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      "body": "*Personal Connection*\n\nAfter two years of working as an Occupational Therapist in a Skilled Nursing facility, I found myself burnt out and unable to keep up with vigorous demands of production, client needs, documentation, and the constant motion of doing. I came to a point where I knew I needed to step away to reassess how I was interacting within my professional role. \nAfter months of extensive travel, I found myself in the Upaya Zen Center’s Buddhist Chaplaincy program. It was there I uncovered the way in which I was engaging with my role as an Occupational Therapist did not serve myself nor those whom I wished to serve. \n\nI completed a thesis paper that discusses my personal experience, alongside current literature, to reveal what leads to medical professionals’ suffering, and eventual burnout. So let’s start today with talking about the nature of burnout.  \n\n![burnout](https://media-public.canva.com/MACZh2ji9BQ/1/screen.jpg)\n\n*What is burnout?*\n\nBurnout syndrome (BOS) was first described in the 1970s as a work-related constellation of symptoms and signs that usually occur in individuals with no history of psychological or psychiatric disorders. Other conditions may overlap with BOS such as moral distress, perceived delivery of inappropriate care, and empathetic distress, which is also referenced in the literature as compassion fatigue (Moss, Good, Gozal, Kleinpeill, & Sessler, 2016).\n\nBOS occurs in all types of healthcare professionals and is especially common in individuals who care for critically ill patients. In the initial stages, individuals may feel emotional stress and job dissatisfaction, which may lead to the inability to adapt to the work environment and negative feelings toward one’s work. The three classic symptoms of BOS are: exhaustion, depersonalization, and reduced feelings of personal accomplishment. Individuals may feel frustrated, angry, fearful or unable to feel happiness, joy, pleasure, and/or contentment (Moss et al., 2016). These feelings may also be associated with helplessness, where the individual feels hopeless, resigned, or even ashamed (Back, Rushton, Kaziak, Halifax, 2015). BOS may also be associated with physical symptoms including insomnia, muscle tension, headaches, body heaviness, lethargy, and gastrointestinal problems (Moss et al., 2016).    \n\nRisk factors that have been associated with the development of BOS are as follows: personal characteristic, organizational factors, quality of working relationships, and exposure to end-of-life issues. Personal characteristics associated with BOS include overly self-critical, engaging in unhelpful coping strategies, sleep deprivation, and a work-life imbalance (Moss et al., 2016). Often, the high-performance professionals are at higher risk for development of BOS due to traits of idealism, perfectionism, and over-commitment. Organizational factors associated with BOS include: increasing workload, lack of control over the work environment, insufficient rewards, and general breakdown in the work community (Moss et al., 2016). Quality of working relationships associated between colleagues and patients vary based on demographic and professional and organization factors such as income, position, education, and work load. These factors are important to address when determining job satisfaction, which influence the development and quality of relationships. Working within end-of-life care can trigger feelings of helplessness that may lead to hypo- and/or hyper- engagement of patient care. These engagement styles are associated with increased suffering among health care professionals (Moss et al., 2016).\n\nA study of 1357 responses from American Academy of Hospice and Palliative Medicine clinician further highlights the contributing factors; researchers found higher rates of burnout from non-physician clinicians originating from emotional exhaustion. Individuals with higher rates of burnout worked for smaller organization, worked longer hours, were less than 50 years old, and worked weekends (Kamai et al. 2016).\n\nBOS is linked to a health-care professional’s choice to leave his or her position. Excessive turnover rates, increased healthcare cost, decreased productivity, lower staff morale, and reduced quality of care since experienced professionals who leave must be replaced. BOS also results in decreased effectiveness and poor work performance, which have a direct impact on patient care. A study in the article An Official Critical Care Societies Collaborative Statement—Burnout Syndrome in Critical Care Health-care Professionals: A Call for Action states, “BOS in nurses is associated with reduced quality of care, lower patient satisfaction, increased number of medical errors, higher rates of health-care associated infections, and higher 30-day mortality rates (Moss et al., 2016) .” \n\nAre you in a healthcare role? Are you experiencing symptoms of burnout? Interested to learn more about the nature of burnout and what you can do to prevent burnout so that you can offer the kind of care you went into the profession wanting to offer? Stay tuned for up and coming articles. Feel free to comment with questions and thoughts. Let’s start a discussion so we can build supportive communities that are able to offer sustainable, effective care!