Netsmart CareThreads
Netsmart CareThreads

Episode · 4 months ago

Fill Your Bucket: Self Care for the Busy Caregiver

ABOUT THIS EPISODE

One key concept emerged from navigating the pandemic over the past year — self care.

How can leaders of community providers across post-acute and human services navigate self care for themselves and their team members?

In this episode of Netsmart CareThreads, Sonnie Linebarger, Chief Operating Officer at Bristol Hospice, talks about how caregivers can maximize their effectiveness by prioritizing self care. Sonnie’s words of advice transcend all communities of care where clinicians are caring for the vulnerable in our society including mental health, addictions treatment, senior care, and home care.

Specifically, Sonnie discusses:

- What self care means (and doesn't mean) for caregivers

- Exploding the myth that self care is selfish

- How hospice leaders can model great self care for their team members

This discussion with Sonnie Linebarger was taken from our show Netsmart CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts.If you don’t use Apple Podcasts, you can find every episode here.

Welcome in that smart care, threads, apodcast were human services and post a cute leaders across the health carecontinuum, come together to discuss industry trends, challenges andopportunities. Listen as we uncover real stories about how to innovate andimprove the quality of care to the communities we serve. Let's get intothe show my name's Tom Herzog and I'm your host. Today I served as a chiefoperating officer at Netsman and I'm excited to introduce our guest today,Sunny Line Burger chief vibrating officer at Bristol Hospice, sunny theregistered nurse and his porter heart and soul into the vocation of hospicecare over the past eighteen years as a clinician care giver and leader and Netsman, we've been following herthoughts and leadership on social media had she's continued to invokeconversation and challenge not only our own bias, but maybe our perspectives incontext around this topic, and today we're going to be talking about care,giver, Self Care, Commissions and staff come into this vocation to serve othersand far too often do not take close enough care of their own health. MentalWellness and overall well be. Why is this important to serve others mosteffectively? Clinicians must pritish their own care to maximize theirability to help others and to lead the most fulfilled life possible. I can'tthink of a better speaker today. I know many of you have followed and I'mreally excited to be able to have this conversation with her and sunny beforewe begin, I think just have you share a little bit about your background andkind of give us an overview on how you've gotten here and what's the topof mine for you right now, yeah thanks some well, it's a pleasure to be hereso yeah. It's a funny start to my career. I really never had anyintention of going into nursing never had that childhood drink to be a nurse.I actually have always been fascinated by the mind and by psychology andoriginally had sought out to major in psychology, and my mom told me just howto always have a plan move just always have a back up, and she said why don'tyou go and get this go through this course and get your CNA license, and Iwas like. Oh, no, that's not for me and she does how about I pay for it. You gothrough it. You always have this back up, finally agree to it and so that leta me in to started to dabble as a CNA many many years ago and work for aregistry company. So if anyone knows anything about register companies, youdon't get like a normal case lot of patients in the same place all the timeyou get call it the eleven ower when somebody doesn't show up for a shiftand you end up getting the hardest, heaviest case locations, and so thatwas really how I was introduced to it, and it was a bit of a struggle and Idecided to refrain what I was going into every day to be someone who showsup to provide loving, compassionate care to my case of the patient for thenext eight hours. So if they didn't get any other great care that week or thatmonth for that year, but the eight hours I was showing up, I was committedto making sure that I did that and then not really changed. Everything for me-and I was a sand a for ten years, while we were slowly working my way throughnursing, school and became a nurse and so over the years has a enemy to kindof organically move into leadership positions that I didn't think that Iwanted. Nor was I quit for, and so really just that's been the trajectoryat my power. You know, I love the story that mom kind of nudged and helpedencourage you to challenge your own perspectives. That's what moms do isthey help with guide us there? I guess that a couple questions is on. Thattopic is what's been, the thing that's...

