an undeclared, but uniformly embraced, pattern of passive-aggressive behavior by the rank and file. Such behaviors ranged from not attending meetings to botching orders to failing to stock goods in a timely manner.
As Finkle notes, this doesn't mean that company goals aren't supported by coaching—indeed, the coach was most likely hired by the company to support the executive's efforts to achieve those goals. Even so, the role of the coach is not to represent specific company needs or interests. "The perspectives they provide, the alternatives discussed, and everything else has no agenda except to support the coachee," she says.
Executive Coaching is one of the fastest-growing fields of management consulting in America. SMU's Certificate Program in Executive Coaching provides students with a comprehensive, classroom-based, learning experience that gradually builds on skills and knowledge throughout the program of study. In doing so, the CPEC provides students with the theoretical grounding and applied practice needed to enter the field of executive coaching as a consultant or internal practitioner.
Cancer, a very common and sometimes fatal cause of unexplained (idiopathic) weight loss. About one-third of unintentional weight loss cases are secondary to malignancy. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobiliary (hepatocellular carcinoma, pancreatic cancer), ovarian, hematologic or lung malignancies.
Although there are different techniques, clinical hypnotherapy is generally performed in a calm, therapeutic environment. The therapist will guide you into a relaxed, focused state and ask you to think about experiences and situations in positive ways that can help you change the way you think and behave. Unlike some dramatic portrayals of hypnosis in movies, books, or on stage, you will not be unconscious, asleep, or in any way out of control of yourself. You will hear the therapist’s suggestions, but it is up to you to decide whether or not to act on them.