hospice and palliative care conference: caring for the caregiver
Post on 05-Jan-2016
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HOSPICE AND PALLIATIVE CARE CONFERENCE: CARING FOR THE CAREGIVER
When Ways to Relax Become Too Much of a Good Thing:
Medication, Alcohol, and Gambling
Session Objectives
To identify mood altering methods of coping
To determine when coping activities become addictions
To map out the addiction process and its impact on caregiving and grieving
To describe the process of change
Worden, 1991
The Tasks of Grieving
To accept the reality of the loss
To work through to the pain of grief
To adjust to an environment in which the deceased is missing
To emotionally relocate the deceased and move on with life
Substances/Activities that can be addictive
BenzodiazepinesOpiatesStimulantsHallucinogensCannabisNon-prescription drugsAlcohol
Gambling
Food
Exercise
Work
Shopping
Sex
Internet
Etc…
Negative habits vs. Healthy habits
Pleasure develops quicklyNegative consequences appear laterSelf esteem and reputation sufferNarrowing of focusImpulsive problem solvingRelationships sufferEventually becomes unpleasurable
Pain first
Deprivation
Self-esteem gradually increases
Goal reached after extended period
Brings balance to life
Life becomes more pleasurable
Leads to other positive involvements
Coping skills are improved
Stages of Change ModelProchaska,Norcross and DiClemente 1995
Contemplation
Termination
Preparation
Precontemplation
Maintenance
Action
Pre-contemplation
Individuals who are pre-contemplative, have not connected problems to their use or do not realize that there are any problems.
There’s no
problem.
Contemplation
Individuals who are contemplative, are aware of the connection between their behaviour and the problems it is causing, but they are not ready to make any significant changes.
Yeah, maybe it’s a problem but I’m not sure I
want to do anything about
it.
Preparation
The costs of using have begun to outweigh the benefits and they are now ready to make
changes. It’s very important to take the time needed to make an effective realistic plan.
Okay, it’s a problem and I
need to do something
about it now!
Action
Individuals are eager to put their plans into action and start making changes.
Get out of my way… I’m
ready to put plans into
action!
Maintenance
Individuals are maintaining changes now with little effort and feel very comfortable with
their new lifestyle.
Wow, now that I’m making
changes, I have to do a lot of things differently!
Termination
The individual no longer needs to make a conscious effort to maintain the change.
Hasta la vista baby – I won’t be back!
Resources
Responsible Gaming Information CenterClub Regent: 985-0419 & McPhillips Street Station: 985-1240
Salvation Army – Booth Center946-9400
Self Help CommunitiesA.A., C.A., Al-Anon, F.A., G.A., GamAnon
Provincial Problem Gambling Helpline1-800-463-1554
Addictions Foundation of Manitoba944-6200
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