Health

Friday 19 September 2014

All out of love? Take back the joy that comes from caring

Those in the compassionate professions can suffer fatigue when the well runs dry

LOVING A VOCATION: Caring starts with showing compassion to yourself

FEELING exhausted, overwhelmed, possibly depressed, sleepless, or anxious are all symptoms of what is known as 'compassion fatigue' which can affect healthcare staff.

Back in 1995, the term 'compassion fatigue' was coined by Charles Figley, a leading researcher in the field. It has been described as feeling that you're still digging into the bottom of your bucket after supplies have run dry.

In Ireland today, increasing demands on the healthcare system, cuts in wages, and higher levels of client stress all contribute to an increase in the level of 'compassion fatigue' felt by healthcare workers.

Being present with clients, residents, or patients can be emotionally demanding as we struggle to stay in touch with what they are feeling.

Even people with good strategies for self-care and preferred work/life balance can and do experience fatigue.

This can happen when some elements of their work changes ie, they take on some challenging clients, workload becomes heavier, resources become scarcer etc.

Staff in caring roles such as doctors, nurses, social workers, psychotherapists, care staff, etc, can find themselves near the point of exhaustion which can have long-reaching effects into their personal, as well as professional lives.

Indeed, this can even change the way they look at life, and they can start to make uncharacteristic mistakes, or become pessimistic, which can have a direct effect on their work with clients.

The important thing to remember is that 'compassion fatigue' is a set of symptoms and not a disease, and help for 'compassion fatigue' is at hand.

According to Karen Brennan, who runs Self Care for Carers, there is a range of excellent interventions which help stressed-out and fatigued staff find their way back to healthy caregiving.

She is a compassion fatigue educator and lived in Asia for a number of years, committing some of her time there to Buddhist monastic practice.

'Many people working in front line services are suffering from 'compassion fatigue' or some of its symptoms and aren't even aware of it," she says. "Recognising there may be an issue developing for you is the first place to start."

According to Brennan, there are some simple, yet powerful, steps which can make an impact on the quality of life for those feeling stressed out from caring. Here are six helpful starters:

Take Stock of Stresses

The first thing to do is to take stock of the various areas of your life that may be contributing to your stress levels.

Where are areas that you can make changes, reprioritise and delegate to others? Where possible, start here.

Self-Care Planning

Start to think about how your ideal self-care plan would look. What are the ways that you personally relax?

Perhaps it's playing a round of golf, going fishing, painting, spending time with friends, meditation or prayer.

Noticing what energises you and what drains you is key. Then, commit to getting the balance right and maintaining it – 'refilling your bucket'.

Start to Develop greater Self-Compassion

As well as giving it out, we need to get it too! Giving kindness to yourself is very important.

Self-compassion isn't a concept we are very familiar with in the West. According to Dr Kristen Neff, it is vying with the concept of self-esteem for wellbeing with many psychologists, particularly in the US. According to Neff, empirical evidence has shown that being kinder to yourself, seeing yourself just like others and giving yourself a break, helps you feel better. Many people who become professional caregivers actually grew up in a 'carer role' in their family, and don't feel that they also deserve care.

Regular Switch-Offs

During your working day, taking short regular switch-off breaks can really help. Is there time during your day that you can close the office door, or sit in your car listening to lunchtime classics on Lyric FM? Even just taking a moment to notice something in nature can be enough to destress you during your busy day.

Create a Ritual to Finish Your Working Day

Some people have a ritual for when they leave work.

Whether it's filing documents away and clearing the desk, or consciously saying goodbye to your colleagues as you leave work, or taking a few moments of deep breathing. These techniques can bring about a shift from work mode to home mode.

Developing Boundaries – The Magic Words of 'No' and 'Yes'

According to Eric Gentry, founder of Compassion Unlimited, many people who work in caring fields are 'compassion fatigued' by the time they start their first job.

Although they like giving to others, over time this can develop into unrealistic expectations.

Learning to say 'no' to others and 'yes' to yourself can be extremely difficult for many people. According to Brennan, taking quiet 'alone time' allows you to hear that inner voice that is calling out for your attention. Set limits on what you can do and learn to say 'no'.

Education about 'compassion fatigue' is an important first step, and can be a revelation to healthcare staff who need help with their own self-care.

'Compassion fatigue' can have serious consequences for staff burn-out, absenteeism, sick leave, and client service levels. On an individual level, effects can include feeling isolated, relationship trouble, career-path problems, and health issues. Learning how to help yourself by developing healthier caregiving skills can bring about profound shifts in the way you work and live.

For more tips and information see www.selfcareforcarers.ie

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