Session outcomes. Understand the concept of self care and why it is importantExplore the concept of supportIdentify the physical, emotional and behavioural consequences of stress and the different ways of managing it.Introduce the concept of reflective practice. What does self care mean?.
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1. Health Care Assistants Conference London ‘Taking it in your stride - maintaining your own self care’ Matthew Rice
2. Session outcomes
Understand the concept of self care and why it is important
Explore the concept of support
Identify the physical, emotional and behavioural consequences of stress and the different ways of managing it.
Introduce the concept of reflective practice
3. What does self care mean?
‘..the care taken by individuals towards their health and well being, and includes the care extended to their children, family, friends and others in neighbourhoods and local communities…..’ (DoH, 2005)
4. Self care includes:
Staying fit and maintaining good physical and mental health
Meeting psychological and social needs
Preventing illness and accidents
Caring for minor ailments and long term conditions.
5. Self care and the HCA role
So what are the challenges?
6. Support - why is it important?
To ensure you work within your level of competence
To ensure accountability to the needs of your employer
To promote learning and development
To help you manage the emotional demands of a range of potentially very complex situations
To ensure safe, ethical and professional practice
7. The four levels of support (Stoltenberg & Delworth, 1987)
Level 1 - characterised by a level of dependency. At this stage the learner is fairly novice and can feel anxious and insecure in their role. The learner is very dependent upon support which needs to be clearly structured.
Level 2 - characterised by a fluctuation between dependency and autonomy. Mistakes are learnt from by reflecting, analysing and evaluating. Support at this stage needs to be less didactic to enable problem solving. Feeling deskilled is quite usual at this stage.
Level 3 - an increase in self confidence, with conditional dependency on the supporter. Approaches are adapted and responsive to the particular context. There is less emphasis on learning about the new skill or competence.
Level 4 - characterised by personal autonomy, insightful awareness, personal security and an ability to confront personal and professional problems. May provide support for more novice learners. This stage is about deepening and integrating existing knowledge.
9. Think of a skill you are developing:
What is the level of support you require?
Where do you get this support from?
How effective is the support?
What would make it even more effective?
10. Stress and you
Take a moment to think about how you react in stressful situations:
What physical reactions do you notice?
What emotional reactions do you experience?
What behavioural changes do you notice?
11. What do you do to take care of you stress?
12. Ways of coping with stress
Palliative - helpful in getting us through difficult times but can also lead to other problems. Examples include smoking, eating, spending money etc.
Indirect - These methods use up the adrenaline released but they do not directly tackle the problem so the symptoms return. Examples include exercise, yoga, massage, sport, taking a hot bath etc.
Direct - These ways involve acknowledging the problem and directly working on it. Examples include problem solving, talking to others, assertiveness training, reflective practice.
13. Top tips for taking care of stress
Understand your stress, remember some stress is positive and can make you perform better.
Develop a healthier lifestyle and healthier diet.
Express how you feel.
Think proactively about the work situations you find yourself in.
Try out assertiveness techniques - saying No!
Identify the triggers at work, speak to your line manager and other trusted colleagues - and get the balance right between work and play!
14. Reflective Practice (Schon, 1983)
Reflection-in-action - dealing with situations as they occur in the moment. Decision making is immediate and based on previous experience.
Reflection-on-action - takes place after the event where you can look back in hindsight and review the situation. The most common type of reflection.
15. Why is reflective practice important?
It develops critical thinking
It increases self confidence and self awareness
It can help link theory to your practice
It helps us to learn from doing
It increases our ability to problem solve
It enhances personal and professional development
It is about taking things in your stride and maintaining self care.
16. Gibbs Model of Reflection (1988)