Instinct & Policy: Table of Contents

Instinct & Policy: goal - possible, plausible, & not too annoying.

If we as policy writers of our daily habits and our business "Policies and Procedures" take more care to first understand our human nature, our individual and group tendencies and preferences, then we may end up with a plan that is doable in the real world  of a busy daily life; & one that doesn't annoy staff so much they retaliate in some slight or significant way, such as striking because the policy was impossible or illegal or unethical enough for the group to fight it.

Effective Care & Best Practices for Promoting Health & Preventing Harassment & Discrimination.

We cannot all be wise in all topics so seeking the guidance of experts and asking what they recommend can save time, money, and possibly prevent tears. I have made mistakes and I have helped others change when their choices weren’t helping them to live as healthy a life as possible. "Effective Care" and "Best Practices" are the recommendations from the healthcare and business sectors for strategies that help most people most of the time, for that particular issue.  

The website is organized as two sections, an overview of what might be required for developing effective care policy and procedures that will be helpful and achievable for the employees, instead of being ignored or become a burden of oversight and punitive enforcement for the management staff.

The document is available in a tabbed text format. It has the advantage of having a scrollable index of the section titles - the "tabbed" format, however it doesn't have the images available on the website. Providing information in a variety of formats can help make it more easy for users to access as they are able or interested. 

This is the current draft of the document which is updated as I work on it:

Table of Contents & Chapter Summaries


Instinct & Policy:

Effective Care & Best Practices for Promoting Health and Preventing Harassment & Discrimination.  

Wisdom is knowing when you can’t be wise.” - Paul Engle, (p 1062, I.1)

  1. A general description of Effective Care and Best Practices in the areas of health care and business will be covered in Chapter 1. About Effective Care
  2. Some resources that are currently available online and in the physical world are included in Chapter 2. Effective Care Resources. It is not intended to be a list of all resources available but rather a starting point. 
  3. In Chapter 3. Patient Advocacy, the benefits of patient advocacy and care coordination for patients and physicians, and the payers and providers  are discussed. 
  4. The value of effective self care choices every day for preventing disease and maintaining health is discussed in Chapter 4. Effective Self Care
  5. A guide to getting started reading medical research and evaluating it for accuracy is included in Chapter 5. Effective Research Resources
  6. Chapter 6. Equal Opportunity Service begins a section that takes a closer look at how we may share instincts with our prehistoric hunter gatherers, and some of the instincts may be shared in common with other animal species. Our instincts may have helped us survive as individuals and as groups. 
  7. How our survival instincts may lead to harassing or discriminating against others is discussed in Chapter 7. When to Report a Bully? How?
  8. Early child development and attachment styles, and their potential effect on our likelihood to trust others or the products we purchase or to be fearful or angry about them instead, are discussed in Chapter 8. Trust is learned early
  9. The benefits of a trusting business environment for employees and customers and for management are discussed in Chapter 9. Friendliness helps. The risks of an environment that supports harassment and discrimination are also discussed and ways to prevent violence from occurring. 
  10. The discussion of ways to reduce the risk of violence from occurring is continued in Chapter 10. Food helps too.      
  11. In Chapter 11. What is Gender Discrimination? we return to the the world of our ancestors and explore the question of communication differences between genders and differences in pay and leadership. 
  12. Ways to bypass any potential bias our instincts may be trying to encourage are discussed in Chapter 12. Equal Opportunity Policies & Procedures.

For convenience, a Glossary and Resources section combines terms and definitions and a few additional topics in one area, and Nature images are included as examples for stress relief.    

Fair Use Statement


Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

The Academy of Nutrition and Dietetics has a service for locating a nutrition counselor near you at the website (

Instinct & Policy

1. About Effective Care

Effective care is a term used in the healthcare industry to describe healthcare strategies that have proven to be helpful for most patients with a certain condition most of the time. It can save time and money for patients and help improve their quality of life. It can also save time and cost of ineffective treatments for the health care system when the most effective treatments are used.

2. Effective Care Resources

Effective care refers to services that are of proven value and have no significant tradeoffs — that is, the benefits of the services so far outweigh the risks

 that all patients with specific medical conditions should receive them.” 

-The Dartmouth Atlas of Healthcare – (1.effective_care.pdf)

3. Patient Advocacy

 “The Dartmouth Atlas Project has found that there is no correlation between higher spending & more widespread use of effective care. The causes of underuse include fragmented care (which tends to grow worse when more physicians are involved in the patient’s care) and the lack of systems to ensure that all eligible patients receive these treatments.” – (

4. Effective Self Care

Learning to do the things on our own that are necessary to help us survive and thrive is the key to effective self care. Having adequate food, water, and a warm shelter with clean air to breath is necessary for basic survival, and having caring social connections and a sense of purpose can be necessary for thriving emotionally

5. Effective Research Resources

In the 1800's it took twenty years for hand washing to become a widely accepted practice within the medical community. 

Sharing effective research can be rapid in our modern times, but a fast internet connection wouldn't help someone who is resistant to changing their habits.

6. Equal Opportunity Service

Equal Opportunity Programs and businesses are not supposed to discriminate against employees based on race, gender, age, religion, place of origin, or physical ability. They are also supposed to provide services in a non-discriminatory manner. 

