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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Compassion Fatigue

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April 25, 2012 / (7) comments


I had an insanely busy week awhile back. All the normal (and a little extra) stuff, plus a business trip took me away from the practice I work for, so I had to make up some hours on a Saturday I’d normally be spending with my family. My energy was already on low ebb, and then I saw the full appointment schedule — sigh. To top it off, I was returning client calls like a madwoman in between cases. After one appointment my phone showed that I had missed seven calls. I felt like I was drowning.

And there was that one particularly odd message that I had to deal with. The clinic’s receptionist called me on Friday to let me know that a client I had worked with a year ago wanted to meet up with me at some point over the weekend; Jeff, I’ll call him. Jeff and I played phone tag throughout the day, and to be honest, when I finally got home from work the last thing I wanted to do was head out again to meet him. Ingracious, I know, but frankly I was burnt out.

A specific type of burn-out called compassion fatigue is a real problem for veterinarians and other caregivers. According to the Compassion Fatigue Awareness Project:

 

Caring too much can hurt. When caregivers focus on others without practicing self-care, destructive behaviors can surface. Apathy, isolation, bottled up emotions and substance abuse head a long list of symptoms associated with the secondary traumatic stress disorder now labeled: Compassion Fatigue

Studies confirm that caregivers play host to a high level of compassion fatigue. Day in, day out, workers struggle to function in care giving environments that constantly present heart wrenching, emotional challenges. Affecting positive change in society, a mission so vital to those passionate about caring for others, is perceived as elusive, if not impossible. This painful reality, coupled with first-hand knowledge of society's flagrant disregard for the safety and well being of the feeble and frail, takes its toll on everyone from full time employees to part time volunteers. Eventually, negative attitudes prevail.

Compassion Fatigue symptoms are normal displays of chronic stress resulting from the care giving work we choose to do. Leading traumatologist Eric Gentry suggests that people who are attracted to care giving often enter the field already compassion fatigued. A strong identification with helpless, suffering, or traumatized people or animals is possibly the motive. It is common for such people to hail from a tradition of what Gentry labels: other-directed care giving. Simply put, these are people who were taught at an early age to care for the needs of others before caring for their own needs. Authentic, ongoing self-care practices are absent from their lives.

 

Now on the Saturday that I’m talking about, I was simply tired, stressed and grumpy, not suffering from compassion fatigue. I’ve dealt with short bouts of this debilitating condition, however, which is one of the reasons I only work part-time in end-of-life care.

Turns out that meeting up with Jeff was exactly the medicine I needed to banish my feelings of overwork and underappreciation. He and his family simply wanted to say "thank you" in the form of a bouquet of flowers, a note, and a beautiful picture, in gratitude for my help in taking care of their beloved dog at the end of its life.

I tell this story so you don’t underestimate the power that showing gratitude for a caregiver’s work can have. I left this brief get-together feeling reenergized and ready to take on whatever was headed my way … after a Sunday off, that is.

 

 

Dr. Jennifer Coates

 

 

Image: Nomad_Soul / via Shutterstock

 

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COMMENTS (7)
1
Fatigue
by TheOldBroad on 04/25/2012 08:19am

Whether it's compassion fatigue or simply being weary (mental OR physical), we're not at our best.

As clients, we need to remember that our veterinarian isn't super-human and needs some time off - just like we need time away from our jobs.

Showing appreciation, as you've indicated, can be a great revitalizer for those who care for Fluffy and Fido. Regardless of the line of business, it's always nice to know that one's efforts and hard work are appreciated. Positive reinforcement is a powerful thing.

2
Fatigue
by JulieS on 04/25/2012 11:32am

I didn't realize there was a term for the sadness and exhaustion I feel when it comes to animals. I volunteer for some groups and always see sad animal stories on my Facebook wall and wish I could do more.

A neighbor is harming a feral colony in my neighborhood and the stress of dealing with that is also taking its toll.

I help so many animals in need, and end up with pets who have multiple health issues. The cost of care also causes more stress and financial hardship, but I am determined to do my best.

