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COMPASSION FATIGUE: THE COST OF CARING
COMPASSION FATIGUE: THE
COST OF CARING
Camber Coaching Pty (Ltd)
1. WHAT IS IT?STRESS
Reactional – over engagement“Too much”Emotions overactiveProduces urgencyLeads to anxietyDamage is physical
BURNOUTReactional - disengagement from work - emptyGradual onset, cumulativeEmotions bluntedProduces helplessnessLeads to depressionDamage is emotional
C FRelational: Consequence of caringExposure to the trauma of othersEmotional expenditure exceeds ability to recoverSudden onsetPsychological, physical
VICARIOUS TRAUMA
Camber Coaching Pty (Ltd)
TRAUMA STRESS
• Primary trauma– We exposed
• Secondary Trauma– Collective Trauma– Local trauma: violence, death and abuse– Working trauma-adjacent – Trauma becomes your own
Camber Coaching Pty (Ltd)
STRESS & BURNOUT
SECONDARY TRAUMA
COMPASSION FATIGUE
Camber Coaching Pty (Ltd)
Stages of Compassion Fatigue
Enthusiasm and hope
Irritability, hopelessness
Withdrawal and isolation
Quitting
Pathology or Renewal and maturation
Camber Coaching Pty (Ltd)
2. SO WHAT?90% of new doctors under age 40 suffer some of the symptoms
86.9% of emergency room personnel
61% - 80% of clinicians
83% hospice nurses
80-90% OF NGO AND COMMUNITY RELATIONS OFFICERS ARE AT RISK
Camber Coaching Pty (Ltd)
Good people are like candles;they burn themselves up to give others light.Turkish Proverb
Camber Coaching Pty (Ltd)
WHAT ARE YOUR STRESSORS?ARE YOU AT RISK?
HOW DOES THIS IMPACT CD WORK?
Camber Coaching Pty (Ltd)
Answer True or False 1. Personal concerns commonly intrude on my work role.
2. Family members, friends, other colleagues seem to lack understanding.
3. I find even small changes enormously draining.
4. I can't seem to recover quickly after association with daily trauma or a troubling event.
5. Association with any type of traumatic or troubling event affects me very deeply.
6. Other people’s stress affects me deeply.
7. I have lost my sense of hopefulness.
8. I feel vulnerable all the time.
9. I feel overwhelmed by unfinished personal business. SCORE:____/ 9Camber Coaching Pty (Ltd)
2. SO WHAT?
WHAT IS THE IMPACT OF COMPASSION
FATIGUE?
Camber Coaching Pty (Ltd)
SYMPTOMS OF COMPASSION FATIGUE
Spiritual
Mental
EmotionalPhysical
Camber Coaching Pty (Ltd)
MENTALLY
• Perfectionism• Controlling• Spacing out due to mental fatigue• Difficulty concentrating, forgetful• Self-doubt• Flashbacks• DENIAL • Can’t switch off
Camber Coaching Pty (Ltd)
EMOTIONALLY
• Emotional rollercoaster• Overwhelmed, anxious• GUILT• Rage , easily triggered• Self-contempt• Decreased empathy• Depleted and irritable• Isolation, withdrawal, disengagement
Camber Coaching Pty (Ltd)
PHYSICALLY
• No appetite and lack of sleep• Ailments: Headaches, weight loss• Procrastination• Increased errors• Decreased productivity• Self-medicating and addictions• Chronic physical and mental exhaustion • Sexual issues
Camber Coaching Pty (Ltd)
SPIRITUALLY
• Crisis of meaning• Loss of purpose• Lack of satisfaction• Questioning religious beliefs
Camber Coaching Pty (Ltd)
COMMUNITY DEVELOPERS: LOOK OUT FOR
• Disengagement • Lack of desire for work leading to absenteeism• Increased levels of interpersonal conflict• Aggressive behavior• Lack of trust• Colleagues feeling overwhelmed or unable to
finish their work• Resistance to change• A general apathy towards the REIPPPP sector
Camber Coaching Pty (Ltd)
2. SO WHAT?
IS COMPASSION FATIGUE AN ETHICAL
ISSUE?
