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October 06, 2012 Combating Compassion Fatigue Burn out is a state of mental tiredness, that a health care worker gradually gets . At this point the health care worker feels completely empty and worthless. Compassion fatigue is increasingly common in nursing. A healthcare worker may feel over worked, emotionally trained out, or some times feel frustrated and less productive. “Burnout is a problem born of good intentions because it happens when individuals try to reach unrealistic goals and end up depleting their energy and losing touch with themselves and others”. Wright 2003).

In this paper will discus about warning signs for five major concepts, the nature of compassion fatigue and the cause for this, will discuss about the physical emotional and spiritual needs of a health care worker, and finally will discuss about examples of coping strategies and resources to over come this situation. The warning signs Compassion is one of the fundamental natures of nursing. All the health care workers are obligated to provide compassionate care to patients.Often compassion fatigue occurs due to the fact that healthcare workers over work or take the pain of their patients more emotionally, most of the time health care providers give sincere and compassionate care, very dedicated to their work, but forget to take care them selves, which often leads to this situation. As a result the health worker becomes compassionately numb. The major concepts of compassion fatigue are cognitive, emotional, occupational/social, spiritual, and physical. (Bush, N.

J. 2009). Cognitive Person will experience less self esteem . Often one will find difficulty to do their duty because unable to concentrate on the task.May notice decrease in performance at work such as lack of interest, more absenteeism, negativism, and moral may be lost. In major conditions disorientation can be found. Emotional Emotional symptoms are frustration, feel very angry, want to quite the job, and feel depressed.

Sometimes feels like to outburst the anger, feel grief. Having less or no compassion. Can have night mares, sleep disturbance, flight of feelings. Occupational/social Person who suffers with compassion fatigue can feel like isolated from family and friends. Have problems with co workers, and also with family relations.Can be less productive at work, work performance is getting low, increasing absenteeism. Physical Very tired even after rest, insomnia, irritability are common physical symptoms.

If left untreated can get in to major physical problems includes cold, dizziness, chronic aches, digestion problems, heart burn, head ache, impaired body functions. Spiritual Spiritual symptoms include hopelessness, negativism, and low self esteem. Nature of problem and cause As nurses works in a health care environment there are many causes for compassion fatigue. Nurses interacts different persons and personality’s every day.Compassion fatigue can be caused from work place, high turn over, work load, having heavy patients, lifting and turning, having sick patients and get emotional stress from the pain of patients, taking care of a patient with out having any positive effect. Can caused by co-workers, unhappy work environment, some times can be caused by increased demand from the upper management, also from high expectations from patients and family. Striving to manage the time pressure, or dealing with complex patient care, interactions with other units or departments can be another reason for stress.

Feeling powerlessness, frustrated and difficulty to meet professional and personal expectations can be a reason this. Managements most of the time cutting the cost, resulting do more with less cost often leads to stress and compassion fatigue. Manager’s puts pressure on high patient score, to get the reimbursement, but at the same time patient staff ratio remains same or even less. Also trying to get the core measures, trying to have the magnet level care all these can be cause for compassion fatigue. (Moore, D. 2009) When compassion fatigue occurs, it is going to ffect the person, their family and entire unit and patients, depending on the severity of condition physical and mental decline can occur. Physical, emotional and spiritual needs of caregiver To provide a holistic care to patient, nurses should have compassion.

Compassion fatigue will prevent from providing such a care to patients due to the physical, mental and emotional imbalances. This is not good because patients always wants and they deserve for quality clinical care as well as warmth and compassionate care from their nurses. It is very important to have a balanced mind, body and spirituality to work in the health care field.It is very critical one to understand the signs and symptoms of compassion fatigue early enough. Being in the health care field, can have serious toll in once on health. Poor eating habits can be one of the physical needs to be addressed. Due to the busy shift or working at night shift all these can affect once nutritional needs.

If one can take couple of extra care, then to a limit, can avoid this nutritional imbalance, like try to eat three well balanced meal per day, try to include fruits and vegetables and try to have healthy diet, drink enough water, and avoid coffee and sodas as much as can.Sleep disturbance or lack of sleep is another physical need. Lack of sleep can lead to exhaustion. Sleep restores once body and mind. So it is important to have adequate sleep and rest in order to function properly both physically and mentally. Exercise and relaxation is one of another physical need of a care giver. Keeping physically fit along with relaxation technique like yoga or listening music or watching movie, reading all these can help alleviate stress.

