Combating Burnout and Compassion Fatigue: Care Givers and Professionals Grand Canyon University Ralph Quinones RN HLT310V March 7, 2010 JackQtoo @yahoo.com
Contents There are notes for this slide show; email. Burnout definition Compassion fatigue definition Warning Signs Nature of the problems they can cause Physical indications and needs Emotional indications and needs Spiritual indications and needs Coping strategies Resources for help and hope
Burnout Definition Professional "a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do 'people work' of some kind” (Maslach, 1982, p. 3).
Compassion Fatigue Definition Professional Care Giver “The notion of being burned out by the kind of work that you do, the kind of patients and families that you deal with and the residue from ministering to those hurting people” (Health Chaplains Ministry Association [HCMA], 2005, ¶ 4). “It is not about problems and hassles at work, but it is about the stress associated with the clients you deal with” (HCMA, ¶ 4).
Warning Signs of Burnout and Compassion Fatigue Exhaustion Detachment Boredom and Cynicism Increased Impatience and Irritability A Sense of Omnipotence Feelings of Being Unappreciated Change of Work-Style Paranoia Disorientation Psychosomatic Complaints Depression Major Depression Suicidal Thinking (HCMA, ¶ 12).
Nature of the problems they can cause Results in a loss of enthusiasm, energy, idealism, perspective and purpose on a mental, physical, emotional and spiritual level (HCMA, ¶ 2). Requires professional help and discontinuing being a caregiver until the cynicism and impairment are gone (HCMA, ¶ 3).
Physical Indications and Needs A persistent sense of physical fatigue: feeling "run down" Frequent headaches, migraines. Chronic muscle tensions of the head, necks or back. Gastrointestinal problems (ulcers). Decreased appetite (or a never-satisfied appetite). Sleeplessness in spite of feeling fatigued. High blood pressure. Shortness of breath. Nervous tics, tremors, teeth/jaw clenching. (HCMA, ¶ 6)
Emotional Indications and Needs Depression ("I don't care anymore!"). A dulling affect, mental fatigue ("I can't think straight anymore!"). Increased irritability, hostility ("I hate this job now!"). Decreased tolerance for frustration ("I can't take it anymore!"). Feelings of helplessness and an inability to see a way out ("I dread going to work!"). Increased risk taking and impulsivity Inflexibility of behavior and goals ("I can't adjust to this!"). Cynicism about self, others, work and the world ("I can't stand this anymore!"). Apathy ("I don't care anymore!"). Reduction or abandonment of recreational activities ("I'd rather stay home now!"). Decreased capacity for pleasure and social contacts ("I don't want to go out anymore!"). Withdrawal, detachment ("I'd rather be alone!"). Increased interpersonal and/or marital discord. (HCMA, ¶ 7).
Spiritual Indications and Needs • Disillusionment and disappointment with God. • You feel that God is powerless to help. • You feel that God does not care. • You feel that God has abandoned you, your patient and the family. • Discontinuance of religious practices. • You stop worshipping-privately and corporately. • You stop praying. • You stop reading your Bible. • Development of spiritual apathy. (HCMA, ¶ 8).
Coping Strategies Physical Renewal through: Emotional Renewal through: Exercise & Exertion Nutrition & Diet Relaxation & Vacation Without Drug or Alcohol Addiction (HCMA, ¶ 25). Talking with a Friend Laughing Support Yourself : Journal Writing. (HCMA, ¶ 26).
Coping Strategies Spiritual Renewal through Diversional and Organizational Renewal Adoration Education Meditation Absolution Confession Forgiveness (HCMA, ¶ 27). Relaxation Recreation (HCMA, ¶ 28). Prioritizing Intentions & Plans (HCMA, ¶ 29).
Resources for Help and Hope http://www.aarp.org/family/ http://www.aoa.gov/AoARoot/Elders_Families/index.aspx http://www.caregiver.com/ http://www.caregiver.org/caregiver/jsp/home.jsp http://www.caregiving.org/errorpage.htm http://www.thefamilycaregiver.org/ http://www.thefamilycaregiver.org/ed/tips.cfm
References Health Chaplains Ministry Association (2005). Balancing the burdens of care giving: Avoiding compassion fatigue. Retrieved March 1, 2010, from http://www.hcmachaplains.org/commentary2.html Maslach, C. (1982). Burnout: The cost of caring. Englewood Cliffs, NJ: Prentice Hall. Mosby (Ed.). (2002). Mosby’s medical, nursing, and allied health dictionary (6th ed.). St. Louis, MO: Douglas M. Anderson. Oregon Department of Human Services (2007). Caregiver’s self-assessment. Retrieved March 1, 2010, from http://www.oregon.gov/DHS/spwpd/caregiving/care_caregiver.shtml=resources