...COMPASSION FATIGUE and THE PATH to RENEWAL Presenters: Kathy Hoppe, D.Min. and Loretta Oldfield, RN COMPASSION FATIGUE and THE PATH to RENEWAL Presenters: Kathy Hoppe, D.Min. and Loretta Oldfield, RN 1. Introductions 3. Learning to Juggle 4. Most of us have trouble juggling. The woman who says she doesn't is someone whom I admire but have never met. Barbara Walters Most of us have trouble juggling. The woman who says she doesn't is someone whom I admire but have never met. Barbara Walters Juggling Misconceptions about Helping Others * I can fix the problem and everything will be ok. * If I care enough, everything will turn out right. * I have enough resources on my own to fix it. * The person I’m helping will appreciate everything I do. * I know what I’m getting into. 5. Definitions * Stress: the nonspecific response of the human organism to any demand placed upon it * Suffering: a state of severe distress associated with events that threaten a person’s intact state * Compassion: deep awareness of the suffering of another person along with the wish to relieve that suffering * Compassion Fatigue: A state of tension and preoccupation with an individual or cumulative trauma of clients as manifested in one or more ways including re-experiencing the traumatic event, avoiding triggers or feeling numb, or feeling persistent arousal. Or The natural consequence of stress resulting from caring for and helping...
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...several support groups to help survivors cope with the confusion, anger and fear often experienced after episodes of sexual assault and domestic violence. These groups enable survivors to share their experiences, feelings and provide others and themselves with support to overcome their fears and feelings of isolation. The purpose of this group is to find a commonality among all members and gain a sense of empowerment and unification through discussions and self disclosure. These sessions will be held at the Poudre Valley Hospital on the basement floor in room 111 from 5 to 6 pm. It will be available every second and fourth Tuesday of each month, two sessions per month, for 6 months. A facilitator, Charli Zafarana, will be the leader of the sessions and will also be available outside of sessions. Charli will provide her contact information after the first session. Through the 12 sessions we will discuss and share personal stories, barriers and obstacles, current struggles, how to find empowerment amongst ourselves, self care and self help and finally if children or other relatives are involved, how to cope, bond and stabilize families. However, any discussion will be more than welcomed. Because we value confidentiality so much with this particular issue, Women Helping Women will be a closed group. This means that the amount of women who register to this group by October 1st will be...
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...work | Prepare for and drive to work | 6 a.m.–7 a.m. | | Breakfast | Breakfast | Breakfast | | | | 7 a.m.–8 a.m. | WORK | Housework | Family Time | Housework | WORK | WORK | WORK | 8 a.m.–9 a.m. | | | | | | | | 9 a.m.–10 a.m. | | Family Time | | Family Time | | | | 10 a.m.–11 a.m. | | | | | | | | 11 a.m.–12 p.m. | | Lunch | Lunch | Lunch | | | | 12 p.m.–1 p.m. | | Grocery shopping | Family time | Family Time | | | | 1 p.m.–2 p.m. | | | | | | | | 2 p.m.–3 p.m. | | | Leisure time | Leisure time | | | | 3 p.m.–4 p.m. | Drive home | Drive home | | | Drive home | | | 4 p.m.–5 p.m. | Rest/Relax | Rest/Relax | Self-care: Exercise | Self-care: Exercise | Rest/Relax | | | 5 p.m.–6 p.m. | Self-care: Exercise | Self-care: Exercise | | | Self-care: Exercise | | | 6 p.m.–7 p.m. | Supper | Supper | Supper | Supper | Supper | | | 7 p.m.–8 p.m. | Course Study: Read lesson and book | Leisure Time | Course Work: post in TD1 and TD2/ Start Assignment | Leisure Time | Course Work: post in TD1 and TD2/ Assignment | Drive home | Drive home | 8 p.m.–9 p.m. | | | | | | Supper | Supper | 9 p.m.–10 p.m. | | Course Study | | Assignment Work | | Family Time | Family Time | 10 p.m.–11 p.m. | | | | | | | Review/Post Assignment | 11 p.m.–12 a.m. | Sleep | Sleep | Sleep | Sleep | Sleep | Sleep | Sleep |...
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...Dorothea Orem's Self-Care Theory | This page was last updated on February 4, 2012 | | INTRODUCTION * Theorist : Dorothea Orem (1914-2007) * Born 1914 in Baltimore, US * Earned her diploma at Providence Hospital – Washington, DC * 1939 – BSN Ed., Catholic University of America * 1945 – MSN Ed., Catholic University of America * She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse consultant. * Received honorary Doctor of Science degree in 1976. * Theory was first published in Nursing: Concepts of Practice in 1971, second in 1980, in 1995, and 2001.MAJOR ASSUMPTIONS * People should be self-reliant and responsible for their own care and others in their family needing care * People are distinct individuals * Nursing is a form of action – interaction between two or more persons * Successfully meeting universal and development self-care requisites is an important component of primary care prevention and ill health * A person’s knowledge of potential health problems is necessary for promoting self-care behaviors * Self care and dependent care are behaviors learned within a socio-cultural contextDEFINITIONS OF DOMAIN CONCEPTSNursing – is art, a helping service, and a technology * Actions deliberately selected and performed by nurses to help individuals or groups under their care to maintain or change conditions in themselves or their environments * Encompasses the patient’s perspective of health condition ,the...
