Providing Ex Exce cellent and and Com ompassio ionate Car are - - PowerPoint PPT Presentation

Eugene Dufour Hospice Palliative Care Consultant – Bereavement Specialist – Trauma Therapist Phone: 519-476-2116 Email: edufour@tcc.on.ca

Providing Ex Exce cellent and and Com

• mpassio

ionate Car are to Our ur Clie lients, The heir Fam amili lies, Our ur Coworkers s an and Our urselves Du During the COVID – 19 19 Pan andemic.

Sess ssion n Eigh ght: : Reviewi wing g and d Reass ssess essing ng Pr Pre-Post Traum umatic Stres ess

• COVID-19 Stress
• Compassion Fatigue
• Trauma Symptoms
• PTSD Symptoms
• The Cycle of Cynicism
• The Cycle of Hope
• The Cycle of Self-Compassion
• Guidepost For Diminishing Suffering

As human an being ngs s we are e st storytel eller ers. s. Trauma triggers within us the need to tell stories to make sense

• f what has happened.

Stephan Joseph – What Doesn’t Kills Us

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be di diag agnosed wi with th PTS PTSD, an n adult dult mus must t ha have all l of f the he foll

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ast one e re-exper perienc encing ng sympt ptom

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ast one e av avoi

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danc nce e sympt ptom

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ast two arou

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sal and d reac activity sympt ptom

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ast two cogni gnition

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Re Re-experie iencin ing Sy Symptoms:

• Flashbacks—reliving the trauma over and over, including physical

symptoms like a racing heart or sweating

• Bad dreams
• Frightening thoughts

Avoid idance Sym ymptoms:

• Staying away from places, events, or objects that are reminders of the

experience

• Avoiding thoughts or feelings related to the traumatic event

Ar Arou

• usal

l and and Reac eactiv ivit ity Symp ymptoms:

• Being easily startled
• Feeling tense or “on edge”
• Having difficulty sleeping, and/or having angry outbursts

Co Cogn gniti ition and and Mo Mood d Symp ymptoms:

• Trouble remembering key features of the traumatic event
• Negative thoughts about oneself or the world
• Distorted feelings like guilt or blame
• Loss of interest in enjoyable activities

Ri Risk sk Fact ctor

• rs for

r PTSD Incl nclude: e:

• Living through dangerous events and traumas
• Getting hurt
• Seeing people hurt or killed
• Childhood trauma
• Feeling horror, helplessness, or extreme fear
• Having little or no social support after the event
• Dealing with extra stress after the event, such as loss of a loved one, pain and

injury, or loss of a job or home

• Having a history of mental illness or substance abuse

Th The e Six Six Ne Needs of

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r journ journey thr throu

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rief and and mo mour urni ning, we e al all enc encoun unter six nee needs we e mus must t mee meet if f we e ar are to

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heal: 1. 1. Ac Ackn knowledge the the rea eality of

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the dea death. 2. 2. Emb Embrace the the pai pain of

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the loss.

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3. 3. Rem emember r the the per person n who who di died ed. 4. 4. De Develo lop a a ne new w self elf-id identit ity. 5. 5. Sea Search for

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meaning. 6. 6. Rece eceive sup upport rt fr from

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• thers.

Resilien ence e Factors That Ma May Redu duce e the e Risk of PTSD Includ ude: e:

• Seeking out support from other people, such as friends and family
• Finding a support group after a traumatic event
• Learning to feel good about one’s own actions in the face of danger
• Having a coping strategy, or a way of getting through the bad event and

learning from it

• Being able to act and respond effectively despite feeling fear

Guid uidep epost For For Dim imin inis ishin ing Sufferin ing

• 1. Acknowledging Suffering and the Sufferer.
• 2. Inviting, Listening To, And Witnessing Stories Of Suffering.
• 3. Recognizing and Challenging Our Own Constraining Beliefs

About Suffering.

Gu Guid idepost t For

• r Dimin

inis ishing Suf Suffering

• 4. Creating A Healing Context For Reducing Suffering.
• 5. Inviting Reflections About Suffering
• 6. Reverencing And Loving
• 7. Prayer And Praying (Inspiration)

Healing does not mean the trauma never existed. It just means the trauma no longer controls our lives.

NEW COVID-19 RESOURCES

COVID-19 SPECIFIC CONVERSATION GUIDES:

• Proactive Goals of Care (GOC) conversations
• GOC conversations for a person with mild/mod COVID-19
• GOC conversation for a person with severe COVID-19
• Phone conversations with families of a dying person

OTHER COVID RESOURCES:

• Palliative symptom management suggested order set for LTC
• Advance Care Planning guides for patients and SDM
• Sample letter from LTC facilities to families and residents

ALWAYS AVAILABLE:

• Advance Care Planning, Goals of Care and Consent resources for

healthcare providers (conversation guides, e-learning modules)

• Person-Centred Decision-Making Toolkit

https://www.hpco.ca/