...been the biggest surprise or the thingyou've enjoyed most within your career best part, really that that I wouldfall in love with health care. I didn't just I've expected that to be justsomething that I did while I was going on to major in psychology and get mydegree there, and it really ended up changing the course of my career andthen I never also thought I would end up in Mosis. That's been a hugesurprise. I started out when I be came when I first got my ran life since Iwas working in pater. I C and I love the fast paste. Gogo go always have tobe on your toes running in the ice and for me to be able to take that right inmy career to move into hostile and then absolutely adore. It was probably oneof the biggest prices. So I think on that, before we dive into the topic ofSouth Care- and you know, people are considering different career fields-ore's, probably some students listening to us today. You might be thinkingabout that. What something that you would challenge or encourage them on inpursuing a career path, a hospice. So one of the things that I heard goingthrough nursing school and I will never forget it- and it always made me veryapprehensive when it came to to hospice- was at hospices where erses go toretire, and if there is anything that I can shatter, it would absolutely bethat silly myth, because it is, we have a lot of actually young nurses. Nurses,who are early in their career have come to step into hospice, and it is verydifferent from hospital in that it is you're looking more at this kind ofmoney for Friday, eight to five versus, like twelve fourteen hour ships in ahospital, but the connection, the connection that you make in therelationship that you get to engage with patients and families where youreally become a part of their family and you walk them through thisexperience as they're going through their end of life and you get toeducate them and there's just relationships formed that is difficultto do in any other health care setting. So I think you hit on an O. I didn'tknow where you were going to go with that. I was hoping you would go there,because Hospiti of itself from a career perspective has itand stigma seatedwith T, and you just hit it that on. And I think, though, when if there wasa universal language out there, it's health care, because some of ourgreatest moments and our most challenging moments have been connectedin health care. The birth of a child of the those of us who have bad kids, wecan go back and we can remember those times and very vividly and then thechallenges of someone fighting for their next day. You know or working tohave quality life, and I love how you put. It is just an awesome opportunity,develop a connection with that care giver, and I would tell you in my ownstory that I have great respect in admiration for our fondling care givers,because we know when we've come across those who are passionate go above andbeyond, because you said you become like them. The connection is a part ofeveryone, helping him walk through that very difficult or challenging time inlife and in some ways than Sagwa into our topic today, around south care. SoI think before I go into some questions and South Kara is kind of this. It's anemerging word. It's been out there for quite some time, but I think to abroader audience, we're all becoming more aware of- and in this month in Mayis mental health awareness month. It's a great topic for us to have so muchhave been asked of our care givers in every role in every level, and it's noone. No one took pandemic, one o one in school and how we were going tonavigate that piece of it. And yet I think we are all being drawback to ourto the core that are well being. Our...

...mental health is so essential for us tofind our way forward. Can you describe and share with us what self care meansto you, and also why you're very passionate about this topic? Yeah. So for me, self care is, isfilling your bucket and that bucket is a little bit different for everybody.That to me means being able to have the time and space well physically mentallyto do something outside of whether it bebeing consumed by work, whether it be being consumed by home, being a parentbeing a care giver at home. There is so much that is being asked ofCure, givers and front line workers today, but I think it's so incrediblyimportant to be able to step back and have some sort of a fluent balance andI say fluid because it's never a fifty fifty and you know it really kind offluidly shifts back and forth and what it looks like for me is not overlooking the simple things whenit comes to healthy diet and exercise. I mean those are some of the simplestthings that so often get overlooked, but anyone who has seen my lincon postknow that I am a hiking nut, but that is that's where I gain the benefits of being able toclear my mind, support my own mental health support, my own physical health,and I say that that mountain knows everything about me. It knows my winsand my losses, because that's really where I see solace, it's a meditatedexperience for me. It provides me physical activity, but I think it'sthat it doesn't just have you don't have to like a mountain. It's reallyrecognizing taking the time to kind of step back whether that's going andgetting a coffee. Just maybe that's fifteen minutes in your day where youdon't have to be actively thinking. Okay. What am I going to do? I'm goingto go, have some coffee and I'm Goin to enjoy it, but a lunch with a friend going to hobby lobby. I mean it'sreally simple things that we can take that their minor little activities thatwe do that give us a little bit of a repre from being on all Itha. I mean I think, inits giving its allowing ourselves to be okay with that, I think for so long thebravado has been within. I mean that I'm weak. If I need to go make time,then something must be wrong, but really having the courage and theintentionality is what I hear you saying of Hey. If we need you justdon't find that time. If you don't make time for that, it's not going to happen,you just don't all of a sudden say I'm going to go on a hike. You have to sayyou know what, on this day, I'm going to plan on I'm going to carve out sometime for myself to go there. Now I didn't know you like taking I'm afellow hiker as well, and I love the opportunity to disconnect to connect-and I think in what I hear you saying is hey whether it's coffee, whetherit's going out the intentionality that hey care, is not only physical, wellbeing its mental well being and is bringing those things together, so selfcare. If I were to summarize your thoughts, there is hey, we all need tomake margin for ourselves to me, ensure that we take a de breath cause if youwill reflect on those things and then ask ourselves what are the next steps?So how do you, when you see someone- I mean your family friends or whatever,and you see that they are not making that kind of time and that they'restruggling with that? That's a hard conversation to have. How do you havethat dialogue? You do a great job on touch me. I say hey why, let's we needto talk about this, but now, let's make it real, it's someone in our circle.How do you talk about you know, hey,...

