Compassion fatigue

1,218 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,218
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
23
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • #7 …& associated reactions such as panic/anxiety & depression
  • DEPENDS…
  • DEPENDS…
  • DEPENDS…
  • Compassion fatigue

    1. 1. Compassion Fatigue Secondary Trauma What is it?
    2. 2. History  1982: Charles Figley defines SecondaryTraumatic Stress as a phenomenon associated with the “cost of caring”  1992: Nurse Joinson used term in Nursing Magazine to describe feeling of “worn down”  1992: Jeffrey Kottler writes CompassionateTherapy to emphasize importance of compassion when dealing with difficult / resistant clients  1995: Figley redefines SecondaryTraumatic Stress to a “more friendly term” - Compassion Fatigue
    3. 3. CF defined:  Those who work with the suffering suffer themselves because of the work  “We absorb the traumatic stress of those we help” (Beaton & Murphy, 1995)
    4. 4. AKA Secondary Trauma or Secondary Post-Traumatic Stress or Secondary Exposure or SecondaryVictimization orVicariousTraumatization or Emotional Contagion or Secondary Survivor “Phenomenon associated with the ‘cost of caring’ for others in emotional pain” (Figley, 1982)
    5. 5. Compassion Fatigue Secondary Trauma Do I have it?
    6. 6. CF “Possible” Solution…
    7. 7. Compassion Fatigue Secondary Trauma How did I get it?
    8. 8. The CF Process Figley, 2001
    9. 9. The CF Process 1. Exposure to Suffering 2. Empathic Concern – motivation to respond to those in need 3. Empathic Ability – aptitude for noticing the pain of others 4. Empathic Response – helper makes an effort to reduce the suffering of the sufferer
    10. 10. The CF Process 5. Compassion stress – compulsive demand for action to relieve the suffering of others 6. Prolonged Exposure – on-going sense of responsibility for the care of the suffering 7. Traumatic recollections – memories that trigger the symptoms of PTSD 8. Demands of Life – unexpected changes in schedule, routine, & managing life’s responsibilities that demand attention
    11. 11. The CF Process 9. Compassion Fatigue – state of tension and preoccupation with the traumatized by: a. Re-experiencing the traumatic events b. Avoidance/numbing reminders c. Persistent arousal 9. CompassionTrap – inability to let go of the thoughts, feelings and emotions useful in helping another, long after they are useful
    12. 12. A Codependen t Co- worker with Compassion Fatigue
    13. 13. Compassion Fatigue Secondary Trauma How bad is it?
    14. 14. Contributing Factors  Intensity  Frequency  Severity  Proximity  Personal Factors  Sensory Information – “Imprint of Horror” (Learner, 2005)  Perceptions, Belief system  Current coping mechanisms  Implementation of self-care techniques  Support system
    15. 15. Symptoms of Poor Self-Care  Cognitive  Diminished concentration  Confusion  Loss of meaning  Decreased of self-esteem  Apathy  Rigidity  Self-doubt  Perfectionism  Minimization
    16. 16. Symptoms of Poor Self-Care  Emotional  Powerlessness  Anxiety  (Survivor) Guilt  Anger/rage  Numbness  Fear  Sadness  Helplessness  Depression  Hypersensitivity  Overwhelmed  Depleted
    17. 17. Symptoms of Poor Self-Care  Behavioral  Impatient  Withdrawn  Moody  Regression  Sleep Disturbances  Appetite changes  Elevated startled response  Hyper vigilance  Use of unhealthy coping skills  Accident proneness  Losing things  Self-harm behaviors
    18. 18. Symptoms of Poor Self- Care  Spiritual  Questioning the meaning of life  Loss of purpose  Lack of self-satisfaction  Pervasive hopelessness  Angry at God  Questioning prior beliefs  “Soul Sick” (Bill O’Hanlon)
    19. 19. Symptoms of Poor Self- Care  Interpersonal  Withdrawn  Decreased interest in intimacy  Mistrust  Intolerance  Loneliness  Projection of anger or blame
    20. 20. Symptoms of Poor Self- Care  Physical  Shock  Sweating  Rapid heartbeat  Aches and pains  Dizziness  Impaired immune system  Restlessness
