building caregiver resilience
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© 2014 Griswold International, LLC
The Griswold Solutions SeriesTM
BuildingCaregiverResiliencePreserving YourCapacity to Care
© 2014 Griswold International, LLC
Presented by:
Jane Meier Hamilton, MSN, RNCEO and FounderPartners on the Path, LLC
• Nurse for 40 years/family caregiver for 20 years• Support professional & family caregivers• Content expertise in caregiver stress, resilience
& compassion fatigue
© 2014 Griswold International, LLC
It was not so long ago that patients
and family caregivers…too often felt cast adrift by their health care
professionals, who were trained in the science and jargon of medicine. Health
care works best when the patient or family caregiver is not simply an interested
bystander, but an integral part of health care. Patients and families are ‘vital voices’ in improving the provision of
quality health care.
John Schall, Executive Director of Caregiver Action Network
In NovemberWe CelebrateNational FamilyCaregiver’sMonth
Source: http://nfca.typepad.com/pfe_top_25_best_practices/themes.html
© 2014 Griswold International, LLC
Thank You, Caregivers!
Capable, Committed and Compassionate!
Professional CaregiversFamily Caregivers
© 2014 Griswold International, LLC
Objectives
• Resilience: Definition and importance• Lack of resilience: Impact on organizations• Assessing caregiver resilience• Resilience-building strategies for caregivers• Strategies that professionals can use to promote
caregiver resilience• Helpful resilience-building resources
© 2014 Griswold International, LLC © 2013 Griswold International, LLC
Brainwriting is…• a fun, engaging way to brainstorm• sharing as many ideas as possible within a short timeframe Brainwriting Process• Listen for our questions• When prompted, enter your solutions using the webinar chat function• Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes• Peer-to-peer learning and sharing• A publication that benefits others involved in this topic Important• Avoid sharing any information that you would not want others to see
BRAIN WRITINGSolutions
Orange Arrow Button: Minimizes or expands the GoToWebinar control panel.
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ResilienceThe ability to...
· withstand· recover· grow
...in the face of stressorsand changing demands.
- US Air Force
© 2014 Griswold International, LLC
Personal Resilience
The forces of fate that bear down on man and threaten to break himalso have the capacity to ennoble him.
- Viktor Frankl
© 2014 Griswold International, LLC
Why Caregiver Resilience Matters
· Patient outcomes· Cost· Length of stay· Readmissions· Satisfaction· Teamwork
· Personal toll (physical, mental/ emotional, occupational, social, spiritual)
· Strength & stamina· Coping· Bouncing back/ forward
For Individuals ForOrganizations
© 2014 Griswold International, LLC
Ten Resilience Factors
· Optimism· Facing fear· Moral compass
& altruism· Meaning, purpose
& growth· Social support
· Role models· Training· Brain fitness: mind
& heart· Flexibility: cognitive
& emotional· Religion & spirituality
© 2014 Griswold International, LLC
Resilience-Building Model
Improvingstress response
Adverse orstressful events
Self-carepractices
Increasingresilience
Positive adaptationand cognitivetransformation
Biopsychosocial-spiritual
well-being
Used with permission: Grafton et. al. 2010. The Power Within: Oncology Nursing Forum, 11, 698-704.
© 2014 Griswold International, LLC
How Can I Build My Resilience?
