Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-in-your-practice/
This presentation was part of Embody's Safe Healthy Strong 2015 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Reproductive life planning (RLP) is a client-based assessment of personal life goals to determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then informs the development of a flexible strategy to prevent or plan future pregnancies in order to successfully meet these goals.
However, getting patients to modify their health or sexual habits isn’t always easy. The practice of motivational interviewing (MI) is an effective catalyst for behavior change. MI is a quick, effective, client-centered counseling technique that allows clients to define their own goals and make their own choices by helping them identify what is personally meaningful and valuable in their own lives, and to act in ways that will help them meet their goals. Best of all, it works.
This full-day pre-conference workshop introduced participants to the core concepts of motivational interviewing, placed within the context of reproductive life planning, a process which allows individuals to make appropriate decisions regarding their sexual and reproductive health, desire to have children, and birth spacing.
Participants learned the basic techniques of motivational interviewing and discovered how to help clients assess their own goals, make a plan that will help them meet those goals, and find ways to overcome obstacles that may occur along the way.
ABOUT THE PRESENTERS
Meghan Benson, MPH, CHES, has worked in the field of sexuality education since she was a teen peer HIV educator in high school. Throughout her education and professional experience, she remained dedicated to advocacy and education around women’s sexual health. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois-Chicago and will be pursuing her PhD at the UW-Milwaukee Zilber School of Public Health in Fall 2015. As the director of Embody, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education, a Wisconsin Alliance for Women's Health board member, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years. During that time, she has held various positions within the patient services and community education departments. In her current role, she provides direct education for Planned Parenthood staff and other health professionals on reproductive and sexual health. Anne also provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin community library.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Reproductive Life Planning is client-based assessment of personal life goals to first determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then allows individuals to develop a flexible strategy to prevent or plan future pregnancies, in order to successfully meet their life goals. Participants who attend this session will be able to help their clients develop their own Reproductive Life Plans. They will also learn about and practice using basic motivational interviewing techniques that help clients help themselves. Motivational interviewing is a non-judgmental, non-confrontational, and non-adversarial counseling technique which can be especially effective when helping clients explores their own goals and motivations, and helping them create reproductive life plans that help them succeed in meeting their goals.
ABOUT THE PRESENTERS
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years.. In her current role, she provides direct education to youth and adults on reproductive and sexual health, and provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin Community Library. Anne has written articles on sexual health communication for families and professionals, and most recently was a contributing author to the third edition of the Center For Family Life Education’s Teaching Safer Sex!, a two-volume set of activities that provide skill-building lessons and activities for teaching comprehensive sexuality.
Andrew Clarke, MD gave a presentation on physician burnout and wellness. He discussed that burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that is common in helping professions. It has distinct stages and signs. While reducing hours may help burnout, it is not a cure on its own. Clarke emphasized the importance of physicians having a trusted support network to recognize signs of trouble and seek help. Key health issues physicians face include challenges with collegiality, advocacy, and prioritizing their own wellness.
The document discusses facilitating behavior change using the Transtheoretical Model of Behavior Change and Motivational Interviewing. It defines the 5 stages of change in the Transtheoretical Model and describes how Motivational Interviewing uses person-centered counseling skills to help patients resolve ambivalence and increase intrinsic motivation for behavior change. Key principles of Motivational Interviewing include expressing empathy, developing discrepancies between current behaviors and goals, rolling with resistance, and supporting self-efficacy. The document provides examples of reflective listening, open-ended questions, summarizing, and assessing readiness to change using tools like importance and confidence rulers.
The document discusses strategies for improving patient self-management of chronic conditions. It begins by noting that the US has higher rates of avoidable hospital admissions for conditions like asthma and diabetes that should be managed through primary care. It then discusses how social and environmental factors contribute more to health outcomes than medical care alone. The rest of the document focuses on developing a patient-centered approach to care that emphasizes motivational interviewing strategies. It stresses the importance of developing clear, achievable action plans with patients that address barriers to self-management and build patients' confidence in their ability to care for their health. The overall approach is to work with patients' own interests and goals to develop personalized plans for behavior change.
This document discusses chronic pain and strategies for clinicians to help clients dealing with chronic pain. It begins by outlining the prevalence and types of chronic pain, noting it affects over 100 million Americans. It then discusses how chronic pain is not just a physical problem, but also involves mental health and emotional factors. The document presents evidence-based strategies clinicians can use, such as cognitive techniques, exercise, and complementary therapies. It emphasizes the impact of chronic pain on families and provides tips for clinicians to help clients support their loved ones. Overall, the summary emphasizes a biopsychosocial approach to chronic pain that addresses physical, mental, and social factors.
The document discusses various consultation models in family medicine, including traditional disease-focused models and more comprehensive models that emphasize the patient-physician relationship and address psychosocial factors. It then presents Fayza Rayes' comprehensive consultation model, which aims to integrate effective communication skills into the traditional clinical method in a practical way that can be incorporated into daily practice and medical records. The model emphasizes a patient-centered and holistic approach that addresses patient needs beyond just disease management.
In this lesson, you’ll:
- Learn about your own support needs: Decide when you need support, how much is needed, and from whom.
- Learn how to find people and places for support.
- Understand the benefits and risks of online support.
This presentation was part of Embody's Safe Healthy Strong 2015 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Reproductive life planning (RLP) is a client-based assessment of personal life goals to determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then informs the development of a flexible strategy to prevent or plan future pregnancies in order to successfully meet these goals.
However, getting patients to modify their health or sexual habits isn’t always easy. The practice of motivational interviewing (MI) is an effective catalyst for behavior change. MI is a quick, effective, client-centered counseling technique that allows clients to define their own goals and make their own choices by helping them identify what is personally meaningful and valuable in their own lives, and to act in ways that will help them meet their goals. Best of all, it works.
This full-day pre-conference workshop introduced participants to the core concepts of motivational interviewing, placed within the context of reproductive life planning, a process which allows individuals to make appropriate decisions regarding their sexual and reproductive health, desire to have children, and birth spacing.
Participants learned the basic techniques of motivational interviewing and discovered how to help clients assess their own goals, make a plan that will help them meet those goals, and find ways to overcome obstacles that may occur along the way.
ABOUT THE PRESENTERS
Meghan Benson, MPH, CHES, has worked in the field of sexuality education since she was a teen peer HIV educator in high school. Throughout her education and professional experience, she remained dedicated to advocacy and education around women’s sexual health. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois-Chicago and will be pursuing her PhD at the UW-Milwaukee Zilber School of Public Health in Fall 2015. As the director of Embody, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education, a Wisconsin Alliance for Women's Health board member, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years. During that time, she has held various positions within the patient services and community education departments. In her current role, she provides direct education for Planned Parenthood staff and other health professionals on reproductive and sexual health. Anne also provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin community library.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Reproductive Life Planning is client-based assessment of personal life goals to first determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then allows individuals to develop a flexible strategy to prevent or plan future pregnancies, in order to successfully meet their life goals. Participants who attend this session will be able to help their clients develop their own Reproductive Life Plans. They will also learn about and practice using basic motivational interviewing techniques that help clients help themselves. Motivational interviewing is a non-judgmental, non-confrontational, and non-adversarial counseling technique which can be especially effective when helping clients explores their own goals and motivations, and helping them create reproductive life plans that help them succeed in meeting their goals.
