Showing posts with label Figley Institute. Show all posts
Showing posts with label Figley Institute. Show all posts

Tuesday, January 8, 2013

Self Care duriing Family Medical Crisis: Part 2 Elements of Self-Care



This is the second part in a series in which I am focusing on the personal lessons of self-care during family medical crisis.
 
Self-Care Buddy. My primary self-care buddy – my husband – was at home when I received the call.  He held me when I was shaking.  He helped me find things that I could not see but were right in front of me.  He helped me stay calm and grounded in facts.  He did everything I needed at the time and then some.  

No Major Decisions.  My husband/self-care buddy reminded me of something I teach in Field Traumatology about crises: this is not the time to make any major decisions.  I agreed to defer major decisions whenever I can, and to discuss with him and those directly involved any major decisions that could not be deferred. 

Social Media. I am a regular Facebook user.  One of the first things I did was to put out the word to my closest network of family and friends and ask for prayers.  At first I felt weird about putting such a personal matter into the larger social media context.  That feeling gave way quickly as I started receiving messages of support.  Those messages over the next few days were beacons of light nourishing me at the deepest levels.  I have a deep sense of gratitude to those who rallied around me and my family.  Thank you!

Technology. I cannot underscore enough the value of technology and social media during times of crisis.  My husband loves technology and stays current with trends.  Both daughter and husband had been encouraging me for a long time to give up my flip phone for more advanced technology.  Last year I started with the iPod Touch.  Having mastered that, I went this year for the iPhone.  This communications tool kept me in touch with my family and social support network from the moment the crisis began.

Unexpected Support. My flight north had a very tight connection through Charlotte NC.  I feared missing the second leg of my travel.  I talked with the flight attendant, asking if someone towards the front of the plane might be willing to change seats with me. I tried to manage my anxiety as we began our initial descent and I was still at the back of the plane.  Minutes before landing, the flight attendant told me there was a volunteer.  An elderly gentleman traded seats with me. 

The woman seated beside me was his wife, a hospice volunteer in the Jacksonville area who works with caregivers.  She touched my arm as she talked, and underscored the importance of touch when one is in crisis. Her gentleness and kindness touched me but also reminded me of what I needed to do for DCR: be fully present.  As we talked I noticed a piece of paper near my foot.  It was her husband’s boarding pass.  I now had  the name of the man who traded places with me.  As soon as I can I will thank them in writing for helping me.

We’re All Doing the Best We Can.  During times of extreme stress it’s common for people to become crabby or short in tone or forgetful or make errors in details.  My first challenge came at my destination airport, when I discovered someone else’s luggage in the back seat of my rental car.  I had to walk back to the airport terminal in the cold at 11:30 p.m., dragging my bags behind me, fearful that the car rental agent may have left already since it was so late.  The agent was on the phone as I approached her desk, talking to the person who had placed his luggage in the car next to the one he rented.  Gee, he must have been really tired or stressed to not notice.  The agent accompanied me back to the car, and I drove her back to the terminal  I was not happy about the delay but was able to stay civil and grateful for her help.

I went to the hospital address given to me by a family member.  DCR was not there.  After a few minutes of confusion, reception kindly located DCR at another local hospital which was not far away.  The correct address and GPS in hand led me to DCR’s location.

I told these stories to several folks, partly because were it not for the circumstances they were amusing.  It was when an apology was offered about the wrong address that I said “We’re all doing the best we can.” At times like these we need each other.  Mistakes happen.  And good self-care requires that we let them go.

Next: The Hospital Emergency Room

Self Care During Family Member Medical Crisis: Part 1 Reactionss



My blogging plan for the New Year has been derailed, and a new one defined.  A family medical emergency changed my focus.  My blog – at least for now – is very personal though my intent is for it to be educational. I will focus on the successes and challenges of attending to my self-care during this difficult time. This ties in to the original blog focus on self-care. The original blog plan will be back on track in due time. Now that I have written the first 3300 words, I know it is therapeutic.

The Crisis

On Thursday, January 3 at 4 p.m. I received the phone call none of us want to get: one of my dearest close relatives (DCR) was admitted to the hospital with life threatening double pneumonia.  The distressed voice on the phone let me know the severity of the situation within seconds. My voice and body started shaking. My normal work day turned into a focused quest to travel north immediately.  My blog, drafted and planned for Friday, was the last thing on my mind.  

To fully understand the situation one must know that DCR is multiply handicapped.  Her rare condition leaves her susceptible to a cascade of additional life threatening medical issues. Resolving double pneumonia is only the first step in her recovery.  While I may mention DCR’s condition generally to create a context, details about my family and the medical issues will be omitted out of respect for their privacy. 

