Physiology of Leadership & Operational Excellence
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- Sherilyn Manning
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1 Physiology of Leadership & Operational Excellence
2 Unique Qualifications Resilience research with Trauma Center/ICU staff Experience with over 50,000 people with traumatic stress seeking to live well
3 People Issues! 70-90% of Primary Care Claims (American Medical Association) 60-80% of Accidents (American Institute of Stress) Lifestyle Diseases Absenteeism Low Engagement Burnout/Fatigue Turnover Workplace Conflict Bad Decisions Costly Mistakes Customer Dissatisfaction *Indirect costs are 3-4 times higher than medical claims
4 Performance Curve
5 Holmes/Raye Scale 1967 Life event Death of a spouse 100 Divorce 73 Marital separation 65 Imprisonment 63 Death of a close family member 63 Personal injury or illness 53 Marriage 50 Dismissal from work 47 Marital reconciliation 45 Retirement 45 Change in health of family member 44 Life change units
6 Nervous System Analysis Heart Rate Variability (amount of change between beats) * ANS influences vital systems and resources
7 HRV Tells More than Heart Rate -Avg. HR 48 -Avg. HRV 80 ms HRV is great, indicating good recovery and health -Avg. HR 47 -Avg. HRV 12 ms HRV dramatically reduced; not a healthy situation
8 Index for Stress and Health HRV is a reliable index of autonomic function, stress response and resilience HRV is a window into understanding the link between appraisal systems of the brain and physiology HRV is useful guide to adapting lifestyle factors that promote health, function, and performance
9 Collective Impact HRV affects everything you do or don t do Brain Function Emotions Actions Language Energy Performance Resilience Cravings Health Relationships Bank Accounts
10 ss daytime. No recovery during the enough, but recovery was The only sleep moderate. period was long daytime. enough, but recovery was only moderate. Strength of reaction Balance of Stress & Recovery 15 min with the No recovery during the The sleep 120period 80 was long strongest stress daytime. enough, 100 but 60recovery was reactions. only moderate :00 20:00 22:00 00:00 02:00 04:00 06:00 08:00 10:00 12: h 15min 0 20:00 22:00 00:00 02:00 04:00 06:00 08:00 10:00 12:00 VERY RY 7h 15min 60 More than Less than 14:00 16:00 18:00 20:00 22:00 00:00 02:00 usual 04:00 Normal 06:00 08:00 usual 10:00 12:00 17% Amount of stress reactions: 7h 15min 59% > 60% 40-60% < 40 % More than Less than 7% usual Normal usual 17% Amount of stress reactions: 59% > 60% Low 40 Moderate - 60% < 40 Good 0% % 59% in) Amount of recovery: 17% < 20% 20-29% 30% 7% 17% STRESS AND RECOVERY Low Moderate Good 0% More than Less than 59% Amount of recovery: usual Normal usual 17% Stress reactions (14h 12min) 17% < 20% 20-29% 30% 17% Amount of stress reactions: 59% > 60% 40-60% < 40 % Recovery (4h 0min) SLEEP 7% Physical activity (1min) Low Moderate Good 0% 59% Daily physical activity (1h 40min) Self-reported sleep quality: Amount of recovery: 17% < 20% 20-29% 30% 17% Poor Moderate Good Other state (4h 8min) SLEEP Length of sleep: 7h 15min < 5,5h 5,5h - 7h 7h Self-reported sleep quality: riod WORK Poor Moderate Good Amount of recovery during Length of sleep: 7h 15min SLEEP sleep: 54% < 5,5h < 50% 5,5h 50-7h - 74% 7h 75% Self-reported sleep quality: Length of sleep: 7h 15min < 5,5h 5,5h - 7h 7h sleep: (Heart rate variability): 54% 18 ms < 50% 0-14 ms % - 27 ms 75% 27 ms Poor Amount Quality of recovery of recovery during Moderate Good Amount of recovery during Heart rate (beats/min) Heart rate (beats/min) Heart rate (beats/min)
11 Path to Injuries, + + Illness & Accidents :00 17: :00 01:00 05:00 09: :00 17:00 21:00 01:00 05:00 09:00 13:00 17:00 21:00 Resources increased Resources decreased Tue Wed Tue Thu Wed Thu 01:00 13: :00 09:00 17:00 13:00 21:00 17:00 21:00 Resources increased Resources decreased 01:00 01:00 05:00 05:00 09:00 09:00 13:00 13:00 17:00
12 activities The sleep period was LIFESTYLERelaxing ASSESSMENT before bedtime long enough and Heart rate (beats/min) Heart rate (beats/min) 15 min with the best daytime recovery. promote good recovery recovery was good. Recovery during leisure Person: Vance Ferrigno Measurement: during sleep. time enhances your very PhysicalAge activity Daily physical activity Missing heart rate 2%Start 54 ActivityHeart Classrate 4.0 (Average) overall coping. time Height (in) 5' 10'' Resting heart rate 45 Duration min with the Weight (lb) long 15 min with the best 172 Max. heartthe ratesleep period was175 Heart rate (low/avg./high) 140 strongest stress enough, but recovery was daytime recovery. Body Mass Index reactions. only moderate. Recovery during leisure time enhances your 100 overall coping. Missing heart80rate 2% Stress reactions Recovery Physical activity Daily physical activity Heart rate Optimizing Health & Performance 16:00 18:00 20:00 22:00 00:00 Relaxing activities 04:00 06:00 08:00 before bedtime promote good recovery during sleep. 