ABOUT THE PRESENTERS
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years.. In her current role, she provides direct education to youth and adults on reproductive and sexual health, and provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin Community Library. Anne has written articles on sexual health communication for families and professionals, and most recently was a contributing author to the third edition of the Center For Family Life Education’s Teaching Safer Sex!, a two-volume set of activities that provide skill-building lessons and activities for teaching comprehensive sexuality.
Andrew Clarke, MD gave a presentation on physician burnout and wellness. He discussed that burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that is common in helping professions. It has distinct stages and signs. While reducing hours may help burnout, it is not a cure on its own. Clarke emphasized the importance of physicians having a trusted support network to recognize signs of trouble and seek help. Key health issues physicians face include challenges with collegiality, advocacy, and prioritizing their own wellness.
The document discusses facilitating behavior change using the Transtheoretical Model of Behavior Change and Motivational Interviewing. It defines the 5 stages of change in the Transtheoretical Model and describes how Motivational Interviewing uses person-centered counseling skills to help patients resolve ambivalence and increase intrinsic motivation for behavior change. Key principles of Motivational Interviewing include expressing empathy, developing discrepancies between current behaviors and goals, rolling with resistance, and supporting self-efficacy. The document provides examples of reflective listening, open-ended questions, summarizing, and assessing readiness to change using tools like importance and confidence rulers.
The document discusses strategies for improving patient self-management of chronic conditions. It begins by noting that the US has higher rates of avoidable hospital admissions for conditions like asthma and diabetes that should be managed through primary care. It then discusses how social and environmental factors contribute more to health outcomes than medical care alone. The rest of the document focuses on developing a patient-centered approach to care that emphasizes motivational interviewing strategies. It stresses the importance of developing clear, achievable action plans with patients that address barriers to self-management and build patients' confidence in their ability to care for their health. The overall approach is to work with patients' own interests and goals to develop personalized plans for behavior change.
This document discusses chronic pain and strategies for clinicians to help clients dealing with chronic pain. It begins by outlining the prevalence and types of chronic pain, noting it affects over 100 million Americans. It then discusses how chronic pain is not just a physical problem, but also involves mental health and emotional factors. The document presents evidence-based strategies clinicians can use, such as cognitive techniques, exercise, and complementary therapies. It emphasizes the impact of chronic pain on families and provides tips for clinicians to help clients support their loved ones. Overall, the summary emphasizes a biopsychosocial approach to chronic pain that addresses physical, mental, and social factors.
The document discusses various consultation models in family medicine, including traditional disease-focused models and more comprehensive models that emphasize the patient-physician relationship and address psychosocial factors. It then presents Fayza Rayes' comprehensive consultation model, which aims to integrate effective communication skills into the traditional clinical method in a practical way that can be incorporated into daily practice and medical records. The model emphasizes a patient-centered and holistic approach that addresses patient needs beyond just disease management.
In this lesson, you’ll:
- Learn about your own support needs: Decide when you need support, how much is needed, and from whom.
- Learn how to find people and places for support.
- Understand the benefits and risks of online support.
This document provides guidance on building resilience in the workplace and dealing with job stress. It discusses how over 75% of employees experience moderate to high stress, and lists common workplace challenges like excessive workloads, lack of support, and job insecurity. It then outlines ways to boost resilience, such as practicing mindfulness, compartmentalizing tasks, taking breaks, and developing mental agility. The document also provides tips for what to do when feeling overwhelmed, such as tracking time use, limiting work communication after hours, and starting to take vacation time. Finally, it discusses how to identify and leave a bad job, including documenting problems, giving notice, and focusing on future opportunities.
Letting It Go - Opening up to Your Colleagues About Mental HealthMike Osolinski
A presentation at the first Acas conference on mental health about talking to your colleagues about your mental health and how it can benefit both you and your employer
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
Communication skills in clinical practice for undergraduatessyahnaz74
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for positive behaviors like addressing patients respectfully, making them comfortable, focusing on them, and using open-ended questions.
"Medical Improvisation for Harried Healthcare Professionals" with Dr. Kenneth Cohn, MD, MBA and Beth Boynton, RN, MS
Ppx from 11/12/13 webinar focuses on definition, rational, and examples of this innovative process that helps to promote safe care, optimal patient experience, and positive work cultures.
An individualized, evidence based approach to musFrancescaDwamena
This document discusses an approach to medically unexplained symptoms (MUS) in primary care. It describes a case of a 34-year-old woman with intractable symptoms and outlines a 5-step approach physicians can take to diagnose and treat MUS: 1) establish a successful doctor-patient relationship, 2) help patients understand their illness, 3) help patients commit to participating in their care, 4) help patients set realistic goals, and 5) negotiate treatment plans including pharmacologic and non-pharmacologic elements. The case study demonstrates how applying this approach helped the patient achieve long-term goals like improved work and relationships.
The document discusses issues that arise when discussing weight with healthcare providers. It notes that when visiting the doctor for unrelated issues, weight is often tied to the problem. When visiting specifically about weight, discussions are often unhelpful or focus more on weight loss methods that have already been tried. The document advocates being prepared for appointments by having information about weight history and weight loss attempts. It encourages finding a provider willing to have constructive conversations and work as part of the healthcare team.
Session C - The use of self as a guide to sensitive and compassionate communi...JaspreetBhogal
This document discusses the importance of compassion in healthcare interactions. It defines compassion and explores how stress can negatively impact compassion for both patients and healthcare providers. The role of self-awareness and mindfulness are examined as ways to mitigate stress and practice compassion even during difficult interactions. Active listening is also discussed as a way to understand patients' experiences without judgment and show compassion.
The document describes a test bank for questions related to a nursing health assessment chapter. It includes multiple choice questions about topics like the purpose of a nursing assessment, who collects subjective data, describing the nursing process, and more. The questions provide feedback for correct and incorrect answers. The test bank allows instructors to add, modify, and remove questions to assess student learning.
The document summarizes a webinar about coping after a colorectal cancer diagnosis. It discusses the psychosocial challenges patients face during different stages of illness, including diagnosis, treatment, and post-treatment. It outlines common symptoms of depression and anxiety and provides strategies for stress management, communication, social support, and self-care to help patients maintain emotional and physical well-being after cancer. The webinar aims to help patients recognize signs of distress and understand options for support and treatment.