Reactions

Anyone who has received shocking news will understand my reactions.  It took about 15 minutes for my body to stop shaking.  My thinking was both focused (I must get there as soon as I can) and disorganized (I felt like I was going in circles trying to get things done). 

Focus prevailed when it came to scheduling a flight.  I went to the Delta website and saw immediately that their schedule did not accommodate my needs.  Using a website like Travelocity seemed too overwhelming.  Our family has a AAA  membership so I called AAA Travel Services.  The kind woman on the other end of the line was able to get me to my destination at 11:15 p.m.  My 6:20 flight gave me little time to pack and drive to the airport.  There was no time to think about what was going on, though every cell of my body was reacting to the news.

Packing was a different issue.  Decisions about what to take were difficult to make.  Thank goodness the laundry was done and I had plenty of clean clothes.  I packed my favorite new sweaters and the jeans our daughter  suggested I try.  At least I would feel good about how I looked while the rest of me was a jumble.

Next: Elements of Self-Care

Friday, March 2, 2012

Figley Institute's Picks of the Week: Lessons from the "Community Resilience" Conference (2012-5)


Tornado Recovery - The Gold Standard

Have you ever heard of Greensburg, Kansas? If you are a disaster worker, it is likely you recall the F5 tornado that destroyed the town in which approximately 1400 people lived in May 2007.  Why do I bring this up now?  It's because I recently had the pleasure of meeting the Greensburg, Kansas mayor, Bob Dixon.

Bob and I both were presenters at the Third Annual Resilience and Disaster Mental Health Response Conference: Community Resilience in Indianapolis last week.  His presentation about rebuilding Greensburg, which had been wiped off the map, is inspirational.  The recovery plan "...is a document that emerged directly from the community and is representative of both the planning team’s recommendations, the City’s operational requirements and input from many stakeholder groups." And, for those who are now in the process of picking up the broken pieces of their homes, schools, and businesses from the recent tornadoes, Greensburg is a shining beacon of hope for the future.

Yesterday I sent a message to Mayor Bob, in which I expressed my concern for Greensburg and the tornadoes of late.  He left a voice message for me, saying that all was well.  Greensburg citizens, he said, had started helping those in other areas who were impacted.  When I see the news about tornadoes (e.g., Harveyville), I wonder if any of the volunteers I see are from Greensburg.

I've invited Mayor Bob to present at Tulane University's Disaster Resilience Leadership Academy for the benefit of my students and others on campus.  I'm certain that they will experience the true meaning of leadership as they listen to Mayor Bob describe Greensburg's triumphant return to life.

Note:  Greensburg KS will mark the 5 year anniversary with a weekend of events:  Tragedy to Triumph...5 Years Later  on  May 4-6, 2012.

ESF-8 Disaster Behavioral Health Plan - Florida and Indiana

When I still lived in Tallahassee, I was privileged to participate as a member of the Florida Crisis Consortium as a member of Green Cross Academy of Traumatology. The mission of the Consortium was to  "...develop Florida’s Disaster Behavioral Health (BDH) Response Plan, as part of the ESF-8 annex to the Florida Comprehensive Emergency Management Plan (CEMP).... The intent of the disaster behavioral health response plan is to mitigate the adverse effects of disaster-related trauma by promoting and restoring psychological well-being and daily life functioning in impacted individuals, responders, and communities."

Florida has been cutting edge in Emergency Management for many years, so of course I felt proud to be a part of this group whose mission made so much sense to me:  remedy the gap between disaster impact and implementation of the FEMA Funded Crisis Counseling Program. The ESF 8 DBH plan addressed that delay and assured funding for the response.  Little did I know that another state had run with the same idea. The State of Indiana has a similar plan.  Check out their Field Guide which includes section on Self-Care.

The Federal Response Plan addresses Disaster Behavioral Health; the Department of Health and Human Services published their HHS Disaster Behavioral Health Concept of Operations in December 2011.

These are great steps forward in taking care of the public in the aftermath of disaster.  I hope more states follow the leads of Florida and Indiana.

Note:  If other states have similar Disaster Behavioral Health Programs, I'd love to hear about them.

Upcoming Courses

Beyond Psychological First Aid: Helping Communities Heal
Military Stress and Trauma: The Healing Process



Friday, August 14, 2009

Figley Institute Training Needs Assessment

August 14, 2009

Figley Institute Senior Faculty want to ensure that your most urgent training needs are met. To this end, we are seeking input from people like you who have an interest in disasters - human caused and natural - and trauma. Your participation in the needs assessment is anonymous. Please share your thoughts with us.

Thank you for taking a few minutes of your time to help us continue to provide cutting edge trauma training.

Best regards,

Dr. Kathleen Regan Figley, President
Figley Institute
Direct link to Training Needs Assessment