Sustainability Flashcards
Resilience
capacity to recover quickly from difficulties; toughness/ability to spring back
resist adversity w/o resulting in physical/psychological disability
emotional competence/personality characteristic that deals w/ -ve effects of stress + promotes adaptation - can also be acquired w/ continuous improvement
encompasses self-efficacy, slef-control, self-regulation, planning, perserverance
Sources of burnout - medicine
Personal:
Perfectionism, denial, avoidance, micromanaging, unwilling to seek help
Being too conscientious
Professional:
Culture of invulnerability
Culture of presenteeism
Blame culture / silence
Systemic:
Overwork, shiftwork, lack of oversight
Chaotic work environments
Lack of teamwork, fractured training
Factors aiding resilience
Intellectual interest:
Job satisfaction, career progression, variability (if wanted), capacity to develop special interest
Self awareness and self reflection:
Recognise and accept personal limits, establish boundaries in doctor-patient relationship, less self critical
Aided by mindfulness based stress reduction
Time management and work life balance:
Ensuring time for hobbies, leisure, relaxation, self expression
Continuing professional development
Support including team working:
Supportive relationships within and out-with medicine
Mentors:
Help trainees adapt to change and react to stress
Professional attitudes:
Changing sense of perfectionism, presenteeism, culture of silence
Better support for those struggling or after difficult events
Societal attitudes:
Changing culture of blame, reduce perceived threat of complaints
Public acceptance of mistakes? Patients’ personal responsibility for health?
Structural changes:
Improved shift patterns, better work – life balance, less fractured training, regular breaks, a cup of tea
Occupational Hx
occupational and environmental history = chronological list of all pt. employment to determine if work has caused ill health, exacerbated an existing health problem or has ill health had an impact on the pt. capacity to work
Description of present + previous jobs from leaving school
Identifying any exposure to chemicals or other hazards e.g. stress, overwork, adverse working environment, in this situation is the fact that role largely sedentary exacerbating or causing his back pain?
Did the symptoms improve when not exposed / not at work e.g. at weekends, holidays?
Determine the duration and intensity of exposure e.g. was it so noisy it was impossible to communicate
Is personal protection used e.g. what kind of mask? Or equally is an appropriate chair / desk provided?
What maintenance is in place for the protection measures?
Do others suffer similar symptoms?
Are there known environmental hazards in use?
Any hobbies, pets, worked overseas, moonlighting?
Fit note
facilitates earlier discussion about returning to work + rehabilitation
incl. items of consideration for employers when signing pt. return to work e.g. phased return to work (reduced hours then built up - builds capacity + allows time for rehab), adjusted hours (diff. times of day), adaptation to workplace (like seating), amendments to duties (change in work practice/content - braking up the day diff. to allow more movement, less time sitting)
can only be completed by doctor
advice to pt. as employees - not binding to employer + doesn’t affect statutory sick pay
req. if pt. off for > 7 consecutive days incl. non-working days
Occupational health
for pt. off for longer periods of time/more complex needs
OHS can help support + help pt. stay in work and lead full, healthy lives
play key role in ensuring health + well-being of working population by preventing work-related ill health + providing specialist rehabilitation advice
provide independent impartial advice to employers + employees on effects of work on health + effects of health on works
Sustainability
able to continue over a period of time
in NHS - low carbon clinical care + environment, ability of the NHS to survive
Low carbon clinical care
Prioritise Environmental Health
Substitute harmful chemicals with safer alternatives
Reduce and safely dispose of waste
Use energy efficiently and switch to renewable energy
Reduce water consumption
Improve travel strategies
Purchase and serve sustainably grown food
Safely manage and dispose of pharmaceuticals
Adopt greener building design and construction
Purchase safer more sustainable products
Low carbon clinical care
Prioritise Environmental Health
Substitute harmful chemicals with safer alternatives
Reduce and safely dispose of waste
Use energy efficiently and switch to renewable energy
Reduce water consumption
Improve travel strategies
Purchase and serve sustainably grown food
Safely manage and dispose of pharmaceuticals
Adopt greener building design and construction
Purchase safer more sustainable products
in turn: becomes better at preventing conditions, gives greater responsibility to pt. in managing their health, be leaner in service design + delivery, use lowest carbon technologies
