Summary Slide

1
Summary Slide

• Burnout Prevention Tool Kit

2
Burnout Prevention Tool Kit

• Murray Hillier
• Coordinator
• Empowerment and Education
• Providence Care
• Mental Health Services

3
Definition of Stress

• our reaction to events, environmental or
  internal, that tax or exceed our adaptive
  resources.

4
Stress TestSelf Assessment Exercise

• How often do you
• find yourself with insufficient time to do things
  you really enjoy?
• wish you had more support/assistance?
• lack sufficient time to complete your work most
  effectively?

5
Stress TestSelf Assessment Exercise

1. have difficulty falling asleep because you have
   too much on your mind?
2. feel people simply expect too much from you?
3. feel overwhelmed?

6
Stress TestSelf Assessment Exercise

• find yourself becoming forgetful or indecisive
  because you have too much on your mind?
• Consider yourself to be in a high-pressure
  situation?

7
Stress TestSelf Assessment Exercise

1. feel you have too much responsibility for one
   person?
2. feel exhausted at the end of the day?

8
Stressors

• Physical
• Examples
• External-
• Heat
• Cold
• Noise
• Internal-
• Any physical symptoms

9
Triggers

• What are your physical triggers?
• Examples
• Red ears
• Feeling flushed
• Tight neck

10
Stressors cont

• Psychological
• Time pressures
• High Standards i.e. OCD, perfectionism, faulty
  thinking
• Suppression of feelings
• Irrational beliefs
• Indispensable syndrome

11
Stressors cont

• Social
• Job demands
• Money
• Resources
• Interpersonal problems

12
Stressors cont

• Family
• Spiritual
• Loss of values
• Loss of purpose
• Loss of relationship

13
Occupational Stressors

• Government regulations
• Pressure to practice defensive health care
• Diminished public image of healthcare providers
• Inadequate support and resources
• Fears of violence
• Poor access to social professional supports

14
Occupational Stressors cont

• Tendency in work setting to blame people rather
  than the situation when care of service
  deteriorates
• Time pressures and demands
• Indispensable syndrome

15
Stress Test 2

• Choose the alternative that best summarizes how
  you usually react during anxious moments. Again
  use
• A) Almost always
• B) Very often
• C) Seldom
• D) Never

16
Stress Test 2 cont

• When Im anxious I
• 1. Tend to imagine all of the worst possible
  things happening to me as a result of whatever
  crisis made me anxious.
• 2. Do everything I can to resolve the problem
  immediately, otherwise it will cause me to worry
  about it later.
• 3. Will relive in my mind the crisis over and
  over again even though the crisis may be over and
  resolved.

17
Stress Test 2 cont

• 4. Will be able to picture the crisis clearly in
  my mind long after it is over.
• 5. Can feel my heart pounding in my chest.
• 6. Feel my stomach sinking and my mouth getting
  dry.
• 7. Notice that I sweat profusely.

18
Stress Test 2 cont

• 8. Notice my hands and fingers trembling.
• 9. Have difficulty in speaking.
• 10. Can feel my muscles tensing up

19
Conflict

• See exercise handout
• Analyzing conflict 5 steps
• 1. Determine what person or group you are in
  conflict with
• 2. Analyze whats causing the conflict
• 3. Consider different ways you could handle the
  conflict
• 4. Make a plan
• 5. Follow through with your plan

20
Conflict Resolution

• Questions to ask yourself
• 1. What is the best time and place to approach
• 2. Does the conflict have to be dealt with
  immediately
• 3. What do you want to achieve
• 4. Do you need to follow up to the confrontation

21
Toll of Unmanaged Stress

• Addictive Behaviours
• Relationship Distress
• Emotional/Behavioural Problems
• Professional Consequences
• Burnout

22
Definition of Burnout

• Burnout is a defined as a state of mental
  and/or physical exhaustion caused by excessive
  and prolonged stress.

23
Three Stages of Burnout

• Stage 1
• Stress Arousal
• Stage 2
• Energy Conservation
• Stage 3
• Exhaustion

24
Stage 1 Stress Arousal

• Persistent irritability
• Persistent anxiety
• High blood pressure/heart problems
• Inability to concentrate/forgetfulness
• Insomnia
• Headaches
• Bruxism

25
Stage 2 Energy Conservation

• Late for work/turning work in late
• Procrastination
• Three-day weekend
• Persistent tiredness
• Decreased sexual desire
• Social withdrawal
• Cynical attitudes/resentfulness
• Increase in coffee, tea, cola, alcohol

26
Stage 3 Exhaustion

• Chronic
• Sadness
• Depression
• Stomach/bowel problems
• Mental/physical fatigue
• Headaches

27
Stage 3 Exhaustion cont

• Desire to drop out of society
• Move away from friends, work, family
• Possible suicide ideation

28
Two Key Questions
1 If you were told you had 24 hours to live,
write down your one greatest accomplishment.
29
Two Key Questions cont
2 If you were told you had 24 hours to live,
write down your one greatest regret.
30
Ways to Manage Stress

• The key is not to avoid stress altogether but to
  manage stress in such a way that we avoid the
  negative consequences of stress
• Manage yourself
• Manage your reaction to stressors
• Manage the amount of stress

31
What To DoThe Six Rs for Stress Management

• Responsibility
• You are in control
• Establish priorities
• Keep it simple

32
The Six Rs for Stress Management cont

• Reflection
• Know your stress triggers
• Be aware of stress symptoms
• Check your balance in life

33
The Six Rs for Stress Management cont

• Relaxation
• Do something good for yourself
• Schedule worry time
• Schedule time out

34
The Six Rs for Stress Management cont

• Relationships
• Maintain supportive relationships
• Manage your relationships
• Improve your relationships with yourself

35
The Six Rs for Stress Management cont

• Refueling
• Eat a balanced diet with high fiber, low
  cholesterol
• Be aware of poisons caffeine, fats, nicotine,
  fast food
• Drink lots of water

36
The Six Rs for Stress Management cont

• Recreation
• Laugh and love
• Learn how to have fun with your family
• Enjoy your life and treat others the way you want
  to be treated

37
The Relaxation Response

• 1. Quiet environment
• 2. Mental device single, syllable word low and
  gentle
• 3. Passive attitude without distraction
• 4. Comfortable position
• 5. Muscle relaxation
• 6. Breathing rhythm