caring for the caregiver · moving from compassion fatigue to compassion satisfaction: building...

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Caring for the Caregiver Rachel Hammerton Masters in Self Care, Caregiver at Spark Lifecare Allison Carroll Director of Culture, Spark Lifecare Zack Riley Care Partner, Spark Lifecare

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  • CaringfortheCaregiverRachelHammerton

    MastersinSelfCare,CaregiveratSparkLifecare

    AllisonCarrollDirectorofCulture,SparkLifecare

    ZackRileyCarePartner,SparkLifecare

  • Informal/FamilyCaregivers

    • 8,000,000+peopleinCanadaprovidecaretoafriendorlovedone• 550,000oftheseprovidecaretosomeonestrugglingwithamentalillnessoraphysicallimitation

    • 71%offamilycaregiversprovidecarewithmorethan2tasks• 9/10informalcaregiversprovideemotionalsupport• 49%ofinformalcaregiverswithkidsundertheageof18reportedthatcaregivingdutiesimpededthetimetheyspendwiththeirkids• Themoreintensethecareprovided,themorestresslevelsandphysicalandemotionalhealthlevelsdecline

  • ProfessionalCaregivers

    • Theyare:• Empathetic• Compassionate• Abletoportrayprofessionalism• Abletoavoidbecomingoverlyemotionallyinvolvedwithclients

  • ProfessionalCaregivers

    • 21-67%ofmentalhealthworkersexperienceburnout• Often,caregiversarerewardedformeasurableoutcomes,efficiency,andtechniqueswithclients• Organizationsareoftenmotivatedbybeingcosteffectiveandefficient• Highturnoverratesamongtheprofession• Roleambiguityandconfusioncanleadtoburnout• Humanhealth,welfare,andsocialcarehavebeenshowntotopchartsinthemoststress-outoccupationalsectors

  • Burnout

  • TheStatistics:

    • NationalAllianceofCaregiving - 72% offamilycaregiversreportnotgoingtothedoctorasoftenastheyshouldand55%skipdoctorappointmentsforthemselves.

    • StatisticsCanada:Nearly3in10peoplearefamilycaregivers(2012).

    • StatisticsCanada:nearlyhalfofCanadiansaged15yearsandolder(46%)or13millionCanadianshadprovidedsometypeofcaretoafamilymemberorfriendwithalong-termhealthcondition,disabilityoragingneedsin2012.

  • SignsofBurnout

    • Feelingoverwhelmed/constantworry• Feelingfatigued• Toolittle/toomuchsleep(patternschange)• Weightloss/gain• Moreeasilyirritable• Losinginterestinhobbies• Physicalpain/problems

  • Howtoavoidburnout

    • Setrealisticgoals• Setpersonalhealthgoals• Focusonwhatyoucanprovide• Seeyourdoctor• Stayconnectedandmakenewconnections!

  • CompassionFatigue/SecondaryTrauma

  • IsItAllBad?

    • No!• Compassionsatisfactionisthepositivefeelingsthatarisefromhelpingothers• Itisamajorpartofourprofessionandisrelatedtoourprofessionalqualityoflife• Howdoesithelp?• Increasesmotivation,interest,andattitudestowardswork• Provideasenseofaccomplishment• Reducestheeffectsofburnout• Givesgreaterhopeforpositiveclientoutcomesandfeelingsofpersonalvalue

  • ProQoL

    Burnout• Thehigherthescore,thehighertheriskofburnout• Whatyoucando• Talktoemployerorspouse• Seekprofessionalhelp

    AndmyBurnoutlevelis:

    Low

    Average

    High

  • ProQoL

    SecondaryTraumaticStress• Second-handexposuretotraumaticorstressfulevents• Whatyoucando:• Identifythefears/sourceofthePTSDsymptoms• Reachouttoemployer• Counselling

    AndmySecondary TraumaticStress levelis:

    Low

    Average

    High

  • ProQoL

    CompassionSatisfaction• Thehigherthescore,thebetter!• Beingabletofindpleasurefromhelpingothers• Whatcanyoudoifyouhavealowscore• Findwaystoigniteyourinnerspark• Findmeaninginotherareasofyourlife• Identifyspecificallywhatismissingtomakeyoujoyful

    AndmyCompassionSatisfactionlevelis:

    Low

    Average

    High

  • Buzzword:Self-care

    • Oneof2018’sbiggesttrends• InaWesternculture,perfectionism,busyness,andproductivityarehighlyvaluedanddesired• Self-careisourattempttochangingsocietalstandards

    • Whilemanypeoplerecognizeit’svalue,peoplearenotgoodatimplementingitintotheirownlives• Particularlycaregivers!

