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Feng Shui Music
                              for
                Balance and Flow
http://www.youtube.com/watch?v=ex3MoCRVQfA&feature=relate
*




“The greatest of faults is to be
conscious of none”
Thomas Carlyle
Before you are at
the breaking point
 you need to start


    yourself.
Compassion Fatigue
   Secondary to traumatic stress disorder
observed in caregivers who absorb the traumatic
stress of those they help or as a by product of
emotional empathic connections with patients.

    It occurs over time as a result of intense and
prolonged empathic care to people who suffer or
experience trauma.
 (Bush, 2009)
Practice
  new
 habits
The journey
 toward my BSN
 taught me skills
 that moved me
to a happy place.
Learning to recognize and manage symptoms is
the first step toward healing.
  Compassion Fatigue Self-Test
 http://www.proqol.org/ProQol_Test.html
Compassion Fatigue
PHYSICAL SYMPTOMS:
• Headaches
• Digestive: diarrhea, constipation, indigestion
• Muscle tension
• Sleep disturbances: insomnia, too much sleep
• Fatigue
• Cardiac symptoms: chest pain/pressure, palpitations
  (Boyle, 2011)
Compassion Fatigue
EMOTIONAL SYMPTOMS:
• Frequent use of sick days
• Lack of joyfulness
• Mood swings, restlessness, irritability, oversensitivity
• Anxiety, depression, anger and resentment
• Excessive use of: nicotine, caffeine, alcohol, drugs
• Loss of objectivity, focus, and judgment
• Poor concentration, memory issues (Boyle, 2011)
Compassion Fatigue
WORK RELATED SYMPTOMS:
• Avoidance or dread of working with certain patients
  or peers
• Reduced ability to feel empathy towards patients or
  families
• Frequent use of sick days
• Lack of joyfulness (Boyle, 2011)
Simple tools
      for
transformation



      Personal growth
The expectation that we can be
                          immersed in suffering and loss daily
                          and not be touched by it is as
                          unrealistic as expecting to be able to
                          walk on water without getting wet.
                          This sort of denial is no small matter
                          (Boyle, 2011).

Three categories of interventions used
     to decrease the intensity of
         compassion fatigue

• Work/life balance
• Education
• Work-setting programs
Work/Life Balance

CULTIVATE
Work/Life Balance
    A focus of attention that creates a
   biological process that promotes
   health (Seigel, 2010)
Work/Life Balance

                    Practice mindfulness

 •   Name and Tame (Seigel, 2010) – acknowledge your
     emotions and move on
 •   Practice yoga
 •   Practice the skill of being in the moment by focusing on
     your breath, if your mind wanders bring it back to your
     slow breaths, take notice of all of your senses, be aware
     from head to toe [ try to work up to 15 minutes a day ]
Work/Life Balance

• Self-Awareness - if we don't know ourselves, how can we
  understand others?
• Self-Regulation - checking our emotions and managing them.
• Self-Motivation - directing emotion towards a purpose.
• Empathy - understanding and seeing from another person's
  perspective.
• Effective Relationships - interacting and managing
  relationships.
(Eason,2009)
Robert Emmons (2000) defines
 spiritual intelligence as "the adaptive
use of spiritual information to facilitate
  everyday problem solving and goal
               attainment."




                                 Work/Life Balance
Work/Life Balance




                                            Nourish your spirit
• Start a journal http://janetconner.wordpress.com/the-
  book/
• Take time for peaceful moments BREATH
• Relish small accomplishments
• Practice living in the present
• Sing or hum – shift negative energy to positive energy
• Meditate with positive words and phrases
Work/Life Balance
Work/life balance enables nurses to develop
positive self-care strategies and healthy rituals.

