hospice and palliative care conference: caring for the caregiver

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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

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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 - PowerPoint PPT Presentation

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Page 1: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

HOSPICE AND PALLIATIVE CARE CONFERENCE: CARING FOR THE CAREGIVER

When Ways to Relax Become Too Much of a Good Thing:

Medication, Alcohol, and Gambling

Page 2: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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

Page 3: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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

Page 4: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

Substances/Activities that can be addictive

BenzodiazepinesOpiatesStimulantsHallucinogensCannabisNon-prescription drugsAlcohol

Gambling

Food

Exercise

Work

Shopping

Sex

Internet

Etc…

Page 5: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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

Page 6: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

Stages of Change ModelProchaska,Norcross and DiClemente 1995

Contemplation

Termination

Preparation

Precontemplation

Maintenance

Action

Page 7: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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.

Page 8: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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.

Page 9: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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!

Page 10: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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!

Page 11: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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!

Page 12: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

Termination

The individual no longer needs to make a conscious effort to maintain the change.

Hasta la vista baby – I won’t be back!

Page 13: HOSPICE AND PALLIATIVE  CARE CONFERENCE:  CARING FOR THE CAREGIVER

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