Fear of Recurrence for Breast and Ovarian Cancer SurvivorsMelissa Sakow
It is normal and common to experience fears about recurrence after finishing treatment for cancer. For some, the anxiety emerges only occasionally, whereas for others, the fears are persistent and interfere with their life and day-to-day functioning. In this webinar, Wendy Lichtenthal, Ph.D., discussed strategies for coping with fear of cancer recurrence, allowing time for questions and group discussion. Q&A period followed.
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
Finding Your Compass on the Path to Recovery | Veritas CollaborativeVeritas_Collaborative
Alyssa Kalata, Ph.D and Associate Clinical Director of Veritas has learned that life values are an important step when it comes to treating eating disorders and that each individual needs their own individual compass on their path to recovery. Find out more about Kalata's treatment strategies at http://veritascollaborative.com/blog/2015/12/finding-your-compass-on-the-path-to-recovery. Also, for more insights to helping those suffering of eating disorders, visit http://veritascollaborative.com/blog.
Healthy communication can be a lofty goal at the best of times- and even more so while living with cancer and its stresses. This workshop aims to provide you with practical tools to help build skills in healthy communication and mindful listening. These tools can help decrease stress and increase connection with oneself and others.
The Canadian Cancer Survivor Network is pleased to have Registered Clinical Counsellor Genevieve Stonebridge from InspireHealth Supportive Cancer Care present this webinar. InspireHealth is a Canadian leader in supportive cancer care with medical doctors, clinical counsellors, dietitians, exercise therapists all working together to support you and your family in your cancer experience.
About the presenter:
Genevieve Stonebridge has been working in cancer care since 2010, and with InspireHealth as a clinical counsellor since 2015. She is passionate about supporting
people living with, through or beyond a cancer diagnosis. With compassion, creativity and openness she believes in meeting patients where they are at. From her personal and professional experience, Genevieve knows how important communication skills are while navigating the health care system and in interpersonal relationships too.
First introduced to Inspire Health in 2001, when she herself was diagnosed with cancer as a young adult, Genevieve was strongly influenced by InspireHealth’s patient-centered approach – especially the benefits of personal reflection and self-care gained through counselling, meditation, movement and fun. Now cancer-free for over 15 years, Genevieve is devoted to creating safe and inspiring places for people to explore their cancer experience. This includes holding space for both the suffering and joys of life.
Genevieve lives in Victoria, BC, with her husband and grey tabby cat Gus. She is a qualified Mindfulness Based Stress Reduction (MBSR) teacher in training, and weaves mindfulness into everything she does.
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Self advocacy is about taking a proactive approach to all stages of health and illness: prevention, diagnosis, treatment, and recovery. When people take an active role in their care, research shows they fare better both in satisfaction and in how well treatments work. In this talk you will learn how to develop the skills to be a good self-advocate, communicate effectively with your doctors, evaluate the latest health news headlines and find the best health information online.
Wellbeing and mentorship - SRMO Orientation Feb 2020Bishan Rajapakse
This talk was part of the orientation for Senior Resident medical officers (SRMOs) working in at Shellharbour ED. The idea behind the talk was to convey the importance of wellbeing for quality patient care, workforce sustainability, and creating a workplace culture that we want to nurture and be proud of!
How to talk to your health care professional - Eileen O’DonovanIrish Cancer Society
This document provides tips for communicating effectively with your health care professionals when living with advanced cancer. It emphasizes the importance of open communication to ensure your needs are met. Some key points covered include preparing questions for appointments, taking notes during visits, asking questions until you understand, communicating any side effects, and not being afraid to speak up about your experience. The goal is to have a health care team you trust and get the information you need to feel involved in treatment decisions.
Motivational Interviewing - Dr Igor Koutsenok MD, MSjames_harvey_phd
Session 1 "Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes"
Presented by Dr Igor Koutsenok MD, MS (University of California San Diego, Department of Psychiatry) on 05/06/2020 during the first session of an ISSUP virtual training on MI.
**PLEASE NOTE that video slides have been removed to reduce file size**
Presentation content and learning outcomes:
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
Introduction: Motivation and behavioral change in addiction medicine
Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
Spirit of MI
Expressing empathy
Roadblocks to communication
Four Processes in MI
Full details: https://www.issup.net/about-issup/news/2020-05/motivational-interviewing-course
Communication skills in clinical practice for undergraduatessyahnaz74
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for building trust at first contact through addressing patients respectfully, making them feel comfortable, focusing on them, and asking open-ended questions.
This slideshow discussion provides tips for women with ovarian cancer on how to navigate your diagnosis in the workplace, from talking to coworkers, paid time off and sick leave, and more.
This document provides guidance on building resilience in the workplace and dealing with job stress. It discusses how over 75% of employees experience moderate to high stress, and lists common workplace challenges like excessive workloads, lack of support, and job insecurity. It then outlines ways to boost resilience, such as practicing mindfulness, compartmentalizing tasks, taking breaks, and developing mental agility. The document also provides tips for what to do when feeling overwhelmed, such as tracking time use, limiting work communication after hours, and starting to take vacation time. Finally, it discusses how to identify and leave a bad job, including documenting problems, giving notice, and focusing on future opportunities.
Letting It Go - Opening up to Your Colleagues About Mental HealthMike Osolinski
A presentation at the first Acas conference on mental health about talking to your colleagues about your mental health and how it can benefit both you and your employer
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
Communication skills in clinical practice for undergraduatessyahnaz74
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for positive behaviors like addressing patients respectfully, making them comfortable, focusing on them, and using open-ended questions.
"Medical Improvisation for Harried Healthcare Professionals" with Dr. Kenneth Cohn, MD, MBA and Beth Boynton, RN, MS
Ppx from 11/12/13 webinar focuses on definition, rational, and examples of this innovative process that helps to promote safe care, optimal patient experience, and positive work cultures.
An individualized, evidence based approach to musFrancescaDwamena
This document discusses an approach to medically unexplained symptoms (MUS) in primary care. It describes a case of a 34-year-old woman with intractable symptoms and outlines a 5-step approach physicians can take to diagnose and treat MUS: 1) establish a successful doctor-patient relationship, 2) help patients understand their illness, 3) help patients commit to participating in their care, 4) help patients set realistic goals, and 5) negotiate treatment plans including pharmacologic and non-pharmacologic elements. The case study demonstrates how applying this approach helped the patient achieve long-term goals like improved work and relationships.
The document discusses issues that arise when discussing weight with healthcare providers. It notes that when visiting the doctor for unrelated issues, weight is often tied to the problem. When visiting specifically about weight, discussions are often unhelpful or focus more on weight loss methods that have already been tried. The document advocates being prepared for appointments by having information about weight history and weight loss attempts. It encourages finding a provider willing to have constructive conversations and work as part of the healthcare team.