It involves establishing a self-care plan that is
RELENTLESSELY carried out in an attempt to
enhance a calm state (Boyle, 2011).
Education
            Basic skills that can be learned are:
•   Identify personal coping strategies
•   Develop caring communication styles
•   Establish boundaries in relationships with patients and family
•   Understand family systems theory and identify family norms
•   Re-frame ‘difficult’ interactions with individual patients and families
•   Resolve interpersonal relationship problems in the work setting
•   Cope with ethical conflict and dilemmas
•   Utilize self-care strategies such as meditation and mindfulness
     (Boyle, 2011)
Work Setting Interventions
• On-site counseling that is visible and accessible
• Support groups for staff
• De-briefing sessions that focus on identifying helpful and non-helpful
  approaches to events in clinical practice can help develop new skill
  competencies
• Massage sessions also provide both mental and physical breaks
  Bereavement interventions, for example funeral attendance or memorial
  service participation
• Attention to spiritual needs is paramount as so much of the
  tragedy, sadness, and sense of futility that nurses may experience is
  associated with life and death issues (Boyle, 2011)
Nurses are often expected to be
•    always on duty
•   always operating
•   processing information
•   using our skills
Unless our work and personal lives are
carefully balanced the physical and mental
    consequences of an
         life can be exhausting.
• Born through good intentions
• Prevention by way of mindful
  practice of self-preservation
• Healing by way of learning
  new habits and reactions
 The American Holistic Nurses Association (AHNA) @
  http://www.ahna.org
 Barsade S.G. (2002). The Ripple Effect: Emotional
  Contagion and its Influence on Group Behavior
  Administrative Science Quarterly December 2002 47:
  644-675, doi:10.2307/3094912 Retrieved from ESBCO
  Hosthttp://asq.sagepub.com.library.esc.edu/content
  /47/4/644.abstract?ijkey=161ff7bdb2c717d3f5d5a127
  b803b9638c3d5f0c&keytype2=tf_ipsecsha
 Beattie, M. (1992). Codependent no more, how to stop
  controlling others and start caring for yourself. Center
  City, MN: Hazelden Publishing & Educational Services.
 Bradberry, T. (2003). The emotional intelligence quick book. New
  York, NY: Fireside.
 Bush, N.J. (2009). Compassion fatigue: Are you at risk? Oncology
  Nursing Forum, 36, 24-28.
 Eason, T. (2009). Emotional intelligence and nursing leadership: a
  successful combination. Creative Nursing, 15(4), 184-185.
 Emmons, R.A. (2000). Is spirituality an intelligence?
  Motivation, cognition, and the psychology of ultimate concern.
  International Journal for the Psychology of Religion, 10, 3-26.
 Gentry, J.E., Baranowsky, A.B., & Dunning, K. (2002). The
  accelerated recovery program (ARP). In: C.R. Figley
  (Ed.), Treating Compassion Fatigue, New York: Brunner-
  Routledge, pp. 123-138
 Goulston, M. (2010). Just listen. New York: AMACON.
 Ingerman, S. (2007). How to heal toxic thoughts. New York: Sterling.
 Lombardo, B., Eyre, C., (Jan 31, 2011) "Compassion Fatigue: A
  Nurse’s Primer" OJIN: The Online Journal of Issues in Nursing
  Vol. 16, No. 1, Manuscript 3.
 proqol.org. (2010, November 30). Professional quality of life
  elements theory and measurement. Retrieved from
  http://www.proqol.org/Home_Page.php
 Ward-Griffin, C., St-Amant, O., & Brown, B. (2011). Compassion
  fatigue within double duty caregiving: Nurse-daughters caring for
  elderly parents . OJIN , 16(Jan 2011), Retrieved from
  http://www.nursingworld.org/MainMenuCategories/ANAMarketplac
  e/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No1-Jan-
  2011/Compassion-Fatigue-and-Double-Duty-Caregiving.html
 Siegel, D. J. (2010). Mindsight, the new science of personal
  transformation. New York: Bantam.
Recommended by an amazing mentor

                         Belleruth Naparstek's
                        Guided Imagery Center
      Thank you               Health Journeys.
  Michelle and Cathy   www.healthjourneys.com
   your kindness and
     willingness to
  share knowledge is
        inspiring
           SN
Thank you for joining me today
      PLEASE RELAX, TAKE CARE & ENJOY
              A Nurses Prayer
           FOR FURTHER RELAXATION
http://www.youtube.com/watch?v=COKPLZ1FmWg

