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Diane Ronayne ©2005


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Self Care

 

First, care for yourself.

On an airplane, an oxygen mask descends in front of you. What do you do? As we all know, the first rule is to put on your own oxygen mask before you assist anyone else. Only when we first help ourselves can we effectively help others. Caring for yourself is one of the most important—and one of the most often forgotten—things you can do as a caregiver. When your needs are taken care of, the person you care for will benefit, too. Taking Care of YOU: Self-Care for Family Caregivers

 

Self-care is crucial for those of you who choose to give care to someone you love.

Most articles written about care giving tell you to take care of yourself. Being my own caregiver while providing care for my injured, ill, and then dying husband was not as easy as it sounds. I had a lot to learn in the 16 years he was sick…. Self-care is crucial for those of you who choose to give care to someone you love. Take some time, whenever you can, to experiment with different activities that might comfort you. And when you have no time, use your self-talk. Talk to yourself as you would to a good friend. This won’t change your situation, but it might lift your burden a bit.

Self-Care, Sadness, and Care Giving

 

Adopt some kind of practice.

We encourage the people we work with to adopt some kind of practice, one that suits their own life and preferences, but ideally a daily practice, one they can stay with, something to which they give first priority, something they do at a regular time, and do even if they don't feel like it on that particular day… It might be meditation or yoga, tai chi, running, silent prayer, massage, playing an instrument, karate, judo, writing in a psychological diary, breathing exercises, or the practice of an art or craft —whatever is right for their temperament and their preferences. Something that will encourage them to pay attention. We find that this kind of a daily practice is perhaps the most powerful tool for building awareness. Conversations with Leaders in Self-Care, Interview with Steven Levine

 

Almost no support system.

If you look at the literature on burnout and talk to lots of health care providers, as I have, it's rare that people say that the work itself burns them out. It's usually the structures within which they work--an unnecessary amount of regulation, inhuman schedules, a failure to recognize the very personal human needs of someone who is working on the edge of death day in and day out, with almost no support system. Work-Life Wisdom from a Hospice Zen Master Once on the Zen Hospice site, scroll down to the "Exhausted Clinicians" section.

 

Farewell my friend.

This booklet was created by the Life's End Institute: Missoula Demonstration Project’s Faith Community Task Force. We have learned that most people believe a sense of spiritual well-being is important at the end of life. Too often, however, people¬¬ for a variety of reasons¬¬ do not receive the spiritual care they want. We decided that one way to help people gain access to end-of-life spiritual care would be to give them a “taste” of differing practices. During our first year working together, we shared faith stories revolving around the themes of illness, death, and bereavement. This process was so enriching that we decided to make an interfaith conversation available to others through this book. Farewell My Friend

 

What happens when I can’t fix the problem?

Over the last six years, my work as a palliative care physician has challenged me in many ways. As I walk past the door of someone who is wasted and too weak to get out bed, I wonder what is it that I have to offer. How much easier it would be to simply walk by rationalizing that this person is comfortable and has no need for my expertise as a physician. As a physician, I was trained to investigate the problem, make the diagnosis and prescribe the treatment. What happens when I can't fix the problem and there is nothing I can do to make it go away? How do you help someone deal with a lifetime of disappointments and find words when there are no words? Healing the Rift Within: Confessions of a Palliative Care Physician

 

Helping the human spirit in its search for peace.

What do we mean by spiritual care? Spiritual care for the purpose of this handbook is soul care, helping the human spirit in its search for peace. It is the attempt to help those near the end of life feel whole, fulfilled, and in harmony with their world and their higher power. Religious experience may or may not be spiritual, and spiritual experience may or may not be religious. Regardless of the dying person's religious persuasion or faith tradition, spiritual care near the end of life supplies a deep human need. Parting, A Handbook for Spiritual Care Near the End of Life

 

Emotional and spiritual exhaustion - compassion fatigue.

Andy has a form of burnout called compassion fatigue, a deep physical, emotional and spiritual exhaustion accompanied by acute emotional pain. Whereas physicians with burnout adapt to their exhaustion by becoming less empathetic and more withdrawn, compassion-fatigued physicians continue to give themselves fully to their patients, finding it difficult to maintain a healthy balance of empathy and objectivity. Overcoming Compassion Fatigue

 

Additional Resources

Send your favorite sites to Jill Darrington, A Better Way Coalition .

If you find a dead site - let us know!

 

Growth House, Inc., Psychotherapy with Dying People

 

Hospice Care and End of Life Issues

 

Integrating Spirituality into Health Care Near the End of Life

 

Nurturing the Spirit When Cancer is Advanced

 

Preventing Caregiver Burnout

 

Relaxation, Self-Care and Activities of Daily Living

 

Self Care as a Necessity

 

Self Care for Physicians Dealing with Life’s End, Selected Readings

 

Self Care for the Palliative Provider

 

Transitions at the End of Life – Taking Care of Yourself

 

Taking Care of Yourself

 

The Intimacy of Dying – Dying in Living

 
 

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