Building Caregiver Resilience

The Griswold Solutions SeriesTM
Building
Caregiver
Resilience
Preserving Your
Capacity to Care
© 2014 Griswold International, LLC

Presented by:
Jane Meier Hamilton, MSN, RN
CEO and Founder
Partners on the Path, LLC
• Nurse for 40 years/family caregiver for 20 years
• Support professional & family caregivers
• Content expertise in caregiver stress, resilience
& compassion fatigue

It was not so
long ago that patients
and family caregivers…too often
felt cast adrift by their health care
professionals, who were trained in the
science and jargon of medicine. Health
care works best when the patient or family
caregiver is not simply an interested
bystander, but an integral part of health
care. Patients and families are ‘vital
voices’ in improving the provision of
quality health care.
John Schall, Executive Director
of Caregiver Action Network
In November
We Celebrate
National
Family
Caregiver’s
Month
Source: http://nfca.typepad.com/pfe_top_25_best_practices/themes.html

Family Caregivers Professional Caregivers
Thank You, Caregivers!
Capable, Committed and Compassionate!

Objectives
• Resilience: Definition and importance
• Lack of resilience: Impact on organizations
• Assessing caregiver resilience
• Resilience-building strategies for caregivers
• Strategies that professionals can use to promote
caregiver resilience
• Helpful resilience-building resources

BRAIN WRITING
Solutions
Brainwriting is…
• a fun, engaging way to brainstorm
• sharing as many ideas as possible within a short timeframe
Brainwriting Process
• Listen for our questions
• When prompted, enter your solutions using the webinar chat function
• Don’t overthink or agonize…There are no right or wrong answers
Brainwriting Outcomes
• Peer-to-peer learning and sharing
• A publication that benefits others involved in this topic
Important
• Avoid sharing any information that you would not want others to see
Orange Arrow Button:
Minimizes or expands the
GoToWebinar control panel.
© 2014 Griswold International, LLC © 2013 Griswold International, LLC

Resilience
The ability to...
· withstand
· recover
· grow
...in the face of stressors
and changing demands.
- US Air Force

Personal Resilience
The forces of fate
that bear down on man
and threaten to break him
also have the capacity
to ennoble him.
- Viktor Frankl

Why Caregiver Resilience Matters
For Individuals For
· Patient outcomes
· Cost
· Length of stay
· Readmissions
· Satisfaction
· Teamwork
· Personal toll
(physical, mental/ emotional,
occupational, social, spiritual)
· Strength & stamina
· Coping
· Bouncing back/
forward
Organizations

Ten Resilience Factors
· Optimism
· Facing fear
· Moral compass
& altruism
· Meaning, purpose
& growth
· Social support
· Role models
· Training
· Brain fitness: mind
& heart
· Flexibility: cognitive
& emotional
· Religion & spirituality

Resilience-Building Model
Improving
stress response
Adverse or
stressful events
Self-care
practices
Increasing
resilience
Biopsychosocial-spiritual
well-being
Positive adaptation
and cognitive
transformation
Used with permission: Grafton et. al.
2010. The Power Within: Oncology
Nursing Forum, 11, 698-704.

How Can I Build My Resilience?
Sources: www.rand.org and
www. samueliinstitute.org
Social
Total
Force
Fitness
Spiritual
Physical
Behavioral
Nutritional
Medical
Environmental
Psychological
• Substance
Abuse
• Hygiene
• Risk Mitigation
• Social support
• Task cohesion
• Social cohesion
• Family
cohesion
• Access
• Immunizations
• Screening
• Prophylaxis
• Dental
• Service values
• Positive beliefs
• Meaning making
• Ethical leadership
• Accomodate diversity
• Strength
• Endurance
• Flexibility
• Mobility
• Coping
• Awareness
• Beliefs/Appraisals
• Decision making
• Engagement
• Heat/Cold
• Altitude
• Noise
• Air quality
• Food quality
• Nutrition requirements
• Supplement use
• Food choices

Acts That Build Resilience
1. Physical 2. Nutritional
· Balanced, healthy diet
· Adequate fluid intake
· Avoid empty calories
· Exercise: fitness/stamina
· Adequate sleep and rest
· Good hygeine/appearance
· Drug, alcohol, tobacco use

3. Medical 4. Environmental
· Environmental stressors
- Temperature
- Noise & interruptions
- Air quality
· Workplace/home safety
· Limiting risks
· Organization & beauty
· Accessing quality
health care
· Preventive screenings
· Managing injuries
· Managing
chronic conditions

5. Psychological 6. Behavioral
· Avoid stress numbing
· Problem-focused coping
· Recognize/share feelings
· Persist despite difficulty
· Physically work off emotion
· Self-belief
· Realistic optimism
· Mindfulness: calm & focus
· Accept uncertainty
· Re-label & normalize

7. Social 8. Spiritual
· Values, beliefs & purpose
· God/Source of meaning
· Pray/Worship/Meditate
· Nature & the arts
· Seek inspiration
· Link to positive support
- Emotional
- Informational
- Hands-on help
· Physical/cyber communities
· Fun, socializing & hobbies
· Time-off & time alone
· Separate work/home

Practice Healthy Self-Care
Protective:
Like daily dental care
High Leverage: Small acts guard health
Add-to: Not to replace problem solving

Importance of Professional Support
· Assessing family caregiver needs
· Incorporating into team decisions
· Effectively implementing care plan
· Preventing relapse and readmission

Solutions and Tools
Caregiver
Resilience
Tools
Caregiver
Engagement
Tools

Advocacy: Next Step in Care
http://www.nextstepincare.org/
Engagement
Tool:

Advocacy: Next Step in Care
Care Coordination: New Guides for Health Care
Providers and for Family Caregivers
· A Family Caregiver's Guide to Care Coordination
· A Professional Care Coordinator's Guide to Partnering
with Family Caregivers
New Tool Helps Hospital Staff to Work
with Family Caregivers
· Understanding and Integrating Family Caregivers into the
Re-Engineered Discharge

More Engagement Tools
http://bit.ly/1DJ5It5
Engagement
Tool:

Advocacy: Project RED
http://bit.ly/1wwHCPM
Engagement
Tool:

Action Plan for Building Resilience
Download this free
worksheet to help
guide you through:
· Assessing current practices
· Planning helpful new approaches
Download Here:
http://bit.ly/1v5UhoT

More Resilience Tools
APA: The Road To Resilience
http://bit.ly/1pIPkjZ
The Resilience Factor
Authors: K. Reivich & A. Shatte
Resilience
Authors: S.M. Southwick
& D.S. Carney
The Resilient Clinician
Author: R.J. Wicks
Bounce
Author: R.J. Wicks
Resilience
Tools:

Tools: Caregiver Action Network
http://www.caregiveraction.org/ http://bit.ly/1rth9fQ
Front Page Toolbox
Resilience
Tools:

Tools: Family Caregiver Alliance
https://www.caregiver.org/
Resilience
Tool:

Tools: The Resilience Scale
http://bit.ly/1z54us6
Resilience
Tool:

Tools for Professionals
http://bit.ly/1t902oU
American Psychological Association
Resilience
Tool:

Key Takeaways
Caregiving is meaningful,
but takes a toll
Resilient caregivers support patient wellness
and recovery, and prevent readmissions
Important role for professionals: assess
and support family caregivers

Open QA
1. Click to expand
if necessary
2. Type questions here

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Building Caregiver Resilience

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