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A Nurse's Nourishment

  • 1.
  • 2. Feng Shui Music for Balance and Flow http://www.youtube.com/watch?v=ex3MoCRVQfA&feature=relate
  • 3.
  • 4. * “The greatest of faults is to be conscious of none” Thomas Carlyle
  • 5. Before you are at the breaking point you need to start yourself.
  • 6.
  • 7. Compassion Fatigue Secondary to traumatic stress disorder observed in caregivers who absorb the traumatic stress of those they help or as a by product of emotional empathic connections with patients. It occurs over time as a result of intense and prolonged empathic care to people who suffer or experience trauma. (Bush, 2009)
  • 8. Practice new habits
  • 9. The journey toward my BSN taught me skills that moved me to a happy place.
  • 10. Learning to recognize and manage symptoms is the first step toward healing. Compassion Fatigue Self-Test http://www.proqol.org/ProQol_Test.html
  • 11. Compassion Fatigue PHYSICAL SYMPTOMS: • Headaches • Digestive: diarrhea, constipation, indigestion • Muscle tension • Sleep disturbances: insomnia, too much sleep • Fatigue • Cardiac symptoms: chest pain/pressure, palpitations (Boyle, 2011)
  • 12. Compassion Fatigue EMOTIONAL SYMPTOMS: • Frequent use of sick days • Lack of joyfulness • Mood swings, restlessness, irritability, oversensitivity • Anxiety, depression, anger and resentment • Excessive use of: nicotine, caffeine, alcohol, drugs • Loss of objectivity, focus, and judgment • Poor concentration, memory issues (Boyle, 2011)
  • 13. Compassion Fatigue WORK RELATED SYMPTOMS: • Avoidance or dread of working with certain patients or peers • Reduced ability to feel empathy towards patients or families • Frequent use of sick days • Lack of joyfulness (Boyle, 2011)
  • 14. Simple tools for transformation Personal growth
  • 15. The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk on water without getting wet. This sort of denial is no small matter (Boyle, 2011). Three categories of interventions used to decrease the intensity of compassion fatigue • Work/life balance • Education • Work-setting programs
  • 17. Work/Life Balance A focus of attention that creates a biological process that promotes health (Seigel, 2010)
  • 18. Work/Life Balance Practice mindfulness • Name and Tame (Seigel, 2010) – acknowledge your emotions and move on • Practice yoga • Practice the skill of being in the moment by focusing on your breath, if your mind wanders bring it back to your slow breaths, take notice of all of your senses, be aware from head to toe [ try to work up to 15 minutes a day ]
  • 19. Work/Life Balance • Self-Awareness - if we don't know ourselves, how can we understand others? • Self-Regulation - checking our emotions and managing them. • Self-Motivation - directing emotion towards a purpose. • Empathy - understanding and seeing from another person's perspective. • Effective Relationships - interacting and managing relationships. (Eason,2009)
  • 20. Robert Emmons (2000) defines spiritual intelligence as "the adaptive use of spiritual information to facilitate everyday problem solving and goal attainment." Work/Life Balance
  • 21. Work/Life Balance Nourish your spirit • Start a journal http://janetconner.wordpress.com/the- book/ • Take time for peaceful moments BREATH • Relish small accomplishments • Practice living in the present • Sing or hum – shift negative energy to positive energy • Meditate with positive words and phrases
  • 22. Work/Life Balance Work/life balance enables nurses to develop positive self-care strategies and healthy rituals. It involves establishing a self-care plan that is RELENTLESSELY carried out in an attempt to enhance a calm state (Boyle, 2011).
  • 23. Education Basic skills that can be learned are: • Identify personal coping strategies • Develop caring communication styles • Establish boundaries in relationships with patients and family • Understand family systems theory and identify family norms • Re-frame ‘difficult’ interactions with individual patients and families • Resolve interpersonal relationship problems in the work setting • Cope with ethical conflict and dilemmas • Utilize self-care strategies such as meditation and mindfulness (Boyle, 2011)
