3rd Draft version of Presentation for 11/19/2009 - KU Palliative Care Fellowship Lecture Series. Uploaded to show the evolution of creating a slide presentation
2nd Draft version of Presentation for 11/19/2009 - KU Palliative Care Fellowship Lecture Series. Uploaded to show the evolution of creating a slide presentation
Acute stress disorder (ASD) is a mental disorder that can occur in the first month following a trauma. The symptoms that define ASD overlap with those for PTSD. One difference, though, is that a PTSD diagnosis cannot be given until symptoms have lasted for one month. Also, compared to PTSD, ASD is more likely to involve feelings such as not knowing where you are, or feeling as if you are outside of your body.
How common is ASD?
Studies of ASD vary in terms of the tools used and the rates of ASD found. Overall, within one month of a trauma, survivors show rates of ASD ranging from 6% to 33%. Rates differ for different types of trauma. For example, survivors of accidents or disasters such as typhoons show lower rates of ASD. Survivors of violence such as robbery, assaults, and mass shootings show rates at the higher end of that range.
2nd Draft version of Presentation for 11/19/2009 - KU Palliative Care Fellowship Lecture Series. Uploaded to show the evolution of creating a slide presentation
Acute stress disorder (ASD) is a mental disorder that can occur in the first month following a trauma. The symptoms that define ASD overlap with those for PTSD. One difference, though, is that a PTSD diagnosis cannot be given until symptoms have lasted for one month. Also, compared to PTSD, ASD is more likely to involve feelings such as not knowing where you are, or feeling as if you are outside of your body.
How common is ASD?
Studies of ASD vary in terms of the tools used and the rates of ASD found. Overall, within one month of a trauma, survivors show rates of ASD ranging from 6% to 33%. Rates differ for different types of trauma. For example, survivors of accidents or disasters such as typhoons show lower rates of ASD. Survivors of violence such as robbery, assaults, and mass shootings show rates at the higher end of that range.
Effective Approaches to Helping Clients Who Hurt Themselves and Sabotage Coun...Daryush Parvinbenam
By: Daryush Parvinbenam M.A., M.Ed., LPCC-S, LICDC
Etiology: "There could be many reasons for the intensification of clients' symptoms, relationship issues are only one of them. This is the focus of this presentation.
Treatment Issues and Relational Strategies for Working with Complex PTSD and ...Daryush Parvinbenam
By: Daryush Parvinbenam M.A., M.Ed., LPCC-S, LICDC
Prevalence of Childhood Trauma: "50-60% of women seeking health services have experienced childhood sexual abuse. Up to 75% of women seeking mental health services has experienced childhood sexual abuse. Children of mothers who were sexually abused are twice as likely to experience childhood sexual abuse."
Trauma and stressor-related disorders are a group of emotional and behavioral problems that may result from childhood traumatic and stressful experiences. These traumatic and stressful experiences can include exposure to physical or emotional violence or pain, including abuse, neglect or family conflict.
Trauma And Post Traumatic Stress For 2009 National ConferenceMedicalWhistleblower
Persons who have experienced life altering trauma often have significant emotional and psychological effects called Post Traumatic Stress Disorder. This requires compassionate response from those closest to the survivor and from social service personnel and law enforcement officers.
First Draft version of Presentation for 11/19/2009 - KU Palliative Care Fellowship Lecture Series. Uploaded to show the evolution of creating a slide presentation
Effective Approaches to Helping Clients Who Hurt Themselves and Sabotage Coun...Daryush Parvinbenam
By: Daryush Parvinbenam M.A., M.Ed., LPCC-S, LICDC
Etiology: "There could be many reasons for the intensification of clients' symptoms, relationship issues are only one of them. This is the focus of this presentation.
Treatment Issues and Relational Strategies for Working with Complex PTSD and ...Daryush Parvinbenam
By: Daryush Parvinbenam M.A., M.Ed., LPCC-S, LICDC
Prevalence of Childhood Trauma: "50-60% of women seeking health services have experienced childhood sexual abuse. Up to 75% of women seeking mental health services has experienced childhood sexual abuse. Children of mothers who were sexually abused are twice as likely to experience childhood sexual abuse."
Trauma and stressor-related disorders are a group of emotional and behavioral problems that may result from childhood traumatic and stressful experiences. These traumatic and stressful experiences can include exposure to physical or emotional violence or pain, including abuse, neglect or family conflict.
Trauma And Post Traumatic Stress For 2009 National ConferenceMedicalWhistleblower
Persons who have experienced life altering trauma often have significant emotional and psychological effects called Post Traumatic Stress Disorder. This requires compassionate response from those closest to the survivor and from social service personnel and law enforcement officers.
