Therapist and other direct service providers who work with trauma survivors may themselves be impacted. This is described as compassion fatigue, or secondary traumatic stress
You love your job, your organization, and your community. But there can still be days when you feel like you have nothing left to give. If at the end of the day you feel drained, or irritated, or both, you may have “compassion fatigue.” Compassion fatigue, also known as secondary traumatic stress (STS), is a condition characterized by a gradual lessening of compassion over time. This session will help you recognize the symptoms and the situations that may trigger compassion fatigue and understand how it affects you and your working environment. Explore ways to take care of yourself so you can continue to show compassion and give your patrons the care they need.
You love your job, your organization, and your community. But there can still be days when you feel like you have nothing left to give. If at the end of the day you feel drained, or irritated, or both, you may have “compassion fatigue.” Compassion fatigue, also known as secondary traumatic stress (STS), is a condition characterized by a gradual lessening of compassion over time. This session will help you recognize the symptoms and the situations that may trigger compassion fatigue and understand how it affects you and your working environment. Explore ways to take care of yourself so you can continue to show compassion and give your patrons the care they need.
Presentation on the topic "Stress Management"
Includes:
What is stress?
What is stress management?
Types of stress and their relaxation methods
How to handle stress at the time of Interview
How to handle stress at the workplace
IT INCLUDES TWO VIDEOS, IF YOU WILL DOWNLOAD YOU CAN PLAY THEM
This is a presentation for student nurses helping them to learn ways to live stress free during nursing school and carry those techniques to their future profession as nurses.
James Caringi, PhD Presentation at 2016 Science of HOPE
Description:
Secondary Traumatic Stress (STS) is defined as, “the natural and consequent behaviors and emotions resulting from knowing about a traumatizing event experienced by a significant other, the stress resulting from helping or wanting to help a traumatized or suffering person” (Figley, 1995). Professionals and caregivers frequently work with individuals, families, groups, and communities who have experienced multiple adverse childhood experience (ACE) traumas and as a result, are at high risk for experiencing STS. Secondary Traumatic Stress can lead to personal health issues, loss of productivity, and turnover and therefore should be a concern for practitioners and administrators.
This presentation will address the causes of STS and offer ideas for both prevention and recovery. In addition, findings from empirical research projects examining STS, burnout, and peer support will be reviewed. Methods to create a trauma informed organization that can both prevent and mitigate the impact of STS will be reviewed and critiqued. Finally, the presenter will facilitate an action research process designed to enable participants to begin the development of self-care plans that they can use in their organizations.
What is Psychological First Aid? Psychological First Aid (PFA) is an evidence-informed approach that is built on the concept of human resilience. PFA aims to reduce stress symptoms and assist in a healthy recovery following a traumatic event, natural disaster, public health emergency, or even a personal crisis.0
Working with people in crisis causes ongoing exposure to stress and traumatic stress. Reactions to stress and trauma are normal. They must be addressed regularly. Failure to address them as a part of our work can cause secondary trauma.
Presentation on the topic "Stress Management"
Includes:
What is stress?
What is stress management?
Types of stress and their relaxation methods
How to handle stress at the time of Interview
How to handle stress at the workplace
IT INCLUDES TWO VIDEOS, IF YOU WILL DOWNLOAD YOU CAN PLAY THEM
This is a presentation for student nurses helping them to learn ways to live stress free during nursing school and carry those techniques to their future profession as nurses.
James Caringi, PhD Presentation at 2016 Science of HOPE
Description:
Secondary Traumatic Stress (STS) is defined as, “the natural and consequent behaviors and emotions resulting from knowing about a traumatizing event experienced by a significant other, the stress resulting from helping or wanting to help a traumatized or suffering person” (Figley, 1995). Professionals and caregivers frequently work with individuals, families, groups, and communities who have experienced multiple adverse childhood experience (ACE) traumas and as a result, are at high risk for experiencing STS. Secondary Traumatic Stress can lead to personal health issues, loss of productivity, and turnover and therefore should be a concern for practitioners and administrators.
This presentation will address the causes of STS and offer ideas for both prevention and recovery. In addition, findings from empirical research projects examining STS, burnout, and peer support will be reviewed. Methods to create a trauma informed organization that can both prevent and mitigate the impact of STS will be reviewed and critiqued. Finally, the presenter will facilitate an action research process designed to enable participants to begin the development of self-care plans that they can use in their organizations.
What is Psychological First Aid? Psychological First Aid (PFA) is an evidence-informed approach that is built on the concept of human resilience. PFA aims to reduce stress symptoms and assist in a healthy recovery following a traumatic event, natural disaster, public health emergency, or even a personal crisis.0
Working with people in crisis causes ongoing exposure to stress and traumatic stress. Reactions to stress and trauma are normal. They must be addressed regularly. Failure to address them as a part of our work can cause secondary trauma.
Coping after cancer – what does this mean and how can coping help you? Whether you’ve just been diagnosed with colorectal cancer or are managing side effects after treatment, you have been impacted greatly and life has likely changed.
