Case 4 Riding The Emotional Roller Coaster

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CASE 4: RIDING THE EMOTIONAL ROLLER COASTER

Louise Damiani’s work is an emotional roller coaster most days. The oncology nurse at
CentraState Healthcare System in Freehold Township, New Jersey, soars with joy when
patients beat their cancer into remission. Then there are the low points when her patients are
given grim news about their cancer. She also battles with the frustration of office politics.
But even after a long shift, Damiani doesn’t let her negative emotions surface until she gets
into her car and heads home. “You have to learn how to pick and choose and not bring that
emotion up,” Damiani advises. “You say, ‘OK, I can deal with this. I can focus on the
priority, and the priority is the patient.’”
As well as managing her own emotions, Damiani has mastered the skill of creating positive
emotions in others. She recently received an award in recognition of her extraordinary
sensitivity to patients’ needs and concerns. For example, one of Damiani’s patients wanted to
return to her native Mexico but, with an advanced stage of cancer, such a journey wasn’t
possible. Instead, Damiani brought “Mexico” to the hospital by transforming a visitors’
lounge into a fiesta-type setting and inviting the patient’s family, friends, and hospital staff to
attend the special event.
Lisa Salvatore, a charge nurse at the recently built Leon S. Peters Burn Center in Fresno,
California, also recognizes that her job involves supporting patients’ emotional needs, not just
their physical problems. “With burns, you don’t just treat something on the outside,” she
says. “You treat something on the inside that you can’t see.” Salvatore also experiences the
full range of emotions, including the urgency of getting burn patients out of emergency
within an hour to improve their prospects of recovery. “I like high stress. I like trauma,” she
says. Still, she acknowledges the emotional challenges of treating children with burns. “I deal
with it and then I cry all the way home. I just sob on my way driving home.”
Anil Shandil, a medic from the 328th Combat Support Hospital in Fort Douglas, Utah, has
witnessed more severe burns and injuries than most medical professionals. For two years at
the Landstuhl Army Regional Medical Center in Germany, he aided soldiers who had been
wounded in Iraq or Afghanistan. The tour of duty was extremely emotionally taxing. “You
get a lot of several limbs, a lot of traumatic brain injuries, a lot death and dying,” says
Shandil. “So the compassion fatigue is rather high.” People who work closely with victims of
trauma often suffer compassion fatigue, also known as secondary traumatic stress disorder.
The main symptom is a decreasing ability to feel compassion for others.
In spite of the risk of compassion fatigue, Shandil has volunteered for an even more
challenging assignment: He and 85 other soldiers in the 328th are now in Iraq providing
medical care for Iraqi detainees being held there by the U.S. military. So, along with
managing emotions from constant exposure to trauma cases, these medics must also show
respectful compassion to those who fought against their American comrades. Shandil knows
it will be hard. “Yes, these are people who were not kind to us. But as a medic, it’s our job to
care for them, no matter if that is your friend or your enemy.”
Discussion Questions
1. To what extent do the three people featured in this case study manage their own
emotions on the job? How would they accomplish this? To what extent do you think
they effectively manage emotions under these circumstances?

The three people mentioned in the case study are Lisa Salvatore, Louise Damiani

and Anil Shandil. Damiani has learned to master her emotions and to keep others

happy. According to0 the case study, “But even after a long shift, Damiani doesn't

let her negative emotions surface until she gets into her car and heads home”. Lisa

Salvatore does not let her emotions come out before the patients and instead sobs on

her way back home. Anil Shandil knows there is the risk of compassion fatigue but

still he has learnt to master his emotions.

2. This case study states that nurses and other medical staff need to manage the
emotions of their patients. Why is this emotions management important in this job?
In what ways do medical staff alter the emotions of their patients?

Managing the emotions is very important for the nurses and the medical care staff.

They cannot let their emotions get out of control since it will only lead to an

increase in the pressure for them. Moreover, the emotions should not be allowed to

let put before the patients as the patients too will feel the emotional burden. The job

is emotionally quite taxing and therefore it is important to manage one’s emotions.


3. Stress is mentioned throughout this case study. How does this stress occur? What stress
outcomes occur for people in these types of jobs? How can these people try to minimize high
levels of stress?

Mostly the medical care staff have to deal with situations that are quite emotionally

taxing. Due to these factors stress is born. The task can be emotionally very

demanding where one needs to manage his own as well as the patients’ emotions.

Apart from that the work pressure and other pressures like office politics can also

give birth to stress. A special type of stress that the medical staff might be faced with

is compassion fatigue. “People who work closely with victims of trauma often suffer

123 compassion fatigue, also known as secondary traumatic stress disorder The main

symptom is a decreasing ability to feel compassion for others”.

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