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Psychiatrist & Mindfulness-Based Therapist, Sunway Medical Centre;
President of Malaysia Association for Mindfulness Practice & Research (MMPR)
By Dr. Phang Cheng Kar (M.D.)
1
The MINDFULGym program is supported by
8 local research in Malaysia for reducing stress and
improving happiness. In this workshop, you will
learn 7 exercises to help you cope with stress
2
MINDFULGym for ICU Nurses in Serdang Hospital
Hee, K.L, Subramanian, P., Rahmat, N., & Phang, C.K. (2014). The Effect of Mindfulness Training Programme on
Reducing Stress and Promoting Well-being among Nurses in Critical Care Units. Australian Journal of Advance
Nursing, 31(3), 22–31.
MINDFULGym for nurses in UMMC
1. ABC of Stress in Nurses
2. Introduction to Mindfulness
3. Mindful Body Stretching
4. Mindful Breathing
5. NOWING The Present Moment
6. Mindful Listening
7. Mindful Photography
8. Gratitude Workout: Google-WWW-Yahoo
9. Loving Kindness (Rasa Sayang)
10. A Mindful Nursing Day
11. MINDFULGym Nurse Website
1. ABC of Stress in Nurses
2. Introduction to Mindfulness
3. Mindful Body Stretching
4. Mindful Breathing
5. NOWING The Present Moment
6. Mindful Listening
7. Mindful Photography
8. Gratitude Workout: Google-WWW-Yahoo
9. Loving Kindness (Rasa Sayang)
10. A Mindful Nursing Day
11. MINDFULGym Nurse Website
STRESS
“Stress” is a general term that we use to refer to the tension that
arises when we can’t cope with the demands or challenges in life
Signs & symptoms of stress…
Thought Feeling
Body Behavior
STRESS
To know our stress level, we need to be aware of our signature or typical
stress symptoms which can be classified into four categories
Examples of typical stress symptoms?
“I’m useless”
“Nobody
likes me”
“I’m a burden
to others”
“I’m going
crazy”
“What if…!!!”
Sad
Fear
Worry
Angry
Impatient
Heart
beating
quickly
Breathing
rapidly
Muscle
aches
Easily tired
Gastric pain
Eat a lot
Keep quite
Drive
recklessly
Sleep all
the time
Smoke a lot
THOUGHT FEELING BODY BEHAVIOR
Is STRESS Good or Bad?
The figure shows the Yerkes Dodson curve. When our stress level (X axis) is too low,
performance (Y axis) is no good, e.g. lack of motivation to study. On the other hand,
when it’s too much, performance is also affected, e.g. nervousness impairs memory that
is crucial for learning. We need OPTIMAL stress – a.k.a. “eustress” (good stress) for
good performance. MINDFULGym NURSE is useful for reducing excessive stress…
Imagefromhttp://secretgeek.net/ydlaw.asp
Teknik1:
MINDFUL BODY STRETCHING
ReganganKetarasedar
Squeeze the orange!
7/29/2018 copyright (your organization) 2003 14
Mindful Body Stretching:
Tortoise!
7/29/2018 copyright (your organization) 2003 15
Mindful Body Stretching:
Superman!
Mindful Body Stretching:
Push the ceiling!
Massage, Tap & Rotate
World Happiness Report
2018 (Malaysia)
 2012 – 51
 2013 – 56
 2015 – 61
 2016 – 47
 2017 – 42
 2018 – 35
156 countries; Finland is no 1; Singapore - dropped from 26th in 2017 to 34th in 2018
Yawning - Aaaahhhhh!
Squeeze nose with face -
Eeeeeeeee!
Make a long face -
Oooohhh!
7/29/2018 copyright (your organization) 2003 22
Grip a handkerchief
with your toes
7/29/2018 copyright (your organization) 2003 23
Touch shin with toes
7/29/2018 copyright (your organization) 2003 24
Touch wall with toes
1. ABC of Stress in Nurses
2. Introduction to Mindfulness
3. Mindful Body Stretching
4. Mindful Breathing
5. NOWING The Present Moment
6. Mindful Listening
7. Mindful Photography
8. Gratitude Workout: Google-WWW-Yahoo
9. Loving Kindness (Rasa Sayang)
10. A Mindful Nursing Day
11. MINDFULGym Nurse Website
“Mindfulness” is now a very popular
concept for self-help & wellness
Mindfulness was first introduced into medicine as MBSR by Emeritus Professor
Dr. Jon Kabat-Zinn in the 1970s at the University of Massachusetts Medical Centre
for stress reduction in patients with physical disorders, e.g. chronic pain & psoriasis
MBSR –
Mindfulness-based Stress
Reduction Program
Mindfulness means
Remembering to
PAY ATTENTION
to the PRESENT MOMENT
with an attitude of Kindness,
a Beginner’s Mind & Wisdom
Dr. Zhen-Phang, MINDFULGym
What is Mindfulness?