Coping strategies can help you regain a sense of control, and learn that there is always hope for an improved quality of life. This webinar will touch on how to successfully integrate coping so you and your support team can face the road going forward.
This presentation is about Stress and its impact on health. I have tried to cover everything related to it, stressors, coping mechanisms, tools, types etc.
Prepared for SLCAs of National Institute of Social Defence-New Delhi by Dr Sojan Antony, Associate Professor, Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences, Bangalore, India
Are you impacted by someone else’s cancer experience? Maybe it’s a loved one, a friend, or someone you’ve connected with online. If so, you may be familiar with compassion fatigue, which often affects people who are repeatedly exposed to loss, pain and suffering. Join this important webinar where Teresa Deshields, PhD, will explain how to identify compassion fatigue and how to manage it. This is a wonderful webinar for caregivers, loved ones, and patients.
Mental Health is one aspect of an employees well-being. It important to create a culture and workplace where it's acceptable to talk about our Mental Health and eliminate the Stigma.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. The individual experiences (subjectively) a threat to life, bodily integrity, or sanity. (Pearlman & Saakvitne, 1995, p. 60)
5.
6. the traumatic experiences that result in the most serious mental health problems are prolonged and repeated, sometimes extending over years of a person's life.
27. Burnout: The development of a negative self-concept and negative attitude towards work, people involved in the work, life itself, and a severely hampered ability to cope with the work environment. (Pines and Aronson 1988)
54. CARING FOR YOURSELF IN THE FACE OF DIFFICULT WORK Our work can be overwhelming. Our challenge is to maintain our resilience so that we can keep doing the work with care, energy, and compassion. 10 things to do each day 1. Get enough sleep 2. Get enough to eat 3. Vary the work that you do 4. Do some light exercise 5. Do something pleasurable 6. Focus on what you did well 7. Learn from your mistakes 8. Share a private joke 9. Pray, meditate or relax 10. Support a colleague For More Information www.psychosocial.org or telida.isu.edu
59. Set aside 15 minutes for private time, admiring nature, walking, swimming, biking, or reading a favorite novel. Taking time out consistently everyday is more important than the amount of time. Make a commitment to yourself to pamper yourself in a special way each day.
60. Use at least part of every weekend for enjoyable activities that are replenishing. Don't isolate yourself, have contact with others.
61. Exercise daily, for 10-30 minutes. Even a brisk walk around the block can provide a dramatic break and give refreshment to the spirit.
62. Listen to a favorite musician, and try unfamiliar music that may be interesting.
68. Pearlman, Laurie Anne, and Karen W. Saakvitne. Trauma and the Therapist . New York: Norton, 1995.
Editor's Notes
This is where I talk about Compassion Fatigue
Although the larger number of our clients are female, many men and boys are survivors of childhood abuse and trauma. Under-recognition of male survivors, combined with cultural gender bias has made it especially difficult for these men to get help. Because violence is everywhere in our culture and because the effects of violence and neglect are often dramatic and pervasive
Childhood trauma can cause the disruption of basic developmental tasks. Disruption of these tasks in childhood can result in adaptive behavior, which may be interpreted in the mental health system as "symptoms." For example :
When helping others precipitates a compromise in our own well-being we are suffering from Compassion fatigue. CF- another term for secondary traumatic stress. (more user friendly) All familiar with post traumatic stress disorder (Psychological and emotional distress which develops following a stressful, traumatic event or series of events (war, rape, natural disaster).) that our clients experience. The idea here is that even secondary exposure to stressful and/or traumatic events can produce many of the same reactions. Our very compassion, empathic connection, the thing that makes us effective helpers, seems to be what puts us at risk. As many of us know, being around the pain and suffering of others can be "emotionally contagious". It's difficult to see and care deeply about the suffering of others without feeling some pain ourselves. Unlike burnout, The onset can be sudden. Burnout (term many may be more familiar with….the literature differentiates CF from burnout)- gradual, over time. emotional exhaustion resulting from the stress of interpersonal contact Burnout is when we doubt our ability to keep coping constructively Burnout is the development of a negative self-concept and negative attitude towards work, people involved in the work, life itself, and a severely hampered ability to cope with the work environment. (Pines and Aronson 1988) Untreated CF can get worse and lead to burnout
Like signs and symptoms of PTSD Sleepless, irritability, anxiety, emotional withdrawal, avoidance of certain tasks, isolation from coworkers, feelings of helplessness and inadequacy, and even flashbacks are among the symptoms.
Younger age-may be due to less exp, over involvement with client Anxiety/depression-pre-existing Negative att toward client- fear of contagion -----Several theories have been offered but none have been able to conclusively demonstrate the mechanism which accounts for the transmission of traumatic stress from one individual to another. Figley (1995) hypothesizes that the caregiver’s empathy level with the traumatized individual plays a significant role in this transmission. Basically everyone!!!!