First Draft version of Presentation for 11/19/2009 - KU Palliative Care Fellowship Lecture Series. Uploaded to show the evolution of creating a slide presentation
This slideset was used for a presentation to the Palliative Medicine Fellows for the University of Kansas PM Fellowship in association with Kansas City Hospice & Palliative Care
Who helps the people in the helping professionals manage their stress?? This important workshop was presented at the LiveOn NY's 26th Annual Conference on "The Transformation of Aging". It covers the types of stress (physical and mental) encountered in the workplace. It gives specific assessment tools to help you see how "stressed out" you are, covers "compassion fatigue" and helps you see your personal risk factors contributing to your stress. But, don't fear - the presentation also focuses on self-care; what you can do for yourself to make things better. Bottom line - strengths to combat this stress come from identifying the stress and acting to manage it. And, it ends with extremely practical solutions on things you can do - even if you only have two minutes to relieve your stress!
Se spune ca e nevoie de un singur minut pentru a remarca o persoana deosebita,....o ora pentru a o pretui,...o zi pentru a o indragi si a o iubi.Dar iti trebuie o viata pentru a o uita!!......adevarat?!?
The slide deck for my presentation to the AAHPM Board of Directors and Exec Staff about the rapid trend of social media. Tried to put it into a historical perspective and did not spend a lot of time explaining tweets etc. Focused on the power of networks, and stuff from Clay Shirky, Malcolm Gladwell, etc. Please contact if you would like a further explanation.
Discussion of factors leading to increased frustration among Intensive Care Staff. A well known entity "BURNOUT SYNDROME" lecture to help establish the causes and to find solutions.
JAIME VINCK - COMPASSION FATIGUE AND PROVIDER RESILIENCEiCAADEvents
Compassion fatigue is the normal physiological and emotional reaction to hearing about another person’s trauma. This exhaustion creates a limited ability to empathise with others in both our personal and professional lives. In the world of substance use disorders, we often see it in our colleagues before we see it in ourselves. This interactive workshop will create ways to care for ourselves while still caring for others and develop action plans for self-care and compassion.
directly affects cancer outcomes, some data do suggest
that patients can develop a sense of helplessness
or hopelessness when stress becomes overwhelming.
This response is associated with higher rates of death,
although the mechanism for this outcome is unclear.
It may be that people who feel helpless or hopeless
do not seek treatment when they become ill, give up
prematurely on or fail to adhere to potentially helpful
therapy, engage in risky behaviors such as drug use, or
do not maintain a healthy lifestyle, resulting in premature
death.
Communication of prognosis has multiple barriers to achieve shared understanding between patient and clinician. In this slide deck designed for Hospice and Palliative Medicine fellows, I look at some key studies and applied techniques to best address talking about 'How long do I have, doc?'
This slide deck does not cover how to formulate a prognosis.
Hospice and Palliative Care Online: From clutter to curationChristian Sinclair
My slidedeck from the 13th Australian Palliative Care Conference. Features the tools I use and my workflow for finding good information online to curate, create and share.
Updated slidedeck for 2014 University of Kansas Medical Center Hospice and Palliative Care Fellowship Lecture series.
Presentation skills two hour workshop. Please also see updated handout and presentation preparation worksheet
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Christian Sinclair
Blogs to Boards
Created by Pallimed and GeriPal contributors in 2012 as a free study tool for the 2012 Hospice and Palliative Medicine board certification test. Creative Commons license - you must include attribution and links to Pallimed and GeriPal, and cannot reproduce for any commercial use.
We have posted the questions and answers separately if you are looking for those.
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...Christian Sinclair
Blogs to Boards
Created by Pallimed and GeriPal contributors in 2012 as a free study tool for the 2012 Hospice and Palliative Medicine board certification test. Creative Commons license - you must include attribution and links to Pallimed and GeriPal, and cannot reproduce for any commercial use.
We have posted the questions without the answers separately if you are looking for those.
Plenary presentation at the American Academy of Hospice and Palliative Medicine 2012.
This presentation is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License. Please give attribution to Christian T Sinclair, MD, FAAHPM for use of this slide deck in parts or in whole.
