LOGO Beaumont Hospital Palliative Care Study Day Grief and the Healthcare worker Pauline King Staff Counsellor Beaumont Hospital Michael Kearney, M.D. Quote вЂњNo matter what we might do to make it easier, death remains the ultimate separation, the ultimate unknownвЂќ 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 пЃ® вЂњDetached concernвЂќ (Lief & Fox 1963) пЃ® Research by Dania Papadatou 2000. Identified the difference between вЂњburnoutвЂќ and вЂњgriefвЂќ 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. вЂњLife StyleвЂќ Idiosyncratic beliefs values assumptions about self, others, life. Personal Loss-history Experiencing Grief Meaning making & Loss transcendence вЂњWork StyleвЂќ UnitвЂ™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 вЂњ Brain hygieneвЂќ-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 theyвЂ™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.