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AATH - 28th Annual Conference: Stayin' Alive: Keeping Your Brain Healthy and Active with Humor!
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) as a group.  You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of facilities.
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:
Objective 2: Develop, promote, conduct, and identify the need for research that further investigates the roles humor and laughter play in well-being
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 3: Encourage, support, and report on innovative programs that incorporate the therapeutic use of humor
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Identify how letting go of fear of failure can diminish stress at work
Describe opportunities within unexpected setbacks to get ahead, rather than behind, when things change or go wrong
Explain how being proactive rather than reactive can create a more positive culture in the workplace
List at least 3 forms of brain stimulation induced by the illustrative cartoons presented
Identify at least 3 life lessons illustrated by cartoons presented
Detect the unintended messages in noneditorial print cartoons
Explain the causes of weight gain from negative emotional states
Describe the effects of humor on emotional states and cortisol
Name one means of practicing humor to improve weight loss related to negative emotional states
Apply techniques to help get a "you can't ruin my day" attitude toward any situation
State how a sense of humor can provide an upperhand on life's changes, challenges and not-so-funny stuff
Identify exercises that will alleviate stress and burnout
Identify 2 symptoms of Parkinson's disease (PD) which could potentially benefit from a laughter intervention
Compare the relationship between prinicpals' humor styles in school climate to that of teaching climate in a healthcare setting
Explain the potential role that humor plays in reducing episodes of depression in senior
Describe the general lack of religion/theological based courses that overtly incorporate humor, laughter, and/or comedy
Explain the impact of Humor on the Brain, how neuroscience informs us
Name the concept of Toward v Away states of mind
Identify what role the hippocampus plays in humor and happiness
Explain varied types of humor and analyze how life experiences affect what one "finds funny"
Identify the origin of disability humor and how it has been used appropriately and inappropriately in relationship to people with disabilities
Compare and contrast "appropriate" versus "inappropriate" humor
Describe the role of applied humor in the result of interaction strain between people with disabilities and those without.
Describe how humor can serve as a coping mechanism for persons with disabilities
List 3 key concepts for creating humor in a healthcare setting
Describe 9 different humor devices used by comedians that a nurse could apply
Apply the MAP and Devices to determine which humor style is best to use in one's healthcare setting
Describe seven daily mental activities essential for optimal mental well-being
Give an overview of the neuroscience supporting this "prescription"
Provide examples of how to integrate the seven "nutrients" into daily life
Explain how humor, from casual jokes to literature to art may enable a nurse to transcend stressful experience
Name the cognitive ingredients in humor that foster transcendence
Identify how and why humor can be substituted for relaxation in desensitization to reduce fear or stressful events in a healthcare setting
Describe how stress can decrease effectiveness in the healthcare setting
State an example of destructive or harmful humor by a nurse
List a resource for constructive humor in the workplace
State how a sense of humor can provide an additional tool in the medical treatment of cancer and other serious illnesses
dentify how an individual's current lifestyle can impede recovery
Develop knowledge of the roles of humor and play for healing and recovery
Explain neuroplasticity in plain English (terminology a 10-year old can understand to demonstrate comprehension that would enhance teaching another (i.e. colleague/patient)
Apply concepts and develop personal/professional neuroPLAYsticity practices that will benefit culture in a healthcare setting
Develop deeper knowledge of the roles of humor and play for nurse in healing and caregiving.
Describe the 1-2-4 model of the brain
Identify how a nurse's current lifestyle hijacks cognitive functioning
Explain the brain recharge process and the role of humor to prevent nurse burnout.
Explain the importance of William Fry in history of Humor Research
Discuss the importance of being a mentor and how William Fry exemplified this
Discuss and share memories of how William Fry offered suport and encouragement to so many
Distinguish Between 4 functions of humor
Explain how humor helps relieve stress
Discuss humor's role in wellness
Differentiate Therapeutic Humor from Humor that is Therapeutic
Explain the Therapeutic Humor Model
DIfferentiate AATH definition of Therapeutic Humor from a Modern Process Definition of Therapeutic Humor
Apply techniques learned to think funny, write funny and speak funny
Create a one-minute personal comedy bit
Identify ways to utilize the one-minute comedy in business situations
Evaluate the individual nurse's current energy management strategy
Identify the 5 critical energy shifts during the day and understand how to strategically manage energy more effectively
Name one key shift for personal energy enhancement in a healthcare setting , and establish social support by sharing with a fellow participant.
Describe value of Humor in Sexuality
Identify impediments to humor in Sexuality
Describe the benefits for a nurse of thinking like a humorist in comparison to optomists and pessimists
Explain why humor mindset is critical in today's healthcare environment
Experience differences in thinking humorously that could be implemented in a healthcare setting
Differentiate between conscioius and non-conscious brain
Identify the impact of the non-conscious brain of a nurse in decision-making during patient car
Describe how non-conscious brain affects our interaction with others in a healthcare setting
Objective 4: Provide communication and networking for a caring, supportive, community of humor professionals and enthusiasts
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 5: Provide guidance of how humor can be used to enhance health or be used as a complementary treatment of illness to facilitate healing or coping, whether physical, emotional, cognitive, social or spiritual
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Was the educational content scientifically sound?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):
Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?
If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):
How much did you learn as a result of this education program?
What specifically did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?
What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments:

Only Florida licensees need to answer this question.  Notice to Florida Licensees:  In order for us to report your hours to CE Broker, you MUST provide us with your Florida alpha-numeric license number (e.g., PY1234, SS123, MH1234, MT1234).  Please be sure you enter this number accurately, or CE Broker will not record your hours.
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