Teacher says pay attention!
MINDFULGym will teach you
HOW to pay attention…
3
Teknik2:
MINDFUL BREATHING
PernafasanKetarasedar
Slow, Deep & Mindful
Breathing – Qi Gong Style
Teknik3:
NOWING THE
PRESENT MOMENT
Latihan Tumpu & Tekun
MULTITASKING
What is Multitasking?
Multitasking, Mindlessness & Mistakes
Multitasking, Mindlessness & Mistakes
Multitasking, Mindlessness & Mistakes
Multitasking, Mindlessness & Mistakes
NOW-INGThe Present Moment
Teknik4:
MINDFULLISTENING
PendegaranPrihatin
1. When is the most
important time?
2. Who is the most
important person?
3. What is the most
important thing to do?
Mindful
7 Habits of Mindful Listening
M – Mmmmhhhhh…
I – I see, Interesting…
Y - Ya, yaloh, yes…
A – Aaaahhhh,
Aiyoh…
O – Oooohhh, OMG…
W – Wow, wah-lah,
wonderful…
M.I.Y.A.O.W. ?
Mindful vs. Mindless Listening
Happiness is here & now…
(Source: Plum Village, France)
Happiness is here and now,
I have dropped my worries.
Nowhere to go, nothing to do,
no longer in a hurry.
Happiness is here and now,
I have dropped my worries.
Somewhere to go, something to do,
but not in a hurry.
http://www.youtube.com/watch?v=Q5kteKBfQ0I
Happiness is here & now…
(1-Malaysia version)
HOI SAM is here and now,
I have dropped my RISAU.
Nowhere to go, nothing to do,
no longer in CEPAT-CEPAT.
HUA HI is here and now,
I have dropped my RISAU.
Somewhere to go, something to do,
but not in SIKRAM-SIKRAM.
http://www.youtube.com/watch?v=Q5kteKBfQ0I
It enables us to
fully appreciate or
savor the NOW
experience in life,
e.g. food, music,
sceneries, friendship
– ENJY the Present
Moments.
Teknik5:
MINDFULPHOTOGRAPHY
TeknikMenghayati Fotografi
Teknik 7:
GratitudeWorkout–
‘Google-WWW-Yahoo’
Latihan Kesyukuran
Bronze medalists are happier
than silver medalists because
they are more GRATEFUL
Try to ‘Google’ (search) for 3 WWW (What Went Well?)
everyday & ‘Yahoo’ (rejoice). In another words, deliberately try
to pay attention to things that went well in life, count blessings
or find things to appreciate. For examples…
Teknik 5:
LOVING-KINDNESS
Amalan‘RasaSayang’
Rasa sayang eh,
Rasa sayang, sayang eh
Eh, may I, may you, may all be
happy, Happy, HAPPY – Yeahh 
Saya doakan/ucapkan…
SIHAT
SELAMAT
SEJAHTERA
1. Mindful Body Stretching
(Regangan Ketarasedar)
2. Mindful Breathing
(Pernafasan Ketarasedar)
3. NOWING The Present Moment
(Latihan Tumpu & Tekun)
4. Mindful Listening
(Pendengaran Prihatin)
5. Mindful Photography
(Teknik Menghayati Fotografi)
6. Gratitude Workout: ‘Google-WWW-Yahoo’
(Latihan Kesyukuran)
5. Loving-Kindness (Rasa Sayang)
(Amalan ‘Rasa Sayang’)
1. ABC of Stress in Nurses
2. Introduction to Mindfulness
3. Mindful Body Stretching
4. Mindful Breathing
5. NOWING The Present Moment
6. Mindful Listening
7. Mindful Photography
8. Gratitude Workout: Google-WWW-Yahoo
9. Loving Kindness (Rasa Sayang)
10. A Mindful Nursing Day
11. MINDFULGym Nurse Website
How to practice? Suggestion…
• Before work – Mindful Body Stretching
• During work (every 2-3 hours) or during prayers –
Mindful Breathing
• When you are tired and need to focus on nursing
procedures – NOWING The Present Moment
• When talking to someone – Mindful Listening
• After work/ after attending to a patient – sing
‘Rasa Sayang’ and wish everyone/patient safe,
healthy, and happy
• Weekend or off days – write Gratitude Workout diary
or Mindful Photography
https://pckar39011.wixsite.com/mindfulgym-nurse/copy-of-a-mindful-day
For more information:
https://pckar39011.wixsite.com/mindfulgym-nurse
Dr. Phang Cheng Kar
pckar39011@gmail.com
https://www.mindfulgymalaysia.com/

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MINDFULGym for NURSES at HUSM

  • 1. Psychiatrist & Mindfulness-Based Therapist, Sunway Medical Centre; President of Malaysia Association for Mindfulness Practice & Research (MMPR) By Dr. Phang Cheng Kar (M.D.) 1
  • 2. The MINDFULGym program is supported by 8 local research in Malaysia for reducing stress and improving happiness. In this workshop, you will learn 7 exercises to help you cope with stress 2
  • 3. MINDFULGym for ICU Nurses in Serdang Hospital Hee, K.L, Subramanian, P., Rahmat, N., & Phang, C.K. (2014). The Effect of Mindfulness Training Programme on Reducing Stress and Promoting Well-being among Nurses in Critical Care Units. Australian Journal of Advance Nursing, 31(3), 22–31.
