Smiles from a graduate of the RN Patient Advocacy Training Institute

All Smiles

It is a privilege when a graduate of the RN Patient Advocacy Training Institute travels to Asheville to meet our faculty team in person. 

Our Asheville team welcomed Rosemary from Pennsylvania with a Downtown Asheville tour, lunch at the historic S&W Market, and a French dark chocolate crème.

You are never too old to set another goal or to dream a new dream. Look at these beautiful people we have in our class. A dream come true.

C.S. Lewis

When you are in the Asheville area, please let us know and we will gladly provide you with some southern Appalachian Mountain hospitality.

Contact us to plan your Asheville holistic visit.

Healthcare Advocate

Becoming an Informed Advocate for Your Own Healthcare

OLLI at UNCA Fabulous Friday Presentation

On November 1, 2019,  Karen Sanders, MSN, RN, AHN-BC, HWNC- BC,  RN Patient Advocate, presented “Becoming an Informed Consumer Advocate for your Own Healthcare,” at the Osher Lifelong Learning Institute (OLLI), at the University of North Carolina, Asheville, NC, to an audience of 60+ participants.

Healthcare Topic Presentation included: 

  • Key Aspects of Healthcare Setting
  • Role of Patient Advocacy
  • Review of the 53 Golden Eggs of Wisdom to Assist You In Becoming an Advocate for Your Own Healthcare
  • Medical Errors are the Third-Leading Cause of Death in the US
  • Differences Between Western Medicine (Allopathic), Holistic or Integrative Medicine, and Functional Medicine
  • How Much Does it Cost to go to the ER?  Urgent Care Center?
  • What if you think your hospital or physician’s office bill is incorrect?
  • Advocating for Yourself as a Patient
  • How to Access Your Medical Records from different Healthcare Facilities
  • Become a Healthcare Expert on Yourself
  • Chronological Medical Record for Self or Family Member at Home
  • Portable Medication List Components 
  • Advocating for Self When Hospitalized or Attending MD Appointments
  • Important Questions to Ask Your Doctor
  • Many more topics

Please contact Karen Sanders if you would like to schedule a presentation.


nurses let go of stress

Stress Management Strategies for Nurses

Stress… Defined

Stress is caused when the demands placed on an individual exceed the resources he or she has at that time.

What do nurses do in this condition?  

First, let’s review highlights of this presentation.

Causes of Stress

A person’s resources can become drained by demands and pressures at work and at home or a combination of both  (Wright, K. (2014). Alleviating stress in the workplace: Advice for nurses.”  

Nursing Standard. 28 (20), 37).

  • Lack of clear job descriptions

  • Commuting and traffic difficulties

  • Keeping pace with technology

  • Inadequate child care

  • Poor working conditions (lighting, ventilation, noise)

  • Sexual harassment

  • Workplace violence

Consequences of Extreme Stress

Medical errors are the third leading cause of death in the US!  

James, J.T. (2013) A New Evidence-based Estimate of Patient Harms
Associated with Hospital Care. Journal of Patient Safety. September,
Volume 9, Issue 3, p. 122-128.

Strategies for Bringing Yourself into Balance

  1. Create boundaries
  2. Balance work-life
  3. Leverage stress management programs

Coping Strategies


At home and work, communication plays a critical role.  


This term is coined by Deborah Tannin, suggesting that exaggerated conversation styles become intensified under stress, thus adding to miscommunication.


Focused attention with eye contact, asking questions, using empathy, paraphrasing, and summarizing at the end of listening.

Conflict Management

Use “I” message when upset.  Never blame another!

Relaxation Strategies


One of the most effective coping skills available is to provide a profound internal vision and enhance the self-awareness process by journaling.

Social Support Groups

Cope with friends and groups, family members, and others whose company buffers against and dissipates your negative effects of stress.


Reframing is the thought process where a negative perception is substituted for a neutral or positive one, without denying the situation. 

Phoenix Nurses

What is a Phoenix Nurse?

  • A shimmering, radiant, magical bird that lives for several hundred years before bursting into flames and dying
  • Reborn from the ashes and challenges of the past and symbolizes renewal and resurrection

Contact Karen Sanders today for many more tips and suggestions; including tools used by the Phoenix Nurses.