Cooking healthy vegetables in bamboo tube

The vegetables cooked in the bamboo tube is one of the decade cooking practices. This style of cooking is still practised in many parts of Papua New Guinea. It's an outdoor activity.

Requirements 

Kaukau, pumpkin, onion, corn,peanut11agreen, carrots, coconut's milk, or water, bananas leaves, a slice of meats, peppers, any vegetables of choice like beans and bamboo tubes, and prepare dry firewood and get the gaslighter.

How to prepare it:

1. Prepare a fireplace. 
2. Prepare all the vegetables, cut the meats into pieces and cut some bamboo into tubes.
3. Bring them to water and wash them.
4. Add peppers or spices at your wish. Mix all the vegetables until it's done.
5. Fill all the mixed vegetables into the bamboo tubes. Close the bamboo tubes with bananas leaves of any leaves that you think it's all okay.
6. fill up the fireplace with firewood and make a fire.
7. Put the bamboo tubes containing vegetables on the open fire. 
8. Watch the stream coming out from the opening end of the tube which you have closed with leaves until the vegetables are soft.
9. Remove the leaves and pour the vegetables on the plate. Add salt if you like.
10. Serve the dish now.

My mother's best pork meat cooking recipe, love it my childhood days.

___________________________

Enjoy the food for good health.

How to reduce high cholesterol level

Cholesterol build-up narrowing blood vessel.

The presence of high cholesterol levels is a health risk. If no actions are taken to lower the high cholesterol level, it can lead to other medical conditions such as high blood pressure, heart attack and stroke that can lead to fatal.

Cholesterol build-up narrowing the blood vessel thus obstructing the blood to flow
freely. 

The clients with high cholesterol level experience various symptoms. There are many other symptoms, but one that stands out in my clinical work is 'headaches'. Many other health conditions can cause headaches, but two questions that can lead clinicians to do further medical investigation are: How was your protein food intake in the last few days? Or do you have a family history of cholesterol? If yes to one of these questions, then, it may interest the medical clinicians for further medical investigation.

Accutrend Plus 

Cholesterol Machine.

One of the world's best cholesterol portable testing machines available on market is Accutrend Plus Cholesterol Meter. This machine does an amazing job within 180 seconds (3 minutes) to give a perfect result. The laboratory test result waiting time will kill you, but this piece of machine is sure to cease the result waiting for stress.

I have used this many times and found it to be very reliable.  This piece of machine is cost-effective medical equipment for both clinicians and clients.

The operation of this machine do not require training, it's like a blood sugar testing machine, so any family can have it at home. Please follow the link to order one for your family.

Healthy tips to reduce high cholesterol levels.

(1). Control food choice on the shopping list.

The number one effective prevention tip is controlling the food choice on the shopping list. This means, stop going to the shop with an open book. The shopping list must be finalized at home so that you go with a closed shopping list.

When you have a controlled shopping list means your food budget expenditure is also controlled. So, going to the shop with planned shopping money.

The idea of controlling food choices on a shopping list must communicate to the family. This new norm practice must be supported by the entire family. This provides a good opportunity for family education on cholesterol.
So, the biggest challenge is controlling the shopping; going to the shop with fix budget; temptation on the shopping shelves; gaining family support and living a new norm lifestyle.

If one can overcome these temptations, surely, you and the family will win the battle against cholesterol.

The other cholesterol reduction strategy becomes ineffective if there is no control over the intake of cholesterol food and plenty of cholesterol foodstuffs at home.

(2). Engaging in physical exercise.

There is no recommended exercise for clients with high cholesterol levels. Any physical exercise that suits your perfection can help work out the high cholesterol level.

Example: Fast walking down the road for 60 minutes for the next few days is sure to reduce the high cholesterol level.

It is highly recommended that before engaging in exercise, check your blood pressure. If your blood pressure is at the management level, (ask your doctor), then, you can start engaging in exercise.

