Imagine if you could inspire the minds of kind hearted care takers & compel them to nurture their compassionate nature.

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

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.

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

16. Work/Life Balance
CULTIVATE

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