Self-care - looking after the self so that I can be with others - This session will begin at 2pm - Hospice Waikato

Anxiety         This Photo by Unknown Author is licensed under CC BY-SA-NC

Self-care - looking after the self so that
          I can be with others
         This session will begin at 2pm

✓ Please do not share identifiable private health
  information.
✓ Please identify yourself every time you speak.
✓ We will operate the muting and unmuting of your
  microphone.
✓ The Hospice Waikato Palliative Care TeleECHO
  clinic will provide registered nurses with 1-hour of
  professional development.
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SELF CARE:
Looking after the “self”
  to be with “other”
    Presented by Nigel Rowling
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Learning objectives

• To be able to assess our own self care and
  understand the importance of it.
• Looking at the perspective of self-care as a
  discipline and not a personal/professional
  “tack on”.
• What take home ideas and strategies could I
  potentially use for my own self-care.

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Where have we come?
    A quick summary

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Where have we come?
        A quick summary
• STRESS
• Work place stress - what’s
  the impact on the
  professional?
• Identification of stress;
  physical, cognitive,
  emotional, spiritual and     https://pixabay.com/illustrations/brain-mind-psychology-idea-hearts-2062048/

  behavioural.
                                                                                                      6

Where have we come from?
          A quick summary
•   ANXIETY
•   Excessive worry and avoidance
•   Panic attacks
•   Significant distress
•   Impairment
•   Burn out
•   Compassion fatigue
•   Secondary traumatic stress      https://pixabay.com/illustrations/stress-pressure-anxiety-angst-1837384/

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Where have we come from?
           A quick summary
•   MANAGING DIFFICULT CONVERSATIONS
•   Preparation
•   Beginning
•   Delivery and progress
•   Finish
•   Debrief
•   Awareness
                        https://pixabay.com/illustrations/cooperate-collaborate-teamwork-2924261/

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Where have we come from?
            A quick summary

•   DEBRIEFING
•   Models of debriefing
•   Why do we debrief
•   Exploration of ethical decision making
•   Learning and outcomes
•   Celebration and critical thinking.

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Why is self-care important?

• Neurobiology
• Healthy brains are built from the base up.
• The pre-frontal cortex works best when calm
  (regulated)
• Self-care is an experience
• Serotonin
• Dopamine
• Relational- empathy, self-compassion, love etc
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                                 https://pixabay.com/illustrations/nerve-cell-neuron-brain-neurons-2213009/

WHERE TO
     NOW?

•   Physical (Taha Tinana)
•   Emotional (Taha Hinengaro)
•   Family (Taha Whanau)
•   Spiritual (Taha Wairua)

                                 https://pixabay.com/illustrations/navigation-points-of-the-compass-272178/

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Physical - Taha Tiana
•   Exercise - walk, run, cycle -get the body moving
•   Annual personal GP visits
•   Regular dental visits
•   Clear boundaries with work life/home life
•   Diet - what am I eating?
•   Hydration- small sips throughout your shift
•   Sleep

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Mental and Emotional - Taha
               Hinengaro
• Routine
• Listen to music that soothes (its okay to dance!)
• Creativity: in what way can I access my
  creativity?
• Therapy and clinical supervision is good for me!
• Hobbies - jigsaw puzzles, crosswords, knitting

                                                 13

Family - Taha Whᾱnau
• Stay in touch - talk to trusted others
• Listen
• Activity that promotes relationship with
  whᾱnau/family
• Hugs, encouragement, engagement and
  appreciation.
• Your family is not your enemy!
• Celebrate
                                             14

Spritual - Taha Wairua
•   Practice mindfulness
•   Mindful walks - beauty, mystery and wonder
•   Guided meditation
•   Being still- practice pausing
•   Family rituals
•   Cultural spiritual practices - what gives me
    meaning? Who am I?

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Self-care - the discipline
•   One off meditation is not self care
•   Personal integration of being
•   Daily small steps in the right direction
•   Set reasonable self care goals
•   Being kind to yourself
•   Make it a priority
•   What fills my emotional tank?

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Self-care - resilience
• The ability to adapt well in adversity
• Reframing the difficult
• This too will pass
• Adversity - your personal and professional
  learning. What can I learn from this?
• Resist catastrophic over thinking
• Awareness

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References
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    and Counseling, 78, 184–190. doi:10.1016/j.pec.2009.04.008
•   Blum, C., (September 30, 2014) "Practicing Self-Care for Nurses: A Nursing Program Initiative" OJIN: The Online Journal of
    Issues in Nursing Vol. 19, No. 3, Manuscript 3.
•   Bormann, J. E. (2005). Frequent, silent mantram repetition: A jacuzzi for the mind. Topics in Emergency Medicine, 27(2), 163-
    166.
•   Bost, N., & Wallis, M. (2006). The effectiveness of a 15 minute weekly massage in reducing physical and psychological stress
    in nurses. Australian Journal of Advanced Nursing, 23(4), 28-33.
•   Cameron, J. (1992). The artist’s way. New York: Putnam & Sons.
•   Chow, J., & Kalischuk, R. G. (2008). Self-care for caring practice: Student nurses’ perspectives. International Journal for
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•   Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction
    on nurse stress and burnout, part II. Holistic Nursing Practice, 19(1), 26-35.
•   Dickson, M. (2015). Neurobiology of self-care. Retrieved from
    https://professionals.childhood.org.au/prosody/2015/05/neurobiology-of-self-care/
•   Kravits, K., McAllister-Black, R., Grant, M., & Kirk, C. (2008). Self-care strategies for nurses: A psycho-educational intervention
    for stress reduction and the prevention of burnout. Applied Nursing Research, 23, 130–138. doi:10.1016/j.apnr.2008.08.002
•   Lobell, L. K. (2001). Self-love, Is it selfish? Retrieved from www.artofloving.com/love/selflove.htm
•   Mackenzie, C. A., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress reduction intervention for
    nurses and nurse aides. Applied Nursing Research, 19, 105-109. doi:10.1016/j.apnr.2005.08.002
•   Ministry of Health.(2020). Te Whare Tapa Wha and well being. Retrieved From www.healthnavigator.org.nz/healthy-
    living/t/te-whare-tapa-wh%C4%81-and-wellbeing/
•   Ward, L. (2011). Mental health nursing and stress: Maintaining balance. International Journal of Mental Health Nursing, 20,
    77–85 doi:10.1111/j.1447-0349.2010.00715.x

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