Engagement in any exercise therapy won't go wrong. It will help, however, you need to commit yourself to engage in doing the physical exercise.

All health care workers will recommend physical exercise as it burnout high cholesterol level very fast but at the same time reduce cholesterol food intake. Exercise therapy also shapes up body weight, thus improving the quality of life.

Personal clinical experience.

"I ate lots of protein foods like fried eggs, chicken meats, pork (etc.) over the week".

" I was sitting in my workstation, I felt headaches on both rights of my foreheads".

" I never had such experience before, so, I prescribe myself a test".

"What do I accept"?

" The result was 7.5". "A very high result".

Action taken.
"That afternoon, I engage in 60 minutes fast walk down the road".

" I continue fast walk for 2 days, and on 3rd did review the test".

"What do I accept"?

"The result was astonishing one, it was 3.5".

(3). Prescription medicine is highly recommended if the cholesterol level is.

·         Not improving on exercise.

·         Not improving on food control - cut out.

·         High cholesterol is associated with high blood pressure or other medical conditions.

 IMPORTANT POINT.

·         If you have high blood pressure, stabilize it with prescription medicine, and also get medical advice from your doctor.

·         Lifestyle and nutrition modification treatment therapy works well for high cholesterol.

·         Family support in cholesterol control at home through shopping choices and reduce or stop having high cholesterol base foodstuffs at home. This provides an educational opportunity for the entire family to learn about cholesterol.

Managing early warning workplace mental health signs

Overview:
Workplace mental stress can have negative impacts on

Mental health.

productivity, innovation, energy levels, relationships, and staff turnover. Creating a healthy working environment that addresses mental health concerns is essential for the success of the organization.

Goal:
The goal is to create a mentally healthy workplace in Papua New Guinea.

Objectives:
1. Provide line managers with First Aid Mental Health knowledge and skills.
2. Help line managers and workers self-assess their mental stress levels.
3. Reduce industrial injuries and increase business productivity.

Target Audience:
The target audience includes line managers and the workforce who are responsible for implementing organizational policies.
Relevance to PNG Workplace Settings:

There is a lack of first aid mental health training and accessible mental health diagnostic tools in both public and private sectors. Managing mental health concerns at the workplace is underrated due to a lack of understanding of the costs and benefits. Early warning signs of mental discomfort, such as frequent sick leave or tardiness, can have significant financial costs.

Beneficiaries:
Both line managers and the workforce will benefit from the proposed program, leading to positive contributions to the organization and families.
Workplace Mental Stress Model:
The model considers line managers as central to the organization's success and focuses on relieving their psychological strain. Job demand and pressures can lead to stress in line managers, which can then affect the workforce and overall work relationships.

Push-down-Push-up Factors:
When line managers push job demands onto workers and workers withdraw effective participation, it can cause conflict and stress. Line managers should delegate tasks according to job skill attributes and consider workers' family, social, and cultural issues to prevent unnecessary stress.
Impact of Mental Health Stress:
Workplace mental health stress affects cognitive, emotional, behavioral, and physiological reactions to work. It can lead to depression, mood disorders, cardiovascular health conditions, and physical symptoms like headaches and chest pain. Behavioral indicators of stress include absenteeism, rework, and unhealthy behavior.
Intervention Strategies:

1. Provide First Aid Mental Health training for line managers and safety workers.
2. Use toolbox meetings to conduct mental health educational programs.
3. Use the Early Warning Signs of Mental Health Stress Tool to detect signs of stress.
4. Hire professional counselors, social workers, or psychologists.
5. Establish a network with relevant organizations for support and referrals.

Summary:
Investing in social welfare is crucial for business success. Workplace mental stress has significant financial implications in Papua New Guinea. By addressing mental health concerns, organizations can improve productivity and overall well-being.