Session C - The use of self as a guide to sensitive and compassionate communi...JaspreetBhogal
This document discusses the importance of compassion in healthcare interactions. It defines compassion and explores how stress can negatively impact compassion for both patients and healthcare providers. The role of self-awareness and mindfulness are examined as ways to mitigate stress and practice compassion even during difficult interactions. Active listening is also discussed as a way to understand patients' experiences without judgment and show compassion.
The document describes a test bank for questions related to a nursing health assessment chapter. It includes multiple choice questions about topics like the purpose of a nursing assessment, who collects subjective data, describing the nursing process, and more. The questions provide feedback for correct and incorrect answers. The test bank allows instructors to add, modify, and remove questions to assess student learning.
The document summarizes a webinar about coping after a colorectal cancer diagnosis. It discusses the psychosocial challenges patients face during different stages of illness, including diagnosis, treatment, and post-treatment. It outlines common symptoms of depression and anxiety and provides strategies for stress management, communication, social support, and self-care to help patients maintain emotional and physical well-being after cancer. The webinar aims to help patients recognize signs of distress and understand options for support and treatment.
Fear of Recurrence for Breast and Ovarian Cancer SurvivorsMelissa Sakow
It is normal and common to experience fears about recurrence after finishing treatment for cancer. For some, the anxiety emerges only occasionally, whereas for others, the fears are persistent and interfere with their life and day-to-day functioning. In this webinar, Wendy Lichtenthal, Ph.D., discussed strategies for coping with fear of cancer recurrence, allowing time for questions and group discussion. Q&A period followed.
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
Finding Your Compass on the Path to Recovery | Veritas CollaborativeVeritas_Collaborative
Alyssa Kalata, Ph.D and Associate Clinical Director of Veritas has learned that life values are an important step when it comes to treating eating disorders and that each individual needs their own individual compass on their path to recovery. Find out more about Kalata's treatment strategies at http://veritascollaborative.com/blog/2015/12/finding-your-compass-on-the-path-to-recovery. Also, for more insights to helping those suffering of eating disorders, visit http://veritascollaborative.com/blog.
Healthy communication can be a lofty goal at the best of times- and even more so while living with cancer and its stresses. This workshop aims to provide you with practical tools to help build skills in healthy communication and mindful listening. These tools can help decrease stress and increase connection with oneself and others.
The Canadian Cancer Survivor Network is pleased to have Registered Clinical Counsellor Genevieve Stonebridge from InspireHealth Supportive Cancer Care present this webinar. InspireHealth is a Canadian leader in supportive cancer care with medical doctors, clinical counsellors, dietitians, exercise therapists all working together to support you and your family in your cancer experience.
About the presenter:
Genevieve Stonebridge has been working in cancer care since 2010, and with InspireHealth as a clinical counsellor since 2015. She is passionate about supporting
people living with, through or beyond a cancer diagnosis. With compassion, creativity and openness she believes in meeting patients where they are at. From her personal and professional experience, Genevieve knows how important communication skills are while navigating the health care system and in interpersonal relationships too.
First introduced to Inspire Health in 2001, when she herself was diagnosed with cancer as a young adult, Genevieve was strongly influenced by InspireHealth’s patient-centered approach – especially the benefits of personal reflection and self-care gained through counselling, meditation, movement and fun. Now cancer-free for over 15 years, Genevieve is devoted to creating safe and inspiring places for people to explore their cancer experience. This includes holding space for both the suffering and joys of life.
Genevieve lives in Victoria, BC, with her husband and grey tabby cat Gus. She is a qualified Mindfulness Based Stress Reduction (MBSR) teacher in training, and weaves mindfulness into everything she does.
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
Self advocacy is about taking a proactive approach to all stages of health and illness: prevention, diagnosis, treatment, and recovery. When people take an active role in their care, research shows they fare better both in satisfaction and in how well treatments work. In this talk you will learn how to develop the skills to be a good self-advocate, communicate effectively with your doctors, evaluate the latest health news headlines and find the best health information online.
Wellbeing and mentorship - SRMO Orientation Feb 2020Bishan Rajapakse
This talk was part of the orientation for Senior Resident medical officers (SRMOs) working in at Shellharbour ED. The idea behind the talk was to convey the importance of wellbeing for quality patient care, workforce sustainability, and creating a workplace culture that we want to nurture and be proud of!
How to talk to your health care professional - Eileen O’DonovanIrish Cancer Society
This document provides tips for communicating effectively with your health care professionals when living with advanced cancer. It emphasizes the importance of open communication to ensure your needs are met. Some key points covered include preparing questions for appointments, taking notes during visits, asking questions until you understand, communicating any side effects, and not being afraid to speak up about your experience. The goal is to have a health care team you trust and get the information you need to feel involved in treatment decisions.
Motivational Interviewing - Dr Igor Koutsenok MD, MSjames_harvey_phd
Session 1 "Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes"
Presented by Dr Igor Koutsenok MD, MS (University of California San Diego, Department of Psychiatry) on 05/06/2020 during the first session of an ISSUP virtual training on MI.
**PLEASE NOTE that video slides have been removed to reduce file size**
Presentation content and learning outcomes:
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
Introduction: Motivation and behavioral change in addiction medicine
Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
Spirit of MI
Expressing empathy
Roadblocks to communication
Four Processes in MI
Full details: https://www.issup.net/about-issup/news/2020-05/motivational-interviewing-course
Communication skills in clinical practice for undergraduatessyahnaz74
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for building trust at first contact through addressing patients respectfully, making them feel comfortable, focusing on them, and asking open-ended questions.
This slideshow discussion provides tips for women with ovarian cancer on how to navigate your diagnosis in the workplace, from talking to coworkers, paid time off and sick leave, and more.
Effective communication and preparation are key to getting the best care from your doctor. It is important to come prepared with any questions, medical history, medication lists and test results. During the appointment, ask questions about diagnoses, treatment options, medications and next steps. The goal is to understand your condition, treatment plan and action points before leaving to become an informed patient.
Ron Salomon MD discusses workplace anxiety and stress. He notes that it is common, especially in healthcare, and can negatively impact one's career and health if not managed. The talk provides information to help participants recognize stress, understand factors that influence severity, and find resources for self-help or professional assistance. These include employee assistance programs, wellness programs, mindfulness, exercise, and developing social support. The goal is to help control stress and anxiety through increased awareness, healthy coping strategies, and seeking help when needed.
Informational interviews with the cios multidisciplinary health carekophelp
This document summarizes informational interviews with members of the multidisciplinary health care team at the CIOS (Center for Integrative Oncology and Survivorship). It provides an overview of each team member's role, including social workers, nurse navigators, project associates, clinical social workers, dieticians, and more. They discuss their responsibilities, qualities needed to succeed, challenges and rewards of their work, and their perspectives on the future of oncology care.
