Different elements of comfort care tools used at end of life. These tools each represent a healing function and are contained in one box (shoe box size).
The purpose of this Caritas Coach project was to create a formalized process to assist the nurse to create a Caring Moment with a patient. A staff nurse, proposed an idea for helping to create a caring moment with patients through use of a flameless candle and a group process. Her idea was to set aside a time in which staff and the patient and their family would meet and focus on a prayer, a meditation, a circle of silence, or even song, depending on the patient’s wishes.
The document discusses how caregivers in the Mother Baby Department of Kaiser Permanente Northern California are embracing the principles of caring science. It presents an acronym for the first Caritas Process of "EMBRACE" which stands for Empathy, Mindfulness, Balance, Reaching Out, Acceptance, Caring, and Exceptional Service. These principles are incorporated into patient care and discussed at caring science meetings. The document was presented as a poster at the 2014 Caritas Consortium by Toni Halliwell from the Santa Clara Medical Center.
Sharing Caritas Through Art - Healing with BraceletsKaiser Permanente
Beaded bracelets made by members of a Caring Council are given to co-workers, patients and family members with simple messages of encouragement and gratitude.
Three nurses at Kaiser San Rafael Medical Center created a quiet space for staff. They obtained input from staff on what they wanted, such as music, candles, and comfortable seating. They transformed a supply room into the space, painting the walls soft colors and adding chairs, tables, and inspirational words. The room includes a CD player with soft music, a sound machine, candles, and a binder for sharing thoughts. It has been well-received, with one entry in the binder being a thankful note from a patient's family member. The creators hope to make the room available to the entire hospital community and officially name it.
The document summarizes the renovations made to the birthing center at St. Mary's Hospital. It describes the updated facilities including 13 birthing rooms decorated for the four seasons and equipped with private showers. Medical staff can now monitor patients without leaving the room. The $2.6 million renovations were funded by key donors. The summary also introduces midwifery services now available and their woman-centered approach to care before, during and after birth.
The VP of Medical Affairs at Ohio Health Hospice wrote to Brian Smith to commend him for the exceptional care he provided to patient Ivy Lannaman and her family over her two month hospice stay. The family's request for donations to the hospice in Ivy's obituary showed their satisfaction and appreciation went above and beyond expectations. The VP praised Brian for delivering personalized care that gave the family such a positive experience and strengthened the reputation of hospice in their community.
This document provides information about palliative care and comfort care at the end of life. It discusses palliative care as improving quality of life for those with life-threatening illness through pain and symptom relief. Comfort care is care that helps or soothes those who are dying with the goal of preventing and relieving suffering while respecting wishes. The document provides guidance on identifying actively dying patients, managing pain and dyspnea with opioids, and using continuous opioid infusions.
The purpose of this Caritas Coach project was to create a formalized process to assist the nurse to create a Caring Moment with a patient. A staff nurse, proposed an idea for helping to create a caring moment with patients through use of a flameless candle and a group process. Her idea was to set aside a time in which staff and the patient and their family would meet and focus on a prayer, a meditation, a circle of silence, or even song, depending on the patient’s wishes.
The document discusses how caregivers in the Mother Baby Department of Kaiser Permanente Northern California are embracing the principles of caring science. It presents an acronym for the first Caritas Process of "EMBRACE" which stands for Empathy, Mindfulness, Balance, Reaching Out, Acceptance, Caring, and Exceptional Service. These principles are incorporated into patient care and discussed at caring science meetings. The document was presented as a poster at the 2014 Caritas Consortium by Toni Halliwell from the Santa Clara Medical Center.
Sharing Caritas Through Art - Healing with BraceletsKaiser Permanente
Beaded bracelets made by members of a Caring Council are given to co-workers, patients and family members with simple messages of encouragement and gratitude.
Three nurses at Kaiser San Rafael Medical Center created a quiet space for staff. They obtained input from staff on what they wanted, such as music, candles, and comfortable seating. They transformed a supply room into the space, painting the walls soft colors and adding chairs, tables, and inspirational words. The room includes a CD player with soft music, a sound machine, candles, and a binder for sharing thoughts. It has been well-received, with one entry in the binder being a thankful note from a patient's family member. The creators hope to make the room available to the entire hospital community and officially name it.
The document summarizes the renovations made to the birthing center at St. Mary's Hospital. It describes the updated facilities including 13 birthing rooms decorated for the four seasons and equipped with private showers. Medical staff can now monitor patients without leaving the room. The $2.6 million renovations were funded by key donors. The summary also introduces midwifery services now available and their woman-centered approach to care before, during and after birth.
