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LOGO - Beaumont Hospital

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LOGO
Beaumont Hospital Palliative Care
Study Day
Grief and the Healthcare worker
Pauline King
Staff Counsellor
Beaumont Hospital
Michael Kearney, M.D. Quote
“No
matter what we might do to
make it easier,
death remains the ultimate
separation,
the ultimate unknown”
Hazards to Occupational Health.
пЃ® Compassion Fatigue.
пЃ® Vicarious trauma.
пЃ® Burnout.
Burnout:Palliative care
пЃ® Multiple losses.
пЃ® Attachments.
пЃ® Workload.
пЃ® Lack of Institutional support.
пЃ® Interprofessional conflict.
пЃ® Expectations
Preventative strategies:
пЃ® Personal
пЃ® Self Awareness
пЃ® Mentor
пЃ® Support system
пЃ® Spiritual/Meditative
practice
пЃ® Team
пЃ® Healthy working
relationships.
пЃ® Formal supports
(MDTM)
пЃ® Rituals.
The Grieving Healthcare Worker
 “Detached
concern” (Lief & Fox 1963)
пЃ® Research by Dania Papadatou 2000.
Identified the difference between “burnout”
and “grief”
пЃ®
пЃ® Health care professionals do grieve and a healthy fluctuation
between experiencing and avoiding feelings of grief occurs.
пЃ® This fluctuation is necessary, adaptive and healthy.
“Life Style”
Idiosyncratic beliefs values assumptions about
self, others, life.
Personal Loss-history
Experiencing
Grief
Meaning making &
Loss transcendence
“Work Style”
Unit’s goals, values assumptions about care in
Illness, dying, death
Rules regarding professional conduct.
Avoiding
Or repressing
Grief
Nature of losses:
пЃ® Unique bond.
пЃ® Sympathetic grief.
пЃ® Goals and expectations.
пЃ® Beliefs & assumptions.
пЃ® Restimulation of personal loss.
пЃ® Mortality.
Grief reactions.
пЃ® Moving away.
пЃ® Psychic numbing.
пЃ® Avoidance.
пЃ® Practical tasks.
пЃ® Dehumanisation.
Mindfulness
“ Brain hygiene”-Siegal
пЃ® Step out of automatic pilot.
пЃ® Create a gap between reactivity and response.
пЃ® Develop capacity for:
пЃ® Curiosity
пЃ® Openness
пЃ® Acceptance
пЃ® Loving Kindness
This being human is a guest-house
Every morning a new arrival
A joy, a depression, a meanness,
Some momentary awareness comes
As an unexpected visitor
Welcome and entertain them all!
Even if they’re a crowd of sorrows,
Who violently sweep your house
Empty of its furniture.
Still treat each guest honourably.
He may be clearing you out for some new delight
The dark thought, the shame, the malice,
Meet them at the door laughing, and invite them in.
Be grateful for whoever comes, because each has been sent
As a guide from beyond.
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