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
Adult Apgar Wellness Score
Adult Apgar Wellness Score 9 or 10 indicates a high level of wellness.
Adult Apgar Wellness Score 9 or 10 indicates a high level of wellness. 6 to 8 indicates imbalances and stresses that need attention.
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.
Professional Caregiver Health Taking Care of Us
Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC
Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC Oncologist, Associate Professor
Professional Caregiver Health Taking Care of Us Rob Rutledge MD FRCPC Oncologist, Associate Professor www.healingandcancer.org
Agenda
Agenda Introduction
Agenda Introduction Overview of burnout
Agenda Introduction Overview of burnout Healthy lifestyle assessment
Agenda Introduction Overview of burnout Healthy lifestyle assessment Discussion of burnout
Agenda Introduction Overview of burnout Healthy lifestyle assessment Discussion of burnout Relaxation exercise
TAKE HOME POINTS
TAKE HOME POINTS Take care of yourself
TAKE HOME POINTS Take care of yourself Use what works for you
TAKE HOME POINTS Take care of yourself Use what works for you Emotional distress is normal
TROUBLED TIMES
TROUBLED TIMES Medical oncology workers in Ontario, CMAJ
TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681
TROUBLED TIMES Medical oncology workers in Ontario, CMAJ 71% response rate to questionnaire, n=681 Physicians, allied health, support staff
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%
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%
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%
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
Stress and burnout in oncology Kash et al, Beth Israel Hospital
Stress and burnout in oncology Kash et al, Beth Israel Hospital N=261 house staff, nurses, med oncs in academic hospital and clinical practice
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
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
Stress and burnout in oncology Kash et al, Beth Israel
Stress and burnout in oncology Kash et al, Beth Israel Nurses reported more physical symptoms but less emotionally distant from patients
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
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
PHYSICIAN HEALTH Duxbury 1999
PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts.
PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months:
PHYSICIAN HEALTH Duxbury 1999 Ottawa cohort study. 5 depts. In preceding 3 months: 1 in 4 felt really stressed
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
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
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
WHAT IS BURNOUT?
WHAT IS BURNOUT? Christina Maslach, UCLA
WHAT IS BURNOUT? Christina Maslach, UCLA A prolonged response to chronic emotional and interpersonal stressors on the job
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
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
BURNOUT
BURNOUT In the middle of life s journey I found myself in a dark forest the way ahead obscured. Dante
Consequences of burnout
Consequences of burnout Emotional exhaustion related then to anxiety and depression
Consequences of burnout Emotional exhaustion related then to anxiety and depression Related to absenteeism, high staff turnover and diminished productivity
Consequences of burnout Emotional exhaustion related then to anxiety and depression Related to absenteeism, high staff turnover and diminished productivity Negative impact on colleagues
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
LOSS OF SOUL
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
WARNING SIGNS OF BURNOUT
WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction
WARNING SIGNS OF BURNOUT Poor health: headaches, irritability, fatigue, hypertension, anxiety, depression, sleep disturbances, myocardial infarction Withdrawal, isolation, neglecting patient care or other duties,
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
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
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
LOSS OF SOUL
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
WHY DO WE BURNOUT?
WHY DO WE BURNOUT?
WORKING IN PALLIATIVE CARE IS STRESSFUL
WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength
WORKING IN PALLIATIVE CARE IS STRESSFUL You are expected to be source of strength You deal with breaking bad news
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
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
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
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 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
STRESS FROM MODERN MEDICINE
STRESS FROM MODERN MEDICINE Increased cognitive demands
STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity
STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications
STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation
STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation Increased regulation
STRESS FROM MODERN MEDICINE Increased cognitive demands Increased choices and complexity Iatrogenic complications Increased patient expectation Increased regulation Increased workload
A STRAINED HEALTH CARE SYSTEM
A STRAINED HEALTH CARE SYSTEM
COMMON PERSONALITY TRAITS IN PHYSICIANS
COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious
COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing
COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt
COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism
COMMON PERSONALITY TRAITS IN PHYSICIANS Overly conscientious People pleasing Sense of responsibility and guilt Unrelenting perfectionism Need to control don t like change
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
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
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
YOU ARE MORE THAN YOUR JOB
YOU ARE MORE THAN YOUR JOB
INDIVIDUAL RISK FACTORS FOR BURNOUT
INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40)
INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced)
INDIVIDUAL RISK FACTORS FOR BURNOUT Younger is higher chance (<30-40) Unmarried (single > divorced) Higher education, high job expectation
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
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