The VP of Medical Affairs at Ohio Health Hospice wrote to Brian Smith to commend him for the exceptional care he provided to patient Ivy Lannaman and her family over her two month hospice stay. The family's request for donations to the hospice in Ivy's obituary showed their satisfaction and appreciation went above and beyond expectations. The VP praised Brian for delivering personalized care that gave the family such a positive experience and strengthened the reputation of hospice in their community.
This document provides information about palliative care and comfort care at the end of life. It discusses palliative care as improving quality of life for those with life-threatening illness through pain and symptom relief. Comfort care is care that helps or soothes those who are dying with the goal of preventing and relieving suffering while respecting wishes. The document provides guidance on identifying actively dying patients, managing pain and dyspnea with opioids, and using continuous opioid infusions.
This document describes a creative board initiative for patient rooms at Kaiser Permanente hospitals. The initiative aims to allow patients, families, and visitors to express themselves creatively through sharing photos, art, writings, and other creative works on a board in the patient's room. This is intended to help patients find inner peace during their hospital stay. The initiative was proposed by Hyunmie Maria Chang from the Marin/Sonoma Medical Center in San Rafael and presented as a poster at the 2014 Caritas Consortium conference.
Creating a caring environment for Lactating MothersKaiser Permanente
Vision to create a lactation room of beauty and peace that generates feelings of well-being, healing and meditation for working mothers in the hospital.
Focus on how small actions have a large impact on patient care. For example: helping to facilitate sleep hours with use of lowering the lights, quiet voices at night and warm blankets to tuck in.
This is a collaborative project joining Volunteer services and unit, where we provide a healing environment that promotes transpersonal experiences, by offering our members hand-massages.
This document describes three caring-healing carts used at Kaiser Permanente in Northern California to provide support to patients and their families. The tea cart serves tea and treats to staff monthly and focuses on a Caritas process. The bereavement cart provides nourishment and spiritual/religious resources for dying patients and their families. The comfort cart offers supplies for hand massage, aromatherapy, and music to comfort patients and families. The caring-healing carts were created to provide appreciation, support and nourishment for patients, families, and staff.
The loss of a patient to cancer, particularly if the patient is young, takes a piece of your heart. We worked with our Employee Assistance Program to develop a compassion fatigue program to assist with feelings, the importance of self care and the importance of being supportive with each other.
Monthly Caritas Tea-Team Time is a monthly event started by the PACU unit of Kaiser Vallejo Medical Center. Tea is served as individuals express Caritas moments and experiences, promoting helping-trusting relationships among the staff and serving as a centering moment to pause before a patient interaction.
Kaiser Vallejo Medical Center has a Caritas Garden area which includes bamboo, waterfall, benches and a walking path intended for meditation, reflection and healing. Jean Watson’s 10 Caritas Principles have been engraved on rocks placed within the garden.
In preparation for Nurse Recognition Week, 2013, the South Sacramento Caring Council decided to create rooms that would express each of the 10 Caritas Processes. Each unit or service area chose a Caritas Process to interpret for their room.
Embrace altruistic values and practice loving kindness with self and others is one of the 10 Caritas Principles developed by Jean Watson. To embrace this concept, on Valentine’s Day, February 14, 2013, members of the Kaiser Vallejo Caritas Circle made rounds throughout the entire hospital, inspiring people to practice kindness and pass it on to others, by passing out heart stickers and a “Heart It Forward” card containing more stickers to pass on to others remembering, kindness doesn’t cost a thing but it makes all the difference in our world.
Caring Science Integration with the Professional RoleKaiser Permanente
"Overview of a two-day workshop designed to explore integration of patient care with the professional role, emphasizing Caring Science as a framework, introducing basic HeartMath concepts and techniques and relating the language of the Caritas Processes to specific hospital strategic initiatives.
"
NICU Staff created a parents guide to educate families with newborns who experience withdrawal symptoms caused by the effects of maternal drug use from a Caring Science perspective.
Two activities focused on fostering practitioner to practitioner relationships. A Caritas Chili Cook Off provided the opportunity to highlight the basic human need for food and fluid, honoring cultural needs related to the act of eating, and the reciprocal act of nurturing. A Caritas Holiday Cookie Exchange provided the opportunity to emphasize culture, nurturing, and healing environments.
"For our caregiver team, ourselves and our patients - we want to capture candid still photos of caring actions/moments - an expression of how caring science touches all of us at all levels.
"
The caring committee concentrated on the 10 caritas processes. We selected one process every month and the committee members interviewed their co-workers as to what that word means to them and collected their stories/interpretation.
Our "Preemie Reunion" has given us (staff) an opportunity to continue to connect with the babies, our preemie graduates and families. We believe that continuing our relationship with the families remind us of our hard work and gives us pride in what we do.
