how to outsmart your negative brain
Post on 07-Feb-2022
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D A N D O H E R T Y R N , M S N , C E N
HOW TO OUTSMART YOUR NEGATIVE BRAIN
Christiana Care Health Systems
Disclosure Statement
• Faculty/Presenters/Authors/Content Reviewers/Planners disclose no conflict of interest relative to this educational activity
Successful Completion
• To successfully complete this course, participants must attend the entire event and complete/submit the evaluation at the end of the session.
• Society of Trauma Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
LEARNING OBJECTIVES
• Identify how stress can cause the brain’s negative bias
• Discover the negative outcomes of utilizing “reactive” coping strategies
• Develop initial strategies to overcome the stressful effects of working in emergency nursing
• Apply strategies to separate work from home • Modify their thoughts process to outsmart their
negative brain
THE BIG ISSUE
• Lack of control and uncertainty
• Do not know the beginning or often do not see the end (fragmented care)
OUR 1ST INEFFECTIVE STRATEGY
Withdrawal/Detach
• Brain upset
• No one will listen• Where do your stories go• Sliming colleagues
OUR CONFUSION
• Compassion• Seeing someone suffering and wanting to
help• Empathy
• Seeing someone suffering, taking on part of that suffering and wanting to help
OUR 2ND FAVORITEINEFFECTIVE STRATEGY
What do you do in your free time?
Idle brain/negative
brain
12 minutes
Missed opportunity
Fake fun vs. Trick the brain
EFFECTIVE STRATEGIES
• Tracking & monitoring all the external trauma exposure you are unconsciously absorbing
• Use low impact debriefing (give warning)
• Practice engaging with others--try to refocus and also monitor where your thoughts wander off to (spend more than 12 min)
• Trick the brain into having fun
• Try to keep in mind the definition of compassion
• It’s not my journey
• Don’t veg out but if you do recognize the negative thoughts
SIGNS/SYMPTOMS
Physical PsychologicalExhaustion (tired vs. depleted) ExhaustionInsomnia DistancingHeadache Reduced sympathy & empathySusceptibility to illness Cynicism & embitterment
ResentmentAnxiety/irrational fearsDepersonalizationIntrusive imagesLoss of hopeDifficulty separating work from personal lifeFailure to nurture and develop non-work related aspects
Behavioral Drugs & alcoholAbsenteeism/presenteeismAnger/irritabilityExaggerated sense of responsibility (I can’t let people down, I can’t leave, people are counting on me)Avoidance behaviorsImpaired decision makingForgetfulnessInterpersonal relationshipsNegative self- image (feeling unskilled at this job, whether you are good at this job)
• Feeling depleted
• Negative self image
• Intrusive images/thoughts
• Difficulty separating work from personal life
EFFECTIVE STRATEGIES
• Giving your compassionate voice some air time• Have a symbolic transition ritual that you are no
longer a nurse• Don’t allow the negative/dead people into your
home • Do something selfish for your self• Choose not to have an opinion• As you drive home remind yourself of three things
you did to make someone feel better• Take 20 seconds to let that positive experience
register in your brain
THE PROBLEM
I feel here
I think here
I thinkhere
I feelhere
Brain wants to know 2 things
Limbic System want to know 3 things
EFFECTIVE STRATEGIES
• 5 thing you see, hear feel
• Breath in and out for 30 seconds
• Be compliant vs. non-compliant with your self-care
• 95% of our reactions are automatic (don’t always act on what the limbic system says; listen a bit more to the pre-frontal lobe professor...no one is wanting to eat you
• You don’t have to like everyone or fake being happy or nice to rude people/pts…all you have to do is be pleasant and efficient
• Be like Mandy---play a lot!
• Dopamine (something to look forward to every 8 weeks, accomplish a goal), oxytocin (connect with people, touch someone), endorphins (exercise) and give someone some serotonin,
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