Posts Tagged ‘numb’

It Shouldn’t Hurt to be a PT/OT: Treating with Pain

Sunday, June 13th, 2010

 

In my research at the Courage Center in MN we discovered how many of our colleagues were "playing in pain." Pain from:

  • Exhaustion
  • Burnout
  • Lost Spirit
  • Musculoskeletal Strain
  • Numbness and flat affect

Now this month in the Physical Therapy Journal there is an important study (see below for link and summary) that examines what turns out to be a far too common phenomena:

PTs and OTs in higher than normal levels experience pain

and continue to work with it!

What's most shocking is why. For the PTs at least, branded as heroes/heroines and sages by their national association, the reasons are neither brave nor smart.

What is needed is what I blogged about last month:  Rehab BurnoutMatthew J Taylor Matthew Sanford Matt Squared

As professionals that are trained and practice in a disassociated mindbody manner, we ignore, work through and press on, ignoring our own important mindbody relationship….and in the end both we and our patients suffer as a result. My colleague Matt Sanford delivers a powerful 50 min keynote here to young healthcare students…make time to listen. When the peers we worked with in MN began to tend to their own mindbody relationship, not only did they soar, but it spilled over to their patients as well.

When is this insanity going to stop?

Hard to tell. I was scheduled to be in Boston tomorrow to teach a 2-day pre-conference on Mindfulness in PT….but no one signed up and we were scratched from the docket.

Hmmmmm, and we talk about our patients being clueless???

So this summer I'm going to roll out a new way of being in rehab…it's going to blow past all the deadwood CEU material and address US….the rehab pros and our urgent need for creativity and change within a culture of fear and self neglect.

In the meantime, what are your thoughts/experiences around this topic of rehab pros "playing in pain"?

 


Impact of Work-Related Pain on Physical Therapists and Occupational Therapists

Marc Campo and Amy R. Darragh

PHYS THER
Vol. 90, No. 6, June 2010, pp. 905-920

Abstract

 

 

 

"The participants noted substantial effects of work-related pain at work, at home, and in their career plans. All of the therapists were concerned about their potential clinical longevity. The professional culture complicated these effects by forcing therapists into a professional ideal."

 


Please send this along to your network…it has to stop.

Thanks!

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Comfortably Numb…

Thursday, October 8th, 2009

A bit long as the first, future ones will be much shorter! Working with people in a rehabilitative setting is a privilege that presents an interesting dance between being open in empathy and not becoming lost in their story. I sure wish it was simple…a big open heart and boundless energy and passion all of the time, every encounter. But it isn’t. Instead I notice even within a single visit the shifting from deep, heart-centered connection to a insulated, distracted, “How much longer?”. Early in my career I would just bull through the experience and “get it done”, but then often found myself later in conflict feeling guilty and callous for not having been “on” the entire session(s). Over time I have come to be more compassionate and now use the awareness, either in real time or reflection, as experience to ask deeper questions of myself around meaning, purpose and self-discovery. A much more “evolved” approach that surely deserved commendation. Until this week….

 

On this past Tuesday, October 6th I had the honor and privilege to present an in-service at the US Army’s Burn & Amputee Center for the Intrepid in San Antonio, TX. I was eager to share my expertise in mind~body science with my peers. It was a homecoming in effect, as I was Army trained and specialized in burn care in my 8 yrs of active duty in the ‘80’s. What I wasn’t ready for was my own visceral response to the setting. It began as I drove onto post through the gate amidst all the new construction. A heaviness and a tingling of “this isn’t right” washed over me. Mind you the not-rightness wasn’t the heroic work of the troops rehabilitating, or those providing service to the troops, but a much more global awareness of “how could you be so busy as not to have done more to prevent this from happening or from continuing now?”. Not in some simplistic “scoot and run” from the complexities of our shrinking world, but a huge veil of the tragedy descended of how my loss of consciousness in the flurry of daily urgencies distracts from a bigger healing that has to happen.

I’ll post more about this experience, but will end this first post with a snippet of the experience. It is my contention that we in rehabilitation show up at each encounter with the same potential to heal ourselves as our client…if we are present and compassionate in our own self-awareness. When we aren’t aware or are “comfortably numb” (credits to Pink Floyd) that opportunity is lost. In no disrespect to my colleagues at the Center for the Intrepid, early in the presentation I asked them to pause and be aware of their breath…the size, location and rate. I then asked them to move out their collapsed, slumped posture to a more neutral alignment. This group was more slumped and collapsed than I have observed elsewhere. I then asked them to notice the difference in their breath. Only two people sensed any change in the entire group. My initial response was “oh-oh, it didn’t work!”…but I could see them breathing differently and more fully, I wasn’t imagining it! I now understand that was a collective response to the nightmarish work they show up to do each day for those who deserve so much. Surely I would have to change my sensibilities if this were my daily work? That trip threw me off balance and now eats at me for re-commitment to my mission to not only improve care for clients, but how important it is we must step up and care for ourselves each and every day. “Comfortably numb” only allows these tragedies to happen again and again in both big and small ways.

Check out this link for more about the research I've led in MN to address this matter.

Have you ever had to numb up to get through?