Journal Club - Review of Self Care in Palliative Medicine article

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Palliative Medicine Journal Club review of JAMA 2009;301(11):1155-1164 article: Self Care of Physicians caring for patients at the End of Life

Health & Medicine

Self care of Physicians Caring for Patients at End of Life Palliative Care Journal Club Dr. Judy Littleford MD, FRCPC September 15th, 2009

Self care of Physicians Caring for Patients at End of Life ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Importance of the topic: Self-care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

http://www.statisticssolutions.com/professional-quality-of-life-scale

Literature review ,[object Object],[object Object],[object Object],[object Object],[object Object]

Methods: ethical considerations ,[object Object],[object Object],[object Object],[object Object]

Burnout ,[object Object],[object Object],[object Object],[object Object],JAMA 2006;296(9):1071-8 Health care manage review 2008;33(1):29-39

Burnout signs & symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],See Table 1, page 1157 for comprehensive list of S & S J occupational behaviour 1981;2:99-113 (original Maslach burnout questionnaire) http://www.rci.rutgers.edu/~sjacksox/PDF/EvaluatingStress.pdf

Burnout Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Compassion Fatigue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methods: data collection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Work Environment Stressors in Palliative Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rewards in Palliative care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],JAMA 2006;296:1071

Results: Factors Mitigating Burnout ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],See Table 2 for List of measures that may help prevent burnout

Self Awareness versus Self Care ,[object Object],[object Object],[object Object],[object Object]

Results: Factors Mitigating Burnout Davidson, Kabat-Zinn, Psychosom Med 2003;65: 564-70 Neuroreport 2005;16(17):1893 J Gen Intern Med 2005;20(7):559 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mindfulness Meditation Practice ,[object Object],[object Object],[object Object]

Mindfulness Meditation Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Train Educ Prof Psychol 2007;1(2):105 Int J Stress Manag 2005;12(2):164 Am Psychol 2006;61(7):305 J Behav Med 1998;21(6):581

Results: Factors Mitigating Compassion Fatigue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],No access to cited references

Discussion ,[object Object],[object Object],[object Object],Suggestions for practicing self-care and self-awareness are listed in Table 3, page 1161

Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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