1. Summary Slide Burnout Prevention Tool Kit

2. Murray Hillier Coordinator Empowerment and Education Providence Care Mental Health Services

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

4. Stress Test Self 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?

5. Stress Test Self 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?

6. Stress Test Self 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?

7. Stress Test Self Assessment Exercise 9. feel you have too much responsibility for one person? 10. feel exhausted at the end of the day?

8. Stressors Physical Examples: External- Heat Cold Noise Internal- Any physical symptoms

9. Triggers What are your physical triggers? Examples: Red ears Feeling flushed Tight neck

10. Stressors con’t… Psychological: Time pressures High Standards i.e.: OCD, perfectionism, faulty thinking Suppression of feelings Irrational beliefs Indispensable syndrome

11. Stressors con’t… Social: Job demands Money Resources Interpersonal problems

12. Stressors con’t… Family Spiritual: Loss of values Loss of purpose Loss of relationship

13. Occupational Stressors Government regulations Pressure to practice defensive health care Diminished public image of healthcare providers Inadequate support and resources Fears of violence Poor access to social – professional supports

14. Occupational Stressors con’t… Tendency in work setting to blame people rather than the situation when care of service deteriorates Time pressures and demands Indispensable syndrome

15. Stress 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

16. 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.

17. 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.

18. Stress Test #2 con’t… 8. Notice my hands and fingers trembling. 9. Have difficulty in speaking. 10. Can feel my muscles tensing up

19. Conflict See exercise handout… Analyzing conflict – 5 steps: 1. Determine what person or group you are in conflict with 2. Analyze what’s causing the conflict 3. Consider different ways you could handle the conflict 4. Make a plan 5. Follow through with your plan

20. Conflict 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

21. Toll of Unmanaged Stress Addictive Behaviours Relationship Distress Emotional/Behavioural Problems Professional Consequences Burnout

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

23. Three Stages of Burnout Stage 1: Stress Arousal Stage 2: Energy Conservation Stage 3: Exhaustion

24. Stage 1: Stress Arousal Persistent irritability Persistent anxiety High blood pressure/heart problems Inability to concentrate/forgetfulness Insomnia Headaches Bruxism

25. Stage 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

26. Stage 3: Exhaustion Chronic: Sadness Depression Stomach/bowel problems Mental/physical fatigue Headaches

27. Stage 3: Exhaustion con’t… Desire to drop out of society Move away from friends, work, family Possible suicide ideation

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

29. Two Key Questions cont’… 2: If you were told you had 24 hours to live, write down your one greatest regret.

30. Ways 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 yourself Manage your reaction to stressors Manage the amount of stress

31. What To Do: The Six R’s for Stress Management Responsibility: You are in control Establish priorities Keep it simple

32. The Six R’s for Stress Management con’t… Reflection: Know your stress triggers Be aware of stress symptoms Check your balance in life

33. The Six R’s for Stress Management con’t… Relaxation: Do something good for yourself Schedule ‘worry time’ Schedule time out

34. The Six R’s for Stress Management con’t… Relationships: Maintain supportive relationships Manage your relationships Improve your relationships with yourself

35. The Six R’s for Stress Management con’t… Refueling: Eat a balanced diet with high fiber, low cholesterol Be aware of poisons: caffeine, fats, nicotine, fast food Drink lots of water

36. The Six R’s for Stress Management con’t… Recreation: Laugh and love Learn how to have fun with your family Enjoy your life and treat others the way you want to be treated

37. The 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