I love going to work But I am too tired to go to work
Transcription
I love going to work But I am too tired to go to work
IntNSA 39th Annual Educational Conference October 21-24, 2015 Helplessness, Hopelessness, Unconsciousness, and the Death of Compassion I love my job I love going to work Noel Holdsworth, DNH, PMHNP-BC, CTS I love my job But I am too tired to go to work I hate my job I don’t want to go to work 1 ProQOL.org Professional Quality of Life Awareness First step is understanding where you are on that continuum Burnout It has to do with what we do, how we do it, and for how long we do it. It is usually brought on by unreasonable expectations, (of yourself or from others) It has more to do with systems, processes and organizations. It also has to do with lack of self care and poor boundary setting. © B. Hudnall Stamm, 2009-2012. Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). www.proqol.org. This test may be freely copied as long as (a) author is credited, (b) no changes are made, and (c) it is not sold. Those interested in using the test should visit www.proqol.org to verify that the copy they are using is the most current version of the test. Burnout Once a person is burned out: it is almost impossible to reverse it …. without changing jobs or changing professions. 2 Compassion Fatigue Compassion Fatigue is about the helplessness that goes with caring; and is NOT about caring too much. Compassion Fatigue occurs when the feelings of hearing about the pain or trauma of others begin to accumulate. Consequences The worst consequence of compassion fatigue is the disconnect that goes with it. (And in our business it’s all about the relationship!) We are not comfortable with uncomfortable feelings so rather than feel uncomfortable we stop feeling. Compassion Satisfaction When compassion dies so does your power! Is not necessarily job satisfaction which is usually related to what one does or thinks about their job. Compassion satisfaction is related to how one feels at the end of the day and how aware they are that they have made a difference. Compassion satisfaction is inversely related to compassion fatigue. 3 Compassion Satisfaction: (continued) "Compassion satisfaction" counteracts the impact of compassion fatigue and burnout. Levels of compassion satisfaction (which we can now measure) make a difference in how one feels at the end of a work shift and allow one to "love the job even after years of doing the job." Secondary Traumatic Stress Response Is what happens when an individual has a reaction: physically, spiritually mentally or emotionally to a trauma event that happened to another person or persons. Vicarious Trauma Is experiencing a trauma in a secondhand way (hearing about it, seeing it, reading about it etc). Vicarious trauma can be listening to clients / patients or someone close to you personally: (secondary trauma) Or it can be trauma in your community state or country: (tertiary trauma) STSD STSR: if not dealt with can lead to a Secondary Traumatic Stress Disorder which look like and acts like PTSD PTSD and STSD Components: 1. A Trauma factor 2. Reliving of the event 3. Intrusive 4. Avoidance 5. Worldview 4 In order to understand compassion fatigue you have to understand trauma. The Original Trauma Scenario Fight or Flight When you run or fight (and use the adrenalin as it was meant to be used) You typically do not get PTSD 2. Being Blindsided Risk factors (For compassion fatigue) 1. Personal Trauma History: (primary, secondary or tertiary) especially when it is accumulative 3. Feelings of helplessness 5 4. Lack of validation, support and minimization of trauma 6. Stress, illness, poor self care 5. Lack of understanding of the incident or inability to integrate it into one’s personal belief system 7. Inadequate Self Awareness 6 9. Other Risk factors: 8. Poor Response management (Sympathetic Nervous system vs Parasympathetic Nervous System) 10. Distrust of self which leads to: AVOIDANCE, disconnection, and the death of the therapeutic self. *inexperience *climate of pervasive, ongoing change *accumulative exposure to difficult patients or situations *poor or no support *conflicts with coworkers or supervisors *unforgiving environment (i.e.: if you can’t handle it, move aside...you’ll be replaced). Red flags: If you find yourself saying or thinking: “How can I enjoy life, with so many people suffering?” “If I can’t console you, then I must be a failure” “Is that patient here again?”. 7 Red flags: (continued) Red flags: (continued) If you find yourself getting cynical, or sarcastic. If you find yourself being annoyed or even enraged on a regular basis by your patients. If you stop feeling anything, when you hear the stories of pain or when your brain goes blank, or when you can’t shut it down. When all you want to do is sleep, and when you can never sleep YOU ARE NOT CRAZY!!!!! When you can’t tell the difference between hunger and a craving. When your soul becomes weary. When you fake fun. When you make a comment, cry or fly off the handle, and don’t know where it came from It’s all about the relationship!! You are having a “Normal reaction to abnormal events” 8 INTERVENTION Ventilation Validation Education The glass: You can’t give what you don’t have: Education The value of caring (self and others) You can not teach your patients about healing and self care if you do not practice it yourself: Its UNETHICAL Always be aware of what’s on the other end of the sea saw Know what you can control and or change… and be responsible for it…. ..Know what you can’t… and let go of it 9 Learning to Change what you can Letting go of what you can’t change and participate in activities that help you to know the difference !! Other Ways to promote Awareness Honest interactive professional relationships and ongoing education The best thing you can do to reduce compassion fatigue: Is to promote the value of simply showing up Compassion satisfaction comes from an internal comfort that it is not your responsibility to fix the pain of another. It is only your responsibility to witness it, share it, show up and be fully present, and offer guidance. 10 Compassion satisfaction comes with a sense of peace even when that individual refuses or resists your guidance; you still have done your job, and done it well Some days you are a 3 and some days you get to be a 10, but every day you can make a difference. Compassionate Satisfaction is the ultimate knowing that the light house is not responsible for the safety of the ship but only responsible to be the light! Know your purpose Knowing what it is you have to do to feel good about yourself, your job and your life. And NEVER lose sight of that 11 My new calling: Creating lifetime relationships for long-term recovery (Relationships account for 30% of “why people change” and ultimately impact patient outcomes.) Foundations Recovery Network Black Bear, (GA), The Canyon, (CA), La Paloma, (TN), Michaels House, (CA) and Seven Outpatient Facilities Con fid 877 ential C .714 .131 all: 8 ll: l Ca ntia f ide 4.13 18 n o C .71 877 Foundations Recovery Network’s mission is to be the leader in evidence-based, integrated treatment for co-occurring mental health and substance use disorders through clinical services, education and research. Our 1 year post-discharge abstinence rates continue to be higher than the national average. Illegal Substances Alcohol All Substances *National Benchmark in White (2012) – 30% What lights you up? What fills your glass? 12 Maybe some days you feel tired…. “I CHOOSE And always …. Always Love your life LOVE” And that’s ok….. but never EVER stay tired! by Shawn Gallaway is used by permission and can be purchased: Keep your light on! www.shawn gallaway.co m. Love your Life !!! Sonia Choquette (Hay House) Used by permission And always Choose love! Contact Information Noel E Holdsworth DNH, PMHNP-BC, CTS [email protected] 13