  • 5.
  • 6. 1. ABC of Stress in Nurses 2. Introduction to Mindfulness 3. Mindful Body Stretching 4. Mindful Breathing 5. NOWING The Present Moment 6. Mindful Listening 7. Mindful Photography 8. Gratitude Workout: Google-WWW-Yahoo 9. Loving Kindness (Rasa Sayang) 10. A Mindful Nursing Day 11. MINDFULGym Nurse Website
  • 7. 1. ABC of Stress in Nurses 2. Introduction to Mindfulness 3. Mindful Body Stretching 4. Mindful Breathing 5. NOWING The Present Moment 6. Mindful Listening 7. Mindful Photography 8. Gratitude Workout: Google-WWW-Yahoo 9. Loving Kindness (Rasa Sayang) 10. A Mindful Nursing Day 11. MINDFULGym Nurse Website
  • 8. STRESS “Stress” is a general term that we use to refer to the tension that arises when we can’t cope with the demands or challenges in life
  • 9. Signs & symptoms of stress… Thought Feeling Body Behavior STRESS To know our stress level, we need to be aware of our signature or typical stress symptoms which can be classified into four categories
  • 10. Examples of typical stress symptoms? “I’m useless” “Nobody likes me” “I’m a burden to others” “I’m going crazy” “What if…!!!” Sad Fear Worry Angry Impatient Heart beating quickly Breathing rapidly Muscle aches Easily tired Gastric pain Eat a lot Keep quite Drive recklessly Sleep all the time Smoke a lot THOUGHT FEELING BODY BEHAVIOR
  • 11. Is STRESS Good or Bad? The figure shows the Yerkes Dodson curve. When our stress level (X axis) is too low, performance (Y axis) is no good, e.g. lack of motivation to study. On the other hand, when it’s too much, performance is also affected, e.g. nervousness impairs memory that is crucial for learning. We need OPTIMAL stress – a.k.a. “eustress” (good stress) for good performance. MINDFULGym NURSE is useful for reducing excessive stress… Imagefromhttp://secretgeek.net/ydlaw.asp
  • 14. 7/29/2018 copyright (your organization) 2003 14 Mindful Body Stretching: Tortoise!
  • 15. 7/29/2018 copyright (your organization) 2003 15 Mindful Body Stretching: Superman!
  • 17. Massage, Tap & Rotate
  • 18. World Happiness Report 2018 (Malaysia)  2012 – 51  2013 – 56  2015 – 61  2016 – 47  2017 – 42  2018 – 35 156 countries; Finland is no 1; Singapore - dropped from 26th in 2017 to 34th in 2018
  • 20. Squeeze nose with face - Eeeeeeeee!
  • 21. Make a long face - Oooohhh!