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
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
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
BIOLOGICAL STRESSES
BIOLOGICAL STRESSES Lack of sleep
BIOLOGICAL STRESSES Lack of sleep Poor eating habits
BIOLOGICAL STRESSES Lack of sleep Poor eating habits Poor level of fitness
HIERARCHY OF SOCIAL DEMANDS
HIERARCHY OF SOCIAL DEMANDS Work and career demands
HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities
HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities People in our lives
HIERARCHY OF SOCIAL DEMANDS Work and career demands Household responsibilities People in our lives Personal needs and wants
Discussion question
Discussion question How do you know when you re burnt out? Physical symptoms Emotional Behavioural Social
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)
TAKING CARE OF US
TAKING CARE OF US The department
TAKING CARE OF US The department The individual
MOST IMPORTANT ADVICE:
MOST IMPORTANT ADVICE:
JUST SAY NO
JUST SAY NO
GET BACK INTO YOUR BODY
GET BACK INTO YOUR BODY
EXERCISE Empowering ourselves
EXERCISE Empowering ourselves
How much do you exercise each week? Empowering ourselves
How much do you exercise each week? = Getting heart rate to 65% of max Empowering ourselves
How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week Empowering ourselves
How much do you exercise each week? = Getting heart rate to 65% of max < 3 times per week 3 times for 30min Empowering ourselves
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
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
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
NUTRITION Empowering ourselves
NUTRITION Empowering ourselves
How many servings of fruits / vegetables do you eat daily? Empowering ourselves
How many servings of fruits / vegetables do you eat daily? Empowering ourselves
How many servings of fruits / vegetables do you eat daily? Less than five Empowering ourselves
How many servings of fruits / vegetables do you eat daily? Less than five 5-10 servings Empowering ourselves
How many servings of fruits / vegetables do you eat daily? Less than five 5-10 servings 5-10 serv. + low fat Empowering ourselves
Maintaining a Empowering ourselves
Maintaining a Empowering ourselves
Empowering ourselves
Empowering ourselves
Calculate your Body Mass Index BMI > Height 20 22 24 26 28 30 32 34 36 38 Weight in pounds 60 inches 102 112 123 133 143 153 164 174 184 195 62 in 109 120 131 142 153 164 175 186 196 207 64 in 116 128 140 151 163 174 186 197 209 221 66 in 124 136 148 161 173 186 198 210 223 236 68 in 131 144 158 171 184 197 210 223 236 249 70 in 139 153 167 181 195 209 223 236 250 264 72 in 147 162 177 191 206 221 235 250 264 279 74 in 155 171 186 202 218 233 249 264 280 296
SLEEP Empowering ourselves
SLEEP Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT YES Empowering ourselves
SLEEP 7-8 HOURS PER NIGHT YES NO Empowering ourselves
RELAXATION Empowering ourselves
RELAXATION Empowering ourselves
How often do you practice a relaxation technique each week? Empowering ourselves
How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Empowering ourselves
How often do you practice a relaxation technique each week? = slowing down your mind meditation, yoga, tai chi etc Never Empowering ourselves
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
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
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
WHAT TO DO - BODY Empowering ourselves
WHAT TO DO - BODY Take care of your body! Empowering ourselves
WHAT TO DO - BODY Take care of your body! Love your body Empowering ourselves
DO YOU HAVE FUN? Empowering ourselves
DO YOU HAVE FUN? Empowering ourselves
Schedule a fun activity weekly Empowering ourselves
Schedule a fun activity weekly Empowering ourselves
Schedule a fun activity weekly YES Empowering ourselves
Schedule a fun activity weekly YES Empowering ourselves
Schedule a fun activity weekly YES Empowering ourselves
Schedule a fun activity weekly YES NO Empowering ourselves
Do you feel supported in your life? Empowering ourselves
Do you feel supported in your life? Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? YES Empowering ourselves
DO YOU HAVE A CONFIDENTE AT WORK? YES NO Empowering ourselves
HOME / WORK BALANCE Empowering ourselves
HOME / WORK BALANCE Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES Empowering ourselves
DO YOU HAVE A HEALTHY HOME / WORK BALANCE? YES NO Empowering ourselves
Nurturing a spiritual life Empowering ourselves
Nurturing a spiritual life Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? YES Empowering ourselves
DO YOU NURTURE A SPIRITUAL LIFE? YES NO Empowering ourselves
We in this together Empowering ourselves
We in this together Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES Empowering ourselves
IN THE LAST MONTH HAVE YOU ASKED A COLLEAUGE HOW THEY ARE REALLY DOING? YES NO Empowering ourselves
ADD UP YOUR SCORE Empowering ourselves
ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Empowering ourselves
ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Empowering ourselves
ADD UP YOUR SCORE Eat 5-10 fruits and veggies daily Exercise - 3 times a week Maintain a reasonable weight Empowering ourselves
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
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
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
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
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
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
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
HOW DID YOU SCORE? Empowering ourselves
HOW DID YOU SCORE? 10 : You re lying Empowering ourselves
HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count Empowering ourselves
HOW DID YOU SCORE? 10 : You re lying 8 or 9 : You can t count 6 or 7: You re amazing Empowering ourselves
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
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
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
Discussion question
Discussion question What are the beliefs that put you at risk of not taking care of yourself?
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?
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?
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.