Adult Apgar Test. 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger.
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1 Adult Apgar Test Score 0=hardly ever 1=sometimes 2=almost always 1. I am satisfied with the ACCESS I have to my emotions -- to laugh, to be sad, to feel pleasure or even anger. 2. I am satisfied that my life's PRIORITIES are mine and clearly reflect my values. 3. I am satisfied with my commitment to personal GROWTH, to initiate and embrace change. 4. I am satisfied with the way I ask for ASSISTANCE from others, professionally and personally, when in trouble. 5. I am satisfied with the RESPONSIBILITY I take for my wellbeing -- physically, emotionally and spiritually. ƕ0 Å 1 Å 2 ƕ0 Å 1 Å 2 ƕ0 Å 1 Å 2 ƕ0 Å 1 Å 2 ƕ0 Å 1 Å 2
2 Adult Apgar Wellness Score
3 Adult Apgar Wellness Score 9 or 10 indicates a high level of wellness.
4 Adult Apgar Wellness Score 9 or 10 indicates a high level of wellness. 6 to 8 indicates imbalances and stresses that need attention.
5 Adult Apgar Wellness Score 9 or 10 indicates a high level of wellness. 6 to 8 indicates imbalances and stresses that need attention. 5 or less indicates significant trouble or pain, requiring crucial changes to achieve wellness. Professional counselling, a therapeutic support group or individual work is strongly recommended.
6 Professional Caregiver Health Taking Care of Us
7 Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC
8 Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC Oncologist, Associate Professor
9 Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC Oncologist, Associate Professor
10 Agenda
11 Agenda Introduction
12 Agenda Introduction Overview of burnout
13 Agenda Introduction Overview of burnout Healthy lifestyle assessment
14 Agenda Introduction Overview of burnout Healthy lifestyle assessment Discussion of burnout
15 Agenda Introduction Overview of burnout Healthy lifestyle assessment Discussion of burnout Relaxation exercise
16 TAKE HOME POINTS
17 TAKE HOME POINTS Take care of yourself
18 TAKE HOME POINTS Take care of yourself Use what works for you
19 TAKE HOME POINTS Take care of yourself Use what works for you Emotional distress is normal
20 TROUBLED TIMES
21 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ
22 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681
23 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff
24 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff Emotional exhaustion in 53, 37, 30%
25 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff Emotional exhaustion in 53, 37, 30% Depersonalization 22, 4, 5%
26 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff Emotional exhaustion in 53, 37, 30% Depersonalization 22, 4, 5% Low personal accomplishment 48, 54, 31%
27 TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff Emotional exhaustion in 53, 37, 30% Depersonalization 22, 4, 5% Low personal accomplishment 48, 54, 31% One third of each group considered leaving cancer care
28 Stress and burnout in oncology Kash et al, Beth Israel Hospital
29 Stress and burnout in oncology Kash et al, Beth Israel Hospital N=261 house staff, nurses, med oncs in academic hospital and clinical practice
30 Stress and burnout in oncology Kash et al, Beth Israel Hospital N=261 house staff, nurses, med oncs in academic hospital and clinical practice House staff greatest risk of burnout
31 Stress and burnout in oncology Kash et al, Beth Israel Hospital N=261 house staff, nurses, med oncs in academic hospital and clinical practice House staff greatest risk of burnout Emotional exhaustion and poorer sense of self accomplishment
32 Stress and burnout in oncology Kash et al, Beth Israel
33 Stress and burnout in oncology Kash et al, Beth Israel Nurses reported more physical symptoms but less emotionally distant from patients
34 Stress and burnout in oncology Kash et al, Beth Israel Nurses reported more physical symptoms but less emotionally distant from patients Women lower sense of accomplishment and more distress
35 Stress and burnout in oncology Kash et al, Beth Israel Nurses reported more physical symptoms but less emotionally distant from patients Women lower sense of accomplishment and more distress Perceiving oneself as religious decreased reported burnout
36 PHYSICIAN HEALTH Duxbury 1999
37 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts.