  • 22. 7/29/2018 copyright (your organization) 2003 22 Grip a handkerchief with your toes
  • 23. 7/29/2018 copyright (your organization) 2003 23 Touch shin with toes
  • 24. 7/29/2018 copyright (your organization) 2003 24 Touch wall with toes
  • 25. 1. ABC of Stress in Nurses 2. Introduction to Mindfulness 3. Mindful Body Stretching 4. Mindful Breathing 5. NOWING The Present Moment 6. Mindful Listening 7. Mindful Photography 8. Gratitude Workout: Google-WWW-Yahoo 9. Loving Kindness (Rasa Sayang) 10. A Mindful Nursing Day 11. MINDFULGym Nurse Website
  • 26. “Mindfulness” is now a very popular concept for self-help & wellness
  • 27. Mindfulness was first introduced into medicine as MBSR by Emeritus Professor Dr. Jon Kabat-Zinn in the 1970s at the University of Massachusetts Medical Centre for stress reduction in patients with physical disorders, e.g. chronic pain & psoriasis MBSR – Mindfulness-based Stress Reduction Program
  • 28. Mindfulness means Remembering to PAY ATTENTION to the PRESENT MOMENT with an attitude of Kindness, a Beginner’s Mind & Wisdom Dr. Zhen-Phang, MINDFULGym What is Mindfulness?
  • 29. Teacher says pay attention! MINDFULGym will teach you HOW to pay attention…
  • 30. 3
  • 32. Slow, Deep & Mindful Breathing – Qi Gong Style
  • 33.
  • 34.
  • 44. 1. When is the most important time? 2. Who is the most important person? 3. What is the most important thing to do?
  • 45. Mindful 7 Habits of Mindful Listening M – Mmmmhhhhh… I – I see, Interesting… Y - Ya, yaloh, yes… A – Aaaahhhh, Aiyoh… O – Oooohhh, OMG… W – Wow, wah-lah, wonderful… M.I.Y.A.O.W. ?
  • 46. Mindful vs. Mindless Listening
  • 47. Happiness is here & now… (Source: Plum Village, France) Happiness is here and now, I have dropped my worries. Nowhere to go, nothing to do, no longer in a hurry. Happiness is here and now, I have dropped my worries. Somewhere to go, something to do, but not in a hurry. http://www.youtube.com/watch?v=Q5kteKBfQ0I
  • 48. Happiness is here & now… (1-Malaysia version) HOI SAM is here and now, I have dropped my RISAU. Nowhere to go, nothing to do, no longer in CEPAT-CEPAT. HUA HI is here and now, I have dropped my RISAU. Somewhere to go, something to do, but not in SIKRAM-SIKRAM. http://www.youtube.com/watch?v=Q5kteKBfQ0I
  • 49.
  • 50.
  • 51. It enables us to fully appreciate or savor the NOW experience in life, e.g. food, music, sceneries, friendship – ENJY the Present Moments.
  • 53.
  • 55. Bronze medalists are happier than silver medalists because they are more GRATEFUL
  • 56. Try to ‘Google’ (search) for 3 WWW (What Went Well?) everyday & ‘Yahoo’ (rejoice). In another words, deliberately try to pay attention to things that went well in life, count blessings or find things to appreciate. For examples…
  • 57.
  • 58.
  • 60. Rasa sayang eh, Rasa sayang, sayang eh Eh, may I, may you, may all be happy, Happy, HAPPY – Yeahh 
  • 62. 1. Mindful Body Stretching (Regangan Ketarasedar) 2. Mindful Breathing (Pernafasan Ketarasedar) 3. NOWING The Present Moment (Latihan Tumpu & Tekun) 4. Mindful Listening (Pendengaran Prihatin) 5. Mindful Photography (Teknik Menghayati Fotografi) 6. Gratitude Workout: ‘Google-WWW-Yahoo’ (Latihan Kesyukuran) 5. Loving-Kindness (Rasa Sayang) (Amalan ‘Rasa Sayang’)
  • 63. 1. ABC of Stress in Nurses 2. Introduction to Mindfulness 3. Mindful Body Stretching 4. Mindful Breathing 5. NOWING The Present Moment 6. Mindful Listening 7. Mindful Photography 8. Gratitude Workout: Google-WWW-Yahoo 9. Loving Kindness (Rasa Sayang) 10. A Mindful Nursing Day 11. MINDFULGym Nurse Website
  • 64. How to practice? Suggestion… • Before work – Mindful Body Stretching • During work (every 2-3 hours) or during prayers – Mindful Breathing • When you are tired and need to focus on nursing procedures – NOWING The Present Moment • When talking to someone – Mindful Listening • After work/ after attending to a patient – sing ‘Rasa Sayang’ and wish everyone/patient safe, healthy, and happy • Weekend or off days – write Gratitude Workout diary or Mindful Photography
  • 67. Dr. Phang Cheng Kar pckar39011@gmail.com https://www.mindfulgymalaysia.com/