(Espeland, K. 2006). Taking care of the emotional needs also important.So much energy to be used to take care of the patients physical mental and emotional needs, lot of time health care worker feel invisible. Anxiety, depression frustration, grief feeling guilty, feeling overwhelmed, increasing anger are some of the emotional feelings to be addressed. Doing some relaxing exercise, by doing exercise body will release some natural chemicals which will helps to boost emotions, deep breaths, yoga reading, listening music, talking to a friend all these can help to reduce the emotional stress. It is important to express the feelings.

Should have some time for one.Should take small breaks or take short walk. Spiritual needs also equally important, but the desire has to come from the employe. By addressing the spiritual needs, one can cope up with difficult situation. Meditation, prayers, attending mass or other means of prayers use Chaplin service all of these can help to meet once spiritual needs. Try to make the best out of a bad situation, keeping faith; think positively all these practice can help one to gain their spiritual needs. Counting the blessings and being thankful for what have, all these practice can help to prevent or helps to get out from compassion fatigue.

Coping strategies and Resources When nurses are healthy over all physically mentally and emotionally, then they can provide adequate care for the patients. So it is very important for nurses and other health care workers to take care themselves. The most important part is one to acknowledge whether one is suffering with compassion fatigue or burned out symptoms. There are many resources and coping strategies that can be useful towards this goal. Many work places offer programs to improve workers performance, so involve in to those activities.Attending gym can be helpful. Regular exercises have physical and mental benefits, which will help one to be more productive and worth .

Nutritional consult for dietary needs can be useful. Having positive thoughts and self awareness is very important. Prayer and meditation can be used to get this positive energy . Having time for oneself, such as having family time, dinner together, eating a friend. Have a sense of humor, find out reasons to laugh. Set limits for personal life and work. Should never bring professional matters to home and personal matters to work place.

Involving in to professional and social organization. Councelling also can be useful. Also there are websites that can be used as resource like www. americanhumane. org: American Humane offers “Managing Compassion Fatigue” 1-day training and awareness-building workshops Humane Society University offers training and awareness-building workshops, www. hsus2. org/hsu/cf.

htm, www. GrowthHouse. org: A Guide to Death, Dying, Grief, Bereavement, and End of Life Care. ( Gupta and Woodman 2010) Conclusion Being in the health care field, every day nurses has to come in contact ith heart touching scenarios and emotionally stressed out. In addition to this health care is highly demanding and responsible profession. Nurses have more and more workload with less support system, yet they are required to provide satisfied care. All these can lead a person to get in to compassion fatigue.

Prevention is better than cure. So taking some extra care for themselves like, adequate nutrition, diet ,water intake ,proper exercise and rest, balancing ,work and personal life all these would help one to lead a healthy life both at profession and their own personal life Reference

Letter of Advice For this assignment, you will write a letter of advice to either a newly engaged couple or a group of coworkers. Imagine that either the engaged couple or coworkers hear that you are taking a course in interpersonal communication and want

Letter of Advice For this assignment, you will write a letter of advice to either a newly engaged couple or a group of coworkers. Imagine that either the engaged couple or coworkers hear that you are taking a course in interpersonal communication and want.