  • WhySelf-Care?

    • To havetofocusandhealourownwoundsbeforewecandosoforothers• Toprovidebetterservicesforclients

    • Self-careisabletoprotectagainstburnoutanditsnegativeimpactstoclients• Tocreateabalancebetweenthepersonalandprofessionallives• Itistheoxygenmasktoourprofession

    • Wehavetoprovideforourselvesbeforeweareabletoprovideforothers• Notonlydoesithelpalleviatestress,butitcanalsoimproveareassuchasself-compassion,decreasedistress,andincreaseoveralllifesatisfaction• Itisanactofself-love

    • Self-awareness+self-care=self-love

  • WhatExactlyIsSelf-Care?

    • It’smorethana“treatyo’self”mentalityandabubblebathonaFridaynight• It’slookingatwhoyouwerebeforethejob• Tohelpseparateworkandpersonalandcreateabalance

    • Allowsyoutoreconnectwithyourself

  • WhatExactlyisSelf-Care?

    • Itis• Purposefulandproactive• Individualizedandintentional• Bytheselfandfortheself

    • It’sNOT• Selfish• Asignofweakness• Aone-and-doneevent

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • Self-CareWheel

  • HowDoIStart?

    • Self-exploration• WhatdoIlike?• WheredoIfindmeaning?• WhowasIbeforethejob?

    • Firststep• Findnon-negotiableself-caretimeinyourschedule• Blockitoff!

  • DevelopingaSelf-CarePlan

    Step1:Self-Evaluate

    • Whatdoyoudocurrentlytoalleviatestress?• Whatpositiveskillsdoyouuse?• Whatnegativeskillsdoyouuse?

  • DevelopingaSelf-CarePlan

    Step2:Whatdoyouneed?

    Daily:Whatarethingsthatyoucanintegrateintoyourdailyroutinethatfulfillyourself-careneeds?• Physically• Mentally• Emotionally• Spiritually

  • DevelopingaSelf-CarePlan

    Step2:Whatdoyouneed?

    Emergency:Whenyouareinacrisissituation,whatcanyoudo/avoiddoingtohelp?• Whathelpsyoustaycalm/whattendstomakeyoufeelmoreanxious?• Whatshouldyousaytoyourselfincrisis/whatshouldn’tyousaytoyourself?• Whathelpsyoutostaypositiveandwhatbringsyourmooddown?• Whatmethods/peoplehelpyougetthroughcrisesandwhatmethods/peoplemakescrisesmoredifficult?

  • DevelopingaSelf-CarePlan

    Step3:BarriersandAreasforImprovement

    • Whatareyoucurrentlydoingforself-care?• Whatishelpingyoutofeelbetter?• Whatisnothelpingyoufeelbetter?

  • DevelopingaSelf-CarePlan

    Step3:BarriersandAreasforImprovement

    • Whatstandsinbetweenyouandyourself-care?• Howcanyouhandlethosebarriers?

    Remember– it’sintegrating,notadding!

  • DevelopingaSelf-CarePlan

    Step3:BarriersandAreasforImprovement

    • Replaceyournegativecopingskillswithpositiveones• Startsmall– thinkofoneortwoandcomeupwithviablealternativestodestress

  • DevelopingaSelf-CarePlan

    Step4:PuttingitallTogetherDaily Self-CarePlan

    Physical Mental Emotional Spiritual

    Top3PositiveCoping Strategies

    EmergencySelf-CarePlan

    Helpful (ToDo) Harmful(ToAvoid)

    Top5 Top5

  • Whatdotheprosdo?

    MikeMcMahonDirector,CanadianMentalHealthAssociation,OxfordCounty

    Shafik SunderaniPsychotherapistinCorrections,GovernmentofCanada

  • Whatdotheprosdo?