Developing a Booklet for Patients & Families on Cardiac/Stroke UnitKaiser Permanente
Development of a Patient and Family-centered orientation booklet for those placed within the Cardiac and Stroke unit, with the goal of reducing anxiety and confusion and of engaging patients and their family members as key partners in decision-making regarding their plan of care.
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
This document describes a creative board initiative for patient rooms at Kaiser Permanente hospitals. The initiative aims to allow patients, families, and visitors to express themselves creatively through sharing photos, art, writings, and other creative works on a board in the patient's room. This is intended to help patients find inner peace during their hospital stay. The initiative was proposed by Hyunmie Maria Chang from the Marin/Sonoma Medical Center in San Rafael and presented as a poster at the 2014 Caritas Consortium conference.
Creating a caring environment for Lactating MothersKaiser Permanente
Vision to create a lactation room of beauty and peace that generates feelings of well-being, healing and meditation for working mothers in the hospital.
Focus on how small actions have a large impact on patient care. For example: helping to facilitate sleep hours with use of lowering the lights, quiet voices at night and warm blankets to tuck in.
This is a collaborative project joining Volunteer services and unit, where we provide a healing environment that promotes transpersonal experiences, by offering our members hand-massages.
This document describes three caring-healing carts used at Kaiser Permanente in Northern California to provide support to patients and their families. The tea cart serves tea and treats to staff monthly and focuses on a Caritas process. The bereavement cart provides nourishment and spiritual/religious resources for dying patients and their families. The comfort cart offers supplies for hand massage, aromatherapy, and music to comfort patients and families. The caring-healing carts were created to provide appreciation, support and nourishment for patients, families, and staff.
The loss of a patient to cancer, particularly if the patient is young, takes a piece of your heart. We worked with our Employee Assistance Program to develop a compassion fatigue program to assist with feelings, the importance of self care and the importance of being supportive with each other.
Monthly Caritas Tea-Team Time is a monthly event started by the PACU unit of Kaiser Vallejo Medical Center. Tea is served as individuals express Caritas moments and experiences, promoting helping-trusting relationships among the staff and serving as a centering moment to pause before a patient interaction.
Kaiser Vallejo Medical Center has a Caritas Garden area which includes bamboo, waterfall, benches and a walking path intended for meditation, reflection and healing. Jean Watson’s 10 Caritas Principles have been engraved on rocks placed within the garden.
In preparation for Nurse Recognition Week, 2013, the South Sacramento Caring Council decided to create rooms that would express each of the 10 Caritas Processes. Each unit or service area chose a Caritas Process to interpret for their room.
Embrace altruistic values and practice loving kindness with self and others is one of the 10 Caritas Principles developed by Jean Watson. To embrace this concept, on Valentine’s Day, February 14, 2013, members of the Kaiser Vallejo Caritas Circle made rounds throughout the entire hospital, inspiring people to practice kindness and pass it on to others, by passing out heart stickers and a “Heart It Forward” card containing more stickers to pass on to others remembering, kindness doesn’t cost a thing but it makes all the difference in our world.
Caring Science Integration with the Professional RoleKaiser Permanente
"Overview of a two-day workshop designed to explore integration of patient care with the professional role, emphasizing Caring Science as a framework, introducing basic HeartMath concepts and techniques and relating the language of the Caritas Processes to specific hospital strategic initiatives.
"
NICU Staff created a parents guide to educate families with newborns who experience withdrawal symptoms caused by the effects of maternal drug use from a Caring Science perspective.
Two activities focused on fostering practitioner to practitioner relationships. A Caritas Chili Cook Off provided the opportunity to highlight the basic human need for food and fluid, honoring cultural needs related to the act of eating, and the reciprocal act of nurturing. A Caritas Holiday Cookie Exchange provided the opportunity to emphasize culture, nurturing, and healing environments.
"For our caregiver team, ourselves and our patients - we want to capture candid still photos of caring actions/moments - an expression of how caring science touches all of us at all levels.
"
The caring committee concentrated on the 10 caritas processes. We selected one process every month and the committee members interviewed their co-workers as to what that word means to them and collected their stories/interpretation.
Our "Preemie Reunion" has given us (staff) an opportunity to continue to connect with the babies, our preemie graduates and families. We believe that continuing our relationship with the families remind us of our hard work and gives us pride in what we do.
Developing a Booklet for Patients & Families on Cardiac/Stroke UnitKaiser Permanente
Development of a Patient and Family-centered orientation booklet for those placed within the Cardiac and Stroke unit, with the goal of reducing anxiety and confusion and of engaging patients and their family members as key partners in decision-making regarding their plan of care.
Similar to Creating A Caritas Comfort Care Box (20)
All "ways of knowing" take place during a birthing. Using Quality Improvement tools such as PDSA, NKE+ provides family centered communication and better teamwork to meet the patient and family goals.
