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Changing the momentum
Have you ever found yourself caught in a mental spiral—replaying conversations, imagining worst-case scenarios, or feeling overwhelmed by thoughts that keep building on each other? Mental spiraling is something we all experience, especially those of us in healthcare who are trained to anticipate problems. The good news? We can learn to interrupt the momentum by recognizing the spiral, creating an intentional pivot, and building the resilience that helps us find our way back t

Megan Filoramo
2 days ago3 min read


The Recipe for Resilience in Healthcare
After 26 years in pain management, I've learned that there is rarely one treatment that changes everything. Meaningful improvement comes from layering small strategies over time. I believe the same is true for healthcare professionals. Building resilience and reducing burnout isn't about finding one magic solution—it's about choosing the right ingredients, one at a time. Small changes, practiced consistently, can make a remarkable difference.

Megan Filoramo
Aug 13 min read


When Your Mind Won't Slow Down: Encouraging the Heart
Do you ever sit down to relax only to find your mind racing? You're not alone. In this article, I share a simple mindfulness practice inspired by Joseph Goldstein that shifted my perspective. Instead of trying to quiet my thoughts, I learned to intentionally focus on the good I've done. It offers a practical way to encourage your heart, build resilience, and find calm—especially for those of us working in healthcare.

Megan Filoramo
Jul 242 min read


It was the best of times, it was the worst of times.
Have you ever described your week as "brutal"? I certainly have. But what if that's only part of the story? Even in the hardest weeks, there are moments of meaning, connection, and purpose. In this article, I share one simple resilience practice that has helped me notice both. Because resilience isn't about eliminating the hard parts of healthcare—it's about learning to hold both.

Megan Filoramo
Jul 174 min read


What Else Is True When You Find Yourself Back Where You Promised You'd Never Be?
Ever found yourself back in a situation you promised yourself you'd never be in again? Whether it's overcommitting, neglecting self-care, losing your patience, or falling into old habits, the hardest part is often the story we tell ourselves afterward. This post explores why setbacks happen, how self-judgment keeps us stuck, and one simple question—What else is true?—that can help you respond with greater compassion and resilience.

Megan Filoramo
Jul 93 min read


It's heavy because it matters
Life and healthcare work can feel heavy, and sometimes we assume that means something is wrong with us. This piece explores what it means to take ourselves a little less seriously, make room for the hard days, and recognize that struggle is a normal part of being human. It’s a reminder that feeling overwhelmed doesn’t mean you’re failing—it means you’re carrying a lot. In the middle of it all, we can still come back to meaning, purpose, and the reason we chose this work.

Megan Filoramo
Jul 33 min read


The Fatigue We Don’t Talk About: Understanding Compassion Fatigue in Healthcare
Most healthcare professionals know fatigue that sleep doesn’t fix. You wake up tired, you push through the day, and rest doesn’t fully restore you. This is often more than physical exhaustion — it can be compassion fatigue or secondary trauma. Understanding this matters because when we can name it, we can also start to shift it. The goal isn’t to care less, but to reconnect with meaning and rebuild compassion satisfaction.

Megan Filoramo
Jun 263 min read


When Life Feels Overwhelming, This Five-Minute Practice Helps Me Reset
This was one of those weeks. The kind where stress outside of work adds to the emotional weight we already carry as healthcare professionals. I found myself needing to return to a strategy I have written about before: a Rampage of Gratitude. It sounds simple—and it is—but gratitude is more than a feel-good exercise. It is a tool that can help us shift perspective, calm our nervous systems, and navigate difficult seasons without losing ourselves.

Megan Filoramo
Jun 204 min read


The Emotional Soup of Workplace Transitions: Choosing Compassion When Everything Feels Uncertain
Healthcare transitions don’t just change systems—they change people, communication, and team dynamics. In the middle of uncertainty, emotions like anxiety, frustration, and fatigue can show up in how we work together and care for patients. We can’t control every change, but we can choose how we show up inside it. Small shifts in self-talk, awareness, and compassion can shape culture, support teams, and improve care during times of constant change.