    21. 21. Impact on Professional Functioning  Performance of JobTasks  Decrease in quality & quantity  Low motivation  Avoidance of job tasks  Increased mistakes  Setting perfectionist standards  Obsession about details
    22. 22. Impact on Professional Functioning  Morale  Decrease in confidence  Loss of interest  Dissatisfaction  Negative attitude  Apathy  Demoralization  Lack of appreciation  Detachment  Feelings of incompleteness
    23. 23. Impact on Professional Functioning  Interpersonal  Withdrawal from colleagues  Impatience  Decrease in quality of relationship  Poor communication  Staff conflicts
    24. 24. Impact on Professional Functioning  Behavioral  Absenteeism  Exhaustion  Faulty judgment  Irritability  Tardiness  Irresponsibility  Overwork  Frequent job changes
    25. 25. Compassion Fatigue Secondary Trauma How do I get rid of it?
    26. 26. “When you discover you are riding a dead horse, the best strategy is to dismount” - Dakota Tribal Saying
    27. 27. ““Primum non nocere”Primum non nocere” - Claudius Galen, born in 129 AD, chief physician to the gladiator school in Pergamum First Do No HarmFirst Do No Harm
    28. 28. ““First do no harmFirst do no harm to Self”to Self” - Gentry & Figley, 2007 Created adage after discovering correlation between compassion fatigue and ethical violations
    29. 29. Self-Care may involve…  Re-evaluating an unhealthy relationship  Listening to your body & staying within your limits  Advocating for your rights  Commit more time to planning  Not assuming responsibility for others & their problems  Lose “all-or-nothing” thinking; be more flexible  Not feeling compelled to “fix”/solve another person’s problem  Not anticipate the needs of others
    30. 30. Self-Care may involve…  Re-think trying to please others; explore being satisfied with self  Appreciate your mistakes – opportunity to learn & grow  Not over-committing  Giving yourself plenty of time so you don’t feel harried or pressured  Quit blaming and shaming self…then others  Stop taking things personally
    31. 31. Self-Care may involve…  Keeping up with dentist & doctors appts.  Taking restroom breaks when needed  Accepting myself for who I am  Not feeling the need to control; accept some things are out of my control  Forgive yourself when you make a mistake  Quit trying to prove you’re good enough  Stop tolerating behaviors that you don’t want to tolerate  Trust yourself
    32. 32. Compassion Fatigue Secondary Trauma How do I keep it from coming back?
    33. 33. Back to the CF Process  Detachment (M. Beattie, 1992)  Opposite of attachment – excessively worried or preoccupied w/ person or problem  It’s Not: Cold,Withdrawn, Hostile, Ignorant Bliss  Based on premise that “each person is responsible for himself & we can’t solve problems that aren’t our own & worrying doesn’t help”
    34. 34. Detachment cont.  “It doesn’t mean we don’t care. It means we learn to love, care & be involved without going crazy” (M. Beattie, 1992)  “When we allow people to be who they are, then we stop trying to change things we can’t.” (M. Beattie, 1992)
    35. 35. Sense of Satisfaction  “Shades of Gray” (D. Burns, 2005, Cognitive Motivational Therapy)  “When things don’t work out as well as you’d hoped, you can think of the experience as a partial success or learning opportunity.  Question: Are you wanting your client to provide for you a sense of satisfaction?  “You’re OK … then I’m OK”
    36. 36. Sense of Satisfaction cont.  Reframe the “Pay-Out”  Appreciation  Approval  Attention  Acceptance  Affiliation  Admiration  Acknowledgement  Affirmation  Accomplishment  Affection
    37. 37. Standards of Self-Care 1. Respect for dignity & worth of self 2. Responsible for self-care 3. Universal right to wellness 4. Physical rest, emotional rest & nourishment 5. Seek, find & remember appreciation from supervisors & clients 6. Make it known that you wish to be recognized for your service Adapted from “Standards of Self Care for the Practitioner,” Green Cross Foundation, Inc., 2004

    ×