...have you thought about self care orfinding time yeah? Well, I think that the same way into it for me is I prettyopenly try to leave by example when it comes to that, and I try to also lead by example, but it's okay tobe vulnerable enough to need those things and I think, there's a fine linethat some people feel like. Well, I don't you know to your point earlier.There's this weakness to know it's. We really do all know that, and so I wouldapproach that in asking hey what have ye done for you lately and usuallythat's meant lie. Oh No, you know I have this business and I think, through honest conversations Iafter will tell people we all have the same twenty four hours in every day,yeah the intentional that it comes through having the same twenty fourhours as everybody else around you, yea and yet being able to say I'm going toget up a little bit earlier so that maybe the kids are still asleep.Maybe the work day hasn't started and I'm going to set myself up by makingsure that I just actually go around the block for a walk yeah an we sent mymind and get myself ready for the day, but yeah I usually asked what what haveyou done for you lately I like that, but I'm gonna. So let me play on. Icouldn't agree with you more. So, let's play on that. Just a little bit or pullwill pull on that thread a little bit. It just sounds so selfish it does. Itdoes and- and let me tell you as a both a mom and an executive, there is somuch guilt around taking a little bit of time foryou and that's that's, usually a part ofthe conversation what's woven in there yeah what happens when you've, givenall of you to everybody else. What's that yeah now like it's, likethe I heard a story, Rachel halls was talking about a story when you, whenyou pouring out to others right, you bore out this Vanus and you're pouringout your pouring out and you're pouring out and then there's no more water leftin put these bring out yea, and so, however, she also said, if you take apicture and you pour into that base- and you just continue pouring into thatbasic flowers. What will eventually happen? It's going to overflow. Well, when you're overflowing your owncup you're flowing into others, cups on are able to take better care of people.You know hard yourself, better you're able to do a better job at work atschool, whatever that looks like as a parent yeah when you're not running onfumes, yeah and, I think that's part of the challenge, because for so longwe've been taught, we give away metals for running on fumes, Bat. If you canrun on empty and still succeed, then you must be doing something good, but Ithink we've also seen the challenges and consequences of that happening.People get burned out, families become stress. I were connected social mediabut were really disconnected because we don't have that opportunity to reallyalign with where we're at in feed off of other people, because likelysomething that you're going to say or going through could be the exact thingthat I need to hear in my own story and journey, and you know the way I phrasedit is. I can only give to others what I'm willing to prioritize for myselfand, if their selfishness, it's me believing that it's more important foryou, but not me, and if I want to be the best, whatever role we talked aboutbeing a spouse or a parent or a co work or a Pero community engage in ourcommunity is we have to be very mindful about our own well being and doing that.So I guess my next question that Segue is what are some of the commonobstacles around South Care and let's go. Let's go back to care, givers andyeah. It's very interesting. This whole...