The Me first initiative aims to improve communication between healthcare staff and children/young people (CYP) through developing a communication model, training resources, and an online platform. Me first trains healthcare professionals to center CYP in conversations about their healthcare by involving them in choices/decisions and learning from what works. An evaluation found the Me first masterclass significantly improved attendees' communication skills with CYP in a way that was sustained over 6-8 weeks.
The Me first initiative aims to improve communication between healthcare staff and children/young people (CYP) through developing a communication model, training resources, and online tools. Me first trains healthcare professionals to put CYP at the center of conversations about their healthcare by involving them in choices/decisions and focusing on practical changes that can make a big difference. Evaluation found the Me first masterclass significantly improved attendees' communication skills with CYP in a way that was sustained over 6-8 weeks.
The Me first initiative aims to improve communication between children, young people, and healthcare staff. It has developed (1) a communication model, (2) a one-day masterclass training, and (3) online resources including a website and short films. The model provides a step-by-step framework to center children and young people in conversations about their healthcare, involve them in choices and decisions, and learn from what works well. An evaluation found the one-day training significantly improved attendees' communication skills with young patients in areas like active listening, which were sustained weeks later. The freely available online resources allow the tips and skills to be widely shared and applied.
The document provides information about a skills workshop on Making Every Contact Count (MECC). It discusses delivering MECC, appropriate times and contexts to raise lifestyle issues, which issues to address, how to signpost resources, and measuring impact. The workshop aims to help participants confidently discuss lifestyle topics like alcohol, diet, physical activity, smoking, and mental wellbeing with clients and feel prepared to provide basic health messages and referrals.
How Americans Can Lose Weight and Get the Bodies of Our DreamsBurst Your Cocoon
Over 1/3 of Americans are obese. This presentation explains how you can lose weight. Low-tech, sensible, and incredibly powerful. Get started with this refreshing solution today!
The document discusses how weight loss is difficult and weight maintenance is even harder. It describes the author's 35-year struggle with weight loss, trying various diets and exercise plans that failed. Their doctor eventually recommended bariatric surgery after other attempts to control their blood pressure failed. The author argues that bariatric surgery should not be seen as the "easy way out" given the lifelong lifestyle changes and challenges of maintaining weight loss.
This document provides an overview of psychographic segmentation for condition management coaching. It begins with an agenda for a coaching facilitation session, including background on a health personality quiz and the 5 psychographic segments. The objective is to engage consumers by having them take a short quiz to learn their health segment. The 5 segments that emerge from factor and cluster analysis are described - Open to Options, Live for Today, Family First, Healthy for Life, and Doctor Knows Best. The document discusses how receptivity to health information varies by segment, defines the "why" behind each segment's behaviors, and provides data comparing segments to illustrate their differences.
The document discusses counseling in healthcare settings, describing it as a process of communication between a patient and counselor that involves listening, empowering the patient to cope with crises, and helping the patient make their own decisions by providing support. It outlines the roles and qualities of an effective counselor, different types of counseling approaches, and basic counseling skills. The document also addresses how psychological stress and attitudes can impact cancer patients and the importance of mental health treatment and social support for coping.
Similar to Whole Health in Your Practice Day 1/3 Afternoon (20)
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-in-your-practice/
Whole Health in Your Practice Day 1/3 MorningCristalyne Bell
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-in-your-practice/
Whole Health in Your Practice Day 2/3 Morning Cristalyne Bell
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-in-your-practice/
Whole Health in Your Practice Day 2/3 AfternoonCristalyne Bell
This document discusses the power of the practitioner's healing presence. It emphasizes engagement with patients, showing empathy, communicating well, helping patients gain insight, and using the power of expectation. Research shows that non-specific factors like practitioner effects and the therapeutic alliance can be as or more important than specific medical treatments. The document encourages mindfulness, generous listening, and focusing on understanding the patient's perspective rather than just giving advice.
This document provides an overview of day 2 of a course on integrating whole health approaches for pain and suffering. The day includes sessions on integrative health and whole health in practice, as well as mind-body skills training. Specific mind-body skills covered are diaphragmatic breathing, progressive muscle relaxation, autogenic training, guided imagery, and biofeedback training. The benefits of these skills for reducing pain and stress are discussed. Manual therapies like chiropractic, osteopathic medicine, massage, and physical therapy are presented as professional care approaches. Complementary therapies like acupuncture are also explored, including evidence for their effectiveness in treating low back pain and other conditions.
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-for-pain-and-suffering/
Day 3 slides for a 3-day Whole Health course for Veterans and VA employees. Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-facilitated-groups/
This document provides information from a skills training for a "Whole Health Facilitated Group" on taking charge of life and health. It covers modules on mindful awareness, reflection, listening, inquiry, goal setting, and addressing difficult group dynamics. The training discusses reflecting on participant statements, asking open-ended questions, helping set SMART goals and action steps, and handling challenges that may arise in group discussions. Participants practice skills like reflective listening and inquiry with feedback to improve facilitating discussions to support positive health behavior changes.
Day 1 slides for a 3-day Whole Health course. Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-facilitated-groups/
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
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Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
PET CT beginners Guide covers some of the underrepresented topics in PET CT
Whole Health in Your Practice Day 1/3 Afternoon
1. Whole Health in Your Practice
4. The Power Of You:
Your Healing Presence
2. “Me” at the
center is both
you as an
individual and
the Veterans
who you serve.
3. Why Are You Here?
Every hero has an origin story – what’s yours?
• With a Partner, Answer
these AS YOU PREFER
• Pause to reflect: Why are
you here?
– In health care
– In the VA
• What do you love about this
work? What’s challenging?
• Each person will share for a
few minutes
Photo: Zimio.com
4. How do you know when you
are successful in your work?
5. How do you know when you
are successful in your work?
When you are successful,
people’s lives improve.
That means something shifts for them...
How do we make that happen?
11. Even When Time is Limited, You Can...
• Engage them
• Show empathy and
kindness
• Communicate well
• Help them gain
insight
• Use the power of
expectation
Photo: videoblocks.com
Photo: usnews.com
12. Quiz Time! Engagement
Question #1
What is engagement?
A. Someone gives you a diamond ring
B. You are British, and you are meeting someone
C. You are fighting a battle, and you just engaged
the enemy
D. The desire and ability to actively get involved in a
way that is uniquely right for an individual, in
cooperation with the care team, to optimize care
and outcomes.
13. Quiz Time! Engagement
Question #1
What is engagement?
A. Someone gives you a diamond ring
B. You are British, and you are meeting someone
C. You are fighting a battle, and you just engaged
the enemy
D. The desire and ability to actively get involved in a
way that is uniquely right for an individual, in
cooperation with the care team, to optimize care
and outcomes.
✓
✓
✓
✓
Higgins T et al. Patient Education and Counseling, 2017;100:30–36.
