Veterinary Resiliency

Components of Compassion Fatigue

Definitions

  • Compassion Stress: Stress experienced when helping others (humans and animals) in distress.

    • Source of stress: Arises from sense of responsibility and the desire to alleviate suffering.

    • If not addressed, compassion stress can escalate to compassion fatigue.

  • Compassion Fatigue: Emotional and physical exhaustion leading to a diminished capacity to empathize or feel compassion for others.

    • Arises from taking on emotional burden of negative experiences related to animal care.

    • Can lead to feelings of sadness/isolation, which increase risk of depression/suicide among veterinary professionals.

The Equation of Compassion Fatigue

  • Formula: Compassion Fatigue = Burnout + Secondary Trauma

Components of the Formula
  • Burnout: Physical and emotional exhaustion resulting from prolonged stress and frustration.

    • Causes: Stressors associated with the work environment rather than nature of work itself.

  • Secondary Trauma: Work-related exposure to extremely/traumatically stressful events through others' experiences.

Risk Factors for Compassion Fatigue

  • Risks Include:

    • High empathy

    • Low emotional resiliency

    • History of traumatic experiences

    • Unresolved trauma

  • Severity Factors:

    • Duration of stressful experiences

    • Potential for recurrence

    • Exposure to death/dying

    • Presence of moral conflict

Symptoms of Compassion Fatigue

Other Key Terms to Define

  • Moral Stress: Stress that arises when ethical principles conflict, preventing action.

    • Can contribute to compassion fatigue

    • Example: A situation where a client cannot afford treatment, leading to needless suffering or euthanasia.

  • Euthanasia Stress: Stress experienced when being aware/psychologically challenged with task of euthanizing animals

    • Can contribute to compassion fatigue.

  • Compassion Satisfaction: Feeling of fulfillment/sense of purpose derived from working as a caregiving professional.

    • Includes positive feelings toward colleagues and work environment, as well as gratification from caregiving.

Professional Quality of Life

  • Equation: Professional Quality of Life = Compassion Satisfaction + Compassion Fatigue (Burnout + Secondary Trauma)

    • Balance is essential

Mental Health Challenges for 68T

Cyberbullying:
  • Statistics:

    • AVMA states that 1-5 veterinarians has been or works with someone who has experienced cyberbullying.

  • Examples of Cyberbullying:

    • Negative online reviews

    • Threats via social media or email

  • Common Causes:

    • Disputes over patient care/charges for services.

Other Mental Health Stressors
  • High Optempo: Associated with the stress and exhaustion

  • Euthanasia: Adds to compassion fatigue.

  • Client Relationships: Stress arising from interactions with clients.

  • On-Call Duties

  • Depression and Anxiety

  • Substance Abuse (from easy access to drugs)

    • Suicide Risk: Availability of drugs

Resilience (Coping) Strategies

10 Daily Actions to Promote Resilience:

  1. Get enough sleep.

  2. Consume adequate nutrition.

  3. Vary your daily tasks.

  4. Engage in light exercise.

  5. Participate in pleasurable activities.

  6. Focus on accomplishments.

  7. Learn from mistakes.

  8. Share humor with colleagues.

  9. Practice mindfulness techniques such as prayer or meditation.

  10. Provide support to colleagues.

Managing Empathy Effectively

  • Empathy Management:

    • Importance: Necessary for job performance.

    • Strategy: Switch between work and off-work modes to protect emotional health.

Techniques for Switching Home/Work Life Modes
  1. Make switching process conscious; self-talk while switching.

  2. Use mental imagery for safety and connection.

  3. Establish rituals to mark the transition between work and off-work phases.

  4. Utilize deep breathing to calm oneself when facing challenging tasks.

Low-Impact Briefing Technique

  • Key Aspects Include:

    • Self-Awareness: Reflect on your usual debriefing process.

    • Fair Warning: Inform audience about contents of your discussion beforehand.

    • Consent: Always seek permission before discussing sensitive topics.

    • Limited Disclosure: Minimize graphic details to reduce risk of secondary trauma.