Please see the Creative Commons License on the second slide. This slide deck is for medical education uses only and does not constitute medical advice. Please consult with your own health care provider.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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
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.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
1. Stress and Burnout in the Professional Caregiver in Hospice & Palliative Care Christian Sinclair, MD, FAAHPM Kansas City Hospice & Palliative Care
2. Objectives 1. Identify risk factors associated with stress and burnout for professional caregivers in hospice and palliative care 2. Define the psychological and relationship characteristics which can prevent or accelerate caregiver stress 3. Perform a self-assessment of professional caregiver burnout
3. Overview Death and dying “That must be depressing?!” ≈25% of palliative care staff * report symptoms leading to psychiatric morbidity and burnout Lower than that of other specialties† Like oncology and critical care Emotionally charged environment *Ramirez 1995; Turnipseed 1987, Woolley 1989 †Mallett 1991, Bram 1989
5. Stress Stress Demands from the work environment exceed the employee’s ability to cope with or control them Relationship between employee and environment Consider stress at multiple levels Individual Team (formal or ad hoc) Organizational
6. Signs and Symptoms of Burnout Fatigue Physical exhaustion Emotional exhaustion Headaches GI disturbances Weight loss Sleeplessness Depression Boredom Frustration Low morale Job turnover Impaired job performance decreased empathy increased absenteeism Vachon 2009
7. Burnout Progressive loss of idealism, energy and purpose experienced by people in the helping professions as a result of the conditions of their work Need to believe in meaningful work/life Chronic interpersonal stressors Exhaustion Cynicism/detachment Lack of accomplishment
8. Components of Burnout Burnout as a psychological syndrome Exhaustion – individual Cynicism – relationship Lack of accomplishment – self-eval Not due to an individuals disposition Maslach 2001
11. Characteristics of Burnout Demographics Single Younger No gender diff Personal char Neuroticism Low hardiness Lo self-esteem Strongest association with job characteristics Chronically difficult job demands Imbalance of high demands, low resources Presence of conflict (people, roles, values) Maslach 2001
13. Is Burnout just Depression? Overlapping constructs If you have severe burnout higher risk of major depressive disorder If you have major depressive disorder higher risk of burnout
14. Compassion Fatigue Secondary traumatic stress disorder Identical to post-traumatic stress disorder Except the trauma happened to someone else Bystander effect No energy for it anymore Emptied, no
15. Post-Traumatic Stress Disorder Traumatic event Experienced/witnessed serious injury, death of self or other As a response, the person experienced intense helplessness, fear, and horror Re-experience Intrusive thoughts, nightmares, flashbacks, or recollection of traumatic memories and images. Avoidance and emotional numbing Detachment from others; flattening of affect; loss of interest; lack of motivation Persistent avoidance of activity, places, persons, associated with the traumatic experience Unable to function Impairment in social, occupational, and interpersonal functioning Month Symptoms > 1 month Arousal startle reaction, poor concentration, irritable mood, insomnia, and hypervigilance DSM-IV
16. Countertransference Alchemical reaction between patient and caregiver at the most vulnerable time in ones life – thru the experience both can be transformed Whole person care The social brain is wired to help others in distress
17. Physician Burnout UK study of phsyicians* Burnout associated with being under age 55 Increased job satisfaction with older age Emotional sensitivity increases with age^ Married with children mixed results *Ramirez 1995; ^Cattel 1970, Gambles 2003
18. Hardiness Sense of commitment, control and challenge Helps perception, interpretation, successful handling of stressful events Prevents excessive arousal Oncology docs and nurses Kobasa 19789, Kobasa 1982, Kash 2000, Papadatou 1994
19. Resilience Not avoidance of stress But stress that allows for self-confidence thru mastery and appropriate responsibility Hardiness versus coherence
20. Emotional Sensitivity Hospice Nurses 38 Extroverted Empathic Trusting Open Expressive Insightful Group oriented Cautious with new ideas Potentially naïve in dealing with those more astute Lacking objectivity Gambles 2003
22. Social Support Early identified as important Similar to critical nurses* Buffer to stress in workplace and associated with optimism Lack of social support predicted anxiety and psychosomatic complaints *Mallett 1991; ^Hulbert 2006; #Cooper 1990
26. Religiosity, Spirituality, Meaning making Hospice staff more deeply religious (1984) Religious associated with decr risk of burnout in onc staff (2000) 44 230 NZ MD correlation between religion and vicarious traumitzation higher compassion fatigue but a negative one with spirituality and burnout 11
