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Self-Care Wellness Journal

 Self-Care Wellness Journal

48
points (40 points for table & 8 points for summary)

 

There are 16 rows below to document
a self-care activity each week.  Please
focus on that one activity all week to try to start a new great habit!  We hope that this assignment is not seen as
busy work but as a great way to explore new ways to take care of yourself as
well as ensuring you are being proactive and intentional with your self-care
so you can all be the best nurses possible! 
We must take care of ourselves before we can take care of others.

*Please download this journal to your
computer and type into each box – it will work best in word as this is a word
document. *

 

 
Assignment Instructions for filling out the table below & writing
a summary:

1.     
Activity – short description (*fill out this column in
advance so you can better plan for each activity).

2.     
Type of self-care (need at least 1 of each of the
following): physical, mental/emotional, social, spiritual, financial, &
educational/professional

3.     
How you felt
before
the activity

4.     
How you felt
after
the activity

5.     
The number
of times
you were able to do the activity that week – we realize some
activities are 1x ex: concert.

6.     
Lastly, write a
summary reflecting on what you realized or learned after completing
this assignment. *One paragraph please. *

 

Activity (1/4pt ea.)

Type (1pt ea.)

Felt Before (1/2pt ea.)

Felt After (1/2pt ea.)

# /wk (1/4pt ea.)

Example: went to a concert with friends

social

excited

good/supported

1x/wk

Example: go for a walk outside

physical

tired

re-energized

3x/wk

1.

 

 

 

 

2.

 

 

 

 

3.

 

 

 

 

4.

 

 

 

 

5.

 

 

 

 

6.

 

 

 

 

7.

 

 

 

 

8.

 

 

 

 

9.

 

 

 

 

10.

 

 

 

 

11.

 

 

 

 

12.

 

 

 

 

13.

 

 

 

 

14.

 

 

 

 

15.

 

 

 

 

16.

 

 

 

 

 

Self-Care Summary:

 

 

 

 

 

 

 

 

 

 

 

 

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