sexuality and intimacy 4

Question 1

Stephen Covey described

Answer 1

this in his book “The seven habits of highly

effective people” (1989)

Question 2

circle of concern refers

Answer 2

to all those things that may concern us: our

health, our patients’ health and family, our patients’ problems,

Question 3

circle of influence lies

Answer 3

with the circle of concern and relates to those

things that we have control over.

Question 4

 We need to be able to distinguish between the two.

circle of concern circle of influence lies

Answer 4

Wasting too much

time and effort over things we cannot control can burn us out.

Question 5

An individualised self-care plan for palliative care providers focuses on four self-care domains:

Answer 5

Physical
Emotional / cognitive
Relational
Spiritual.
 The plan encourages a systematic approach to identifying warning signs of stress and burnout in
each area, and the development of protective practices.

Question 6

Self awareness

Answer 6

Assists you to identify your strengths and weaknesses as well as to understand why
you react the way you do in certain situations.
Assists you to manage your emotions rather than being overwhelmed by them.

Question 7

Self reflection can include questions like:

Answer 7

 Physical: What is happening to my state of health and well-being?
 Emotional: How do I feel during and after I finish work?
 Perceptions: How do I make sense of my experiences at work?
 Activities: How well do I balance my work and personal life?
 Relationships: How has work impacted on my relationships (family, friends)?
 Expertise: What am I learning in my work role?, and
 Spiritual: How have my faith and personal meanings changed?

Question 8

What personal characteristics assist the nurse to prevent

burnout when caring for the dying patient?

Answer 8

 Appropriate training
 A well developed personal philosophy, including:
 A perception of being well supported, particularly in personal relationships
and family
 Being part of an effective team
 Inadequate training
 Single status, with poor personal supports
 Younger and engaged full-time in caregiving
 Stressful life events, especially when accumulative and without
adequate resolution.
 Past history of depression.
 Compulsive caregiving, showing idealism and investing too much
into the effort.
 Having too high expectations of oneself.
 The habit of self-medication and the use of alcohol as a treatment
for problems.

Question 9

 A well developed personal philosophy, including:

prevent burnout personal

Answer 9

➢ An appreciation of the spiritual or religious
dimensions to life
➢ Personal resilience through a good self esteem.
➢ Self-awareness
➢ Capacity for intimacy
➢ Ability to live in the present

Question 10

What workplace characteristics assist in the

prevention of burnout in the palliative situation?

Answer 10

 Good communication between colleagues, e.g.
doctors and nurses treat each other with mutual
respect.
 Good teamwork
 Clear definition of roles
 Supportive conditions of employment
 Good staffing with appropriately qualified staff
 Work overload with inadequate skills for the tasks at hand
 Ambiguity of role
 Conflict with other providers
 Poor teamwork with poor communication, rivalries or lack of
leadership.
 Poor management.