List of References.
1. Betty. K., Anthony. J. & Claire. K. (2017), 4th Edition Mental Health First AIDS Manual, Australia.
2.MHFA Line Managers’ Resource (2016), MHFA www.mhfaengland.org  England CIC  
3. Skinner, N. & Roche, A.M. (2005). Stress and Burnout, A Prevention Handbook for the Alcohol and Other Drugs Workforce. Flinders University, Australia. 
4.Stavroula., L, Aditya J. (2014-202), EU Compass for Action on Mental Health and Well-Being, Mental Health in the Workplace in Europe, Center for Organizational Health & Development, School of Medicine, University of Nottingham,
5. World Health Organization (2013), Mental Health Policy and Service Development, Department of Mental Health and Substance Abuse, Papua New Guinea. 
6. the University of Buffalo, School of Social Work, Self-Care Exercises and Activities, 
http://socialwork.buffalo.edu/resources/self-care-starter-kit/self-care-assessments-exercises/exercises-and-activities.html#title_6 New York, USA.
7.https://www.webmd.com/balance/stress-management/qa/what-are-the-cognitive-symptoms-of-stress
8.https://www.helpguide.org/articles/stress/stress-symptoms-signs-and-causes.htm 

Reflective counselling journal

Introduction 

In this paper, I am going to discuss three counselling micro-skills. They’re; clarifying questions, a reflection of feelings and eye contact.  

In clarifying questions, I want to look at how to clarify ambiguous thoughts, feelings or behaviours and develop the ability to reflect the Client’s explicit or inexplicit communications and practice developing natural caring eye contact skills.

According to Lisa F., Powers, (2006), clarifying questions are important in counselling, therefore, Counsellor must be careful with the kind of questions asked. 

Following clarifying questions were used in a recent marital counselling session.

Client: “My wife had sexual affairs with another man”. “I was very angry so I wanted to do something about her but cool it down”.

Counsellor: Did I hear “you say you wanted to do some about your wife because she had sexual relations with another man”. Can you clarify that for me in other words?

Client: Yes, I mean, I wanted to kill or physical bit her up for breaking our marriage promise by having sexual relations with another man while I was at work.

The purpose of using clarifying questions is to clarify vague or ambiguous thoughts, feelings or behaviours which the Counselor has just heard from the client’s story. The Counselor employs clarifying questions like this to enrich the story: “Did I hear you say…? Lisa F., Powers, 2006,”

Clarifying questions merely invite the client to restate what s/he has just said and also the Counselor affirming to the Client what the Counselor has understood the Client have said. The clarification questions can be in a form of paraphrasing of the Client’s most recently stated story.

The Counselor asks the Client clarifying questions in respect to what the Client has said.  The Counselor invites the client to say it in other words so that the story is well understood.  Clarifying questions provide an opportunity for the Client to unearth the ambiguous elements of the story.

The Counselor listens to the story and processing them while the Speaker continues to talk. Most stories are emotional base. Therefore, the Clients may use different words to express their feelings, thoughts and behaviour. In such scenarios Counselor use clarifying questions to explore the patchy communications.  

The clarifying questions present the Clients opportunity to scrutinize deeper into the issues thus unearth vague areas so that the Client work on an ideal future.

 I must continue using clarifying question because ‘not all stories come in the same form but different sizes and shapes ’. Many time Clients do not speak their stories in a clear tone. They put up their stories in different forms to say the different thing that means another thing thus it become inexplicit for the Counsellor to process it. Like the above case study where the Client says; 

"I wanted to do something about her”. 

With the aid of clarifying questions, the ambiguous statement “I wanted to do something about her” apparently become visible. Clarifying questions merely removes the dark patchy areas so that issues are visible.

What I realize in clarifying questions from the above case is; the Client was protective of his evil mind. He was not free to undress the story but use the ambiguous statement to dig up the hidden envision actions.  When the invitation was offered for clarity, he pauses for five seconds to free up the vague.

Reflecting acts like a minor; it gives back to the Client what s/he just has said. It let the Client know what the Counselor understand about the stories the Client has communicated (Lisa F., Powers, 2006). 