...notion of hey we're going to focus oncarry giver. Then every career I know is this pause is, is a is a parent or afriend and transcend you? Don't carpet, there's not a compartment to that partof life, but when you think about the obstacles or challenges, what are someof the things that we should recognize and then can you help us overcome thoseas well? Yeah yeah, I think recognizing boundaries, that's a big thing thatpeople really struggle with. They want to be on all the time with work. Theywant to be a good spouse. They want to be a good parent. They want to be agood pargiter if they're caring for their own family and being able toestablish some good boundaries is really step. One. That's kind of thefoundation in which you don't give everything to just one direction, andthen it leaves you empty, and so you know, as we look at being able to gether all at work through Covin, I think, has probably challenged people morethan it ever has, and that's both men and women yeah. You Have Ovid, which isincredibly scary, being in health care, as is because you're on line worker andyou're out there in the middle of all of it. You know, there's a so it's ascary thing just to start out with, then you have schools were cut down,and so you now have kids, who are distant funning from home, so that youmay have elder family members that you're caring for in your home the waygot way heavier. When Covin came around for carriers, it was no longer just. Ihave to go and do my job it was. I have to go to my job in the middle of apandemic, while all this other stuff is going on, and so I think we saw peoplereally really. I know personally, I thought people get really stretched toan unhealthy place and it's being able to recognize thatnow in my position, where I have twenty five hundred employees it's hard to doat on an individual level yeah, but I think being able to reach out whatevercommunicative way. That means yeah tell let people know we see yeah, we see you, we see whatyou're doing. We see the obstacles that are happening and number one. We justwant you to know that we see you yea. Sometimes it feels like you're allalone in the world when the way of the world is on your shoulders, yeah and sorecognizing that people are seen and I've heard yeah. So I couldn't agreemore. I think again it goes back to thatintentionality of of connecting with someone not because you need somethingnot to complain not to ask about something but just to connect with them.In that moment, and I love how you phrase that I see you appreciationgratitude. Thank you because has the pressures at work increase- and youjust said it in health care? It's not like the pressures at home went away.They also increase and we said: Hey, let's make this double hard in hiscomplicated and difficult and challenging as possible, and we all hadto be very responsive to that loved. How you said that in regards to takingtime with- and I think it's in our network- I agree- I mean when you talkabout that scale- a larger organization like yourself, but if we all just didthat within our own circle, and then people did that within their own circle,a re right it S. it's an absolutely and now we're now scrawling through news ordealing with this reaction or response were focused on. How can I be a rippleof goodness to someone else that they can return and give that ripple as well,and this notion around South Care? That alone is not only good for you, butit's good for others as well. So, let's let me go to the next question on that,and it is what issomething all of us...

...should start doing, that we probablyare not doing right now, as it relates to self care. I think mind set, is hugeand being aware of your mind, set. We may be eating the right things. Wemay be doing the exercise, but if your mind set in the way in which you showup, isn't right, it's going to throw it all off you. I think mindet is huge andit can either be. What gets you through things or what prevents you from goingthrough things in what are some ways that you I'll share with myself as wellas we actually I'll begin to be fair, because I think mind sets one of thosethings and, in my various roles, we've all talked about get your head in thegame or give your mind set. Focus sounds really easy, but it turns outit's not always that easy, especially when I got a lot of input to noise thatare challenging I'll. Tell you. One of the things I doubled down on over thispast year is around journaling and really beginning. There's a conceptcalled five minute journal and you really begin to day with thinking aboutHay, five things in which I'm appreciative of a few things that I maybe doing today. You knew in that day as well, and when I found that almostbecame an alignment for me because, especially when we all begin responding to the extreme challenges that weregoing on, and not only were we dealing with it vocationally, but all of asudden there's a run on food. There is a run on Toleta, er and there's no moreschool, and I knew if I didn't get myself center. I was going to be likethis shit tossed to and fro M with no runner in that mind set for me and thatjournaling. That is it's something that I continue to right now and really justtaking a pause disconnecting from everything. And so you know whatthere's some hard things going on right now, but there's some good things goingon right now and then ending my day with that same focus has been good. I'mcurious! What are some of the things you do to help with your mind, set yeahright right on the same track as you, I get a early. I get a bit four thirty,so that I ha got the time when the rest of the world isn't awake. Yet my kidsaren't awake yet the Work Day hasn't started and that's the intentionality.That's my sacrifice you that I get up earlier so that I have some time toreally set my day. Yeah- and I start that out with scripture first thing inthe morning and then I go to my journal and that journaling is the five thingsI'd great for four in the last twenty four hours and it doesn't have to beanything magnificent. There are a lot of days where it's my physical mobility.You know now I'm grateful for the sunset right there are. There are justsimple little things, but I've been doing that for a number of years nowyou know and it completely changed the way in which I show up yeah, because Ilook at everything through a lens of gratitude and appreciation, and so youcan recognize really small things yeah, that a way that your impact on you when you do that yeah, and so I do myscripture, I do some journaling and then I do at least twenty minutes ofreading in War, and so that is that's my morning I set myself up for successthat rig, so it goes back to being intentional would be the first thing.Is He I'm going? I need to do something and there's almost an awareness pieceof it. The next part of that, then, is having a plan. He didn't just wake up.So what do I need to do? Let's have a plan now and I guess I'm going totransendental into a workforce and with our peers and colleagues as well aswhat can leaders do to help build a culture of self care, so you and I talkto what we specifically need to be doing. How do we carry that forwardinto the places that we work? I would see on, one is leading by example. Ithink if you are leading...

