How Do You Say No When Someone Might Die?

Nov 6, 2023

Learn how to say no and set boundaries in challenging medical situations, the concept of core and flex boundaries, and the short-term and long-term consequences of setting boundaries and saying no. The importance of considering these consequences when making decisions is emphasized, as well as the negative effects of not setting boundaries. Discover how saying no can lead to a healthier work-life balance and fulfillment of goals, while also maintaining relationships and prioritizing one's own needs.

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Introduction

00:00 • 2min

Overcoming Challenges in Saying No and Setting Boundaries in Medical Situations

02:04 • 3min

Understanding Core and Flex Boundaries

04:55 • 6min

The Consequences of Saying No in Medical Emergencies

10:49 • 3min

The Long-Term Consequences of Not Setting Boundaries and Saying No

13:27 • 9min

Saying no and setting boundaries are core to avoiding burnout. But if saying no might put a patient at harm – or worse – what can you do?

In this quick dip episode, Rachel explains the concept of core and flex boundaries along with core and flex consequences. Core boundaries are non-negotiables that we always enforce, rather than preferences we’d like to enforce but can be flexible around.Key to this approach is also recognising the short- and long-term consequences of saying no.

By not setting boundaries or saying no when we need to, we risk damaging our relationships and neglecting our own needs. This can lead to regret, unfulfilled goals, and negative effects on other people who rely on us. But by setting rigid and flexible boundaries, we can get closer to a healthy work-life balance, and keep our priorities and commitments in tact.

Listen to this episode to

Discover how to set boundaries and say no in challenging situations, ie when someone's life might be at stake.
Understand the concept of core and flex boundaries and how they can help in decision-making.
Learn about the short-term and long-term consequences of setting boundaries and saying no, and the importance of considering them when making decisions.

Episode highlights

[00:03:43] Introducing core and flex boundaries
[00:04:55] Core boundaries
[00:06:21] Flex boundaries
[00:09:26] What happens when core boundaries are in conflict
[00:11:34] Short-term consequences
[00:12:34] Long-term consequences
[00:15:59] Core and flex consequences
[00:17:59] Hierarchy of boundaries
[00:19:40] Putting this into practice

Resources

THRIVE Weekly Planner
How to Avoid Amygdala Hijack Part 1 – Episode 169
How to Avoid Amygdala Hijack Part 2 – Episode 171
The Problem with Boundaries – Episode 161
Download the episode’s workbook and CPD form. You can use them for reflection and to submit for your appraisal.

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