Tapped Out -- Compassion Fatigue

This post is the fourth part in a series on self-care for care-givers. Physicians, nurses, mommas, pastors, teachers and unsung care-givers of every stripe I hope you find something restorative here. Post 1, Caregiver, Love Thyself, Post 2, Thick Line in the Sand, Part 1, Post 3, Thick Line in the Sand, Part 2, Post 4, But...The Lord Told Me To.


This post most closely fits those of you working in caregiving fields. Any work placing you frequently in the middle of others' traumas and problems puts you at risk for something called Compassion Fatigue (CF). Essentially, compassion fatigue is the caregiver's version of burn out. While many caring for children or aging parents experience elements of exhaustion related to that work, this syndrome particularly strikes caregivers who repeatedly encounter others, often at the hardest moments of their lives. Nurses, physicians, pastors & chaplains, counselors, I hope to reach you.

A story
I drove up on a fatal accident this Labor Day. Medical help not yet arrived, I jumped out of the car and approached a red Honda in the center of the road. The man inside needed no medical help. He was dead. I panned the four corners of the intersection, each littered with bystanders, looking for victims. The man's wife was covered in blood, crying in the grass. A quick assessment showed she had no external injuries. The blood was his. She called out for him. I could do absolutely nothing but crawl behind her on the hillside, hold her, and whisper things I don't remember in her ear. When medical services arrived, they took the same path as me. By the car -- help not possible; see bloody victim, approach. And then, as she screamed and cried out information about herself and her fears they yelled, "Ma'am, I need you to calm down." Over and over with this asinine phrase.

I understand the need in chaotic situations to create a presence of assuredness and authority. But this medical professional's response to the tragedy did not create calm. She exuded a detachment beyond that needed to perform her job safely. She demonstrated a need to protect herself from the gory mess on that roadside.

My guess is, she's encountered lots of tragedies that confront her with the fragility and mortality of our species, and the depth of our capacity to ache and grieve. She entered the medical field ready to pour compassion into these circumstances, and having poured it all out long ago, is now going through the motions of a job.

But... The Lord Told Me To

This post is the third in a series on self-care for care-givers. Physicians, nurses, mommas, pastors, teachers and unsung care-givers of every stripe I hope you find something restorative here. Post 1, Caregiver, Love Thyself, Post 2, Thick Line in the Sand, Part 1, Post 3, Thick Line in the Sand, Part 2.
 

Ironic timing: I'm preparing a series of posts on how religion reinforces a lack of boundaries and self-care and my teenage sister sends me a meme saying: "Always remember God added another day in your life... not because you need it, but because someone else needs you."

I'm tempted to drop the mic... er... keyboard, and walk away.

This thinking typifies the unhealthy Other focus that religion can propagate. Your life isn't about you. It's about Others. Burn out for God, for The Lost, for a Dying World. Words like these make too much sense to caregivers. They fit our default position of other-centeredness, and we run with them.

Housekeeping
My only religious background is Christianity, so I'll address that perspective.  Also, I'm still a Christian. The form of that identity has changed over the years, but essentially, I believe the radical love of Jesus Christ is the greatest model and hope for humans. This post is about spiritual misguidedness and abuse, not a call to end religion.

Moving On
I experienced mishandled religion perpetuating broken boundaries and broken people in several ways. I learned a poor theology of the person that corroded my ability to see the need to care for myself. I learned to distrust pleasure and rest. I absorbed an ethos of disproportionate focus on others, among other things. I saw basic human limitations labeled as sin and "heart issues."    

Thick Line in the Sand (Part 2)

This post is the third in a series on self-care for care-givers. Physicians, nurses, mommas, pastors, teachers and unsung care-givers of every stripe I hope you find something restorative here. Post 1, Caregiver, Love Thyself, Post 2, Thick Line in the Sand, Part 1.

Life has been busy -- I left my job, had my first public speaking engagement, preached a bit, and followed a baby around the house a thousand times. But, I recognize a reluctance to finish this post. Usually, that means I am still learning and relearning to practice the material I write.  That's a good, human, but humbling thing.

When we left off, you were supposed to breathe, express gratitude for your big heart, and love yourself by indulging in a pleasure. I hope you took the time to do those things. It's the hardest advice I give to caregivers.

It's also a part of learning to set boundaries. For us "Other Specialists," finding a sense of self, and self's desires, pleasures, expressions, helps us differentiate who we are from others.