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Self Care: Maintaining Your Balance

Self Care: Maintaining Your Balance. S. Lawrence Librach MD,CCFP,FCFP Professor Family & Community Medicine Sun Life Financial Chair in Bioethics. Objectives. Define burnout, compassion fatigue Recognize signs, symptoms Know risk factors Contrast with depression

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Self Care: Maintaining Your Balance

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  1. Self Care: Maintaining Your Balance S. Lawrence Librach MD,CCFP,FCFP Professor Family & Community Medicine Sun Life Financial Chair in Bioethics

  2. Objectives • Define burnout, compassion fatigue • Recognize signs, symptoms • Know risk factors • Contrast with depression • Identify techniques to achieve work-life balance

  3. What is Burnout? • Psychological syndrome • Response to chronic interpersonal stressors on the job

  4. Key Dimensions • Overwhelming exhaustion • Cynicism, detachment from job • Sense of ineffectiveness, lack of accomplishment

  5. Signs of Burnout • Physical • Fatigue, physical exhaustion • Headaches • GI disturbances • Weight loss

  6. Signs of Burnout • Emotional • Insomnia • Depression • Boredom • Emotional exhaustion • Frustration • Low morale

  7. Signs of Burnout • Functional • Job turnover • Impaired job performance • Quality of care declines

  8. What is Compassion Fatigue? • “Cost of caring” • Evolves from relationship with patients’ traumatic experiences • Similar to PTSD • May lead to burnout

  9. Signs of Compassion Fatigue • Hyperarousal • Avoidance • Re-experiencing

  10. Nature of Burnout • Journal of Clinical Oncology:oncologist subscribers • Sense of failure: 56% • Depression: 34% • Disinterest in practice: 20% • Boredom: 18% • Almost 50% felt burnout inherent to oncology

  11. Survey of ENT Surgeons • Frustration with • Disease: 27% • Government: 67% • Economics: 58% Is this familiar?

  12. Cancer Care Ontario • Exhaustion • Physician: 53.3% • Allied health professionals: 37.1% • Support staff: 30.5% • Depersonalization • Physician: 22.1% • Allied health professionals: 4.3% • Support staff: 5.5%

  13. Risk Factors • Individual • Cultural • Personality • Social support, spirituality, religion • Work life

  14. Burnout vs. Depression BURNOUT • Work specific • “In the battle” DEPRESSION • Pervasive • “Given up”

  15. Lifestyle Management Techniques • Recognize, monitor symptoms • Good nutrition, exercise • Meditation, spiritual life, energy work • Grieve losses • Reduce overtime • Discuss stresses, seek support • Seek new solutions

  16. Preventive Approaches • Address emotions that affect patient care • Physician, situation, patient risk factors • Changes in managerial/organizational practice • Educational interventions • Improved communications

  17. Summary • Burnout, compassion fatigue prevalent • Recognize burnout, compassion fatigue early to minimize associated distress • Monitor for signs, symptoms • Manage lifestyle issues • Address managerial issues

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