Compassion

APPLYING COMPASSION IN
MENTAL HEALTH CARE

•VITHOBA NARAYAN MHALKAR
•( GNM,B.Sc(N),M.Sc(N),DHA,MHA,M.PHIL(N))
•Assistant Professor in Psychiatric Nursing
•Department of Psychiatric Nursing,
•Institute of Psychiatry and Human Behavior Bambolim,Goa
PSYCHOLOGICAL IMPACT IN INFERTLILITY
SOCIAL IMPACT OF INFERTILITY
What is compassion ??????
• Compassion: is how care is given through relationships based on empathy, r

espect and dignity
What are the principles of compassion?
• Following consolidation of existing definitions compassion consists of five el

ements:
recognizing suffering,
understanding the universality of human suffering,
feeling for the person suffering,
 tolerating uncomfortable feelings,
and motivation to act/acting to alleviate suffering.
Compassion in Practice – ‘the 6C’s’
• What does it mean to you as a NURSE in the clinical area?

The 6 C’s
Care
• How can we practice it?
• Keep them safe

• Prevent harm
• Ensure high quality care
• Make them feel valued
Compassion
• Loneliness
• Human contact
• Attitude – demonstrating the 6 Cs
• Dignity
Competence
• Regular observation of patient

• Taking every opportunity to identify and mitigate risks to patients
• Preventing is better than cure
Communication
• Regular communication with patient

• Enhancing the comfort of the patient
• Decreasing the anxiety of the patient
• Make them feel valued
• Non verbal – gentle approach
Courage
• Challenging poor practice

• Challenging accepted practice
• Incident reporting/whistle blowing
• Ability to admit when you are wrong
• Apologise/start again/Professionalism
• Putting patient at centre
Commitment
Commitment provides sustaining energy to weather any ch

allenges along the way.
All other leadership traits stem from these
How to Give Compassionate Care to Your Patients
• Practice good manners. ...

• Show personal interest. ...
• Take the time to think about what they have been through. ...
• Always acknowledge their feelings. ...
• Lastly, take time to care for your own emotional needs.
What is the importance of compassion in nursing?
Providing compassionate nursing care can lead to

higher satisfaction in patients,
safer cares,
saving time and cost,
a sense of satisfaction and effectiveness in the personnel,
higher confidence, and coping skills in them
What is compassion fatigue for nurses?
• Compassion fatigue has been defined as a combination of physical,

emotional, and spiritual depletion associated with caring for patients in
significant emotional pain and physical distress (Anewalt, 2009; Figley,
1995).
How does compassion fatigue affect patient care?
• The consequences of compassion fatigue are

• the loss of ability to feel compassion and empathy,
• burnout,
• breakdown,
• disinterest, and moral distress.
• The loss of the ability to feel compassion and empathy results from
prolonged exposure to the stressors and suffering.
hat are the ABCs of compassion fatigue?
• Engage in a self-assessment to determine how well you engage in the ABCs

(Awareness, Balance, and Connection) of mitigating compassion fatigue.
STRESS AND COPING IN NURSING
CARE
•VITHOBA NARAYAN MHALKAR
•( GNM,B.Sc(N),M.Sc(N),DHA,MHA,M.PHIL(N))
•Assistant Professor in Psychiatric Nursing
•Department of Psychiatric Nursing,
•Institute of Psychiatry and Human Behavior Bambolim,Goa
What Is Stress?
Stress is the body’s automatic response to any physical or mental demand placed
on it.
Adrenaline is a chemical naturally produced in our body as a response to stress .
Fight or Flight response is illicited.

Is All Stress Bad?
Moderate levels of stress may actually improve performance and
efficiency
Too little stress may result in boredom
Too much stress may cause an unproductive anxiety level

Identifying Stressors
Situations, activities, and relationships that cause

‘trauma’ to one’s physical, emotional, or
psychological self
Negative Effects of Stress
1. Physical
- Weight gain/loss
- Unexpected hair loss
- Heart palpitations
- High blood pressure
2. Emotional
- Mood swings
- Anxiety
- Can lead to depression
• Can also lead to unhealthy coping strategies (i.e.
alcohol, drugs, etc)
Stress Response: Example
• A good example of a stressful situation for many people is taking a test.
If you find testing to be stressful, you might notice certain physical,
behavioral, mental, and emotional responses.
•Physical Response?
•Behavioral Response?
•Mental Response?
•Emotional Response?
What is Stressful to You?
Work Roommate Legal matters
Classes Childcare Mental health
Studying Finances Law violation
Relationship with partner Appearance Spiritual/Religious issues
Relationship with family Physical Health Major/Career decisions
Relationship with friends Not “fitting in” Attitudes/thoughts
Trauma Getting married Buying a house