...in the way in which you hope is goingto help other people than how are you calling yourself a leaderand it sounds a little bit harsh, but I consider leadership to be aresponsibility, and so in that I need to make sure that I'm leaving byexample, I think you have to check in with your people. I think that's hugeif you especially again going back toereintage that we just haven't navigated before and if you're checkingin with your people and really checked him in to see how are they doing again,like I said just just letting them know hey, I see I hear you I see what'shappening, you know, how can I support you and being able to stay in tune?That way will allow the team you know the workplace to feel like there's asense of support there. So what are some things that you would say? Peopleshould not do or things that you've seen not workedbecause. It's alwaysgood to give the example. So your point is just as you share it as connectingwith intentionality, but not needing something. I think one of the placesI've really had to challenge myself in make a phone call just to make a phonecall get up and go visit. Someone just to go visit with no agenda no need, andit is a game changer. So let's then do the opposite. What are some things thatpeople shouldn't be doing yeah, I say approaching situations and not havingrakes. The grace is imperative. If you lack that in interactions andsituations, everybody has something going on in their life thatyou may not be pretty too, and so, when you go in and it's really a black andwhite and there is no room for grace there like that, can be really reallyimpact ful negatively in the own situation, and I think, asking more of others thanyou're willing to show up for yourself. You know those are some of the thingsthat that I think are viewed as just that. Real lack of support is really isthe support fact or is what people need, and they they don't hear thatnecessarily for your words, all the time. It's through, you know, how areyou engaging with them yeah when you are just real, cut and dry with people? Ithink that's the piece that no oh yeah and I think you know the cut and drypieces business just has a way of taking out the humanity, and we forgetto be compassionate that we're trying to get to that next task and do thosethings. And yet we look back and see you know what I should not have handledthe conversation. That way, I let that stress get the better of me, and Ithink you know I would add on to that- is you've got to reconcile that withyourself as well. We don't handle every conversation. Well, we don't handle ourmoments well, and I think when we don't to go back and make amends for that,Hey I'm sorry I did not handle that. Well, could have had that conversationa lot better and I dropped the ball. I'm very human on that one and I thinkallowing ourselves. That's not a sign of weakness. It's not it's not! I thinkit's. Actually. The sign of weakness is not doing that. I think it's a sign ofstrength when you have the courage and you use to work earlier vulnerabilityto go back and say hey. I replayed our conversation and I wish I could do thatover and I'm going to do that over now and I'm here to say that, so we havesomething I do here at home and I have two boys and as a parent you know youcertainly don't always say the right grit. You know it's funny on socialmedia. You know people often view others through this wind of wow. Theyreally have it all together. They really have you now for a big life, andso I try to be as open and honest to people like. Oh No, there are timeswhen I lose my ever love in bananas. You know everybody does there's athere's, a phrase that we used here in...