14. Quiz Time! Engagement
Question #2
On average, how much time do you have to interact
with a given patient each year?
A. 0-1 hour
B. 1-2 hours
C. 2-3 hours
D. 3-6 hours
E. 6+ hours
15. On average, how much time do you have to interact
with a given patient each year?
A. 0-1 hour
B. 1-2 hours
C. 2-3 hours
D. 3-6 hours
E. 6+ hours
✓
✓
✓
Depends on different factors...
• Inpatient/Outpatient
• Primary care or specialty
• Letters after your name
• Type of patients you see
...but the bottom line is,
we only have so much time!
Quiz Time! Engagement
Question #2
16. Question #3
What % of the time do you think your
patients follow your recommendations?
A. Never
B. ¼ of the time
C. ½ of the time
D. ¾ of the time
E. Always – like my family, they always do
whatever I say
17. Question #3
What % of the time do you think your
patients follow your recommendations?
A. Never
B. ¼ of the time
C. ½ of the time
D. ¾ of the time
E. Always – like my family, they always do
whatever I say
✓
✓
18. How Well People Follow Through
• Medications – 50% adherence1
–20% for chronic conditions
–We at least want to beat a coin toss
• Lifestyle changes – 30% (ish)2
–Medical Outcomes Study – 20%
–PT – 35%
–More with certain approaches
1. Brown MT, et al. Am J Med Sci, 2016;351(4):387-99.
2. Martin LR, Ther Clin Risk Manage, 2005;1(3):189 –199.
20. How effective are threats
when it comes to making changes?
Statement A
“If you don’t exercise more,
you are going to have a heart
attack and die. Or have a
stroke. Or you will get
diabetes, and your legs and
kidneys and eyes could be
damaged. I want to see those
labs improve soon, or else...”
21. Back to Question #4
What approach is most effective to
support behavior change?
A. Fear
B. Outrage and indignation
C. Relationships – desire to be there for others
(altruism)
D. Focusing on what they value and want to do
E. A clear understanding of the benefits
F. Information/Education
22. Question #4
What approach is most effective to
support behavior change?
A. Fear
B. Outrage and indignation
C. Relationships – desire to be there for others
(altruism)
D. Focusing on what they value and want to do
E. A clear understanding of the benefits
F. Information/Education
✓
23. Which statement will get buy-in?
Statement A
“If you don’t exercise
more, you are going to
have a heart attack and
die. Or have a stroke. Or
you will get diabetes, and
your legs and kidneys and
eyes could be damaged. I
want to see those labs
improve soon, or else...”
Statement B
“I know your goal is to
dance at your grand-
daughter’s wedding.
Better sugar control will
help your body in many
ways, and there are a lot
of ways to work with that.
How can our team help?
Where do you want to
start?
24. Engagement: “The Blockbuster Drug”
• Concept analysis of 722 articles on engagement
• Identified 4 key elements (PACT):
1. Personalization
2. Access
3. Commitment
4. Therapeutic Alliance
(Environment came up as well)
Higgins T et al. Patient Education and Counseling, 2017;100:30–36.
25. Patient Engagement Research
• 2014 Review of 10 trials
n>3,000
– Multiple chronic diseases (DM,
CAD, HTN, COPD, asthma,
arthritis, etc.)
• Variety of interventions to
enhance engagement
(groups, in-person one-on-
one, web-based, telephone
visits)
• Improved clinical outcomes
(A1c, lipids, BP, depression)
and quality of life
Simmons et al. Genome Med, 2014;6:16.
Photo: Continuouscare.io
26. Power of You = Power of Us
What is Empathy
(versus Sympathy or Compassion)?
Photo: nextavenue.org
27. What is Empathy?
Definition:
• You can understand their
– Situation
– Perspective
– Feelings of another person
• You can show the other
person you understand
• You can act on this
understanding
Photo: Pinterest.com
28. Video – Brené Brown on Empathy
https://youtu.be/1Evwgu369Jw
29
29. Brené Brown – Empathy
https://www.youtube.com/watch?v=1Evwgu369Jw
30. The Good Samaritan Study
Darley, J Personality and Social Psychol, 1973;27:100-108.
Group #1
Group #2
Group #3
Extra
time
On time
Late
31. Empathy Research
2013 systematic review
• 7 studies
• Over 3,000 patients and 225
physicians
• Conclusion:
“There is a relationship between
empathy in patient–physician
communication and patient
satisfaction and adherence, patients’
anxiety and distress, better diagnostic
and clinical outcomes, and
strengthening of patients’
enablement.” Photo: Pinterest.com
Derksen F et al. Br J Gen Pract, 2013;Jan:376-84.
32. Video – Little Miss Sunshine
What did the girl in this video say
that was so powerful?
https://www.youtube.com/watch?v=GJT_pAYaWB8
34
35. Acupuncturist Effects on IBS
Kaptchuk TJ. et al. BMJ, 2008;336(7651):999-1003.
IBS Patient Group % Symptom
Improvement
Wait list control 28%
Limited Visit 44%
Augmented Visit 62%
36. UW Cold Study:
Perception of Perfect Empathy
IL-8 Neutrophils
No Visit Standard Enhanced No Visit Standard Enhanced
Rakel, et al. Patient Ed & Counseling, 2011;85:390-7.
37. No Visit < Perfect Perfect P Value
Duration 6.75 days 7.0 days 5.89 days 0.003
Severity 262.19 270.58 223.38 0.04
Rakel, et al. Fam Med, 2009; 41(7):494-501.
UW Cold Study:
Effects of Perceived Empathy
38. Reduction in Empathy in Med School
Newton et al. Acad Med, 2008;83(3):244-9.
Women
Men
Clinical
Research
Year of School
Empathy Score
Clinical
Combined
Research
Clinical
Research
Combined
41. Reflecting on the Video
• What did you notice watching the video
(thoughts, feelings, body sensations)?
• If you were in the video, what would be written
over your head right now?
• When in your life has someone really listened to
you? How did you know? How did it affect you?
• When in your life have you really listened well to
someone? How did that feel?
43. Talking about the Video
• What did you notice watching the video
(thoughts, feelings, body sensations)?
• If you were in the video, what would be written
over your head right now?
• When in your life has someone really listened to
you? How did you know? How did it affect you?
• When in your life have you really listened well to
someone? How did that feel?
48. Communication: Partner Exercise
• Now take a few minutes to communicate
with a partner about communication.
• As a listener, practice generous listening
–Avoid the temptation to “fix” a problem
–Avoid the temptation to advise
–Don’t interrupt!
• Pick a person to go first and then we’ll
trade
49. We have two ears and one mouth so we can listen twice
as much as we speak. -Epictetus
• 1984 study: The average
doc interrupts after 18
seconds
• 2002: 23 seconds
• How long will patients talk
with no interruption?