Translators should be available if understanding English is a problem. 

7. When to Report? How?

 When is it time to report a bully? 

Especially if it's your boss? and how? 

Document first. Get witnesses if possible.

And why do we tend to harass or discriminate against others?

8. Trust is learned early.

Our early childhood experiences can affect our later trust in others or even in the products we buy. 

How secure we felt with early caregivers can leave us more or less trusting as adults.

9. Friendliness helps.

A friendly work environment can help prevent stress and anger in workers, and anger can be a precursor for violence. 

A hostile environment can also affect the trust of customers for the business. 


10. Food helps too.

 Staff or customers who become overly hungry and tired may be more prone to anger or violence, especially if alcohol is available. Water and food protect against dehydration and irritability.  

11. Gender Discrimination

Harassment and discrimination are similar but different. Harassment may involve teasing or bullying while discrimination involves unfair employment practices such as hiring or pay inequality based on gender.  

12. Equal Opportunity Policy

We can't change human nature, however the better we understand ourselves as individuals and groups, the better we can develop policies that enhance our strengths and work around our weaknesses. 

Glossary & Resources

Glossary & Resouuces

Definitions of terms and the resources and therapy techniques from the various sections are gathered together for convenience,

along with some additional topics and material provided for background detail that is not covered elsewhere.    

I. Introduction, Welcome

Welcome, a site dedicated to helping put effective care resources in the hands of patients and healthcare providers, and businesses and policy writers, in order to help promote better quality of life in a more economic and timely manner.

I. Addiction or Starvation?

Addictive behavior with alcohol, other drugs and food can involve a genetic difference in metabolism for some individuals. Use of foods or supplements that contain phospholipids or cannabinoids may be a safe way to help stop abuse of opioids or alcohol.

G1. Art & Relaxation

Time for a little rest and relaxation. Art can be therapeutic for its relaxing and meditative benefits and as a creative outlet. Art therapy can also be a useful tool for reaching the nonverbal feelings and ideas that might be troubling or exciting you - but wordlessly.

G2. Poetry & Prose

 Poetry and Prose, 

Writing stylishly for fun, 

- and for clarity. 

Haiku and confirmation bias and writing aids for pro's about prose. All CAPS is harder to read & may be taken as SHOUTING. (G.uxm)

G3. Relaxation & Stress

 Information about Relaxation and Stress and oxidative stress is included in this very long section. It may be helpful if you suffer from an unresolved problem with chronic itch or other negative symptoms of inflammatory stress including migraines, psoriasis, IBS, TMJ, PTSD, and Dissociative Disorders.

G4. Autoimmune Disease & Vit D

  "What does stress have to do with autoimmune disease? or vitamin D? You want me to take a bath? Are you kidding me?" Answer: "No."

The body needs vitamin D and magnesium in order to protect against allergic sensitivity. "Tolerance" of immune cells helps them to be less allergic and the active form of vitamin D is needed to let mom & baby both know the others DNA is safe, rather than an allergen.

G5. Pre-eclampsia & TRP ch.

"Baby on board," - words to treasure and sometimes to fear. Pre-eclampsia is a complication of pregnancy that can be life threatening for mom and baby. The condition can affect up to 8% of pregnancies and yet is not well understood -  overactive TRP channels may hold answers and solutions for preeclampsia, IBS and other chronic conditions. This discussion of TRP channels is continued from G3. Relaxation & Stress

G6. Music & Movement

Music may soothe the savage beast and movement has been found by research to help reduce the negative effects of oxidative stress - the inflammatory condition that results from emotional or or other physical stress on the body. Add music & movement together for a fun way to reduce stress.  Rhythm that includes binaural beats can add to the therapeutic value by helping the listener reach a meditative state more easily.

G7. Fear & our Inner Child

 Who’s afraid of the big bad wolf?” Fear is a warning and so is pain. Explore your inner child and discover what childhood or more ancient fears may be lurking in your imagination and possibly holding you back from succeeding as an adult   

G8. Cookies & Bean Soup

How could a book about gender roles and policy not include a chocolate chip cookie recipe? Comfort food can be made with more nutritious ingredients and are best eaten in moderation, but comfort sometimes needs an extra helping.  

G9. Iodine & Thyroid

Iodine is an essential mineral for the entire body and all of the endocrine glands, however it is so essential for the thyroid that the gland can preferentially take up iodine - so if there are thyroid symptoms there may be low iodine, or excess halides.  (G9.halide

Instinct & Policy; Resources

A woman is looking at a laptop computer, a bottlw of water, pile of books & a phone are on the desk.

Table of Contents (this page)

  • Chapters and Glossary section summaries & links, and a link for the book version of this site, Instinct & Policy: Effective Care and Best Practices for Promoting Health and Preventing Harassment and Discrimination.  

A cluster of ferns is green and alight with sunshine. is a Wordpress blog that includes material that was incorporated into this site and will include the sections from this site with searchable tags and categories. divided into a series of posts.

A woman is reading a book with her hands & a pile of books showing.

Glossary & Resources

  • Definitions of terms and the resources & therapy techniques from the various sections gathered in one location for convenience with some additional topics and material for background detail not covered elsewhere.