...my house and one of my kids or myselfwill say: I need a reset yeah, that's pretty set, but- and that meanswhatever just happened. However, just I just didn't gage or book where I justsaid: Wasn't the right thing yeah. Will you have the grace to let me get thisover yeah and I think we're talking about the parent on the situation, butto let them do it over do not continue to go back to it. I think that may beone of the things as humans. We struggle. If we may have been hurt inthat situation, we may have been bothered. We may have gotten angry andto allow that reset to heaven. So it's not it's not just from a parenting, but I think when you lead bybad example, you me, as a leader a saying I don't put my foot in my mouth thereyea. Can we do this over? Not only are you being vulnerable enough to say Iwas wrong in this situation. You know, and I want to openly tell you that thatwasn't right, yeah you're, also giving them the permission to be able to dothat back or with their team yeah, and I mean that's. One of thevalues we have here is be a leader and a teacher, and I don't think you can bea leader unless you're teaching and that teaching always begins with infirst. You know, I think, one of that you reminded me one of the coolestthings that I've adapted or learned over the last many years and started athome, but I now do this in many roles with friends and with those on my teamis really asked three questions and some on random frequency, meaning don'tmake it program ically and an we'll just go grab coffee like you, saidearlier and sit down and say what's working because I tom one to start withthe positive hey. What I what's working about our connection that you wouldgive a thumbs up, what's not working, which is I'll. Tell you takes a lot ofcourage to ask, maybe takes even more just to listen and not be responsive toit, because, even if I think it's working in that person doesn't thenwe've got to be okay with that and understand. How are we going to engagebetter and then it's really that last piece is we always in it? What can webe doing better, and I say what can we be doing better and it's a minute oftime for both of us to get into that conversation? So when I hear you talkabout self care, I hear you talking about being intentional. Having a planstart within no ly at, it is also going to go out aswell that it's going to impact all personas of your life and this notionof self care isn't about I'm going to use a stigma where you know me time,but it is about me time. It's finding that fine for self care not to say Idon't have any responsibilities, but I want to be able to give outward so Imust insure that things are going on. Okay with me, so I appreciate youdefining that, and you know, as we get back to care, givers and- and we justgot a few more minutes left and we get in we'll look at that roll everyone hasbeen had at undoing pressure and stress during this time a tremendous amountwas asked of our care givers a lot of unknown lots of uncertainty having toadapt in pivot by the minute. If you will, I want to give you a moment totalk to that Cargi er out there who finds himself struggling just find youknow you say journal, they can't even see how how to get up and find any ofthat time you talk about giving back they're like I'm having a hard timejust wanting to get up and fulfill that day, what words of encouragement wouldyou say to them right now I would say it's: okay, to not alwaysbe okay, it's okay, to need to step back and not be able to be in the placewhere you can do any of that stuff for...

...a minute and the important peace iswhile you honor that space of being able to be in that which I think isimportant for everyone, not everyone is just raring to go to. You know, figureout. How do I get out of this? It's okay to honor that space and be theretake the time you said it out a word earlier that I that I really like,which is unpacked at a little bit. That doesn't mean you have to go out and doall these things take a minute for you, because, if you're going to take thatminute for you and realize that it's okay to not be okay and be able to start saying, what's thenext one thing, one thing that I can do to support me: moving out of the spaceto support me feeling a little bit better or a little bit lighter it's notabout day zero. You feel like you, can even get out of bed day. One you'rehiking a mountain right. It's it's not it's not always how it looks. Maybedays zero as she feel like you can't get out of bed and day one is I'm gonnafigure out one thing: What's my just my one baby step, maybe that's just I'mgoing to get up and I'm going to figure out what does breakfast look like? Whatdoes the first part of my do? What is my schedule? I, like you know,sometimes it's just the little steps. It's the little winds that we can'tdiscount that are going to give us to that first real step, but don't eve ordiscount the baby steps, because every single mood that you make start with,maybe Eugen one little hot. You know one intention of. I might not get there,I'm not going to Hipe the mountain in the next week, but maybe I'm going tofigure out hey what would my route to the mountain be? If I were to evenentertain wanting to go to the mat you know it is those little steps that wecan't discount and forget, but there's power in kind of these micro steps to getting tostep one. Well, I think what a powerful message on you in mad, I thinksometimes we feel like it's all or nothing either I'm going to go massively go all in or I'm not, and youknow that in itself I think you just gave a great powerful statement. Justone thing: What's the one thing you can do right now to make a difference thatmay be finding time that you be reaching out to a friend that may beseeking help. Saying Hey, I am struggling and I need some help withthat and that's my one thing I think you're, what you're trying to encourageus and you are trying to encourage the broader community as you're, right O,why you guy to give yourself? Commission, that's: Okay, it's okay, tonot be okay right now to that we're in this together that we've all walked inthat pot in that place, and the third part is what one thing can you do rightnow to go, make a difference and go actionthat. So I think, before I wrapup, I wanted to give you. You know just any any thoughts things that you wantto share on this self care topic before we wrap up here yeah. I just you know,as I thought about how we reach out and how we communicate with others, and Isaid earlier, I don't there's no way, there's some o hours of the day for meto reach up to twenty five hundred employees, and yet there are stilltimes when I was asleep at night. Making you know just wondering iseverybody of okay. How is everybody doing, and so what I made a point to dojust something that I would absolutely encourage everybody else for artless ofwhat your role is, maybe you're appearing and it's the Charegites thatare on your team. Maybe you run an organization or you anywhere in between,but I made it a point to every month. Maybe even every other month is to do atouch face with everybody, and I send a message up to all stuff. Now peoplestarted to expect this for me, but I just let people know number one. I pourout of the gratitude on them. I don't...