    ChantalvonSchoenbergDoctorateinPhysiotherapy

    SuzanneMcKennaHealthProfessional

  • ImportanceofHobbies

    • immerseyourselfinsomethingjustforyou• “I’mtoobusy”- hasbecomeabadgeofhonour• helpsyoubecomemoreefficientwithyourtime

  • BenefitsofHobbies

    • Fostersnewsocialconnections• connectwithlikemindedindividuals• meetnewpeopleyouotherwisewouldn’t• socialconnectionleadstohappiness• Ex.Bookclub,knittingclub,socialmediacommunity

  • BenefitsofHobbies

    • Helpyoucopewithstress• Addlayerstoyouridentity. Youarenot‘just’amom/dad.Youarenot‘just’anemployee.Youareanartist. Awriter.Acontributortosociety• “Ablowtooneaspectofyouridentityislessdamaging”• Turnoffyourbrainandquietyourthoughts• Shiftinperspective

  • TheoryofFlow- Mihaly Csikszentmihaly

    • activeleisurevspassiveleisure• loseyourselfinasport,anactivity• timefliesandyouarefullyimmersed• yourbrainshutsoffandcanrest

  • ReferencesBrzosko,M.(2018).Howtopracticephysical,mental,andemotionalself-care.Shine.Retrievedfromhttps://advice.shinetext.com/articles/how-to-practice-physical-mental-and-emotional-self-care/Everall,R.D.,&Paulson,B.L.(2004).Burnoutandsecondarytraumaticstress:Impactonethicalbehaviour.CanadianJournalofCounselling;Kanata,38(1),25–35.Kurtz,J.(2015).Sixreasonstogetahobby.PsychologyToday.Retrievedfrom https://www.psychologytoday.com/us/blog/happy-trails/201509/six-reasons-get-hobbyJones,S.(2018).Self-care,schmelf-care:ThebuzzwordI’mparticularlybadat.TheCounsellorsCafé.Retrievedfromhttps://www.thecounsellorscafe.co.uk/single-post/2018/07/26/Self-care-The-buzzwordMathieu,F.(2007).Transformingcompassionfatigueintocompassionsatisfaction:Top12self-caretipsforhelpers.CompassionFatigue.Mayorga,M.G.,Devries,S.R.,&Wardle,E.A.(2015).Thepracticeofself-careamongcounselingstudents.JournalonEducationalPsychology,8(3),21–28.Moore,S.E.,Bledsoe,L.K.,Perry,A.R.,&Robinson,M.A.(2011).Socialworkstudentsandself-care:Amodelassignmentforteaching.JournalofSocialWorkEducation,47(3),545–553.https://doi.org/10.5175/JSWE.2011.201000004Morse,G.,Salyers,M.P.,Rollins,A.L.,Monroe-DeVita,M.,&Pfahler,C.(2012).Burnoutinmentalhealthservices:Areviewoftheproblemanditsremediation.AdministrationandPolicyinMentalHealth,39(5),341–352.https://doi.org/10.1007/s10488-011-0352-1Self-carestarterkit.(n.d.).HomewoodHealth.

  • ReferencesSharp,C.S.(2017).Movingfromcompassionfatiguetocompassionsatisfaction:Buildingworkplaceresilience.NationalCouncilforBehavioralHealth

    Thompson,E.H.,Frick,M.H.,&Trice-Black,S.(2011).Counselor-in-trainingperceptionsofsupervisionpracticesrelatedtoself-careandburnout.TheProfessionalCounselor,1(3),152–162.https://doi.org/10.15241/eht.1.3.152

    Richardson,V.,Berzoff,J.,&Silverman,P.R.(2004).Livingwithdying:Ahandbookforend-of-lifehealthcarepractitioners.NY,NewYork:ColumbiaUniversityPress.

    Wagaman,M.A.,Geiger,J.M.,Shockley,C.,&Segal,E.A.(2015).Theroleofempathyinburnout,compassionsatisfaction,andsecondarytraumaticstressamongsocialworkers.SocialWork,60(3),201-209.doi: https://doi.org/10.1093/sw/swv014

    Walker,S.(2018).Selfcare:Howtopractice2018’sbiggestwellnesstrend.Woman&Home.Retrievedfromhttps://www.womanandhome.com/health-and-wellbeing/self-care-2018-41449/

    Williams,I.D.,Richardson,T.A.,Moore,D.D.,Gambrel,L.E.,&Keeling,M.L.(2010).Perspectivesonself-care.JournalofCreativityinMentalHealth,5(3),320–338.https://doi.org/10.1080/15401383.2010.507700

    Wise,E.H.,Hersh,M.A.,&Gibson,C.M.(2012).Ethics,self-careandwell-beingforpsychologists:Reenvisioning thestress-distresscontinuum.ProfessionalPsychology:ResearchandPractice,43(5),487–494.http://dx.doi.org.proxy.bib.uottawa.ca/10.1037/a0029446

  • THANKYOU!Thankyoutoallofyoucaregivers!

    ThankyoutoMichelle,andteam,fromBrainInjuryCanada

    Stayintouch!

    RachelHammerton ([email protected]

    ZackRiley([email protected])

    AllisonCarroll([email protected])