38 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months:
39 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months: 1 in 4 felt really stressed
40 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months: 1 in 4 felt really stressed 1 in 5 had poor emotional health
41 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months: 1 in 4 felt really stressed 1 in 5 had poor emotional health 12% had thought about suicide
42 PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months: 1 in 4 felt really stressed 1 in 5 had poor emotional health 12% had thought about suicide 7% had planned suicide
43 WHAT IS BURNOUT?
44 WHAT IS BURNOUT? Christina Maslach, UCLA
45 WHAT IS BURNOUT? Christina Maslach, UCLA A prolonged response to chronic emotional and interpersonal stressors on the job
46 WHAT IS BURNOUT? Christina Maslach, UCLA A prolonged response to chronic emotional and interpersonal stressors on the job Physical and emotional exhaustion, depersonalization/cynicism and inefficacy
47 WHAT IS BURNOUT? Christina Maslach, UCLA A prolonged response to chronic emotional and interpersonal stressors on the job Physical and emotional exhaustion, depersonalization/cynicism and inefficacy Erosion of engagement with job
48 BURNOUT
49 BURNOUT In the middle of life s journey I found myself in a dark forest the way ahead obscured. Dante
50 Consequences of burnout
51 Consequences of burnout Emotional exhaustion related then to anxiety and depression
52 Consequences of burnout Emotional exhaustion related then to anxiety and depression Related to absenteeism, high staff turnover and diminished productivity
53 Consequences of burnout Emotional exhaustion related then to anxiety and depression Related to absenteeism, high staff turnover and diminished productivity Negative impact on colleagues
54 Consequences of burnout Emotional exhaustion related then to anxiety and depression Related to absenteeism, high staff turnover and diminished productivity Negative impact on colleagues Burnout makes it harder to work with people who are dying
55 LOSS OF SOUL
56 LOSS OF SOUL Sometimes I feel as though I am little by little disappearing. The phones keep ringing. The requests for help keep coming in. I feel as though I am not here. I get scared that I ll screw up Social worker
57 WARNING SIGNS OF BURNOUT
58 WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction
59 WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction Withdrawal, isolation, neglecting patient care or other duties,
60 WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction Withdrawal, isolation, neglecting patient care or other duties, Paradoxical workaholic phenomenon
61 WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction Withdrawal, isolation, neglecting patient care or other duties, Paradoxical workaholic phenomenon Alcoholism, drug addiction
62 WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction Withdrawal, isolation, neglecting patient care or other duties, Paradoxical workaholic phenomenon Alcoholism, drug addiction Relationship dysfunction
63 LOSS OF SOUL
64 LOSS OF SOUL I feel like I ve been turned into a liquid from a solid. Everyone has had a turn sucking me up into a syringe and I m trapped inside a barrel. My potency has weakened and I m leaking out the needle, absorbed into nowhere. Nurse
65 WHY DO WE BURNOUT?
66 WHY DO WE BURNOUT?
67 WORKING IN PALLIATIVE CARE IS STRESSFUL
68 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength
69 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news
70 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news You provide patients with emotional support
71 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news You provide patients with emotional support Treating dying patients, especially if can t relieve suffering, is stressful
72 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news You provide patients with emotional support Treating dying patients, especially if can t relieve suffering, is stressful Exposure to disability and disfigurement
73 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news You provide patients with emotional support Treating dying patients, especially if can t relieve suffering, is stressful Exposure to disability and disfigurement Seeing injustice of young people dying
74 WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news You provide patients with emotional support Treating dying patients, especially if can t relieve suffering, is stressful Exposure to disability and disfigurement Seeing injustice of young people dying Working with difficult or special patients
75 STRESS FROM MODERN MEDICINE
76 STRESS FROM MODERN MEDICINE Increased cognitive demands
77 STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity
78 STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications
79 STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation
80 STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation Increased regulation
81 STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation Increased regulation Increased workload
82 A STRAINED HEALTH CARE SYSTEM
83 A STRAINED HEALTH CARE SYSTEM
84 COMMON PERSONALITY TRAITS IN PHYSICIANS
85 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious
86 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing
87 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt
88 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism
89 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism Need to control don t like change