...think it doesn't matter whether it's atiller or whether it is a frontline charegite or a leader. They all matter. They all matter in being able toprovide the very best end of bit experience. They all have a role in itand so number one. I just try to make sure that people understand how greatup we are for them and number two. I let them know if you're not okay, nowthat's okay, and then I try to provide some resources because it's incrediblyimportant as we're. So pouring ourselves out into our patients andtheir families and our job and our home. What are you doing for you, and so inthat I usually try to put a couple of resources out there. There are so manyrace workes, of course, there's the rake programs with throughout our allof our companies. There's also an incredible company. That's been formedthrough ovid called Emotional Ppe, and it is an organization it was created init and its staffed by volunteers, but it is for mental health and it istelevision you can go in and it's people all across the country whovolunteer their time as counselors and therapists to be able to support thosewho really need it right now and it's a free, completely free service, and Ijust tell people please, you know you heard me say this outer times, butplease don't don't forget that you have these resources available and there aretimes probably the first email. Even the sad emails like you know. Thank youthank you and then by the third email. People started, saying: opening up about, incredibly personal things that you wouldn't normally just email. YourCoo about, but I've, I'm honored that they do, and so I think, by openingyourself up by opening others and making sure that they have theresources necessary to support their mental health, to support theirphysical health so that they can be the very best characters possible is you'resetting everything up for success. Well, I want it's great advice and willput the speaking of tools and resources will include those in the notes of. I think one of the people wanted toconnect with you. I think maybe one of the best places is on Linton isabsolutely yes are so well in so that down there, and I just have we come infor a landing here. I just want to thank you. Thank you for making timefor this subject, taking for making time for this podcast. This is, I think,newer territory for people moving into a leadership perspective and reallywe're all helping ourselves navigate forward on this. What you've been ableto do by bleeding through word, indeed has been inspiring, and it's why wewanted to engage on this and specifically to our care givers outthere. Thank you exactly what sunny said, much appreciation for what we seeand the many more things that we never see that you may happen thatconversations in a hallway with a family member as you work to consolethem. The moment that you just smile at a person, who's, uncertain and unsureis, is vital and essential to anything that we can be doing at the end of theday. We are all more alike than not. We want to know that we can make adifference. We want to help others and we want to be our best selves andessentially that's what self care is it's giving ourselves the margin, theopportunity having a plan to go, pursue that in write, an incredible story andwhen we get him wrong to make it right and when we get it right, how can wecontinue to pay it forward to others, so we can each help each other in ourpursuits. So thank you very much for the time today, great conversation,you've given me an idea, probably three or four more podcast go this topic.When you talk about boundaries and some of those types of things, we wereusingsome words that people are like...

...what what did they mean by that? So wemay have to unpack that and share that in the future. So, thank you very muchTom. Thank you so much for having me it's, but its absolutely do I chat ityou so if you've enjoyed this podcast, please take a moment. Give us a ratinggive us some feedback share some thoughts or topics that you might wantto to hear about. We want to continue to engage and press in and bring thingsand thoughts to the table that are helpful for all of us. That's a rapthanks for joining at net smart. We understand the challenges facingprovider organizations. Our team will help you navigate changing value, basedcare models with solutions and services that make person centred care orreality will equip you with technology and services that provide holistic,real time. Views of Care Histories that inform better decision making andbetter outcomes visit us today at n Tsom net smart serving you, so you canserve others thanks for listening to the net smart care, threads podcastthrough collaboration and conversation, we can work together to make healthcare more connected than ever before and better support the communities weserve to ensure you never miss an episode. Please subscribe to the showin your favorite podcast player, if you use apple, podcast, we'd love for youto give us a quick rating for the show just hap the number of stars that youthink the podcast deserves until next time. I.

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