Transition of Patient from Hospital to Home/Next Level of CareKaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
Empowering Patients and Families to Preserve Dignity and Quality of Life thro...Kaiser Permanente
A unique opportunity is available when caring for our patients and families experiencing end of life decisions. Authentic presence, listening, and problem solving empower our patients along their journey.
The Evolution of Caring Science throughout the Transdisciplinary TeamKaiser Permanente
Caring Science is a framework for healthcare disciplines to focus on the patients needs through the continuum of care. Communication, teamwork, & colloboration are essential strategies for a seamless experience for our patients.
For exceptional care in any setting, care of self, care of our patients and families, and care of the team are necessary ingredients.This outpatient example explains the steps.
Use of the Watson Caritas Patient Scoring tool to assess patient perspective on compassionate care, respect for personal beliefs, and caring-healing environment.
This document discusses a poster presentation for the Caritas Consortium in 2014 titled "Transcending the Walls of the ICU". The poster aimed to show how the Kaiser Permanente San Francisco ICU transforms the medical environment into a healing space for patients through physical, visual, and mental/spiritual means such as mobilization, art displays, and music therapies. The poster was created by four contributors from Kaiser Permanente San Francisco and presented in 2014.
Kaiser Permanente's Clinical Education, Practice, and Informatics department in Northern California holds weekly "high tea" meetings to build their caregiver team. At the beginning of each week, the team meets to strategize and delegate work. Throughout the week, they educate and work on projects while supporting staff. At the end of each week, the team gathers again over dessert to debrief, share stories and laughs, and strengthen relationships. These high tea meetings help foster helping, trusting, and collaborative relationships within the busy healthcare environment.
Visual expression of how caregivers within KP San Francisco’s Periop department live and care about patients with the knowledge and forethought use of the Caring Science Theory as a daily practice.
Inspiring Hope: Integrating the Caritas Processes into Stroke Patient & Famil...Kaiser Permanente
1) Kaiser Permanente in Northern California developed a new stroke education curriculum that incorporates Caring Science and the 10 Caritas Processes.
2) The goal was to not only teach medical content but also address patients' emotional and spiritual needs by inspiring hope and motivation during their recovery.
3) Feedback showed the new approach helped patients feel more encouraged and comfortable with their recovery process compared to the previous informational-only class.
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1. Kaiser Permanente, Northern California
Caritas in Action
How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our
patients and their families exceptional care
Caritas Consortium 2014
Creating A Caritas Comfort Care Box
Honoring Health, Healing & Wholeness
2. Creating A Caritas Comfort Care Box
Intent to Contribute Statement:
The poster board reflects the different elements of comfort care tools used at end of life. These tools each
represent a healing function and are contained in one box (shoe box size).
The first is a battery operated candle which creates a glow of light in the room. The next item is a small container
of massage lotion which represents the healing of the hands and is used for massaging the hands of the patient.
This is a particularly good act to do with family members present so that they can feel comfortable touching and
loving the hands of their beloved friend or relative. It is also a path the RN can take to engage more fully with the
patient. The next item is a small pamphlet that describes the physical changes in end of life patients. there are
some herbal tea packaged bags and some hard candy for the friends/family who may want to refresh their dry
mouths the next item is a small notebook for use as a journal or notes to take while in the hospital. and a pen to
write thoughts in. Finally a knitted bed quilt is given to the patient for her hospital stay and for the family/friends
to take home and keep. This blankets are hand knitted by the hospital volunteers. There is also clear lip gloss to
moisten the patient's lips.
Page 2
3. Inspired Contributor(s):
Christine Humphreys – Caritas Coach
------
Service Area: Marin/Sonoma
Medical Center: SRF
Affiliation: PCS
------
Year Shared: 2014
Venue: Caritas Consortium
Format: Poster
ID #: H09
Keyword TAGs:
Identifier
Consortium2014-June, Marin
Sonoma, San Rafael, Poster,
Caritas Coach, Patient Care
Services, Adult Services
Healing Environments,
Patients/Families
Descriptor
Death & Dying
Page 3
Creating A Caritas Comfort Care Box
4. Page 4
Creating A Caritas Comfort Care Box
<< Insert Photo(s) here >>
Editor's Notes
Good morning, I am delighted and honored to be here today to recognize and reflect on how Caring Science is enabling us to transform the caring-healing culture within Northern California Kaiser Permanente.
And finally, the time we’ve been waiting for…
The joyful moment when we are able to Harvest the Bounty of all the thoughtful attention, dedication, good intentions and caring energy we have poured into tending the garden
The exuberant recognition that harnessing our capacity to Flourish has enabled us to Realize our Fullest Potential