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Understanding and Alleviating Fear
as Central to Patient Experience
Rachel S. Permuth, PhD, MSPH
National Director of Research
Principal Epidemiologist
Innovations 2 Solutions
Sodexo
Fear is universal…
the way we manage it is not!
Our Inner Forces
“Hunger, love, pain, fear
are some of those inner
forces which rule the
individual’s instinct for self
preservation.”
- Albert Einstein
Consequences of Patient Fear Gone Wrong
“Apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more
harm than any exertion.”
– Florence Nightingale
Common Patient Fears
Infection &
Germs
Incompetence
of Staff Death Cost
Medical Mix-
Ups
Needles
Poor
Diagnosis &
Prognosis
Communication
Issues
Loneliness &
Isolation
Embarrassment
& Privacy
Fear in the hospital setting is complex.
Different Manifestations of Patient Fear:
Personix
Loners Worriers
Self-Centrics
Attention-
Seekers
FEAR OF THE
INSTITUTION
DEFLECT FEAR
INNERFOCUS
REACHOUT
TACKLE FEAR
Vitality
Recognition
Conviviality
Security
Listen to me
Bond with meSingularize my stay
Respect my
loneliness
Follow my planRegain my
balance
How to Alleviate Fear in Patient Communities
Alleviating Fear: CLEANING
9 –Personix™
Alleviating Patient Fear is Key to
Improving Patient Experience
IMPLICATIONS for COMMUNITIES

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Patient fear ppt adaptable communitiespermuth

Editor's Notes

  1. Picture Source: en.wikipedia.org
  2. Worst case: fear can cause cognitive, physiological, behavioral and affective reactions that can severely hinder a speedy and safe recovery Patient Experience Catastrophizing & experiencing the treatment to be worse than it truly is  implications for future decisions to seek care (in general or at a specific site) Patient Experience Scores & Hospital/Provider Rankings Adverse effect on patient-hospital staff interaction Picture Sources: www.stenbergcollege.com; www.healthitoutcomes.com; http://www.medpagetoday.com/HospitalBasedMedicine/WorkForce/38072; http://cdn4.nursingcrib.com/wp-content/uploads/2009_orphan_006.jpg
  3. Based on Patient Empathy Project, personal interviews, online research in forums and social media, a few select formal studies focusing on individual fears
  4. Different fear communities need different things to help them cope with fear