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COMPASSION FATIGUEWhen the caregiver is no longer fit for service
Pamela Nelson, RN MS, PhD
www.fitforservices.org
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Compassion fatigue(CF) has become more widely recognized as a problem that many nurses face. For example, in a general poll conducted by the American Nurses Association, 62% of 839 respondents reported suffering from CF, indicating that CF is prevalent among nurses. Even The Wall Street Journal has published an article about CF.
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CF creates physical and emotional distress, but it’s not just a personal issue — it’s a patient safety issue as well. Research has shown that CF may increase the risk of medical errors.
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Caring Too Much Compassion Fatigue occurs when we help patients through a traumatic or life-threatening event without paying attention to our own physical and emotional needs.
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COMPASSION FATIGUE
Recognized as a form of PTSDPost Traumatic Stress Disorder Billable treatment under ICD10-
F43.12
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Burnout vs. Compassion fatigue
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Burnout
•Work-setting focused•Develops slowly•Person becomes dispassionate•Goals aren’t achieved
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Compassion fatigue•Relationship- (patient- or family-) focused•Occurs suddenly in response to a distressing experience•Person suffers emotional distress•Caretaking activities are unsuccessful
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Who Is At Risk for Compassion Fatigue?
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NursesPalliative care areasLawyersPoliceChaplainSocial service workersMinistersVolunteersMilitary Service
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How Do You Know If Someone Has CF?
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Signs and symptoms of Compassion Fatigue
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Physical•Headaches•Digestive problems •Cardiac problems•Fatigue •sleep problems•Loss of strength•Accidents
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Psychosocial•Emotional responses: sadness, anger, apathy, mood swings, irritability, depression, anxiety
•Intellectual: lack of attention to detail, can’t concentrate
•Social responses: feelings of isolation or indifference, or loss of activities once enjoyed
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Work-related•Absenteeism•Expressing a desire to quit•Being late frequently•Avoiding intense situations•Decline in performance, more errors, missing meetings,
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• Complains about administration
• Substance abuse
• Compulsive behaviors: overspending, overeating, gambling, sexual addictions
• Poor self-care
• Legal problems, indebtedness
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When people get upset, do you try smooth things out?It is easier for you to "give" than to "receive“?Are you willing to sacrifice your needs to please others?Feel guilty for saying no?
COMPASSION FATIGUE SELF-TEST
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HOW DID I GET HERE?
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DANGER SIGNALS
Somebody has to take care of__________________
Responsibility because of family position
Just love to help others
Can’t say no without having an excuse
Christian duty
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WHY DO WE CARE SO MUCH?
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FOR THE BIBLE TELLS ME SO "Finally, all of you, live in harmony with one another; be sympathetic, love as brothers, be compassionate and humble.“ 1 Peter 3:8
"Carry each other's burdens, and in this way you will fulfill the law of Christ.“ Galatians 6:2
"And if anyone gives even a cup of cold water to one of these little ones because he is my disciple, I tell you the truth, he will certainly not lose his reward.“ Matthew 10:42
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WHAT WOULD JESUS DO?
Jesus had compassion but took time to rest. Then, because so many people were coming and going that they did not even have a chance to eat, he said to them, "Come with me by yourselves to a quiet place and get some rest." So they went away in a boat by themselves to a solitary place: Mark 6:31-32
Then He said to them, the Sabbath was made for man and not man for the Sabbath. Mark 2:27
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FOR THE BIBLE TELLS ME SO
Don’t be a victim to compassion fatiguePsalms 23Psalms 37:7Hebrews 4: 9-11John 16:33Philippians 4: 6-7
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SEEK PROFESSIONAL HELP
Support groupsCounselors
Other chaplainsBooks
More important- accepting our limitations and having faith in God that we don’t have
to be all things to all people
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THANK YOU!
Did this presentation help you? Do you know someone who may benefit from this information? If so, like and share this information on Facebook,
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