Tag Archives: Professional Caregiver

Hospice Care: Can Compassion be Taught?

hospice-care compassionSome think compassion is an attribute reserved for people like Mother Teresa. But compassion isn’t just reserved for those who travel a moral high ground.  Hospice care professionals cultivate compassion for when they are called to the bedside.

Compassion is Good Medicine
Compassion has many qualities, most noteworthy loving-kindness and heart-centered. Therefore, compassion is a heartfelt concern for suffering coupled with wanting to ease the suffering. Scientists show interest in the impact of compassion. As a result they’re finding that it’s good medicine. The Center for Compassion and Altruism Research and Education conducts scientific studies of compassion and altruistic behavior. Scientists look beyond Western “hard science” to learn about human behavior and emotions.  Neuroscientists conduct brain studies to discover how compassion affects us biologically.

A study published in the Journal of Clinical Oncology showed that 40 seconds of compassionate communication from a physician reduced anxiety and increased confidence among breast cancer patients.  In hospice care compassionate communication may enhance the experience for the patient. But it may also help hospice care professionals find greater satisfaction in their work.

How to Cultivate Compassion
Compassion is a human quality. With intentional practice it arises spontaneously.  Many heart-centered practices exist. Anyone serving people in hospice care can integrate such practices. Especially  relevant is the following example.

Sit comfortably. Be in your body and focus your attention upon your breath. If you wish, place one or both hands over your heart.

First, direct loving kindness to yourself.

Picture two or three people who care about you. Imagine them looking lovingly at you. These might be people in your life now or in the past or even spiritual figures. What would they wish for you? Repeat these simple phrases imagining they were saying them to you.

May you be filled with kindness and compassion.

May you be safe in every way.

May you be well in body and mind.

May you be happy.

May you live with ease.

How do you feel? Notice what arises trying not to judge thoughts, but simply let them pass through your mind.

Next picture someone you would like to send compassion to. It could family or a friend; a co-worker; a stranger; or even  someone you find challenging. Repeat the same phrases except this time direct them to this person. Again, sit for a few minutes simply noticing anything that arises in your mind.

To end, take in a deep, cleansing breath and bring your awareness back into your body. In conclusion, offer thanks for the experience in whatever way you wish. Perhaps a simple “thank you” will do!

 

 

 

 

Senior caregiving: Remember your why

lonely-old-man-in-senior caregiving

Anyone working in the field of senior caregiving knows how important it is to find meaning in our work and service. Author Simon Sinek tells us to Start with Why. I’m haunted by the memory of a man who reminded me of why I continue to love senior caregiving.  I met Frank in a nursing home where I was teaching a Compassionate Touch workshop.  I first noticed him because he wasn’t particularly old, at least not by senior care standards, and because he was tall and muscular. He was sitting in a corner in the hallway near the nurse’s station. By his appearance, I was pretty sure he had suffered a stroke some time back.

During the first two days of the training, my students and I went about our business interacting with elders and memory care staff. On the third day, I noticed Frank sitting in the same spot– for hours, just sitting there.  He didn’t interact with anyone and seemed frustrated. He restlessly pushed on the wheelchair footrests. The wheelchair was locked so he couldn’t go anywhere and I’m pretty sure he couldn’t propel the wheelchair himself. Lots of people passed by in the hallway, but no one paid him much mind. He seemed invisible. And lonely. And really frustrated.

Frank is exactly the person I love to seek out to serve.  So, on the third day I pulled up a chair and sat next to him, introducing myself and there was immediate eye contact. While he had trouble with speech, he still could carry on a conversation. He told me he was a veteran and grew up in Illinois. I also learned that he believed his age to be 37. Other signs of confusion were there, too.  I held his hand and arm  affected by the stroke. He was receptive to touch. I asked if his back was uncomfortable. He indicated yes, so I gently rubbed his shoulders and He told me it felt good and with very clear speech, thanked me.

The next day he was again sitting in the same spot. I asked him if he would like to sit somewhere else. He pointed to a spot about six feet
away that was near a desk. With a little effort, because of his size, I maneuvered his wheelchair around so he could reach the desk with his hands. He reached out took hold of a newspaper and proceeded to read it! Regardless of his reading comprehension, he engaged in something purposeful that clearly meant something to him.   The restlessness stopped.  I sat with him about five minutes and I saw a glimmer of a sense of humor. As I left, he took my hand and said “thank you for stopping.”

Now, Frank’s memory haunts me. In a bad way and a good way. Bad because his plight troubles me since I’m pretty sure that he is sitting in that same corner spot as I write this. Invisible again. However, good because Frank is a gut-check of why I do what I do.  Thank you, Frank, for reminding me of  why I love senior caregiving.

 

Eldercare Professional to Family Caregiver

eldercare
What happens when an eldercare professional becomes a family caregiver?  This situation hit home when my husband had a cycling accident and fractured his hip. I was surprised by my reaction to suddenly becoming his care partner, juggling the role of home nurse, personal care attendant, meal provider, and problem solver of getting around in our two-story house. Somewhere in the mix I was also moral support and empathizer. The first week centered on creating a new routine, helping with pain management and personal care. Oh, and wound dressing changes. I quickly was reminded why I never became a nurse, calling a nurse-friend in a panic because the dressing from the hospital was stuck to the wound and I was sickened by pulling it off! If I’m perfectly honest, I felt angered at times by this turn of events that intruded our lives- I didn’t have time for this! It didn’t help seeing my active husband now using a walker- making him “old” to my eyes, bringing up fear about what’s to come as we age.

Now four weeks later I’m a bit more philosophical and I wonder about the interplay of personal and professional roles for those of us with years of experience in eldercare services. As an occupational therapist and dementia care educator I’d like to think I know something about managing home care. But I acknowledge that when it’s personal it’s a totally different dynamic. The boundaries become fuzzy and my emotions make it hard to be as objective as I would be in a professional role.

Luckily our situation is temporary. I know so many people for whom caregiving is endured for years, like my nurse friend who recently lost her husband to dementia and cancer. She cared for him at home for five years. We all will be eldercare partners at some point. I guess we have to suite up, show up, do the best we can, and allow others to help us out along the way.