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Jg case study pp
- 1. Case Study 4.2 Riding the Emotional Roller Coaster Team 3: Jason Clark Jorge Gonzalez Olufemi Lawal Matt Mayo Andrew Moore
- 2. Case Overview Oncology Nurse Military Medic
- 4. Emotional Management Louise “You have to learn how to pick and choose and not bring that emotion up…” “You say, OK, I can deal with this. I can focus on the priority and the priority is the patient.” Discussion Question #1
- 5. Emotional Management Urgency Lisa “I deal with it and then I cry all the way home. I just sob on my way driving home.” Discussion Question #1
- 6. Emotional Management Urgency Anil “You get a lot of severed limbs, a lot of traumatic brain injuries, a lot of death and dying, so the compassion fatigue is rather high.” “Yes, these are people who were not kind to us. But as a medic, it’s our job to care for them, no matter if that is your friend or your enemy.” Discussion Question #1
- 7. Emotional Intelligence and Emotional Labor • Emotional Intelligence: helps recognition and regulation of emotions. • Emotional Labor: effort, planning, and control needed to express organizationally desired emotions. Discussion Question #1
- 8. Effectively Managing Patient Emotions • Decreased Heart Rate • Controlled Breathing • Responsive to Treatment • Increased Cognitive Awareness Discussion Question #2
- 9. Recognition and Regulation of Emotions in Patients Management of Louise EI Hierarchy Others’ Emotions Damiani & Lisa Awareness of Salvatore Others’ Emotions Management of Own Emotions Awareness of Own Emotions Discussion Question #2
- 10. Altering Patient Emotions Examples: Palliative Care Spiritual Support Deep Acting/ Displaying Required Emotions Distractions Visitors Entertainment Service Animals Discussion Question #2
- 11. Stress McShane/Von Glinow 2013 Discussion Question #3
- 12. Distress and Eustress Distress Eustress Caused by unfavorable Activates beneficial qualities outcomes necessary to overcome stressful situations Discussion Question #3
- 13. Causes of Stress - Harassment and Incivility - Work Overload - Low Task Control - Conflicts with one’s Beliefs and Values - Poor Health - Long work hours - Time constraint Discussion Question #3
- 14. Outcomes of Distress - Anxiety - Insomnia - Muscle Tension and headaches - Poor performance and increase errors - Depression - Irritability - Feeling Overwhelmed - Drug and Alcohol Abuse Discussion Question #3
- 15. - Regular exercise - Meditation / Relaxation Techniques - Sleep - Coping Strategies - Counseling - Avoid/Alter the Stressor - Know your Limits - Pare down Commitments Discussion Question #3
- 16. END
Editor's Notes
- Hello, this is team 3’s case presentation of Case Study 4.2: Riding the Emotional Roller Coaster. Our team is members are: _______.
- Emotional Management is the focal point of our study. We’ll look at how people manage stress and the emotions that come along with high stress work environments. Finally we’ll talk about what causes stress, its effects, and how we can minimize high stress levels. The subjects of our case, are 3 healthcare professionals. 2 nurses: Louise Damiani, an oncology nurse with the CentraState Healthcare system, and Lisa Salvatore, a charge nurse at the Leon s. Peters Burn Center. Also, one military medic, Anil Shandil from the 328th Combat Support Hospital. We will discuss how they cope with the inherent stresses of their work, and the importance of doing so.
- The healthcare industry, which follows the continuum of care from birth to death, creates a complex dichotomy of emotion and behavior for the medical professionals within it. In the case study we evaluated the application of managing emotions while displaying planned and controlled organizationally desired emotions on the job. Each of the three individuals featured in this case study are exposed to significant amount of intense emotional interaction and they each manage their emotions on the job in a unique way
- Louise experiences the full range of emotions throughout her day. There is the highs of the good news of a cancer going in to remission, and the lows a patient with a grim prognosis. She chooses to ignore the emotions that will get in her way of taking care of her patients. Like many healthcare professionals, she puts the patients emotional needs ahead of her own. This puts her at high risk for displaying emotional dissonance.