Change in residence Change to a new school Change in amount of recreation
Change in amount of social Change in eating habits Death of friend/family member

activities
Benefits of Stress Management
Physical health gets better
 more energy and stamina
Emotions stabilized
 positive attitude
 hopeful/happier
Ability to focus improved

 able to learn and achieve
Stress Warning Signals
• What are your "red flags," or warning
signs, that stress is creeping into your
life? If we keep pushing ourselves,
eventually something inside of use will
send "red flags," or warning signs that
stress is becoming a problem.
Why Do We "Stress Out"?
• For two major reasons:
•We perceive a situation as dangerous, difficult, or
painful.
•We don't believe we have the resources to cope.

Suggestions for Reducing Stress
• 1. Find a support system. Find someone to talk to about your feelings and
experiences.
• 2. Change your attitude. Find other ways to think about stressful situations.
•"Life is 10% what happens to us, and 90% how we react to it."
• 3. Be realistic. Set practical goals for
dealing with situations and solving
problems.
•Develop realistic expectations of yourself
and others.
• 4. Get organized and take charge.
Being unorganized or engaging in poor
planning often leads to frustration or
crisis situations, which most always
leads to feeling stressed.
•Plan your time, make a schedule, establish
your priorities.
• 5. Take breaks, give yourself "me time." Learn that taking time to yourself for
rejuvenation and relaxation is just as important as giving time to other activities.
•At minimum, take short breaks during your busy day.
• 7. Learn to say "no." Learn to pick and
choose which things you will say "yes" to and
which things you will not.
•Protect yourself by not allowing yourself to take on
every request or opportunity that comes your way.
• 8. Get regular exercise. Exercising
regularly can help relieve some
symptoms of depression and stress,
and help us to maintain our health.
• 9. Get a hobby, do something different. For a
balanced lifestyle, play is as important as work.
• 6. Take good care of yourself. Eat properly, get regular rest, keep a routine. Allow
yourself to do something you enjoy each day.
•Paradoxically, the time we need to take care of ourselves the most, when we are stressed, is the
time we do it the least.
• 10. Slow down. Know your limits and cut down on the number of things
you try to do each day, particularly if you do not have enough time for
them or for yourself.
– Be realistic about what you can accomplish effectively each day.

– Monitor your pace. Rushing through things can lead to mistakes or poor
performance. Take the time you need to do a good job.
 Poorly done tasks can lead to added stress.
Relaxation Exercises
• Many different kinds, but 2 are:
•Deep Breathing
•Visualization: Visualization is a nice way of giving our minds and bodies a "mini vacation."
• 11. Laugh, use humor. Do something fun
and enjoyable such as seeing a funny movie,
laughing with friends, reading a humorous
book, or going to a comedy show.
• 12. Learn to relax. Develop a regular relaxation routine.
•Try yoga, meditation, or some simple quiet time.

Compassion

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APPLYING COMPASSION IN

MENTAL HEALTH CARE

• Compassion: is how care is given through relationships based on empathy, r

• Following consolidation of existing definitions compassion consists of five el

• What does it mean to you as a NURSE in the clinical area?

• How can we practice it?

• Keep them safe

• Regular observation of patient

• Regular communication with patient

• Challenging poor practice

Commitment provides sustaining energy to weather any ch

• Practice good manners. ...

Providing compassionate nursing care can lead to

• Compassion fatigue has been defined as a combination of physical,

• The consequences of compassion fatigue are

• Engage in a self-assessment to determine how well you engage in the ABCs

Adrenaline is a chemical naturally produced in our body as a response to stress .

Fight or Flight response is illicited.

Too little stress may result in boredom

Too much stress may cause an unproductive anxiety level

Situations, activities, and relationships that cause

Relationship with family Physical Health Major/Career decisions

Relationship with friends Not “fitting in” Attitudes/thoughts

Trauma Getting married Buying a house

Change in amount of social Change in eating habits Death of friend/family member

Ability to focus improved

•We don't believe we have the resources to cope.

– Be realistic about what you can accomplish effectively each day.

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