Mind Body Spirit with Sister Georgeann Roudebush BCC

1. Mind, Body, Spirit Mind, Body, Spirit by by Sister Georgeann Roudebush, BCC Sister Georgeann Roudebush, BCC Welcome Welcome

2. As we begin this presentation, what concerns, even fear, do you have right now? Mind? Body? Spirit?

3. During this time together, I hope to

4. Why do you stay in the field of

5. Discover and Assess our journey

6. Sources & Impact of Stress

7. Your professional role is Meaningful and rewarding Difficult and painful

8. Differences between Stress and Burnout

9. Stress is the stimulus

10. Burnout is the behavior

11. Stress Physiological reaction or response, regardless of source, and stressor; Refers to stimulus that brings about stress reaction. -Everly & Lating The rate of wear and tear on the body -Hans Selye

12. Stress is when you wake up screaming and you realize you havent fallen asleep yet Reality is the leading cause of stress amongst those in touch with it

13. Stress: Physiological Reaction or Response to a Stimulus. Professional Stress Inadequate Job Training Funding Pressures Irregular Work Schedule Extensive Paperwork Personal Stress Medical Family Financial Age related loss

14. Personal and Professional Stress Feelings of perfectionism Fear of Failure Need for approval Reduced feelings of accomplishment Need to have control

15. Stress and Disease Major cause of death Stress is our bodys natural response to danger flight or fight Complex biochemical/hormonal processes

16. Responses to Stress Freeze Fight Flight Fright

17. Burnout Severe reaction to stress in work environment; results in physical and emotional depletion.

18. 4 Stages of Burnout Edelwich and Brodsky (1980) 1. Enthusiasm 2. Stagnation 3. Frustration 4. Apathy Aguilera, D.C. (1998). Crisis Intervention: Theory and Methodology. NY: Mosby.

19. Activity Career Line Draw line across page Left: Year you entered field Right: 2011 Significant challenges/month and year Significant successes/month and year

20. Compassion Fatigue Definition Recognition of symptoms of compassion fatigue Measure your compassion fatigue

21. Compassion Feeling of deep sympathy and sorrow for another who is stricken by suffering or misfortune, accompanied by a strong desire to alleviate the pain or remove its cause Webster, 1989, p229

22. Compassion Fatigue Secondary Traumatic Stress Disorder State of tension and preoccupation with individual or cumulative trauma of clients due to absorbing their trauma and re- experiencing their traumatic event Figley, C.R. (1982)

23. Secondary Traumatic Stress occurs when one is exposed to extreme events directly experienced by another and is overwhelmed by this secondary exposure to trauma Figley, C.R., & Kleber, R. J. (1995)

24. Compassion Fatigue Symptoms Emotional Anxiety Anger/Rage Behavioral Irritable, Withdrawn Cognitive Decreased self-esteem Perfectionism Figley, C. (2002) Somatic Sweating Dizziness Spiritual Loss of purpose Loss of faith Loss of hope Loss of self-satisfaction

25. What is the cost?

26. What is the Cost? Ineffective professional Violating boundaries Withdrawal Bad judgments Leaving the field

27. Emotional Behavioral Spiritual Cognitive Palette of Grief Physical

28. Healthy Coping Strategies

29. Adaptive Coping Stress resistance and better health: 1. Regular exercise 2. No smoking 3. Limited alcohol use 4. Reasonable weight control 5. Living within ones means 6. Social support Flannery, R.B. (2004). Managing Stress Todays Age: A Concise Guide for Emergency Services Personnel, International Journal of Emergency Mental Health (6) 4. 205-209

30. Personal Meaning Meaning is the sense that, no matter what is going on in your life, you can hang onto the things that really matter to you. It is the belief that there are elements and people and views that cannot, no matter what, be taken from you Viktor E. Frankl

31. Healthy Coping First heal yourself, and then go out and heal others Maya Angelou

32. Stress Resistant Personal Control Task involved Wise lifestyle choices Seek social support Sense of humor Concerned with welfare of others Dr. Ray Flannery, Harvard Medical Center

33. Healthy Coping 1. Time Management 2. Attitude 3. Healthy Boundaries 4. Nutrition 5. Exercise 6. Relaxation 7. Sense of Humor 8. Connection Dr. Ray Flannery, Harvard Medical Center

34. 1. Time Management Track your time Establish goals Plan your activities Keep interruptions to a minimum Structure meetings Improve communication skills Keep work area organized Use a planner

35. 2. Attitude Power of positive thinking ABCs of emotional reaction - Activating event - Belief - Consequence

36. 3. Healthy Boundaries Stay focused on assisting individuals to reach their goals and outcomes. Reassure individuals they dont have to be a friend to receive services. Share concerns with your supervisor. Set limits on availability and what you can do. Durkin, N. The importance of setting boundaries in home care and hospice nursing, Home Healthcare Nurse 18 (7), July/August 2000, 478-481, Lippincott Williams & Wilkins: MD.

37. Stress, Burnout and Compassion Fatigue Club Accept responsibility for everything. Work 24/7. Have your cell phone and pager surgically attached. Give out your home number. If you do go home, take work home with you.

38. 4. Nutrition Carbohydrates Protein Fat Antioxidants

39. 5. Exercise Stretching Aerobic Anaerobic

40. 6. Relaxation Breath Work Progressive muscle relaxation Meditation

41. 7. Sense of Humor Effect on Body Effect on Mind

42. 8. Connection Peer Support Family Friends

43. Taking Charge of Stress Accept Avoid Alter Adapt NVAA (2002)

44. Do It Anyway People are often Unreasonable, illogical, and self-centered. Forgive them anyway. If you are kind, people may accuse you of selfish, ulterior motives. Be kind anyway If you are successful, you will win some false friends and some true enemies. Succeed anyway. If you are honest and frank, people may cheat you. Be honest and frank anyway. What you spend years of building, someone could destroy overnight. Build anyway If you find serenity and happiness, they might be jealous. Be happy anyway. The good you do today, people will often forget tomorrow. Do good anyway. Give the world the best you have, it may never be enough. Give the world the best youve got anyway. You see, in the final analysis, it is between you and God. It was never between you and them anyway. Mother Teresa of Calcutta

45. Questions?