– Mean: 92 seconds
– Median: 59 seconds
– In all 335 sessions, the info
was rated as ‘useful.’
Photo: 1ohww.org
Beckman et al, Ann Intern Med, 1984;101:692-6. Langewitz et al. BMJ, 2002;325:682-3.
Listening
50. Listening
• We spend 70-80% of our waking hours
communicating in some way.
• The average person remembers only 25% of
what he/she hears.
• On average when we communicate, we speak
30-35% of the time.
• We listen about 45% of the time.
• We are NOT good at it...
Listening: Our Most Used Communications Skill https://extension2.missouri.edu/cm150
Photo: pmslweb.com
51. Listening
If we spend 4 hours in a lecture…
• We hear about 2 hours.
• We listen to about 1 hours worth.
• We understand about 30 minutes of that hour.
• We remember just 8 minutes worth.
-Managing Upward Hathaway and Schubert
53. Listening Exercise
1. Find a partner.
2. Sit back to back.
3. One person guides and the
other listens.
4. The guide will draw a
picture while telling the
other person how to draw it
at the same time.
5. The other person can’t see
what they draw until after.
56. Mindful Awareness and Listening
Most people do not listen with the
intent to understand; they listen
with the intent to reply.
-Stephen Covey
57. Self-Focused Listening
• Formulates responses
• Multi-tasks, distracted
• Filters through past
experiences, history,
assumptions
• Focused on personal
stories, agenda, advice
• “What can I do about
this?”
Photo: rebelcircus.com
58. Other-Focused Listening
• Beginner’s Mind, Not-
knowing
• Attention to body
language, facial
expression, tone of voice
• Attuned to energy and
emotions behind the
words
• Allow for silence, space,
pause
Photo: rebelcircus.com
59. Mindful Awareness and Listening
(You’ve already practiced this
some)Paying attention, in the moment, on
purpose, non-judgmentally
–Beginner’s Mind
–Non-judgment
–Non-striving
–Patience
Photo: dogslife.com/au
60. Video – It’s Not About the Nail
Fixing Versus Listening
https://www.youtube.com/watch?v=-4EDhdAHrOg
61. It’s Not About The Nail - Video Clip
https://www.youtube.com/watch?v=-4EDhdAHrOg
62. Attention is the rarest
and purest form of
generosity.
Now, let’s talk a little about insight...
63.
64. Your Brain on Insight
• fMRI: Medial right anterior superior
temporal gyrus lights up
• Different people have different
activity here at baseline
• People stimulated here can solve
puzzles faster
• Activity slows with depression
• Alcohol allows more insight, but
less logic and analysis (!)
Kounios, Ann Rev Psychol, 2014.;65:71–93.
74. Open-Label Pain Study
• Randomized Controlled Trial
– 2016
– 97 adults with chronic low back pain
• Compared open label placebo to usual treatment
– i.e., they knew it was a sugar pill, and those have been shown
to help
• 3 weeks
• Patients rated pain levels on a 10 point scale
• Dropped by 1.5 in the group with the open label
placebo
Carvalho, et al. Pain, 2016;16:2766-2772.
Photo: menshealth.com
75. Clinicians’ Expectations
Have Power Too
• Study of acupuncture for pain
• 9900 patients, 2781 different physicians
• Controlling for everything else, if a physician
had high expectations for acupuncture
– Pain intensity decreased
– Physical functioning improved
• Two patients, exactly the same had
different outcomes based on their
clinicians’ expectations
Witt, et al. Eur J Pain, 2012;16:1455–1466.
Photo: worldofdtcmarketing.com
76. Perception Shapes Reality
Cloud of
Probability Perception shapes outcome Reality
Observation,
Consciousness
Foter.com/CC0
What can you do to help a person shift their perception
in favor of Whole Health?
77. To Sum Up – Your Healing Presence
• Never underestimate the power of your presence to
heal!
• Use all of these elements to enhance what you can do:
– Engage Motivate and encourage them
– Empathize Humanize them
– Communicate Well Don’t interrupt. Listen deeply.
– Foster Insight Take time to reflect and explore.
– Expectation Power of the Mind matters.
– Role Model We’ll get to this in Module 6.
• These need not take extra time. In fact, they may save
you time!
78. Self-Assessment: How “Whole Health-y” is
Your Practice?
• Questions are in your Passport Book, pages 11-12.
• Take time to answer the 21 questions with the
following scale:
– 1 Never happens
– 2 Occasionally happens – a few times a month
– 3 Often happens – a few times a week
– 4 Frequently happens – a few times a day
– 5 Always happens – part of every patient encounter
81. Mindful Awareness is Everywhere
Now
Photo: content.time.com
Photos: mindful.org
Photos: Scientificamerican.com
82. A Core Concept
Photo: Explore.va.gov
Paying more attention to my
body and mind helps me
make better decisions in my
self care
83. Definition of Mindful Awareness
• Way of being
• In the present
moment
• On purpose
• Non-judgmentally
• With kindness
Photo: dailywildlifephoto.nathab.com
84. Other Ways to Define it…
• Jack Kornfield: Loving awareness
• Sharon Salzberg: a special kind of awareness
characterized by openness, curiosity and
acceptance
• Ron Epstein: Remembering who you are and
what is important, every moment of every day.
• Paying extraordinary attention to ordinary
experiences…as if your life depended on it!
85. Some Clarifications Passport, Ch 4
• Mindful awareness is a general concept
• Mindfulness is often used as a synonym for
Mindfulness Based Stress Reduction, a course
that focuses on teaching approaches that can
help enhance mindful awareness
• Meditation comes in many forms. Some support
mindful awareness; others focus elsewhere
86.
87.
88. Mindful Awareness
We all have it...
the natural
capacity to pay
attention with
curiosity and
openness.
Photo: chuchutv.com
89. Mindful Awareness
We also have the
capacity for
mindlessness,
inattention, or
going on
autopilot.
Photo: callminer..com
93. A Call for More Rigorous Research
Attention is more focused on:
• Clearer definitions – what is being
studied?
• Stricter study methods
• Being clear on what we really know
• Clinical relevance
94. An Early Study: Promega
• Two groups
– Mean age 36
– 25 in meditation group (took 8-week MBSR course)
– 16 in wait-list control group took course later
• Groups’ brain electrical activity was
different
– Meditators had more activity of the left prefrontal cortex
– Less activity of the right prefrontal cortex
Davidson, et al. Psychosom Med. 2003;65(4):564-70.
95. LEFT Prefrontal Cortex Activated
People have MORE
• Vigor
• Optimism
• Enthusiasm
• Buoyancy
• Meditators also have a better
response (antibody titer) to the flu
vaccine
Davidson, et al. Psychosom Med. 2003;65(4):564-70.
