building caregiver resilience

© 2014 Griswold International, LLC

The Griswold Solutions SeriesTM

BuildingCaregiverResiliencePreserving YourCapacity to Care


Presented by:

Jane Meier Hamilton, MSN, RNCEO and FounderPartners on the Path, LLC

• Nurse for 40 years/family caregiver for 20 years• Support professional & family caregivers• Content expertise in caregiver stress, resilience

& compassion fatigue


It was not so long ago that patients

and family caregivers…too often felt cast adrift by their health care

professionals, who were trained in the science and jargon of medicine. Health

care works best when the patient or family caregiver is not simply an interested

bystander, but an integral part of health care. Patients and families are ‘vital voices’ in improving the provision of

quality health care.

John Schall, Executive Director of Caregiver Action Network

In NovemberWe CelebrateNational FamilyCaregiver’sMonth

Source: http://nfca.typepad.com/pfe_top_25_best_practices/themes.html


Thank You, Caregivers!

Capable, Committed and Compassionate!

Professional CaregiversFamily Caregivers


Objectives

• Resilience: Definition and importance• Lack of resilience: Impact on organizations• Assessing caregiver resilience• Resilience-building strategies for caregivers• Strategies that professionals can use to promote

caregiver resilience• Helpful resilience-building resources

© 2014 Griswold International, LLC © 2013 Griswold International, LLC

Brainwriting is…• a fun, engaging way to brainstorm• sharing as many ideas as possible within a short timeframe Brainwriting Process• Listen for our questions• When prompted, enter your solutions using the webinar chat function• Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes• Peer-to-peer learning and sharing• A publication that benefits others involved in this topic Important• Avoid sharing any information that you would not want others to see

BRAIN WRITINGSolutions

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ResilienceThe ability to...

· withstand· recover· grow

...in the face of stressorsand changing demands.

- US Air Force


Personal Resilience

The forces of fate that bear down on man and threaten to break himalso have the capacity to ennoble him.

- Viktor Frankl


Why Caregiver Resilience Matters

· Patient outcomes· Cost· Length of stay· Readmissions· Satisfaction· Teamwork

· Personal toll (physical, mental/ emotional, occupational, social, spiritual)

· Strength & stamina· Coping· Bouncing back/ forward

For Individuals ForOrganizations


Ten Resilience Factors

· Optimism· Facing fear· Moral compass

& altruism· Meaning, purpose

& growth· Social support

· Role models· Training· Brain fitness: mind

& heart· Flexibility: cognitive

& emotional· Religion & spirituality


Resilience-Building Model

Improvingstress response

Adverse orstressful events

Self-carepractices

Increasingresilience

Positive adaptationand cognitivetransformation

Biopsychosocial-spiritual

well-being

Used with permission: Grafton et. al. 2010. The Power Within: Oncology Nursing Forum, 11, 698-704.


How Can I Build My Resilience?

Sources: www.rand.org and www. samueliinstitute.org

Social

TotalForce

Fitness

Spiritual

PhysicalBeh

avior

al

Nutritional Med

ical

Environm

entalPsy

chol

ogic

al

• SubstanceAbuse

• Hygiene• Risk Mitigation

• Social support• Task cohesion• Social cohesion • Family

cohesion

• Access• Immunizations• Screening• Prophylaxis• Dental

• Service values• Positive beliefs

• Meaning making• Ethical leadership

• Accomodate diversity

• Strength• Endurance• Flexibility• Mobility

• Coping• Awareness• Beliefs/Appraisals• Decision making• Engagement

• Heat/Cold• Altitude• Noise• Air quality

• Food quality• Nutrition requirements • Supplement use • Food choices


Acts That Build Resilience

· Balanced, healthy diet

· Adequate fluid intake

· Avoid empty calories

· Exercise: fitness/stamina

· Adequate sleep and rest

· Good hygeine/appearance

· Drug, alcohol, tobacco use

1. Physical 2. Nutritional



· Environmental stressors- Temperature- Noise & interruptions- Air quality

· Workplace/home safety

· Limiting risks

· Organization & beauty

· Accessing qualityhealth care

· Preventive screenings

· Managing injuries

· Managingchronic conditions

3. Medical 4. Environmental



· Avoid stress numbing

· Problem-focused coping

· Recognize/share feelings

· Persist despite difficulty

· Physically work off emotion

· Self-belief

· Realistic optimism

· Mindfulness: calm & focus

· Accept uncertainty

· Re-label & normalize

5. Psychological 6. Behavioral



· Values, beliefs & purpose

· God/Source of meaning

· Pray/Worship/Meditate

· Nature & the arts

· Seek inspiration

· Link to positive support- Emotional- Informational- Hands-on help

· Physical/cyber communities

· Fun, socializing & hobbies

· Time-off & time alone

· Separate work/home

7. Social 8. Spiritual


Practice Healthy Self-Care

Protective:Like daily dental care

High Leverage: Small acts guard healthAdd-to: Not to replace problem solving


· Assessing family caregiver needs

· Incorporating into team decisions

· Effectively implementing care plan

· Preventing relapse and readmission

Importance of Professional Support


Solutions and Tools

CaregiverResilience

Tools

CaregiverEngagement

Tools

http://www.nextstepincare.org/

EngagementTool:


Advocacy: Next Step in Care

Care Coordination: New Guides for Health Care Providers and for Family Caregivers

New Tool Helps Hospital Staff to Work with Family Caregivers

· A Family Caregiver's Guide to Care Coordination

· A Professional Care Coordinator's Guide to Partnering with Family Caregivers

· Understanding and Integrating Family Caregivers into theRe-Engineered Discharge


Advocacy: Next Step in Care


http://bit.ly/1DJ5It5

EngagementTool:

More Engagement Tools

http://bit.ly/1wwHCPM


Advocacy: Project RED

EngagementTool:


Action Plan for Building Resilience

Download Here:http://bit.ly/1v5UhoT

Download this freeworksheet to helpguide you through:

· Assessing current practices

· Planning helpful new approaches


More Resilience Tools

http://bit.ly/1pIPkjZAPA: The Road To Resilience

The Resilience FactorAuthors: K. Reivich & A. Shatte

ResilienceAuthors: S.M. Southwick & D.S. Carney

The Resilient ClinicianAuthor: R.J. Wicks

BounceAuthor: R.J. Wicks

ResilienceTools:

http://www.caregiveraction.org/ http://bit.ly/1rth9fQ

Tools: Caregiver Action Network�


Front Page Toolbox

ResilienceTools:


Tools: Family Caregiver Alliance�

https://www.caregiver.org/

ResilienceTool:


Tools: The Resilience Scale

http://bit.ly/1z54us6

ResilienceTool:

http://bit.ly/1t902oU


Tools for Professionals

American Psychological Association

ResilienceTool:

Resilient caregivers support patient wellnessand recovery, and prevent readmissions

Important role for professionals: assess and support family caregivers

Caregiving is meaningful, but takes a toll


Key Takeaways


Open Q&A

1. Click to expand if necessary

2. Type questions here


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building caregiver resilience

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