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...in a marathon. It is very important for us as Americans to maintain a healthy lifestyle and to do so we need to improve our well being not only physically, but also mentally and emotionally. Physical activity is done for different reasons and in different settings. If you think of physical activity what comes to mind? Walking up the 6 flights of stairs on your way to work? Waiting tables from 12-8 at a restaurant? Or how about cooking your favorite meal? These are all examples of physical activity and remember it’s not the amount of physical activity you do but it also depends on the variety. Physical activity isn’t only about running marathons or going to the gym. That’s only the tip of the iceberg. Physical activity also involves being self-sufficient. There are all kinds of movements needed to carry out tasks and chores at home for example bathing, cooking, doing laundry, vacuuming, or shopping for groceries. Sometimes these activities can be quite demanding and people often hire others to perform these chores. But there has been an increase in sales for do-it-yourself manuals and more people are watching tutorial videos online to save time and money. Another way we use physical activity is through gestures. We use gestures to express our feelings and convey messages to other people. The first type of gesture I’ll talk about in emblems. Emblems are movements usually done with your hands that take place of a word. You can use emblems with or without words but are still just...
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...look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family. Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator available, this would relieve some of the stress and help the patient and family learn about the disease and the medications needs to control diabetes. Dorothea Orem’s self care deficit theory in nursing encompasses “three nested theories: theories of self-care, self-care...
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...however, is not complete. Consistent with the federal policy embodied in the McCarran-Ferguson Act of leaving the regulation of insurance to the states, Congress saved from ERISA preemption any state law which regulates insurance. States have enacted legislation that requires insurers to pay for the services of a particular type of health care provider, even if the terms of the policy specify that the payment will be made only to another type of provider. These “mandated-provider” laws, as they are called, relate to employee benefit plans because they change the terms of the insurance policies purchased by these plans. Thus, unless mandated-provider laws regulate insurance, such laws are preempted by ERISA as applied to employee benefit plans. The question whether mandated-provider laws are laws that regulate insurance is important because of the prevalence of such statutes, the large number of individuals covered by insurance plans, and the significant effect such statutes have on the structure, administration, and cost of insured plans. Insurers are generally opposed to mandated-provider provider laws because they induce many employee groups to self-insure plans, create dis-uniformities in multistate plans, increase the cost of plan administration, and force insurers to pay less effective or less efficient providers. Insurers and employee groups are also opposed to mandated-provider laws because they interfere with insurers’ attempts to lower costs by forming preferred provider...
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...Persuasive Essay Olga Acosta COMM/215 Sept. 10, 2014 Craig Westman Persuasive Essay Obama care is the unofficial name of The Patient Protection and Affordable Care Act That was approved as a law in March 23, 2010. The objective of Obama care is to give access to all American to quality medical insurance according to their economic possibilities and reduce health care spending in the United States. The new health care law is not perfect, but it offers more than what we have now and what we had before. I live in an apartment and it’s located on the second floor; one day I was bringing the garbage and boxes out because we had just recently moved to those apartments and quickly went down the stairs and thinking that it was the last step; I slipped and fell to the ground. I got up quickly but when I started to walk, I felt a great pain in my knee. No one was around and the first thing I did was to ask for help. Luckily my son heard my screams and I could be able to walk home. Sitting on the couch in my house I realized that I had very swollen knee but it would be impossible to drive my car to the hospital so a neighbor took me to the emergency room. We arrived at the hospital and they took a few x-rays and found out that I have a fracture in my knee and needed immediate attention. We live in a border with Mexico and for me it was very easy to cross the bridge and be treated in Mexico because it is much cheaper the consultations and medicines. This time it was a...
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...US DEPARTMENT OF LABOR CASE STUDY Total Rewards HRM533 016 December 2,2012 The purpose of this paper is to provide information about the United States Department of Labor (DOL) website. This Website communicates the current regulations and federal involvement in employee benefit. This report describes the features of this website and how each feature can be used to monitor employee benefits. And specifically focusing on how the benefits comply with all federal laws. Moreover this report provides detailed information on how employees would use this information to their benefits rights is protected. This new web service was developed based on data collected by the Occupational Information Network and the National Labor Exchange. The Occupational Information Network collects information on the skills and job requirements for a wide variety of nearly 1000 occupations in the United States (Investopedia Ulc., 2012, para 2). The National Labor Exchange was created by the Direct Employers Association to deliver information on the job requirements from various American corporations. Describe the major features of this Website and how each feature can be used to monitor employee benefits. The major aspect of this website would be the content list and how it is classified. In this section, we review the types of features found to be useful in web page classification research. First of all, I think that the structure and design are very important to a website as it...