I sometimes envy people who do not see these harsh realities, but I also know I cannot turn my back on these types of issues. I feel like every time I do something nice for animals, I somehow have to deal with repercussions whether they are financial, or they affect my emotional well-being, or sometimes even my relationships with people.

But then I look at these cats who would not have made it without my help and realize they are the ones who saved me. They give me purpose. They need me and that's the reason I keep on going.

3
We give untill it hurts
by kay morris on 04/25/2012 12:16pm

This happens to all care-givers, who care. I've cared for People, until God called them Home...Hurt yes, but to know they were loved, and given the best of care. Gaves a inter-peace. Now, my life is to care for old unwanted Dogs (my Pet-Kids) My hope is one-day their Family, will be able to take them home....they have 3 years, after that they are mine....love is Love, to really care, is a Gife, just need more of us. Thank-you Doctor Coates for a job well done

4
Just to hear 'thank you'
by Kattonic Mom on 04/25/2012 02:23pm

every now and then helps. I help care for 3 feral colonies, one of which isn't really feral. The one at the school is mostly abandoned housecats. They started with something like 23 and now there are just 6, most were adopted by the teachers, staff or families of students. We, that is our group, helped them build housing and feeding stations, get the ones who weren't fixed neutered and establish "rules" for taking care of the cats. Every spring, just before school lets out for the summer, they establish a network for care and send us a thank you card listing the names and phone numbers of the caregivers for the summer...just the fact that they care so much for these animals makes me happier.

5
Thank you
by Taylor Segen on 04/25/2012 05:11pm

Thank you, Dr. Coates. I have been involved in breed rescue for 12 years and I spent seven of those years employed in the animal welfare field where I not only had an "administrative" job but was often called on to help with euthanasia, make decisions about euthanasia, and had to remain positive with all the ones who so nonchalantly dumped their animals on us.

My compassion fatigue resulted in negative feelings about humans. I haven't overcome that but now in my rescue work I avoid the personal contacts with those who surrender and dedicate my time to caring for special needs dogs. Yes, it is heart-breaking and it doesn't do a lot to lighten the compassion fatigue in some ways, but the joys of saving a life certainly help. Their gratitude is all I need.

Many people do not know or understand what this life of helping others does to us on an emotional level. Thank you for enlightening them and sharing our pain.

6
Compassion Fatigue
by boxwoodmanor on 04/26/2012 01:38am

How nice that the people took their time to thank you for your care! More of us should do that, too. Thanks for posting.

7
We Cant Save them All
by MiamiAngel on 04/27/2012 04:47pm

...but I will sure try until CF sets in.

Dr. Coates thank you for identifying the technical name for all the mental, physical and emotional pain we experience and also for your personal story.

I share the sentiments of all the commenters. I just can't turn away from a dog or cat that I see on the street as I'm walking or jogging, going about my daily life. I just can't. Like another commenter, sometimes I wish I didn't move to this neighborhood, was ignorant to the plight of homeless animals, my life would be different, but would it be as fulfilled? Definitely not.

But now I worry CF may start to take its toll on me. this is NOT due to physical involvement with pets. I'm actually leading an effort to expose another corporate bully from eliminating healthy, harmless outdoor, sterilized cats at the Loews Hotels in Orlando. I've often heard and seen hotels and businesses do this. But this case is different. They had successful TNRM program for years led by employees. But one new Regional Director of Operations, Mr. David Bartek came along and decided no more cats. The word "shocked" is an understatement. I've stayed up most nights to 1am, 2am writing about it, on social media, and even drove up to Orlando to feed the starving cats. I could not believe how sitting on my computer for 3,4,6 hours straight would consume and drain me physically and emotionally. Always holding back a flood of tears to keep going, to keep fighting. But the physical signs are starting to appear. So now I'm reaching out to other strategic thinkers. Without health, I can not save future cats. We hope readers will join us in educating the masses about outdoor community cats. www.riverfrontcats.com www.facebook.com/SaveLoewsCats

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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