27. Engagement v. Burnout Workload – associated with deprsonalization Control – performing without training/outside epxertise Reward – Intrinsic and extrensic Money, care, touch, stories, love Lo ,though I walk through the valley of the shadow of death, it is never my turn Community – group v. team Fairness Values – individual moral agent, professional role and team Engagement: nrg, involvement, efficiency Compassion satisfaction
28. Emotional Work Variables Closenss vs. distance Controlled closeness Strategies: Patient rotation Choosing when and where closeness Rational reflection of internal process Concentrating on one’s own role Anticipating patient death Maintaining appropriate composure “No, within love” avoid being destroyed in the process of caring
29. Inability to live up to one’s own standards Good or better death haunt our field Expectation of an unattainable ideal No pain therapy, symptom control support in psycho social and spiritual dimension can take the horror away from death. Avoid dramatisation of ideals and practice modesty and humbleness
31. Evidence Based Interventions Few studies Poorly powered Mindfulness fully present without judgement Narrative driven workshops Dot theory Abcd of dignity conserving care Attitude, behavior, compassion dialogue
32. Bibilography Amenta MM. Traits of hospice nurses compared with those who work in traditional settings. J Clin Psychol. 1984 Mar;40(2):414-20. Bram PJ, Katz LF. A study of burnout in nurses working in hospice and hospital oncology settings. OncolNurs Forum. 1989 Jul-Aug;16(4):555-60. Cooper CL, Mitchell S. Nursing the Critically III and Dying. Human Relations 1990 43: 297-311 Gambles M, Wilkinson SM, Dissanayake C. What are you like?: A personality profile of cancer and palliative care nurses in the United kingdom. Cancer Nurs. 2003 Apr;26(2):97-104. Hawkins AC, Howard RA, Oyebode JR. Stress and coping in hospice nursing staff. The impact of attachment styles. Psychooncology. 2007 Jun;16(6):563-72. Hulbert NJ, Morrison VL. A preliminary study into stress in palliative care: optimism, self-efficacy and social support. Psychol Health Med. 2006 May;11(2):246-54. Kash KM, Holland JC, Breitbart W, Berenson S, Dougherty J, Ouellette-Kobasa S, Lesko L. Stress and burnout in oncology. Oncology (Williston Park). 2000 Nov;14(11):1621-33; discussion 1633-4, 1636-7. Kobasa SC. Stressful life events, personality, and health: an inquiry into hardiness. J Pers Soc Psychol. 1979 Jan;37(1):1-11. Kobasa SC, Maddi SR, Kahn S. Hardiness and health: a prospective study. J Pers Soc Psychol. 1982 Jan;42(1):168-77.
33. Bibilography Kumar S, Hatcher S, Huggard P. Burnout in psychiatrists: an etiological model. Int J Psychiatry Med. 2005;35(4):405-16. Mallett K, Price JH, Jurs SG, Slenker S. Relationships among burnout, death anxiety, and social support in hospice and critical care nurses. Psychol Rep. 1991 Jun;68(3 Pt 2):1347-59. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. Papadatou D, Anagnostopoulos F, Monos D. Factors contributing to the development of burnout in oncology nursing. Br J Med Psychol. 1994 Jun;67 ( Pt 2):187-99. Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM, Leaning MS, Snashall DC, Timothy AR. Burnout and psychiatric disorder among cancer clinicians. Br J Cancer. 1995 Jun;71(6):1263-9. Sinclair S, Raffin S, Pereira J, Guebert N. Collective soul: the spirituality of an interdisciplinary palliative care team. Palliat Support Care. 2006 Mar;4(1):13-24. Turnipseed DL Jr. Burnout among hospice nurses: an empirical assessment. Hosp J. 1987 Summer-Fall;3(2-3):105-19. Vachon MLS. The stress of professional caregivers. Oxford Textbook of Palliative Medicine 3rd edition (2004). p992-1004. Vachon MLS, Muller M. Burnout and symptoms of stress in staff working in palliative care. Oxford Handbook of Psychiatry in Palliative Care (2009). p236-264. Woolley H, Stein A, Forrest GC, Baum JD. Staff stress and job satisfaction at a children's hospice. Arch Dis Child. 1989 Jan;64(1):114-8.
Editor's Notes
OHPPC – 5,6,75,8,9
Discuss the difference between distress and eu-stress, can pressure be a good thing. Can challenge or being presented with more than you can feasibly deal with be and advantage. Yes in the short term stress can make you more productive, collect more resources to do the task at hand
Table 16.1 form OHPPC
Lack of Resources – information/tools/timeWork Overload
PredisposingPersonalityWork conditionsPrecipitatingViolence with ptsSuicidal patientsOn call dutiesPerpetuatingHow one perceives and responds to stressKumar 2005
A Traumatic event occurred in which the person experienced, witnessed, or was confronted by actual or threatened serious injury, death, or threat to the physical integrity of self or other and, as a response to such trauma, the person experienced intense helplessness, fear, and horrorThe person Reexperiences such traumatic events by intrusive thoughts, nightmares, flashbacks, or recollection of traumatic memories and images.Avoidance and emotional numbing emerge, expressed as detachment from others; flattening of affect; loss of interest; lack of motivation; and persistent avoidance of activity, places, persons, or events associated with the traumatic experienceSymptoms are distressing and cause significant impairment in social, occupational, and interpersonal functioning (patients are Unable to function)These symptoms last more than 1 MonthThe person has increased Arousal, usually manifested by startle reaction, poor concentration, irritable mood, insomnia, and hypervigilance