Chapter 3 Flashcards
Self Care results in
Being a better caregiver.
Resilience
ability to bounce back, positively adjust, and adapt in the face of adversity, trauma, or stress. A quality and a process. A commitment.
Individual self care plan:
- Mindfulness/Mind-body practices
- Structured mentorship
- Attention to sleep
- Routine Self-screening
- Meditation Practices
Organizational supports for self-care
Employee Assistance Programs and Counseling services
Inter-professional communication and peer support groups.
Workplace wellness programs.
Balancing socializing and solitude
Socializing - connected with others for enjoyment, information sharing
Solitude - a positive active state of individual self reflection and integration of inputs.
Self Respect and Competence:
Developing:
Specialized knowledge
professional skills
technical skills
Critical Reasoning
Interpersonal skill
teaching and administration
Seek opportunities to enhance expertise.
Giving and Accepting support
Mutual support is realized through
*shared concerns
*shared fun, enjoyment
*Shared care and gratitude
Institutional support
Mindfulness
True joy–In the moment
setting an intention to pay attention systematically and nonjudgmentally to the present moment for whatever arises.
Anxiety
Threaten well being and performance
Acknowledge - identify source - share - seek help
Burnout
rising rates
hallmarks:
* emotional exhaustion
* lack of personal accomplishment
* depersonalization and detachment
Professional boundaries - what it is
Separates PTA roll from other rolls you have in your life - distinction between personal and professional relationships.
Professional boundaries - how it’s managed
How you behave within the therapeutic relationship with your patients.
Boundary
limit that allows for safe connection between you and patient
* based on patient’s needs
* Adhere to rules
* personal views are secondary
* patient is focal point.
Key ethical principles
- Autonomy - patient’s right to self-determination
- Beneficence - you will do only good in the work you do
- non-malfeasance - not cause harm in work you do
- Justice - maximize fairness
- Veracity - respect patients
- Fiduciary duty - put patient needs ahead of your own.
Letting personal bias shape relationship with patient
gain personally at patient’s expense
intent can be different from impact
Behaviors of harm - taking professional shortcuts
for instance shortening treatment time to meat own need to leave early.
behaviors of harm - treating patient like an object
in example - discussing your personal life with a colleague while performing care
specific behaviors of harm - manipulating your patient
steering your patient toward a particular treatment option
Purposeful manipulation
in patient’s best interest - individuals with dementia or other cognitive limitations - don’t lose respect for patient.
specific behaviors of harm - Deceiving or cheating your patient
Omitting potential consequences when proposing treatment
power imbalance
patient needs your knowledge or expertise - creates patient vulnerability - patients may not complain
Applying your knowledge without misusing your power
don’t start in middle of story
Don’t leave out information that your patient should be aware of.
when expectations can’t be met
Outline parameters of service
Define your role
seek consultation
Words
Be careful of words or adjectives that label patients. - focus on describing behaviors.
Who’s needs are coming first?
key question for patient interactions.
Clear roles - patient and PTA can become muddled when -
Friend creates a dual role
By sharing personal information
Dualize role and therapeutic boundary is blurred
in self-disclosure
consider your professional purpose for the self-disclosure.
Asking for advice from a professional that is also a patient
Creates role reversal and dualizes the relationship.
Any dualized relationship
avoid
Red flags for patient boundaries
Do you try to make you patient feel special?
Do you promise ongoing availability to patients?
What is the impact?
Red flag 2
Do you socialize with patient outside of therapeutic relationship?
More key red flags
Do you personally disclose, or touch of a personal nature?
Do you ask for favors?
Red Flags 4
D you fail to define you roll or service parameters?
Do you make up your own rules?
Are you burnt out?
