the self care imperative
TRANSCRIPT
The SelfCare Imperative:A Guide for Ebola Crisis Workers
Rev. Dr. Avril L’Mour Weathers, Ph.D.,Ebola Task Forcer Research Initiative,
ChairAfrican Methodist Episcopal University
Trauma and Crisis Work
In light of recent and significant research indicating that crisis workers engaged in direct practice are likely to develop symptoms of severe stress…
…it is imperative that crisis work professionals devote greater attention to and create a greater awareness of these issues among employers and co-workers.
The Self Care Imperative
The critical key to prevention and management of adverse conditions such as stress, burnout, compassion fatigue, traumatic stress and/or vicarious trauma is the practice of selfcare.
The Practice of Self-Care
Professional self-care in crisis work is an essential component of the work; and, reflects a commitment to become actively involved in maintaining one’s effectiveness as a crisis worker.
Essential to Crisis Work
A repertoire of selfcare strategies is essential to support the crisis worker in preventing, addressing, and coping with the natural, yet unwanted, consequences of helping.
Promoting Selfcare Practices
Selfcare is Essential
…an essential component in competent, compassionate, and ethical crisis work practice, requiring time, energy, and commitment.
Selfcare is Work Affirming
Promoting the practice of professional Selfcare in crisis work acknowledges the challenging and often overwhelming nature of our work.
Preventing Unwanted Conditions
…placing emphasis on preventing unwanted conditions and implying that tools and strategies should be part of one’s overall professional selfcare plan
…a “disorder that affects those who do their work well” characterized by deep emotional and physical exhaustion, symptoms resembling depression and a shift in one’s sense of hope
FOR EXAMPLE
Compassion Fatigue
Ethics and Cultural Competence
Professional self-care is critical to maintaining ethical and professional behavior and providing competent services in diverse settings.
Long Term Successful Outcomes
Actively preparing crisis workers with knowledge and skill for overcoming these experiences is key to long term successful outcomes.
Baker (2003) conceptualized self-care as the combination of three processes: self-awareness, self-regulation, and balancing connections
between self, others, and the larger community.
What is SelfCare?
To be conscious, moment-by-moment, of one’s own existence, surroundings, potential, limitations; being mindful of your own thought and action, being attentive to the self by showing care for your own needs.
Self-awareness
To be in control of your own life circumstances, regulating or adapting or modifying thought and behaviors to align with an enhanced quality of life.
Self-regulation
Never allow your external connections to dominate your internal life…find your balance.
Balancing Social Connections
Difficulty Thinking Memory problems Disorientation and confusion Slow thought processes Difficulty setting priorities/making decisions
Loss of objectivity
Behavioral Increase or decrease in
activity level Substance use or abuse
(alcohol or drugs) Difficulty communicating or
listening Irritability, outbursts of
anger, frequent arguments
Physical Sweating or chills Tremors or muscle twitching Being easily startled Chronic fatigue or sleep
disturbances Immune system disorders
Psychological/Emotional Feeling heroic, euphoric, or invulnerable
Denial Anxiety or fear Depression Guilt Apathy