Spontaneous Indulgence and the Incentive of Burnout

1
Spontaneous Indulgence and the Incentive of
Burnout
David Maginley, BA, M.Div. - Spiritual Care NSCC,
Med. Onc. Hem. BMT
2
(No Transcript)
3
Do you have fun at work?
4
Percentage of Canadians reporting a great deal
of stress at work
47
5
(No Transcript)
6
Hart Report 2005

• 1 in 5 nurses who are working in hospitalssay
  they are going to leave nursing in the next 5
  years

7
Stress FactsHealth Canada

• Employees under sustained stress
• 3x more heart back problems
• 5x more of certain cancers
• 2-3x more conflicts, mental health problems,
  infections, injuries
• 2x more substance abuse

8
Compassion Fatigue Dr. Charles Figley, Florida
State University

• A union of secondary traumatic stress and
  burnout. Secondary trauma occurs when one is
  exposed to extreme events that were directly
  experienced by another person (counter-transferenc
  e).
• A result of consistently giving out more energy
  and compassion than we receive.

9
Compassion Fatigue Attachment

• Counter transference the therapists conscious
  and unconscious reactions to the patient in the
  therapeutic situation
• That which is to give light must endure burning
• - Victor Frankl

10
Danger of Compassion Fatigue

• The traumatic material presented by patients can
  manifest in caregivers
• Develop PTSD symptoms connected to previously
  benign experiences
• Subconscious accumulation can result in burnout

11
Am I Burned Out?

• To fail, wear out or become exhausted by making
  excessive demands on energy, strength or
  resources
• Unrelieved stress

12
Symptoms of Burnout Physical

• Physical exhaustion
• Chronic fatigue
• Headaches back pain
• GI problems
• Sleep disturbance
• Muscular tension
• Vulnerability to illness
• Lingering illnesses

13
(No Transcript)
14
Symptoms of Burnout Behavioral

• Irritability
• Anger
• resentment
• Alienation
• Marital
• relationship
• difficulties
• Rigid thinking
• Self-righteousness
• Increased alcohol or drug use

15
Symptoms of Burnout Cognitive/Affective

• Emotional numbness
• Hypersensitivity
• Cynicism
• Apathy
• Helplessness hopelessness
• Depression
• Over identification with patients

16
Burnout SyndromeMaslach Jackson

• Emotional exhaustion (feeling emotionally
  drained and exhausted by ones work)

17
Burnout SyndromeMaslach Jackson

• Reduced personal accomplishment (evaluating
  oneself negatively and feeling dissatisfied with
  achievements)

18
Burnout SyndromeMaslach Jackson

• Depersonalization (negative or very detached
  feelings towards patients)

19
Spontaneous

• resulting from a natural impulse or tendency
  without effort or premeditation natural and
  unconstrained unplanned
• arising from internal forces or causes
  independent of external agencies self-acting.

20
Indulgence

• indulgent allowance or tolerance.
• a catering to someone's mood or whim humoring
• foolish or senseless behavior
• an inability to resist the gratification of whims
  and desires
• Roman Catholic Church A partial remission of the
  temporal punishment, esp. purgatorial atonement,
  that is still due for a sin or sins after
  absolution.
• English and Scottish History (in the reigns of
  Charles II and James II) A grant by the king to
  Protestant dissenters and Roman Catholics freeing
  them from certain penalties imposed, by
  legislation, because of their religion.

21
Spontaneous Indulgence

• Letting yourself off the hook
• Letting go of percieved expectations
• Doing it for no other reason than you want to.
• In the moment, playful irreverent.
• Its good for you. Its a great form of self
  care.
• Fosters creativity, relieves stress, inspires
  others, improves the day.

22
Humour is good for you

• Reduces serum levels of cortisol, epinephrine,
  and growth hormone. These biochemical changes
  have implications for the reversal of the
  neuroendocrine and classical stress hormone
  response.
• Neuroendocrine and stress hormone changes during
  mirthful laughter. Am J Med Sci 1989
  298390-396.
• Humor and Laughter May Influence Health II.
  Complementary Therapies and Humor in a Clinical
  Population. Evid Based Complement Alternat Med.
  2006 Jun3(2)187-90.

23
(No Transcript)
24
(No Transcript)
25
or am I just sad?
26
Am I sad?

• Sadness is actually a positive state of being,
  rather than a negative one.
• Sadness pulls people to you, enhancing your
  connections (in contrast depression often pushes
  people away).

27
Sadness

• Feeling sad is a part of a healthy adjustment to
  a loss or disappointment. It is part of the
  healing process, allowing for increased awareness
  and processing of the loss, grief, change or
  disappointment.

28

• Joy and Sorrow
• A woman said, "Speak to us of Joy and Sorrow."
• And he answered
• Your joy is your sorrow unmasked.
• And the selfsame well from which your laughter
  rises was oftentimes filled with your tears.
• And how else can it be?
• - Khalil Gibran

29
Fatal Mix

• Helper personality
• Emotionally taxing work situation
• Patient centered orientation
• Added with

30

• Responsibility without authority
• Responsibility without resources
• Responsibility without compensation
• BURNOUT

31
Protection from Burnout

• Discover what is most important in life and set
  intentions to live in a way that reflects your
  inner values. (Moffitt, 2003 Rechtschaffen,
  1996).
• Set intentions - different than making goals.
• not oriented toward a future outcome.
• focused on being mindful of one's actions in the
  present moment.
• There are only two responsibilities
• During the day, ask yourself if you are being
  true to your deepest intentions.
• If you find that you are not, start doing so
  immediately, to the best of your ability.

32
Meditation

• Learning mindfulness meditation is one way to
  ground yourself in the moment and to discover
  what is most important to you in life (Kornfield,
  1993).
• When your whole life is driven by "doing", formal
  meditation practice offers an opportunity to stop
  and just be.
• Meditation is not about some altered state of
  consciousness. It is simply about being present
  in the moment. It also rewires the brain.

33
A Mindfulness Exercise in Indulgence
34
Joy

• Joy is a general feeling of aliveness and
  well-being that is characterized by engagement
  with life, meeting its ups and downs with
  authenticity and perspective.
• Being in the moment
• Truly happy people are not happy all the time.
• They express the full range of emotions.
• Joy can look very different from person to person.

35
Joy

• Program for joy
• Thoughts create feelings, which the body
  experiences through neurotransmitters released
  from the hypothalamus
• Every cell in the body forms neuroreceptors for
  the transmitters
• We program our bodies with emotion

36
Joy

• Connecting with joy is uncovering your core self
• How?
• Pause
• Move
• Sing
• Give

37
Concluding Thoughts

• Indulge in Joy
• Recognize the symptoms of burnout.
• Admit burnout is a real problem for you don't
  try to cover it up.
• Use the opportunity to explore your life.
• Ask for help.

38
A word from our sponsor

• Chaplains and clergy are available for your
  support.
• Find a person, group or church that supports your
  joy.
• Be a person that inspires joy.

39
Resources

• Your Joy
• awakeningjoy.info
• brucelipton.com
• oprah.com
• E.A.P.
• Compassion Satisfaction and Fatigue (CSF) Test
• http//www.isu.edu/bhstamm/tests/satfat.htm