Megan Filoramo
Jun 123 min read


What you focus on grows
Do certain coworkers constantly frustrate you? Whether they're too slow, too fast, always complaining, or impossible to find, focusing on their flaws can drain your energy and distract from meaningful work. This article explores a simple mindset shift: what you focus on grows. Learn how looking for the good in your coworkers can improve teamwork, reduce stress, increase compassion, and create a more positive experience at work. #Leadership #Teamwork #Mindset #Healthcare #Coac

Megan Filoramo
Jun 64 min read


Burnout Isn’t the Problem — Survival Mode Is
Burnout doesn’t begin with exhaustion — it begins with how our nervous system perceives stress. In this post, we explore the stress cycle in healthcare, why nurses get stuck in fight, flight, or freeze, and how reframing stressful situations can reduce emotional overwhelm. By shifting perspective without denying reality, we can interrupt the stress cycle earlier, regain a sense of purpose, and build resilience in demanding clinical environments.

Megan Filoramo
May 293 min read


Burnout Is Getting Stuck in the Stress Cycle
Nursing burnout often feels like working harder while accomplishing less. This article explains the stress cycle—alert, activate, recover—and how getting stuck in the middle fuels exhaustion and overwhelm. Learn simple ways to complete the stress cycle through movement, breathing, stretching, and other practical techniques that help calm your nervous system, restore energy, and support resilience so you can continue doing the work you love.

Megan Filoramo
May 153 min read


The meaning in the work
After 30 years as a nurse and 20 years as a nurse practitioner, I’ve learned that nursing is both exhausting and deeply meaningful. This Nurses’ Week, I’m reflecting on burnout, resilience, patient care, and the purpose that keeps so many nurses going. Reflections on the realities of nursing, healthcare work, compassion, and finding meaning in a lifelong career of helping others.

Megan Filoramo
May 83 min read


Exhausted… But Not Depleted
Feeling burned out in healthcare?
You’re not alone. And if optimism feels out of reach right now—that makes sense.
But it’s not gone. It’s something you can train.
A simple daily gratitude practice—just 3 minutes—can start to shift how you think, feel, and experience your work.
When you consistently notice what’s going well, you start to see your days differently—and your future, too.
Small habit. Real impact.

Megan Filoramo
May 13 min read


Normal Labs, No Energy: What Nurses Miss About Fatigue
Persistent fatigue doesn’t always point to a medical issue. Many nurses and high-performers feel exhausted despite normal lab results, assuming something is wrong. In reality, chronic fatigue is often the result of cumulative energy output without adequate recovery. Rest isn’t optional—it’s essential. Understanding energy balance can help you stop chasing diagnoses and start restoring what your body actually needs.

Megan Filoramo
Apr 243 min read


Interrupt the Culture: How to Take Back Control at Work
Healthcare culture can feel overwhelming—but you don’t have to absorb it. This article shows nurses how to take control of their mindset, energy, and responses at work using practical, in-the-moment tools. Learn how to stay calm under pressure, set the tone in challenging environments, and stop waiting for the system to change. Discover how shifting your presence can improve your experience, your resilience, and the culture around you.

Megan Filoramo
Apr 163 min read


Just Because It’s Hard Doesn’t Mean You’re Not Meant for It
You can do hard things—even when you’re tired, overwhelmed, and questioning yourself. This is a reminder for anyone carrying a lot, especially caregivers and nurses, that resilience isn’t about getting it perfect. It’s about showing up, adjusting, and continuing. Give yourself some credit, allow yourself to rest, and remember: just because it’s hard doesn’t mean you’re not the right person for it.

Megan Filoramo
Apr 102 min read


Change Your Job (Without Changing Your Employment)
Do you ever feel overwhelmed by all the roles you carry? This blog explores a simple shift: becoming the project manager of your own life. Through a nurse coach’s lens, it offers a practical, compassionate approach to prioritizing what matters, letting go of the “shoulds,” and creating more meaning and peace in everyday decisions — without changing your career or doing more.

Megan Filoramo
Apr 34 min read


Why Enjoying Life Outside of Nursing Is Essential for a Sustainable Career
Nursing doesn’t always end when your shift does. Many nurses spend their days off recovering instead of living, believing exhaustion is part of dedication. But enjoying life outside of nursing isn’t a luxury — it’s essential for a sustainable career.

Megan Filoramo
Mar 274 min read


Reframing Difficult Patients Without Emotional Exhaustion
Difficult patients don’t just challenge our skills — they challenge our emotional energy. What if burnout isn’t only about workload, but the story we tell ourselves during hard interactions? This post explores how nurses can reframe difficult encounters, protect their energy, and practice empathy without emotional exhaustion. Sometimes changing the script changes everything.

Megan Filoramo
Mar 203 min read
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