Hearing the silent voice
 

CARING FOR THE PROFESSIONAL CARE GIVER

Professional care givers are human too - with the full range of emotions available to each and every one of us; they may feel a sense of failure, feel obliged to rescue, to defend their profession, feel powerless, depressed, angry, burnt- out, become ill and partake of avoidance behaviour…..

If these emotions are not recognized, explored and unfolded, team performance and patient care will suffer and patients may experience poor quality care, with poor care goals, lack of clarity of decision making, inappropriate use of technologies and lack of engagement with family and other support structures.
This can have the result of increased medical complications and longer stays in institutions.

The care giver
It is not unusual for a doctor or care giver to become “attached” to and identify with a patient because the patient and care giver have similar profiles or backgrounds.

The care giver may have experienced recent loss or trauma and feel that they were inadequate even to “save their own”.

The care giver may suffer from a psychiatric illness or misuse addictive substances such as alcohol and drugs.

….and they may be unable to deal with their own fear of death and disability.

In the care situation there may be many stress factors….

The patient or their family may be angry at facing loss.

The patient might be a medical professional or have higher professional or social rank than the care giver.

The family dynamics may be so troublesome that the carer feels they cannot wade through them to really “reach” the patient.

The facilities in the care situation may be poor and staff may be hostile to care givers or they may be so high powered that the care giver feels intimidated.

How can I spot my own stress levels as a carer?

  • I may avoid the patient (“Oh, he is sleeping, I will come back later").
  • I may avoid the family ( It’s better if they have time alone with her”).
  • I may not work well in the care team ( “I do things my own way and they get in the way of the relationship I have”).
  • I am tired of this patient and her needs ( Talking about “them” and how this is typical of “them”).
  • I may not listen or observe the patient because I feel overwhelmed by their state.
  • And I may feel guilty, panic attacks, obliged to do more and more, feel harassed or angry, feel ‘put upon” and need “X” to relax.

How can I deal with my stress levels?

  • Notice how your behaviour has changed since you started working with this client or in this job? What do you do less/more of and why?
  • Name the feeling behind the behavioural shifts – be open and acknowledge what is going on inside you. Know that these feelings are normal and can be addressed.
  • Acknowledge how your behaviour might be impacting patient care. Envision the care you would like to give and the emotions you would like to have.
  • Consult a trusted colleague and set up support/debriefing times for you and others in the same situation.
  • Ensure you laugh and keep life in balance by looking after your physical health, family life and community involvement.

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