The Client may express their feelings explicitly or inexplicitly using tone of voice, nonverbal communication the context, or the content of a client’s story (Lisa F., Powers, 2006). The Counselor use reflection skills to minor Client’s emotional verbal or nonverbal cues.

The purpose of reflection of feelings is to help the clients free up their emotional feelings to feel free, restore lost dignity and navigate the future with self-confidence. 

The Counselor must clinically be an active listener of the ears and eyes of an eagle to see the unseen for an effective reflection of feelings, then the Counsellor painstakingly tours the Client’s world. The Counselor’s perfectness comes from attentive listening ears. Attentive listening is a skill that involves both eye and ears.

The Counselor ability to locate the Client’s feelings, positively raise the Clients self-awareness, concurrently, the Client’s feels that their stories are heard like the following case:

Client: “After hearing my wife had sexual relations with another man, I immediately remove her from my house but I am just thinking hard about my boy”.

Counsellor: You’re feeling sorry for sending away your wife and son without solving the problem. 

Client: “Yes! “I was so angry that without a second thought I force my wife out of my house”. “Now the issue is settling down, I am feeling sorry for her and my son”.

If I wasn’t too clinical, I would have missed the verbal cue of “I am thinking hard about my boy”. This was an explicit statement so, with rich cultural background, I could easily pick up the verbal cues to reflect the Client’s feeling thus affirm his feeling toward his wife and son.

The Client pause for few seconds then communicates slowly when he said the following statement. 

“I am just thinking hard about my boy”. When I notice his verbal and behavioural and cue, I relate them to the cultural context he confirms that he wants to sit down with both parents to solve the issues.

What stood out clear in this clinical scenario was the importance of listening for feelings cue, either in verbal or non-verbal communication, which was coming deep from a person’s heart, and it’s extremely important.

Reflection of feelings in counselling is a useful tool. The important element that stands out is how to add a feeling label. For example, It sounds like you are feeling…….or you feel………………because……………. 

The important things to look at are the feelings words such as ‘sad’, ‘mad’, ’glad’,’ sorry’,’ worry’,’ scared’ (Lisa F., Powers, 2006) etc. Mastering the arts of reflection of feelings will enable the Counselor to provide quality service.

Eye Contact: Acording to Terhi, M., Helminen (2017) eye contact between the Speaker and Listener affects autonomic arousal. The time duration of 15-the 20s might break social norms, but in everyday encounters, the average length of a single mutual gaze is only about 1.5–3 seconds.

In Papua New Guinea’s cultural context, eye contact is rarely practised. Eye contact in counselling practice is underrated and can be easily misinterpreted in different social and cultural contexts. 

Eye contact exchange a significant amount of nonverbal communication between the Listener and Speaker (Leonora, P, Volmink, 2015). Eye contact transmits ‘interest’, telling the Speaker their stories are important and the Listener is listening to support them. Employing natural caring eye contact can increase positive value, which the clients’ feel secure to release their story in safe hands.  Good eye contact tells the Speaker that Listener understands every step the client is taking.

Eye contact connects the Listener’s and Speaker’s world, which builds rapport - a bridge that, facilitates the transportation of information. The eyes contact transmits love and care to another person- the Clients.  Through the caring eye, the Counsellor can guide the Client to explore deeper into their stories.

Counsellor: I was attentively listening with my ears but didn’t realize that my eyes were at work processing vital information from the Client’s body language, which was a non-verbal communication that he was unable to express freely. 

The Speaker reacts to his story as he unfolds it, which he communicating a message only the eyes can understand than ears. 

As a Practitioner responds with a smile, nods of the head, yes (etc.) transmit interest and care with displays of positive body posture that increase self-confidence that demonstrate to him, demonstrates that the Counselor was there for him. 

This experience helps the Counselor to appreciate that eye contact indeed inspires the Clients to unearth their stories without hesitation.  