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...like dental insurance or vision insurance. Under this plan employers can take away some benefits such as certain coverage’s or prescriptions to help cut down on cost. At certain times of the year they will have what is known as open enrollment periods. This is when employees can make changes to their benefits usually through web-based tools. While some employees choose to obtain plans through employer-sponsored health plans, some companies choose to go with self-funded health plans. Self-funded health plans are used by employers to save money. Their strategy is to save money by providing medical benefits they have purchased themselves that allows these employers to create plans that do not require them to pay premiums to other insurance companies. The employer or companies with self-funded health plans have the option to set up their own provider networks or lease a managed care organization’s network. Most self-funded health plans will hire what is known as a third party claims administrators. The TPAs will take care of task such as: collection premiums, maintaining lists of members, processing claims, and paying claims. Under COBRA the cost of health plans are affected by allowing employees to continue their health coverage after leaving a job for a little more money or higher premium for a certain time. Along with COBRA HIPAA helped add more and new rules to help employees with preexisting conditions when they find new employment. HIPAA states that while private plans...
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...Control Strategies Employer sponsored insurance falls under what is called group health plans. When an employee has this coverage the group are the ones that are the policyholders. The health care plans are negotiated through the human resources department and they select what plans to offer the employee. Most plans are the basic plans and that is where the riders come in. what riders mean is it gives the employee the option to choose what health care plan they want to choose. These options may include vision and dental add-ons. Another rider could be services such as massages, nutrition counseling, and possible vitamin supplements. Some insurance plans would not cover these things. It just depends on the plan that is chosen. An employer may also choose the Federal Employee Health Benefits Program (FEHB), which happens to be the largest health care program that the employers use. However, the government controls this plan. This is the plan they use for the government workers, people who retired from the government, and their families. Another plan that employers use is the Self-Funded Health Plans. This is for many large companies to ensure the cost of the employees’ medical benefits come from them rather than buying them from different insurance companies. This plan is basically a self-insured plan but the employer sets the level of benefits the employee gets. For this plan they bring in a third-party claim administrator to collect the money for the premiums and make sure the...
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...our years of national experience with many of our insurance partners have enabled us to expand our customized benefits package, while serving a high-degree of employee satisfaction. In today’s economy, many large businesses are vulnerable to unintentional errors while administering benefit functions. In light of the continuous changes that have impacted and will continue to impact our benefits administration, including: The Patient Protection and Affordable Care Act (PAACA or Health Care Reform), The Sarbanes-Oxley Act (SOX), Health Insurance Portability and Accountability Act (HIPPA), Family and Medical Leave Act (FMLA), Consolidated Omnibus Budget Reconciliation Act (COBRA) Americans with Disabilities Act (ADA) Age Discrimination in Employment Act (ADEA) FBMC will continue to ensure that our clients remain compliant under these IRS guidelines. These regulations have increased our administrative complexity to provide services such as managing non-discrimination testing for both insured and self-insured health plans, automatic enrollment, tracking part-time and full-time eligibility, reporting requirements, and employee communications to our clients and their employees. In recognition to our accomplishments as a whole, I believe expanding our services internationally will allow us to provide a more robust benefit package that will attract and retain our clients. Nevertheless, it would allow us to expand our coverage from “employee-only” to a more industry-leading...
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...insurance that is cost effective for the employer. Choosing what type of insurance to provide can have different effects on the profitability of the employer. Here is a comparison of the cost effectiveness of employer-sponsored health care and self-funded health plans. In employer-sponsored health plans the employer buys health insurance from an insurance company. The human resources department manages the group health plan (GHP) and they negotiate costs and different coverage plans with the insurance company and then select what is offered to the employees. This helps the employer save money by negotiating for deals and choosing what will be offered to employees. The employer can carve out specific items during negotiations, like prescription drug coverage in order to save money. GHP’s also include riders. These are certain options that the employer doesn’t pay for. Riders are purchased by the employee directly from the insurance company to cover things like vision and dental services. GHP’s have open enrollment periods in which employees choose the coverage options they desire. This is the only time coverage changes can be made. Thus, the employer saves money during the year because insurances coverage isn’t constantly changing. Self-insured health plans are ones where they employer covers the cost of health benefits. This saves an employer money because they can set the premium rate on their claims history. Any money not used towards benefits can be saved and...
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...PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According to Seedhouse (2000), the Orem Self-Care Model of...
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...(“Currentnursing.com”, 2010). Core concepts embody a theory creating the basis for the theory or model. In nursing, concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. Dorothea Orem’s self-care deficit nursing theory “The central philosophy of the Orem’s self-care deficit nursing theory is that patients want to care for themselves and can recover more quickly and holistically by performing their own self-care as much as they're able. The self-care requisites identified by Dorothea Orem fall into one of three categories” (“Currentnursing.com”, 2010): 1. Universal self-care requisites. a. Air b. Water c. Food d. Activity e. Rest f. Hazard prevention. 2. Developmental self-care requisites. a. Maturational: progresses the patient to a higher level of maturation. b. Situational: prevents against harmful effects in development. 3. Deviation requisites: needs that come up based on the patient's condition. If a patient cannot meet his or her self-care needs, then the individual has developed a self-care deficit. At this point, the nurse steps in with a varying level of support that can range from complete care, partial care, or simply educating the individual...
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