90 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism Need to control don t like change Chronic self doubts
91 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism Need to control don t like change Chronic self doubts Uncomfortable with love, approval
92 COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism Need to control don t like change Chronic self doubts Uncomfortable with love, approval Ability to delay gratification
93 YOU ARE MORE THAN YOUR JOB
94 YOU ARE MORE THAN YOUR JOB
95 INDIVIDUAL RISK FACTORS FOR BURNOUT
96 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40)
97 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced)
98 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation
99 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation Low levels of hardiness LESS: Involved, sense of control, openness to change
100 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation Low levels of hardiness LESS: Involved, sense of control, openness to change Perceive locus of control is external
101 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation Low levels of hardiness LESS: Involved, sense of control, openness to change Perceive locus of control is external Passive, defensive coping style
102 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation Low levels of hardiness LESS: Involved, sense of control, openness to change Perceive locus of control is external Passive, defensive coping style Poor self-esteem
103 INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation Low levels of hardiness LESS: Involved, sense of control, openness to change Perceive locus of control is external Passive, defensive coping style Poor self-esteem Emotionally unstable, type A personality, feeling more than thinking type
104 BIOLOGICAL STRESSES
105 BIOLOGICAL STRESSES Lack of sleep
106 BIOLOGICAL STRESSES Lack of sleep Poor eating habits
107 BIOLOGICAL STRESSES Lack of sleep Poor eating habits Poor level of fitness
108 HIERARCHY OF SOCIAL DEMANDS
109 HIERARCHY OF SOCIAL DEMANDS Work and career demands
110 HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities
111 HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities People in our lives
112 HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities People in our lives Personal needs and wants
113 Discussion question
114 Discussion question How do you know when you re burnt out? Physical symptoms Emotional Behavioural Social
115 Discussion question How do you know when you re burnt out? Physical symptoms Emotional Behavioural Social (Tell a story about the last time you were really hurting)
116 TAKING CARE OF US
117 TAKING CARE OF US The department
118 TAKING CARE OF US The department The individual
119 MOST IMPORTANT ADVICE:
120 MOST IMPORTANT ADVICE:
121 JUST SAY NO
122 JUST SAY NO
123 GET BACK INTO YOUR BODY
124 GET BACK INTO YOUR BODY
125 EXERCISE Empowering ourselves
126 EXERCISE Empowering ourselves
127 How much do you exercise each week? Empowering ourselves
128 How much do you exercise each week? = Getting heart rate to 65% of max Empowering ourselves
129 How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week Empowering ourselves
130 How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week 3 times for 30min Empowering ourselves
131 How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week 3 times for 30min 3 times for 60 min Empowering ourselves
132 How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week 3 times for 30min 3 times for 60 min 6 times for 30 min Empowering ourselves
133 How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week 3 times for 30min 3 times for 60 min 6 times for 30 min 6 times for 60 min Empowering ourselves
134 NUTRITION Empowering ourselves
135 NUTRITION Empowering ourselves
136 How many servings of fruits / vegetables do you eat daily? Empowering ourselves
137 How many servings of fruits / vegetables do you eat daily? Empowering ourselves
138 How many servings of fruits / vegetables do you eat daily? Less than five Empowering ourselves
139 How many servings of fruits / vegetables do you eat daily? Less than five 5-10 servings Empowering ourselves
140 How many servings of fruits / vegetables do you eat daily? Less than five 5-10 servings 5-10 serv. + low fat Empowering ourselves
141 Maintaining a Empowering ourselves
142 Maintaining a Empowering ourselves
143 Empowering ourselves
144 Empowering ourselves
145 Calculate your Body Mass Index BMI > Height Weight in pounds 60 inches in in in in in in in
146 SLEEP Empowering ourselves
147 SLEEP Empowering ourselves
148 SLEEP 7-8 HOURS PER NIGHT Empowering ourselves
149 SLEEP 7-8 HOURS PER NIGHT Empowering ourselves
150 SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
151 SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
152 SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
153 SLEEP 7-8 HOURS PER NIGHT YES NO Empowering ourselves
154 RELAXATION Empowering ourselves
155 RELAXATION Empowering ourselves
156 How often do you practice a relaxation technique each week? Empowering ourselves
157 How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Empowering ourselves
158 How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Never Empowering ourselves
159 How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Never Once per week Empowering ourselves
160 How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Never Once per week 2-5 times Empowering ourselves