  • 24. Work Setting Interventions • On-site counseling that is visible and accessible • Support groups for staff • De-briefing sessions that focus on identifying helpful and non-helpful approaches to events in clinical practice can help develop new skill competencies • Massage sessions also provide both mental and physical breaks Bereavement interventions, for example funeral attendance or memorial service participation • Attention to spiritual needs is paramount as so much of the tragedy, sadness, and sense of futility that nurses may experience is associated with life and death issues (Boyle, 2011)
  • 25. Nurses are often expected to be • always on duty • always operating • processing information • using our skills
  • 26. Unless our work and personal lives are carefully balanced the physical and mental consequences of an life can be exhausting.
  • 27. • Born through good intentions • Prevention by way of mindful practice of self-preservation • Healing by way of learning new habits and reactions
  • 28.  The American Holistic Nurses Association (AHNA) @ http://www.ahna.org  Barsade S.G. (2002). The Ripple Effect: Emotional Contagion and its Influence on Group Behavior Administrative Science Quarterly December 2002 47: 644-675, doi:10.2307/3094912 Retrieved from ESBCO Hosthttp://asq.sagepub.com.library.esc.edu/content /47/4/644.abstract?ijkey=161ff7bdb2c717d3f5d5a127 b803b9638c3d5f0c&keytype2=tf_ipsecsha  Beattie, M. (1992). Codependent no more, how to stop controlling others and start caring for yourself. Center City, MN: Hazelden Publishing & Educational Services.
  • 29.  Bradberry, T. (2003). The emotional intelligence quick book. New York, NY: Fireside.  Bush, N.J. (2009). Compassion fatigue: Are you at risk? Oncology Nursing Forum, 36, 24-28.  Eason, T. (2009). Emotional intelligence and nursing leadership: a successful combination. Creative Nursing, 15(4), 184-185.  Emmons, R.A. (2000). Is spirituality an intelligence? Motivation, cognition, and the psychology of ultimate concern. International Journal for the Psychology of Religion, 10, 3-26.
  • 30.  Gentry, J.E., Baranowsky, A.B., & Dunning, K. (2002). The accelerated recovery program (ARP). In: C.R. Figley (Ed.), Treating Compassion Fatigue, New York: Brunner- Routledge, pp. 123-138  Goulston, M. (2010). Just listen. New York: AMACON.  Ingerman, S. (2007). How to heal toxic thoughts. New York: Sterling.  Lombardo, B., Eyre, C., (Jan 31, 2011) "Compassion Fatigue: A Nurse’s Primer" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 3.
  • 31.  proqol.org. (2010, November 30). Professional quality of life elements theory and measurement. Retrieved from http://www.proqol.org/Home_Page.php  Ward-Griffin, C., St-Amant, O., & Brown, B. (2011). Compassion fatigue within double duty caregiving: Nurse-daughters caring for elderly parents . OJIN , 16(Jan 2011), Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplac e/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No1-Jan- 2011/Compassion-Fatigue-and-Double-Duty-Caregiving.html  Siegel, D. J. (2010). Mindsight, the new science of personal transformation. New York: Bantam.
  • 32. Recommended by an amazing mentor Belleruth Naparstek's Guided Imagery Center Thank you Health Journeys. Michelle and Cathy www.healthjourneys.com your kindness and willingness to share knowledge is inspiring SN
  • 33. Thank you for joining me today PLEASE RELAX, TAKE CARE & ENJOY A Nurses Prayer FOR FURTHER RELAXATION http://www.youtube.com/watch?v=COKPLZ1FmWg

Notas del editor

  1. To view this presentation, first, turn up your volume and second, launch the self-running slide show.
  2. …five simple rules for creating world-changing presentations.
  3. …five simple rules for creating world-changing presentations.
  4. Presentations are a powerful communication medium.
  5. …global causes.
  6. …global causes.
  7. …and propel
  8. Half of the people in your audience are verbal thinkers and the other half are visual.
  9. Half of the people in your audience are verbal thinkers and the other half are visual.
  10. Half of the people in your audience are verbal thinkers and the other half are visual.
  11. The first rule is: Treat your audience as king.
  12. The first rule is: Treat your audience as king.
  13. The first rule is: Treat your audience as king.
  14. Half of the people in your audience are verbal thinkers and the other half are visual.