Having a bad day? by @kendonaldson

Are you having a bad day? Or has the day just begun and you are struggling to face it – you know the ward is full but you have 8 admissions and no one knows where to put them. Perhaps you have 6 meetings lined up and you know that all will be challenging with little achieved. Or maybe you have a ward round then a clinic and you already have 50 unopened emails and no prospect of time to deal with them except when you get home later tonight. And on top of this your Dad is sick, or maybe your partner has just lost their job or your child is struggling in school. Sound familiar?

Ken day 2Very few of us come to work with absolutely no worries and even less of us find our days work problem free. We all react and behave differently to these stressors. Some thrive on them and perform even better than expected. Others struggle and this often becomes apparent from day to day. I know I struggle and often I don’t quite realise it but I do have a few ‘barometers’ that tell me things are getting bad. People say things like:

“You’re sighing a lot Ken”

“I heard you sighing from the end of the corridor”

“You’ve just arrived and you are sighing already!” (Sighing features quite a lot)

I saw you walking down the corridor and your head was low and your face was miserable. What’s up?”

“Ken, you were a bit short with them.”

And, probably most telling of all…

“Daddy, why are you so grumpy?” Sadly, sometimes said through tears.

Its when I hear phrases like these that I realise its time to take stock and focus on what really matters to me: my family, my friends and doing the job well, not rushing things and upsetting people.

Ken Day 4I recently read a bit of advice from a psychologist. She holds a glass of water and asks her students how heavy it is. There is a range of answers but the point isn’t the absolute weight, its the fact that as she holds it longer and longer her arm begins to ache as the glass feels heavier. Ultimately her arm is almost paralysed in pain. Anxiety and stress are a bit like this. The longer you think about something the heavier it becomes until eventually you are paralysed. You need to put the glass down every now and again.

The reality is that working in the NHS is tough. We are short on doctors, nurses, beds and the patients keep on coming. Paperwork changes or the number of forms increase, new IT that seems to hamper rather than help, wards are shut due to norovirus or flu. GP numbers are so low that practices are covering ever increasing areas and more patients. The list goes on but it affects almost all of us.

Ken Day 1So why this blog? Well it’s to ask us all to remember that it may not just be you having the bad day. It may be your colleague on the other end of the phone, or the other side of the bed or the other side of the table. They may in fact be having a worse day than you. If we remember this, are kind and considerate to each other and consider that we are actually all on the same team then it might make our day a little better. Random acts of kindness, however small, can make a difference: saying thank you, making a cup of tea, a smile.

At the end of the day it’s not just you or your colleagues who lose out. It’s also the patient and, chances are, they are having a significantly harder day than you!

Ken Donaldson is a Consultant Nephrologist and Associate Medical Director at NHS Dumfries and Galooway.

19 thoughts on “Having a bad day? by @kendonaldson

  1. Just like an actor adapts to their role sometimes we have to put on a face, yes that can be exhausting when we are already struggling but in this job every patient is entitled to time and attention and if you are pleasant that only adds to the positive experience they deserve.

  2. thank you for sharing this, it is comforting on the bad days to remember that we are not alone & kindness does not have to be time consuming but can make a real difference!
    #NHSheros need a hug from time to time

  3. How true, really enjoy all the blogs and thank you implementing it and for keeping it going

    KIND regards
    Karen

    Care and Compassion costs nothing

    KAREN HILLS
    LEADING BETTER CARE / RELEASING TIME TO CARE CO-ORDINATOR
    DUMFRIES AND GALLOWAY ROYAL INFIRMARY
    BANKEND ROAD
    DUMFRIES
    DG1 4AP
    karen.hills@nhs.net
    tel 01387 246246 extension 33513
    http://www.lbcimpact.com
    http://www.knowledge.scot.nhs.uk/rtccommunity.aspx
    http://www.nhsscotlandintegration.com
    http://www.evidenceintopractice.scot.nhs.uk/leading-better-care.aspx

    Releasing Time To Care ‘Making Your Priorities Possible’
    RTC Twitter:- @histrtc
    http://www.qihub.scot.nhs.uk/scormplayer.aspx?pkgurl=%2felearningmodules%2fLean+in+healthcare%2f&height=800&width=1010

    http://www.nhsiq.nhs.uk/ = NHS Improving Quality website

  4. Lovely blog just to remind us we are all human and are unable to do everything, but the little things do make a big difference 🙂

  5. Great read Ken. You’re right with the ‘putting the glass down’ every so often. I tend to think of it as just giving in and accepting a bad day. Me reacting to it only serves to make it worse. Almost everytime it seems to unravel itself and become easier – less conflict, more smiling, happier atmosphere all round

    • Very true. Sometimes its that acceptance that makes the difference. Also being able to say ‘that can wait’ and deal with the important stuff helps. Its a daily challenge though!! (Must stop sighing!!)

  6. thanks for this Ken as Atticus Finch noted “First of all,” he said, “if you can learn a simple trick, Scout, you’ll get along a lot better with all kinds of folks. You never really understand a person until you consider things from his point of view […] until you climb into his skin and walk around in it.” (3.85-87)

  7. thanks for this Ken,
    a colleague and I are delivering eight week Minfulness courses for Health and Social Care staff and other groups such as carers in Nithsdale we are currently devloping a Programme of Mindfulness for the region..we have received great feedback with comments such as i’m much calmer, less irritable, less anxious, more incontrol of my life and less self critical…..let me know if you would like any other infomation..

  8. Thanks Ken, It’s important to remember that we need to look out for each other. If we don’t who will?

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