161 How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Never Once per week 2-5 times 6 or more times Empowering ourselves
162 WHAT TO DO - BODY Empowering ourselves
163 WHAT TO DO - BODY Take care of your body! Empowering ourselves
164 WHAT TO DO - BODY Take care of your body! Love your body Empowering ourselves
165 DO YOU HAVE FUN? Empowering ourselves
166 DO YOU HAVE FUN? Empowering ourselves
167 Schedule a fun activity weekly Empowering ourselves
168 Schedule a fun activity weekly Empowering ourselves
169 Schedule a fun activity weekly YES Empowering ourselves
170 Schedule a fun activity weekly YES Empowering ourselves
171 Schedule a fun activity weekly YES Empowering ourselves
172 Schedule a fun activity weekly YES NO Empowering ourselves
173 Do you feel supported in your life? Empowering ourselves
174 Do you feel supported in your life? Empowering ourselves
175 DO YOU HAVE A CONFIDENTE AT WORK? Empowering ourselves
176 DO YOU HAVE A CONFIDENTE AT WORK? Empowering ourselves
177 DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
178 DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
179 DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
180 DO YOU HAVE A CONFIDENTE AT WORK? YES NO Empowering ourselves
181 HOME / WORK BALANCE Empowering ourselves
182 HOME / WORK BALANCE Empowering ourselves
183 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? Empowering ourselves
184 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? Empowering ourselves
185 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
186 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
187 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
188 DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES NO Empowering ourselves
189 Nurturing a spiritual life Empowering ourselves
190 Nurturing a spiritual life Empowering ourselves
191 DO YOU NURTURE A SPIRITUAL LIFE? Empowering ourselves
192 DO YOU NURTURE A SPIRITUAL LIFE? Empowering ourselves
193 DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
194 DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
195 DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
196 DO YOU NURTURE A SPIRITUAL LIFE? YES NO Empowering ourselves
197 We in this together Empowering ourselves
198 We in this together Empowering ourselves
199 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? Empowering ourselves
200 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? Empowering ourselves
201 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
202 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
203 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
204 IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES NO Empowering ourselves
205 ADD UP YOUR SCORE Empowering ourselves
206 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Empowering ourselves
207 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Empowering ourselves
208 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Empowering ourselves
209 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Empowering ourselves
210 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Empowering ourselves
211 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Schedule fun activity weekly Empowering ourselves
212 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Schedule fun activity weekly Have a friend/mentor at work Empowering ourselves
213 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Schedule fun activity weekly Have a friend/mentor at work Healthy work-home balance Empowering ourselves
214 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Schedule fun activity weekly Have a friend/mentor at work Healthy work-home balance Nurture a spiritual life Empowering ourselves
215 ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Sleep 7-8 hours nightly Practice a relaxation technique Schedule fun activity weekly Have a friend/mentor at work Healthy work-home balance Nurture a spiritual life Asked a colleague how they are doing Empowering ourselves
216 HOW DID YOU SCORE? Empowering ourselves
217 HOW DID YOU SCORE? 10 : You re lying Empowering ourselves
218 HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count Empowering ourselves
219 HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count 6 or 7: You re amazing Empowering ourselves
220 HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count 6 or 7: You re amazing 4 or 5: At least your honest Empowering ourselves
221 HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count 6 or 7: You re amazing 4 or 5: At least your honest 2 or 3: Welcome to palliative care Empowering ourselves
222 HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count 6 or 7: You re amazing 4 or 5: At least your honest 2 or 3: Welcome to palliative care 0 or 1: Go straight home Empowering ourselves
223 Discussion question
224 Discussion question What are the beliefs that put you at risk of not taking care of yourself?
225 Discussion question What are the beliefs that put you at risk of not taking care of yourself? What are the situations which put you at risk of losing balance?
226 Discussion question What are the beliefs that put you at risk of not taking care of yourself? What are the situations which put you at risk of losing balance?
227 Discussion question What are the beliefs that put you at risk of not taking care of yourself? What are the situations which put you at risk of losing balance? Share ways / tricks to staying in health.
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