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We are informed about our microbiome, i.e. the “bugs”, as he calls them, that live in our gut. An ideal microbiome is a diverse one, and the more diverse our eating, the more diverse our gut bugs. These love plant-based fibre. Broccoli and other cruciferous vegetables are especially loved by these bugs. They are beneficial for the immune system and sooth inflammation. Schedule 15 minutes of me-time every day– this could be reading, gardening, meditating – but no screens. Prioritise your self care. To give you an idea of the type of advice that is included, here are some examples from each pillar.
4 Pillar Plan Checklist/cheat sheet 3. Download the 4 Pillar Plan Checklist/cheat sheet
Only Fools and Horses The Musical” 2024-2025 Tour: From Bromley to Dublin, Experience the Iconic TV Show Adapted to Stage! This is a fantastic, common sense book which is certain to have something you’d be willing to try – and small changes can lead to great improvements long-term.
What is advanced clinical practice?
Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people’s experience and improve outcomes. We’re also provided with valuable exercises to wake up our glutes. (I’ve learnt the word “glutes” from Rangan.)
4 Pillar Plan by Dr Rangan Chatterjee | Waterstones The 4 Pillar Plan by Dr Rangan Chatterjee | Waterstones
This is just a moment in the day when you press the pause button,” says Chatterjee. “Try starting with just two minutes of meditation a day. That daily practice will start to have a massive impact on your overall health. He teaches us 3-4-5 breathing, breathing in for 3 seconds, holding our breath for 4 seconds and breathing out for 5 seconds. Nowhere in The 4 Pillar Plan do we sense a doctor’s wagging finger, warning us how little alcohol we should be drinking, or to cut out the chocolate bars. This is deliberate. “I don’t feel it’s my job to tell people what to do,” says Chatterjee. “I’ve never told a patient to give up smoking. My job, if they ask me, is to tell them what smoking is doing to them. The way we’re living our modern lifestyles is causing us a lot of problems: stress is the biggest health issue we face today. But this is not about blaming anyone. I think many of us are unwittingly doing things on a daily basis without realising the impact it’s having on our health. What I’m trying to do with the book is to give people the information they need to make choices based on knowledge. I want people to understand that, by and large, they are the architects of their own health.” With our highly stressed lives in mind, the book purposely begins with the Relax chapter. “I live and breathe this stuff but, as I freely admit in the book, although I exercise and eat really well, the Relax pillar is my weak spot,” says Chatterjee.
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A definition of ACP, its underpinning standards and governance, can be found in the Multi-professional framework for advanced clinical practice in England. The framework ensures there is national consistency in the level of practice across multi-professional roles that is clearly understood by the public, advanced clinical practitioners, their colleagues, education providers and employers.
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