Camber Coaching Pty (Ltd)
• Self-impairment
• Impairment of Colleagues that interferes with community development effectiveness
• Fatigue impairment
• Ethical impairment
Camber Coaching Pty (Ltd)
• Fatigue impairment – Poor judgment and slow reaction times– Mental exhaustion, compromised decisions– Decline in performance– Increased error and accident rate– Micro-sleep incidents– Self-medication– Withdrawal from community
• Ethical Impairment
Camber Coaching Pty (Ltd)
3. WHAT NOW?
• A – AIRWAY
• B – BREATHING
• C – CIRCULATION
• D - DRUGS
PUT ON YOUR OXYGEN MASK
FIRST.YOU ARE NO
GOOD TO OTHERS IF YOU ARE INJURED
YOURSELF
Camber Coaching Pty (Ltd)
HOW DID ROB RECOVER?
Applied CPR to himself
• A: Awareness• B: Balance• C: Connections• D: Developed Resilience and Dreams
Camber Coaching Pty (Ltd)
ABCD’S OF RECOVERY AND PREVENTION for COMMUNITY
DEVELOPMENT PRACTITIONERS
Camber Coaching Pty (Ltd)
A = AWARENESS• Are you exposed to
primary and secondary trauma?
• Are you aware of your own woundedness
• Are you displaying symptoms?
• What are your triggers?
“Your capacity to lead is not just skill based, but
also based on your ability to HEAL from
your own WOUNDING and TRAUMA”
Nomfundo Mogapi, CSVR
Camber Coaching Pty (Ltd)
B = BALANCE and BREATH
• Strive for balance– Take breaks– Digital breaks– Exercise and heathy eating
• Be self-compassionate• Boundaries: Rigid, porous or healthy?• Believe the positives: I’m a game changer• Breathe
Camber Coaching Pty (Ltd)
C = CONNECTIONS and CELEBRATIONS
• Connect: – Own wounding / trauma– Self, vision, values,
passion– family, colleagues,
supervisor• Coaching• Create a positive support
system • Craft a passion• Celebrate
Camber Coaching Pty (Ltd)
• Resilience, the ability to bounce back, is the antidote to compassion fatigue
• How?– Debrief– Focus is on your purpose / dream– Be discerning in your empathy – Develop applicable emotional tools – Practice self-care and balance– Reach out for support– Create Time to Think
• Dare to dream
D = DEVELOP RESILIENCE and DREAM
Camber Coaching Pty (Ltd)
SECTOR SUPPORT
• Start the conversation and create a safe space to talk• Utilize counsellors and coaches, set healthy boundaries• Develop emotionally healthy tools• Encourage and appreciate each other: Time to Think• Celebrate
WHY?• Healthier Community Development Practitioners mean– Better community intervention outcomes– Greater impact in the sector– Happier personal lives
Camber Coaching Pty (Ltd)
SUMMARYWHAT? CF results from helping people who
are experiencing trauma or suffering
SO WHAT? An Occupational HAZZARD – 80%Cognitive, emotional, physical and behavioural impactsIt is an ethical issue
WHAT NOW? AwarenessBalanceConnectionDevelop Resilience
Camber Coaching Pty (Ltd)
• “Self-care, a rich personal life, and support in our in our private and professional lives may be the greatest measures of protection from
compassion fatigue that we can give to ourselves”
Tracy Warton: Compassion Fatigue: Being an Ethical Social Worker
Camber Coaching Pty (Ltd)
Camber Coaching Pty (Ltd)
WHO WILL YOU CHOOSE TO BE?
• Self-awareness, awake• Ability to “ukugona”-create a relational
home• Ability to contain own emotional reaction• Ability contain others emotional reaction• Ability to hold and tolerate contradicting
and uncomfortable messages
PEACE CARRIERS
• Asleep: lack of self awareness• Make the pain unbearable• Gets triggered: inability to contain and
regulate emotional reaction• Inability to contain others emotional reactions• Trauma informed coping strategies• Intolerance of dissenting opinion
TRAUMA CARRIERS
Camber Coaching Pty (Ltd)
QUESTIONS?