One thing a Counselor need to do is self-awareness of own body language to become an effective Practitioner.  The consistent body language communicates a positive message like smile, good eye contact then direct eye contact, nodding of the head, reasonable dressing, good body posture like slight moving towards the Speaker displaying that the Counselor is attentively listening to the Client’s story. 

Eye contact can bring about a positive relationship between the Listener and Speaker.  Keeping a positive tone is staying on power tracking the clients into their stories.  When the Counselor sends a mile message, Clients will reply with a positive smile that can build a significant relationship so the client will feel secure to free up their minds. 

Reference Lists.

1.Basic counselling skills –skiils.com; https://.www.basic-counselling-skills.com/asking-questions.html  

2.Lisa F., Powers, (2006), Lifeline/Childline Namibia: Community Counselor Training Toolkit, Module 2, Basic counselling skills, Participants Manual. www.fhi.org?NR/CounselingToolkitModule2ParticipantHV.pdf 

3.Leonora, P., Volmink, (November 2015), The Role of Eye Contact in Promoting Effective Learning In Natural Science In The Secondary School, University of South Africa.

4. This, M., Helminen, (4 August 2017,) The Effect of Eye Contact on Arousal and Attention A psychophysiological perspective, Faculty Council of Social Sciences of the University of Tampere

HIV Educational tips.

What are HIV & AIDS?

HIV stands for Human Immunodeficiency Virus, and AIDS stands for Acquired Immunodeficiency Syndrome.

The individuals first contract HIV infection to become AIDS patients. The AIDS condition is when HIV is developed into the full-blown stage with a combination of multiple medical conditions.

So, the person living with HIV is not an AIDS person. He can be an HIV carrier, live with the virus for many and has the potential to spread the infection to uninfected persons.

HIV educational tips.

Having sex without a condom.

If you want to have sexual intercourse outside your marriage, or faithfully partner - always use a condom.

Having sex without the use of a condom you can contract HIV/STI (Sexual Transmitted Infections), unwanted pregnancies (female). In Papua New Guinea, the major mode of HIV transmission is through vaginal sexual intercourse, and this is not the same in many parts of the world.

What transport HIV infection?

Four major vehicles transport HIV from an infected person to an uninfected person. They are infected semen, vaginal fluids, blood and breast milk. 

The infected semen and vaginal fluids have a high chance of transmitting the HIV infection. The blood that comes in contact with an open wound can easily absorb through the soft tissue membrane. Breast milk has a high chance if there is no medical care for pregnant mothers. Currently, all health facilities have medical treatments and support services available for pregnant mothers who want to have babies without HIV, and it's one hundred per cent safe. Many health facilities in Papua New Guinea and around the world are delivering babies without HIV.

So, talk to your doctor or healthcare provider who can support pregnant mothers to have healthy babies.

Multiple sexual partners.

Staying true to one sexual partner stops the transmission of HIV/STI. However, having multiple sexual relationships has a high chance of contracting HIV/STI. 

Condom - the best prevention method.

If you have multiple sexual partners, use a condom. The condom remains the best prevention method and without the use of a condom during sex, you are at a greater risk of HIV/STI.

Getting HIV test.

The key to freeing your mental health stress is getting tested for HIV. Only the test will tell whether you are HIV positive or negative. You can not tell a person by looking at him or her having HIV, no!

Talk to your doctor or healthcare workers where to get tested.

Get treated for STI.

The STI increases the high risk of contracting HIV. One thing to remember is HIV is one of the STIs. The STI spread the same way HIV is transmitted through sexual contact. So, if you have an STI you might as well have HIV. 

Antiretroviral (ART) support.

If you have HIV, you can not vomit it or abort it. What you need to do is talk to your doctor or healthcare provider about how to get ART. The ART can not cure HIV, but it can suppress the virus load in your body so that you stay fas it and healthy as other none infected people.

HIV spread stops with you.

Love life. If you are an infected person respect another person, and engage in protective sex, if you are none infected person, avoid HIV through the use of a condom. The spread of HIV stops in your love for life.