THE HEALING ASPECTS AVERTING CARETAKER STRESS AND BURNOUT OF LAUGHTER: Presented by Laura Hayden-Frantz

Transcription

1 THE HEALING ASPECTS OF LAUGHTER: AVERTING CARETAKER STRESS AND BURNOUT Presented by Laura Hayden-Frantz

2 WHY AM I HERE? My story (the brief version)

3 BURNOUT Burnout is a complex syndrome. Involving both emotional exhaustion. It can manifest in many ways. Poor self concept Variety of adverse health problems Negative attitude especially towards employment.

4 BACKGROUND: Burnout starts in graduate school Effects >50% of novice practitioners Schools provide little training Laughter is a stress reliever

5 BACK TO BURNOUT Recognition Prevention Resolution

6 MORE BURNOUT Jobs that require close personal contact with clients/patients have a greater propensity for Burnout. Individuals with caring and/or over achieving personality traits are at great risk for Burnout. Sadly, this will be many of you.

7 EVEN MORE BURNOUT Workplace Challenges Over worked/ under staffed Time management Insurance issues (for which there are many) Less treatments Shorter sessions Coverage

8 PREVENTING BURNOUT Provide training in medical schools! Problem solving skills for challenging patients Life / work balance Detached caring* ( I coined this phase) Time management training More training in interpersonal skills Support systems Laugh a lot more!

9 MAYBE THE LAST SLIDE LABELED BURNOUT Do No Harm Should apply to the caretaker as well as the patient.

10 The art of medicine consists of amusing the patient while nature cures the disease. Voltaire, French philosopher

11 Life does not cease to be funny when people die anymore than it ceases to be serious when people laugh. George Bernard Shaw

12 LETS TALK ABOUT LAUGHTER Why Laugh? Laughter is well documented as a: stress reliever an anti depressant an analgesic aerobic exercise for your heart a vasodilator (just like Viagra, funny story there) it lowers blood pressure and anxiety and its fun

13 LAUGHTER 101 The power of laughter. Strategies to engage in more laughter. Frown/ smile exercise Fun training

14 MORE LAUGHTER 101 Thoughts, Questions, Input? Role playing fun.

15 LAUGHTER 101

16 REFERENCES Adams P. Humour and love: the origination of clown therapy. Postgrad Med J. 2002;78: Baldassin S, Correa de Toledo Ferraz Alves, T. Guerrade Andrade, A. Martins LAN. The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Medical Education. 2008;8: 60. Balogun JA, Titiloye V, Balogun A, Adetoyeje O, Katz J. Prevalence and determinants of burnout among physical and occupational therapists. Journal of Allied Health. 2002; 31(3): Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), Bennett MP, Lengacher C. Humor and laughter may influence health.1. History and background. Evid Based Complement Alternat Med. 2006;3(1) Bennett MP, Lengacher C. Humor and laughter may influence health: II. Complementary therapies and humor in a clinical population. Evid Based Complement Alternat Med. 2006;3(2) Bennett MP, Lengacher C. Humor and laughter may influence health: III Laughter and health outcomes. Evid Based Complement Alternat Med. 2008;5(1): Bennett MP, Lengacher C. Humor and laughter may influence health IV. Humor and immune function. Evid Based Complement Alternat Med. 2009;6(2) Chapman AJ, Foot HC. Humor and Laughter. Theory, Research and Applications. Transaction Publishers New Brunswick New Jersey Deckard GJ, Present RM. Impact of role stress on physical therapists' emotional and physical well-being. Physical Therapy. 1989;69 (9):

17 REFERENCES Donohoe E, Nawawi A, Wilker L, Schindler T, Jette DU. Factors associated with burnout of physical therapists in Massachusetts rehabilitation hospitals. Physical Therapy. 1993;73(1): Edwards N, Kornacki JM, Silversin J. Unhappy doctors: what are the causes and what can be done? BMJ. 2002;324: Glebocka A, Lisowska E. Professional burnout and stress among Polish physicians explained by the Hobfoll resources theory. Journal of Physiology and Pharmacology. 2007;58(5): Greenfield BH, Anderson A, Cox B, Tanner MC. Meaning of caring to 7 novice physical therapists during their first year of clinical practice. Physical Therapy. 2008;88(10): Hasan H, Hasan TF. Laugh yourself into a healthier person: A cross cultural analysis of the effects of varying levels of laughter on health. Int. J. Med. Sci. 2009;6; Joshua AM, Cotroneo A, Clarke S. Humor and oncology. Journal of Clinical Oncology. 2005;23(3): Klien A. The Healing Power of Humor. Penguin Putnam Inc New York New York Kolb K. Graduating burnout candidates. Physical Therapy. 1994; 74: Lee JF, Stewart M, Brown JB. Stress, burnout and strategies for reduce them. Canadian Family Physician. 2008;54: e4. Martin RA. The Psychology of Humor. Burlington MA. Elsevier Academic Press 2007.

18 REFERENCES McManus IC, Keeling, A, Paice E. Stress, burnout and doctors attitudes to work are determined by personality and learning style: A twelve year longitudinal study of UK medical graduates. BMC Med. 2004;2:2-29. Morreall J. Humor Works. HRD Press Inc. Amherst, Massachusetts Peile E, Carter Y. Selecting and supporting contented doctors. BMJ. 2005;330: Penson RT, Partridge RA, Rudd P, Seiden MV, Nelson JE et al. Laughter: the best medicine? The Oncologist. 2005;10(8): Schuster ND, Nelson DL, Quisling C. Burnout among physical therapists. Physical Therapy. 1984;64(3): Sechlen S, Vordermark D, Schafer C, Herschbach P, Bayerl A,et al. Job stress and job satisfaction of physicians, radiographers, nurses and physicists working in radiotherapy: a multicenter analysis by the DEGRO quality of life work group. Radiat Oncol. 2009; 4: 6. Smith R. Why are doctors so unhappy? BMJ. 2001;322: Sweet M. Being a caring doctor may be bad for you. BMJ. 2003;326:355. Watson S. Clowning around sets patients at ease. CMAJ. 2008; 179(4):

19 THANK YOU Please find joy be happy laugh a lot! It helps!