02:00 Strength of reaction 7h 0min 18:00 20:00 22:00 00:00 02:00 04: The sleep period was 140 long10:00 enough and12:00 recovery was good min with the strongest stress reactions. 10:00 08:00 06:00 60 Wed :14 24h 21min 45 / 61 / min with the best daytime recovery. Recovery during leisure time enhances your overall coping : h 15min ND RECOVERY ECOVERY 10h 34min) min) 0min) min) 17% vity (1h 8min) min) h 8min) 5% 0% 35% 60 14:00 16:00 20:00 22:00 Amount of stress reactions: 17% 5% 43% 0% 35% 18:00 Amount of stress reactions: Amount of recovery: Amount of recovery: Physical activity (0min) % SLEEP Length of5sleep: 0% sleep quality: Daily physical activity Self-reported (1h 8min) Amount 35% of recovery during periodother state (4h 9min) Length sleep: of sleep: ACTIVITY WORK > 60% More than usual Low 43% > 60% 35% < 20% 40-60% 7h 0min 43% Quality of recovery Amount of recovery during (Heart rate variability): sleep: Normal Moderate 40-60% 20-29% Less08:00 than usual Low Moderate Good < 20% 20-29% 30% Amount of stress reactions: 43% 7h 0min Poor Moderate 43% Good > 60% < 5,5h 5,5h - 7h 7h Amount of recovery: Poor 81% < 50% 8h 15min < 5,5h 35 ms - 14 ms SLEEP <050% 72% Self-reported sleep quality: Quality of recovery 32 msof sleep: 0-14 ms Length ENERGY (Heart rate variability):expenditure Moderate 50-74% 5,5h - 7h ms 50-74% 10:00 12:00 < 40 % Less than usual 15 min with the Good stress <strongest 40 % 30% reactions. More than usual 17% Recovery (8h 30min) k period Normal 35% STRESS AND RECOVERY SLEEP 06:00 usual 43% Stress reactions (10h 34min) Self-reported sleep quality: work More than04:00 02:00 00:00 Heart rate (beats/min) 24.6 Low 35%Good < 20% Normal Less than usual 40-60% < 40 % Moderate Good 20-29% 30% 75% 7h 27 ms 75% Poor Moderate Good ms 7h 0min 27 ms < 5,5h 5,5h - 7h 7h
13 Stress Response and Energy Energy Depleting Event Resilience Protocol PSD (s 2 /Hz) HR 59.4 Recovery 21.1 Power 347 PSD (s 2 /Hz) HR 61.2 Recovery 27.8 Power Frequency (Hz) Frequency (Hz)
14 16:00 18:00 20:00 22:00 00:00 02:00 04:00 7h 0min Low Resilience No recovery. Stress reactions Recovery Physical activity Daily physical activity Heart rate Missing heart rate 0% Strength of reaction 90% 15 min with the strongest stress reactions. % of stress reactions: 90% % of recovery: 0% The sleep period was long enough, Less than but recovery was poor. 08:00 10:00 12:00 14:00 16:00 18:00 20:00 22:00 00:00 02:00 04:00 SLEEP Self-reported sleep quality: STRESS AND RECOVERY Length of sleep: 7h 0min More than usual 7h 0min Normal No recovery. More than Less than usual Normal usual Stress reactions (19h 59min) 7% % of stress reactions: 90% > 60% 40-60% < 40 % Recovery (0min) % of recovery during 2% sleep: 0% < 50% 50-74% 75% Physical activity (24min) 2% Low Moderate Good Daily physical Quality activity (22min) of recovery 0% % of recovery: 0% < 20% 20-29% 30% Other state (HR (1h 31min) variability, RMSSD): 22 ms 0-16 ms ms 32 ms 90% usual > 60% 40-60% < 40 % Low Moderate Good < 20% 20-29% 30% Poor Moderate Good < 5,5h 5,5h - 7h 7h Heart rate (beats/min) WORK SLEEP Self-reported sleep quality: Poor Moderate Good
15 Mon Tue Mon Tue Weight (lb) 140 Max. heart rate 181 Body Mass Index 25.6 Poor Recovery/Low BODY RESOURCES Resilience Mon 9th Mon 9th Tue 10th Tue 10th Starting level Starting level 10:00 14:00 18:00 22:00 02:00 06:00 10:00 14:00 18:00 10:00 14:00 18:00 22:00 02:00 06:00 10:00 14:00 18:00 22:00 02:00 06:00 Stress reactions Recovery Physical activity Daily physical activity + Significant recovery period Stress reactions Recovery Physical activity Daily physical activity + Significant recovery period STRESS AND RECOVERY STRESS AND RECOVERY STRESS AND RECOVERY BALANCE: SLEEP SLEEP LENGTH OF SLEEP: STRESS AND RECOVERY BALANCE: Positive Positive Negative Negative Resources increased Resources decreased Mon Tue LENGTH OF SLEEP: Resources increased GoodResources decreased Moderate Poor Good Moderate Poor 7h 5,5h Your averag Good (7h 3 Mon In your age gro Tu average is 7h 4
16 Cost of Poor Recovery Primary Cause: Lack of Recovery
17 Health & Performance Drivers Strength of reaction Heart rate (beats/min) 09:00 11:00 13:00 15:00 17:00 19:00 21:00 23:00 01:00 03:00 05:00 07:00 09:00 Stress reactions (17h 36min) 12% Recovery (5h Social 34min) Support 2% Physical activity (12min) 1% Daily physical activity (28min) Other state (3h 11min) WORK PERIODS Exercise (30 minutes > 120 bpm) Emotional Regulation Lean Protein, 21% 3 vegetables/2 65% fruits Hydration Tobacco free SLEEP PERIODS < 2 units of alcohol
18 Recovery & Health Health Index % Stress % Recovery > <
19 Advance Health and Performance Give what matters most the attention it deserves Renovo Advantage
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