Summary SlideSummary Slide

Burnout Prevention Tool Kit

Burnout Prevention Burnout Prevention Tool KitTool KitMurray Hillier

Coordinator

Empowerment and Education

Providence Care

Mental Health Services

Definition of StressDefinition of Stress

“our reaction to events, environmental or internal, that tax or exceed our adaptive resources.”

Stress TestStress TestSelf Assessment ExerciseSelf Assessment Exercise

How often do you…1. find yourself with insufficient time to do

things you really enjoy?

2. wish you had more support/assistance?

3. lack sufficient time to complete your work most effectively?

Stress TestStress TestSelf Assessment ExerciseSelf Assessment Exercise

4. have difficulty falling asleep because you have too much on your mind?

5. feel people simply expect too much from you?

6. feel overwhelmed?

Stress TestStress TestSelf Assessment ExerciseSelf Assessment Exercise

7. find yourself becoming forgetful or indecisive because you have too much on your mind?

8. Consider yourself to be in a high-pressure situation?

Stress TestStress TestSelf Assessment ExerciseSelf Assessment Exercise

9. feel you have too much responsibility for one person?

10. feel exhausted at the end of the day?

StressorsStressors

PhysicalExamples:External- Heat Cold NoiseInternal- Any physical symptoms

TriggersTriggers

What are your physical triggers?

Examples:Red earsFeeling flushedTight neck

Stressors con’t…Stressors con’t…

Psychological:Time pressuresHigh Standards i.e.: OCD, perfectionism,

faulty thinkingSuppression of feelingsIrrational beliefsIndispensable syndrome

Stressors con’t…Stressors con’t…

Social:Job demandsMoneyResourcesInterpersonal problems

Stressors con’t…Stressors con’t…

Family

Spiritual:Loss of valuesLoss of purposeLoss of relationship

Occupational StressorsOccupational Stressors

Government regulationsPressure to practice defensive health careDiminished public image of healthcare

providersInadequate support and resourcesFears of violencePoor access to social – professional

supports

Occupational Stressors Occupational Stressors con’t…con’t…

Tendency in work setting to blame people rather than the situation when care of service deteriorates

Time pressures and demands Indispensable syndrome

Stress Test #2Stress Test #2

Choose the alternative that best summarizes how you usually react during anxious moments. Again use:

A) Almost always

B) Very often

C) Seldom

D) Never

Stress Test #2 con’t…Stress Test #2 con’t…

When I’m anxious I…1. Tend to imagine all of the worst possible things

happening to me as a result of whatever crisis made me anxious.

2. Do everything I can to resolve the problem immediately, otherwise it will cause me to worry about it later.

3. Will relive in my mind the crisis over and over again even though the crisis may be over and resolved.

Stress Test #2 con’t…Stress Test #2 con’t…

4. Will be able to picture the crisis clearly in my mind long after it is over.

5. Can feel my heart pounding in my chest.

6. Feel my stomach sinking and my mouth getting dry.

7. Notice that I sweat profusely.

Stress Test #2 con’t…Stress Test #2 con’t…

8. Notice my hands and fingers trembling.

9. Have difficulty in speaking.

10. Can feel my muscles tensing up

ConflictConflict

See exercise handout…

Analyzing conflict – 5 steps:1. Determine what person or group you are in conflict

with2. Analyze what’s causing the conflict3. Consider different ways you could handle the conflict4. Make a plan5. Follow through with your plan

Conflict ResolutionConflict Resolution

Questions to ask yourself:

1. What is the best time and place to approach

2. Does the conflict have to be dealt with immediately

3. What do you want to achieve

4. Do you need to follow up to the confrontation

Toll of Unmanaged StressToll of Unmanaged Stress

Addictive Behaviours

Relationship Distress

Emotional/Behavioural Problems

Professional Consequences

Burnout

Definition of BurnoutDefinition of Burnout

Burnout is a defined as “a state of mental and/or physical exhaustion caused by excessive and prolonged stress.”

Three Stages of BurnoutThree Stages of Burnout

Stage 1:

Stress Arousal

Stage 2:

Energy Conservation

Stage 3:

Exhaustion

Stage 1: Stress ArousalStage 1: Stress Arousal

Persistent irritabilityPersistent anxietyHigh blood pressure/heart problemsInability to concentrate/forgetfulnessInsomniaHeadachesBruxism

Stage 2: Energy ConservationStage 2: Energy Conservation

Late for work/turning work in late Procrastination Three-day weekend Persistent tiredness Decreased sexual desire Social withdrawal Cynical attitudes/resentfulness Increase in coffee, tea, cola, alcohol

Stage 3: ExhaustionStage 3: Exhaustion

Chronic:SadnessDepressionStomach/bowel problemsMental/physical fatigueHeadaches

Stage 3: Exhaustion con’t…Stage 3: Exhaustion con’t…

Desire to drop out of societyMove away from friends, work, familyPossible suicide ideation

Two Key QuestionsTwo Key Questions

1: If you were told you had 24 hours to live, write down your one greatest accomplishment.

Two Key Questions cont’…Two Key Questions cont’…

2: If you were told you had 24 hours to live, write down your one greatest regret.

Ways to Manage StressWays to Manage Stress

“The key is not to avoid stress altogether but to manage stress in such a way that we avoid the negative consequences of stress”

Manage yourselfManage your reaction to stressorsManage the amount of stress

What To Do:What To Do:The Six R’s for Stress ManagementThe Six R’s for Stress Management

Responsibility:You are in controlEstablish prioritiesKeep it simple

The Six R’s for Stress Management The Six R’s for Stress Management con’t…con’t…

Reflection:Know your stress triggersBe aware of stress symptomsCheck your balance in life

The Six R’s for Stress Management The Six R’s for Stress Management con’t…con’t…

Relaxation:Do something good for yourselfSchedule ‘worry time’Schedule time out

The Six R’s for Stress Management The Six R’s for Stress Management con’t…con’t…

Relationships:Maintain supportive relationshipsManage your relationshipsImprove your relationships with yourself

The Six R’s for Stress Management The Six R’s for Stress Management con’t…con’t…

Refueling:Eat a balanced diet with high fiber, low

cholesterolBe aware of poisons: caffeine, fats,

nicotine, fast foodDrink lots of water

The Six R’s for Stress Management The Six R’s for Stress Management con’t…con’t…

Recreation:Laugh and loveLearn how to have fun with your familyEnjoy your life and treat others the way you

want to be treated

The Relaxation ResponseThe Relaxation Response

1. Quiet environment

2. Mental device – single, syllable word low and gentle

3. Passive attitude without distraction

4. Comfortable position

5. Muscle relaxation

6. Breathing rhythm