- Lisa must cope with the urgency and stress caused every time the ER receives a burn victim. And the sadness that comes along when she is treating children with burn injuries. She chooses to ignore her emotions throughout the day and releases all the raw emotion on her drive home. READ QUOTE This is a healthy release of stored up energy, but it would be important to ensure she encourages her family to recognize when she needs external help.
- Anil copes with the urgency, sadness, and frustration of his job by turning his emotions off. As a military medic, Anil sees serious combat injuries and has to treat both friend and foe. READ QUOTES He also mentions compassion fatigue; an inconsistency in his beliefs, feelings, and behaviors. The main symptom is a decreasing ability to feel compassion for others. This is an unhealthy practice because over time it will lead to social disconnect and an inability to function as an emotionally stable member of society.
- Emotional intelligence builds on the skillset of recognizing and regulating the emotions of not only yourself, but others. This ability, though innate, can be developed through experience associated with maturity, personal coaching and peer feedback.Working with patients of varying degrees of physical and mental health requires a high level of emotional labor. As patients are consumed with the stresses of life threatening inflictions and pain, healthcare professionals make great efforts to plan, control and display their emotions and behaviors
- By controlling their own and their patient’s emotions, they can reduce patient stressors and positively affect a patient’s physiological responses to stress such as a decreased heart rate, controlled breathing, treatment responsiveness, and an increased cognitive awareness.
- All of the case subjects face similar situations involving traumatic injury and illness. In the cases of Louise and Lisa, we observe the two higher dimensions of the emotional intelligence hierarchy.
- A couple examples of how a patient’s emotions can be altered are READ LIST.
- Stress is an adaptive response to a situation that is perceived as challenging or threatening to the person’s well-being. Also known as a ‘flight-or-fight’ response.All three of our medical subjects deal with high stress at their positions. Louise battles stress caused by her patients and her employer. Her patients often receive negative news regarding the extent of their cancer. The emotional extremes faced by her patients cause anxiety and create internal turmoil. A lack of situational control creates burdensome stresses. She also weathers the stresses caused by office politics. These stresses impact her personally and professionally. Lisa faces the stress of uncertainty. Within her burn trauma unit she encounters a gauntlet of physical maladies and wide array of burn victims. The urgency of treatment imposes the mental and physical ‘flight’ adaptations. These time constraints coupled with the extreme work load defines stress within trauma units. The visual images of injured children drag on her heart as she treats the young who are fragile and defenseless. Anil witnesses extreme injuries that require urgent decisions and actions. The desperate and agonizing emotions displayed by his patients create ‘flight’ urges that he must overcome. Anil also provides medical care of Iraqi detainees. Anil faces stresses caused by the conflicting emotions accompanying the task of caring for the ‘enemy.’
- Distress causes unfavorable outcomes, such as anxiety, listlessness, drug and alcohol dependency and exhaustion. These symptoms run from psychological (hypertension and weight gain) and physiological (insomnia and depression) to behavioral (aggressive behavior), all negatively affecting the way each handles their job duties. In extreme cases, these errors may induce medical errorsThe eustress activates beneficial qualities necessary to overcome the adversities surrounding the urgency of patient care and attention and to motivate the will to succeed through extreme obstacles. The eustress properties are often necessary to overcome the emotional stresses created by the situation. The two stress characteristics combine harmonically
- Many symptoms of distress include…
- The distress associated with stress can be mitigated through voluntary activities. Proper amounts of sleep and physical activity can strengthen an individual’s emotional state, creating a stress buffer. Understanding the appropriate balance between work time and personal time creates a sense of purpose outside of one’s professional life, both in a relaxing and rejuvenating way. The medicinal value of a vacation is often overlooked by those in highly stressful jobs. Even a slight break for meditation can provide the stress relief needed for proper performance. . Each of the individuals studied in this case have developed coping mechanisms and may need extra help to ensure the integrity of their own wellbeing.