Letter of Advice
For this assignment, you will write a letter of advice to either a newly engaged couple or a group of coworkers. Imagine that either the engaged couple or coworkers hear that you are taking a course in interpersonal communication and want advice regarding how to communicate in their personal or professional relationships. Based on what you have learned in this course, your personal experience, and the five learning objectives we have covered, what advice would you give them regarding how to communicate effectively? How can you use what you have learned in this class to offer a couple or group of co-workers advice to have more positive relationships? Write your paper in the form of a letter. Please review the Sample Final Paper .
Instructions
Use the list of learning outcomes to write your letter. The course learning outcomes you will need to cover are listed below:
• Explain the principles of and barriers to effective interpersonal communications.
• Analyze the role of communication in developing and maintaining one’s self-concept, self-image, and self-esteem.
• Differentiate appropriate levels of self-disclosure and emotional intelligence in various relationships.
• Describe strategies for using communication techniques to resolve interpersonal conflicts.
• Analyze the impact of gender and culture on interpersonal communications.
For each of the five learning outcomes, create a separate heading that states the learning outcome that you are addressing. Then, address the following for each segment:
• Explain the principles of and barriers to effective, competent interpersonal communications. Why do the principles matter? How can your couple or group of co-workers overcome the barriers you have listed?
• Analyze the role of communication in developing and maintaining one’s self-concept, self-image, and self-esteem. Begin by defining each term and then explain how these three notions of the self potentially impact the relationships of your couple or group of co-workers. What advice can you offer to help them develop a positive self-concept or build each other’s self-esteem?
• Illustrate the importance of self-disclosure and emotional intelligence in various relationships. What role does self-disclosure play in the relationships of your couple or co-workers? How can their relationships be improved by them becoming more emotionally intelligent? What connections can be made between emotional intelligence and self-disclosure?
• Evaluate strategies for using communication techniques to resolve interpersonal conflicts. Explain one or two potential conflicts and then present at least two strategies for addressing the dispute(s).
• Analyze the impact of gender and culture on interpersonal communications. First, define these two key terms. Then, explain the importance of gender and culture in relationships generally and for your couple or group of co-workers specifically. What advice can you give to become a better communicator based on the information you have presented?
Content Requirements
You must address all five of the learning outcomes and the questions listed with those objectives. For each objective, be sure to define key terms and relate those ideas directly to advice for your couple or co-workers. The point here is for you to demonstrate how these ideas can be utilized to help people in their relationships. Try to offer specific advice they can integrate into their lives.
Begin your paper with an introductory paragraph that has a succinct thesis statement and that previews what you plan to cover in your paper. End with a conclusion that reaffirms your thesis and restates your key points.
You must use at least five scholarly sources to help you make your points. At least three of these should be course readings and two should be academic articles you have found yourself by doing research in the Ashford University Library. If you need help doing research, visit the Ashford University Library, which can be accessed through the Library tab in the left-navigation menu, in your online course.
You must also draw on personal experience to offer advice or to illustrate points. It is acceptable to use hypothetical examples and/or your personal experiences for either your couple or group of co-workers. We simply want to see that you can apply what you have learned to some potential “real world” experience.

The Final Paper
• Must be 8 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style. For assistance, visit the Ashford Writing Center’s Introduction to APA (Links to an external site.)Links to an external site..
• Must include a title page with the following (for further assistance with the formatting and the title page, please refer to Ashford Writing Cetner’s APA Formatting for Word 2013 (Links to an external site.)Links to an external site.): 
o Title of paper
o Student’s name
o Course name and number
o Instructor’s name
o Date submitted
• Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. For assistance on writing introductions, conclusions, and thesis statements, please refer to the following web pages, housed within the Writing Center & Library resources tab: 
o Introductions & Conclusions (Links to an external site.)Links to an external site.
o Writing a Thesis Statement (Links to an external site.)Links to an external site.
• Must use each learning objectives as a header dividing each section of the paper.
• Must use the textbook as a source. The Integrating Research (Links to an external site.)Links to an external site. tutorial will offer further assistance on including supporting information and reasoning.
• Must use two additional course articles/videos and two academic articles the student has found independently. A total of five sources must be used in the paper and be on the reference list.
• Must document any information from a source in APA style, as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)Links to an external site..
• Must include a separate references page that is formatted according to APA style. See the Formatting Your References List (Links to an external site.)Links to an external site. guide created by the Ashford Writing Center.
Before you submit your written assignment, you are encouraged to review The Grammarly Guide: How to Set Up & Use Grammarly (Links to an external site.)Links to an external site. tutorial, set up a Grammarly account (if you have not already done so), and use Grammarly to review a rough draft of your assignment. Then carefully review all issues identified by Grammarly and revise your work as needed.
Final Notes
This is a formal paper and should utilize proper grammar, complete sentences, and paragraph transitions. However, you will write this paper in the format of a letter to the newly-engaged couple or group of co-workers. Feel free to address the people you select directly throughout the paper.

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