\n\n**Reference List**\n\n Kamai, AH, JH Bull, SP Wolf, KM Swetz, TD Shanefelt, K Adt, D Kavalteratos, CT Sinclair, and AP Abernethy. (2015). Prevalence and predictors of burnout among hospice and palliative care clinicians in the U.S.” Journal of Pain and Symptom Management 51, no. 4; 690–96.doi:10.1016/j.jpainsymman.2015.10.020 \n\nMoss, Marc, Vicki Good, David Gozal, Ruth Kleinpell, and Curtis Sessler.(2016), A critical care societies collaborative statement: Burnout syndrome in critical care health-care professionals. A call for action. American Journal of Respiratory and Critical Care Medicine 194, no. 1",
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      "body": "Ooh I've been asleep for far too long\nsleeping inside a city with the lights dimmed low\nwondering when life would be alive again\nOoh I've been asleep walker for far too long\n\nand the choice mine to awake, again\n\nOoh the choice is mind to awake, again\nawake to the kindled flames breathed upon by Prometheus\nto the darkness opened by Pandora's grace\nOoh the choice ours to awake, again\n\nand the choice ours to awake, again\n\nOoh we live in lands held in dark and light\nknowledge blessing's curse with the light fed low\nfeeding life alive again\nOoh and its our choice to awake again\n\nIt's our choice to awake again\nto the life that bleeds inside these veins\n\n\n\n\n![fdgfdgf](https://media-public.canva.com/MACViCmnVQo/1/screen.jpg)\n\n\n\n\nThe story of Prometheus is an ancient one, not the Greek myth, but the original story. \n \nThe Greek myth tells the heroism of the lowly challenger to Zeus.  Prometheus gave humanity that which lets them play with the gods, Consciousness.  Known as the fire of the gods, the Titan builds mankind out of clay and implants heavenly fire stolen from Olympus.\n\nThe hero was sent to suffer by Zeus for the blessed curse that he gave his creation, us.  Emotional doubt, Should he have not shown them the knowledge of good and evil; Was he destined to find the tree of knowledge in the center of the garden; Will all of this endless suffering be for naught, or will these creatures pierce the veil of all reality?\n \nWe know not his name, but something gave us our ability to reason, ask questions, and doubt.  From these patterns scream all of culture and knowledge; everything from the extraterrestrial habitation of the space station to the darkest dungeon.\n\nThank you Prometheus, you had the foresight to sacrifice yourself for our sin of ignorance.\nYour memory will not be forgotten.\n\n\nLyrics by @Zuse0\nSummary by @atlas-scribed\n\n\nImage Source from Canva",
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      "body": "I’ve lived in the grave\n of misery’s despair \nin desperation’s quest\nseeking lands \nthat lie in vast fields--\nof destinies \nnot meant for mine \n\nin due time, to find\nupon discovery’s vision \nthe fountain of wealth\nresiding within\nwithin the beating heart\nled to destiny’s door\naligned in heart and mind\n\nmanifested in the lands \ncultivated in times\nunknown,\nto the human eye\nbut felt,\nin the human heart\n\nfor without knocking \non doors not meant for you\nyou will never know\nthe wealth you hold\ninside your beating heart\ninside your beating heart \nresides,\n\nthe fountains of wealth \nyou seek to be.\nonly look,\nand you shall not see\nbut feel, \nand all you will be.\n\n~ Zuse",
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      "body": "When we move in the world it is easy to get caught up in our own heads. Checking off the to do list and yet again accomplishing another day. This constant forward drive may lead us to miss connections and stories that reflect more about our true nature. Today I was able to connect with a patient of mine who shared his life story with me. His story reflected a struggle I’ve been facing in my own life… the fear of moving away from what is familiar to find the truth of what lies within. On the drive home these words came to me. I hope to eventually make these words into a song. Any other Steemit artists with ideas for this feel free to comment.  \n\n![cali](https://i.imgur.com/xlF24aP.jpg)\n\n**Destiny's Door**\n\nLiving a life in shambles\nDestinies door but a time bomb\nLeading to graves filled by sex & drugs\nIn human pleasures left unmet\n\nYou had to leave everything you knew as truth,\nTo find the life you needed to be true\n\nLeaving with just the clothes on your back\nKnowledge of your disappearance left in trace voices\nTo a life you dreamed could be true\nBut yet could not know\n\nYou had to leave everything you knew as truth,\nTo find the life you needed to be true\n\nStaring fear in the eyes to become the man you know you are\nStaring fear in the eyes to become the man you know you are\nFinding truth in who you are\n\n*~Zuse*",
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