Sources: www.rand.org and www. samueliinstitute.org
Social
TotalForce
Fitness
Spiritual
PhysicalBeh
avior
al
Nutritional Med
ical
Environm
entalPsy
chol
ogic
al
• SubstanceAbuse
• Hygiene• Risk Mitigation
• Social support• Task cohesion• Social cohesion • Family
cohesion
• Access• Immunizations• Screening• Prophylaxis• Dental
• Service values• Positive beliefs
• Meaning making• Ethical leadership
• Accomodate diversity
• Strength• Endurance• Flexibility• Mobility
• Coping• Awareness• Beliefs/Appraisals• Decision making• Engagement
• Heat/Cold• Altitude• Noise• Air quality
• Food quality• Nutrition requirements • Supplement use • Food choices
© 2014 Griswold International, LLC
Acts That Build Resilience
· Balanced, healthy diet
· Adequate fluid intake
· Avoid empty calories
· Exercise: fitness/stamina
· Adequate sleep and rest
· Good hygeine/appearance
· Drug, alcohol, tobacco use
1. Physical 2. Nutritional
© 2014 Griswold International, LLC
Acts That Build Resilience
· Environmental stressors- Temperature- Noise & interruptions- Air quality
· Workplace/home safety
· Limiting risks
· Organization & beauty
· Accessing qualityhealth care
· Preventive screenings
· Managing injuries
· Managingchronic conditions
3. Medical 4. Environmental
© 2014 Griswold International, LLC
Acts That Build Resilience
· Avoid stress numbing
· Problem-focused coping
· Recognize/share feelings
· Persist despite difficulty
· Physically work off emotion
· Self-belief
· Realistic optimism
· Mindfulness: calm & focus
· Accept uncertainty
· Re-label & normalize
5. Psychological 6. Behavioral
© 2014 Griswold International, LLC
Acts That Build Resilience
· Values, beliefs & purpose
· God/Source of meaning
· Pray/Worship/Meditate
· Nature & the arts
· Seek inspiration
· Link to positive support- Emotional- Informational- Hands-on help
· Physical/cyber communities
· Fun, socializing & hobbies
· Time-off & time alone
· Separate work/home
7. Social 8. Spiritual
© 2014 Griswold International, LLC
Practice Healthy Self-Care
Protective:Like daily dental care
High Leverage: Small acts guard healthAdd-to: Not to replace problem solving
© 2014 Griswold International, LLC
· Assessing family caregiver needs
· Incorporating into team decisions
· Effectively implementing care plan
· Preventing relapse and readmission
Importance of Professional Support
© 2014 Griswold International, LLC
Solutions and Tools
CaregiverResilience
Tools
CaregiverEngagement
Tools
http://www.nextstepincare.org/
EngagementTool:
© 2014 Griswold International, LLC
Advocacy: Next Step in Care
Care Coordination: New Guides for Health Care Providers and for Family Caregivers
New Tool Helps Hospital Staff to Work with Family Caregivers
· A Family Caregiver's Guide to Care Coordination
· A Professional Care Coordinator's Guide to Partnering with Family Caregivers
· Understanding and Integrating Family Caregivers into theRe-Engineered Discharge
© 2014 Griswold International, LLC
Advocacy: Next Step in Care
© 2014 Griswold International, LLC
Action Plan for Building Resilience
Download Here:http://bit.ly/1v5UhoT
Download this freeworksheet to helpguide you through:
· Assessing current practices
· Planning helpful new approaches
© 2014 Griswold International, LLC
More Resilience Tools
http://bit.ly/1pIPkjZAPA: The Road To Resilience
The Resilience FactorAuthors: K. Reivich & A. Shatte
ResilienceAuthors: S.M. Southwick & D.S. Carney
The Resilient ClinicianAuthor: R.J. Wicks
BounceAuthor: R.J. Wicks
ResilienceTools:
http://www.caregiveraction.org/ http://bit.ly/1rth9fQ
Tools: Caregiver Action Network�
© 2014 Griswold International, LLC
Front Page Toolbox
ResilienceTools:
© 2014 Griswold International, LLC
Tools: Family Caregiver Alliance�
https://www.caregiver.org/
ResilienceTool:
© 2014 Griswold International, LLC
Tools: The Resilience Scale
http://bit.ly/1z54us6
ResilienceTool:
http://bit.ly/1t902oU
© 2014 Griswold International, LLC
Tools for Professionals
American Psychological Association
ResilienceTool:
Resilient caregivers support patient wellnessand recovery, and prevent readmissions
Important role for professionals: assess and support family caregivers
Caregiving is meaningful, but takes a toll
© 2014 Griswold International, LLC
Key Takeaways
© 2014 Griswold International, LLC
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