Individual- decreased health, job satisfaction, quality of life and psychological well being Workplace- has costs if this results in decreased performance, morale and ultimate higher turnover of staff. How many here have been doing this work for less than 5 years? 5-10? Over 10? CF/burnout can be one factor in high turnover is social service jobs
Professional Quality of Life Scale developed by Stamm, measures 3 factors Compassion satisfaction: pleasure you derive from being able to do your work well. Ex: feeling like what you do makes a difference, getting along with colleagues. Higher score = greater satisfaction. Ave = 37. Below 32 may indicate problems in work or just that ind finds satisfaction elsewhere Burnout: research is defining it as diff dealing with work or doing job effectively, asst feelings of hopelessness. Often gradual in onset. “my efforts make no difference” Higher scores = higher risk for burnout Ave score 23. above 28 cause for concern….if continues over time (may just reflect bad day) under 19----feell good about and able to be effective at work compassion fatigue/secondary trauma- work related secondary exposure to stressful or traumatic events. Often sudden onset. Ave score = 13. Above 17- examine what is happening, what is frightening at work
Awareness: Compassion Fatigue is a term, not a disease! It is simply a label to help us identify where we may benefit from healthy changes in our life. Having a high score may mean that there are a number of issues related to your stress that warrant your attention. There is no need for alarm, only awareness. Confirmation: Some people report that their scores simply confirm what they already know. Others are surprised. Many people did not previously know that certain symptoms they experience were related to the stress of their work. If this is the case for you, then the test was worth taking! The "surprises" can serve as alerts to what needs your attention. ???The scores don't matter. What matters are the items on the test which concern you. When you're done with all the scoring, go back through the items and look for the compassion fatigue items (the circled ones) which you rated a 4 or 5. These are issues which create stress for you. Use this information as a baseline, not to judge yourself, or to feel scared about, but just as information..
1) Self-care: not always so good at practicing what we preach --Both for our patients and for each other, we as clinicians owe it to ourselves to acknowledge the importance of our own health, emotional balance, satisfaction, and well-being in order to be care providers . Basics: (refer to palm card) 10 things to do every day. Switching feeling on and off? Maybe more about detachment. Breathing key. 2) Time off two weeks consec? What works. me long weekend every month, flexible schedule, no work certain days 3) Peer support- formal groups, informal 4) We must also appreciate on a programmatic and institutional level that this is not "extra" but is rather an essential requirement for the long-term success and effectiveness of work with those impacted by trauma.
• Self-assessment : Ask yourself, "How am I doing?" What do I need? How have I changed? Discuss the questions and answers with a colleague, friend, or therapist. • Protect yourself: - Be aware of your vulnerability and the negative consequences of your work, - Strive for balance, and - Maintain connection with others. • Address the stress of your work: - Practice self-care, - Nurture yourself by focusing on sources of pleasure and joy, and - Allow yourself to escape when necessary. • Transform the negative impact of your work: - Focus on finding meaning in your work and day-to-day activities, - Challenge negativity, and - Participate in community building activities, joining with others around a common purpose or value. Connect with yourself and with others: - Pay attention to your inner experience, - Talk about it with others, - Do not work alone, and - Ask for support as well as offering it to others.
1) Tell new or prospective employees what to expect. Normalize, predict, takes some of power away, don’t feel like something is wrong with me, make plans to cope "We recognize that compassion fatigue is probably inevitable in the work we do," she says. 2)Establish support systems. Giving employees opportunities to talk about the emotional aspects of their work -- and chances to blow off steam -- can help keep compassion fatigue from taking over. For counselors, the checks and balances provided by mandatory clinical supervision , can help them maintain perspective.(but may not always feel free to share everything) Support groups/peer groups (our senior staff mtg example) research shows can decrease staff turn over Informal support –break room, some org have time out rooms, yoga relaxation at the workplace Encourage workers to talk about their feelings. After a particularly traumatic event occurs at work, start a conversation about it. "People worry that if employees start showing their feelings, they'll just start breaking down all over the place and they won't do their jobs," says Ms. Brothers. "The truth is, when people can show their feelings, they do better work. They have more energy." 3) If a manager notices an employee's behavior has changed , he or she should take the initiative and gently bring it up , --would be good time to make use of CF test or other kind of self assessment. Provide referrals to outside therapy 4) In-service training- bring in outside resources -- programs in CF, secondary traumatic stress (like this) --ongoing support or consultation groups ( I did for work with dissoc disorders, also support group for therapists doing DD trauma work). -- Seek out stress-relieving activities outside of work, Mr. Bowers says, and consider bringing in speakers who can let employees know about local opportunities for the same, such as massage therapy or yoga. What Do Therapists Need? Options for Support • Work environments that acknowledge the reality of secondary or vicarious trauma and offer support for self-care and connection • Forums for discussions about the work and its stresses • A group with a focus on discussing and addressing vicarious traumatization • A buddy system (Identify a colleague with whom you will discuss the work and its challenges.) • Regular clinical consultation • Personal psychotherapy • Continuing education opportunities that address these topics • Emotional release (opportunities to express strong feelings of grief, fear, anger, gratitude) • Realistic expectations for selves