96. RIGHT Prefrontal Cortex Less Active
People have LESS
•Anger
•Fear
•Anxiety
•Depression
Davidson, et al. Psychosom Med. 2003;65(4):564-70.
97. Mindful Awareness and Physiology
Physiologic Effects
• Increases gamma wave oscillations
on EEG
• Lengthens time in a relaxed state
• Activates brain attention center
• Lowers chronic inflammation
• Lowers stress hormones
• Stabilizes CD4+ counts in HIV
• Enhances natural killer cell function
• Alters interleukin levels
Photo: Foter.com
https://wholehealth.wisc.edu/overviews/mindful-awareness/
98. Mindful Awareness and Telomeres
• Longer telomeres = longer life and
less chronic illness
• Review of 4 studies
– 190 people
– Each had a different approaches to
mindfulness meditation (MM)
1. Qigong
2. Mindful eating
3. Loving-kindness
4. Yogic meditation
– Subject meditation time ranged
from 11-560 hours
– Telomeres were longer in the
pooled meditation groups
Schutte, Psychoneuroendorinol, 2014;42:45-8.
99. QUERI Evidence Map
for Mindfulness
81 systematic reviews thru Jan 2015
• Y axis = size of the literature
• X axis = efficacy
• Size of circle = number of
reviews
• Color = type of mindfulness studied:
1. Green = mix
2. Pink = MBSR
3. Purple = MBCT
4. Blue = combo of both
= “unique interventions”
http://www.hsrd.research.va.gov/publications/esp/ca
m_mindfulness-REPORT.pdf
Passport,
Page 55
In your Passport (p.53, 2nd ed, p. 55 3rd ed
100. Research Highlights:
Healthy Individuals
• Reduces
– Stress and anxiety
– Depression, rumination
– Anger and distress
• Improves
– Quality of life
– Emotional intelligence, creativity
– Concentration
• And (per another study)
– Enhances spirituality and values
– Increases empathy
– Fosters self-compassion
Photo: Adam Rindfleisch
Khoury, J Psychosom Res 2015;78:519–528. / Chiesa, J Altern Complement Med, 2009;15(5):593-600.
101. Research Highlights:
Specific Health Issues
Remember, mindfulness is not
merely a ‘therapy,’ but it has
shown benefit with some
conditions
• Especially responsive:
– Chronic stress
– Depression
– Somatization
– Various types of pain
– Anxiety disorder
– Psychosis
– Substance use
– Binge eating
– Insomnia
http://www.hsrd.research.va.gov/publications/esp/cam_mindfulness-REPORT.pdf
102. For More Information...
Passport, Chapter 4
(Resources at end of chapter)
Whole Health Education Website
https://wholehealth.wisc.edu/overviews/mi
ndful-awareness/
104. Mindful awareness is an opportunity to be in the wholeness of life…
including suffering, joy, peace, unrest, creativity,
fullness, emptiness – everything…
It is not merely a technique for coping with a specific problem.
Photo: Dave Rakel, MD
110. Breath Awareness Practice
1. Find a comfortable position
2. Allow eyes to close if you like
3. Remember the seven attitudes
4. Let go of busy-ness or life concerns
5. Pay attention to your breath
6. When attention wanders to thought, sensation, emotion
etc. simply notice
7. Gently return focus to your breath
8. Practice as long as you wish
112. Meditation:
How much at a time, and is it safe?
–Safety
Very safe, and…
…If risk of psychosis or
flashbacks, should be
guided by a trained
professional
113. How can your clinical stool or chair
become your meditation cushion?
How can you integrate mindful awareness
in your daily life?
114. Mindful Awareness Wherever You Go
• Pause for a moment before every interaction
o Threshold exercise
o A few deep breaths
o While cleaning your hands
• Use a stethoscope or other object as a reminder
o Sitting in a chair or shaking hands can also remind you
• Join a group to practice
o Some PACTs do mindfulness before they start the day
• Try other daily practices
o You will experience several during this course
• Other ideas?
120. Burnout Indicators
Burnout effects half of
physicians, and even more
nurses.
Key indicators of burnout include:
1. Emotional exhaustion
2. Depersonalization & decreased
empathy
3. Lack of personal accomplishment
http://www.headington-institute.org/Portals/32/Resources/Test_Are_you_burnout.pdf
Photo: doctorgabby.com
121. Burnout in General Population vs
Physicians, 2011 to 2014
Shanafelt TD, et al. Mayo Clinic Proceedings, 2015;90:1600-13.
122. Medscape National Depression and Burnout Report, 2018.
https://www.medscape.com/slideshow/2018-lifestyle-burnout-depression-6009235#3
123. Why Does it Matter?
Burnout’s Effects
• Relationship problems
– Marital discord
– Conflicts with colleagues
– Poor patient relationships
• Accidents
• Poor decision making
• Less empathy
• Medical errors
• Poor communication
• Health problems
• Quitting, early retirement
Photo:marksdailyapple.com
124. What Leads to Burnout?
1. Lack of control over
office processes
2. Lack of control over
schedule
3. Excessive paperwork
4. Difficult and
complicated patients
5. Not enough time in
the day; not enough
for for self care
6. Lack of coping skills for
stress
7. Personal bad habits
(smoking, drug use)
8. Not enough time in
the day
9. Regret over chosen
career
10. Perfectionism*
Eckleberry-Hunt et al, Acad Med 2009; 84:269-277.
IndividualInstitutional
*Perfectionism, and other traits, need not be a liability.
And we can’t blame the victim!
Photo:juniordoctorblog.com
125. Key Drivers of Burnout
Shanafelt et al, Mayo Clin Proc. 2017;92(1)129-146.
Burnout
• Exhaustion
• Cynicism
• Inefficacy
Engagement
• Vigor
• Dedication
• Absorption
Meaning
in work
Social
support &
community
at work
Workload
& job
demands
Work-life
integration
Control &
flexibility
Organiza-
tional
culture &
values
Efficiency
&
resources
Less optimal
More optimal
126. The Quadruple Aim
1. Improve the health of populations
2. Enhance the patient experience
(quality and satisfaction)
3. Reduce cost per person
Bodenheimer, Ann Fam Med. 2014;12(6): 573-6.
4. Improve the work life of health care
clinicians and staff
www.Ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
Photo:centerfor resilientchilren.org
128. In general, what makes a
person more resilient?
What helps you be resilient?
What would help your team?
Discussion
129. Burnout Resilience:
What Helps?
• Self-Care
• Meditation, relaxation,
massage
• Support groups
• Talking about feelings
• Professional counseling
• Sense of control over one’s
work conditions
• Time management
Eckleberry-Hunt et al, Acad Med 2009; 84:269-277.
Can also do a web search for
“The Resilience Prescription”
for a summary
130. Resilience Can Be Trained!
1. Think flexibly
2. Have a positive
attitude
3. Develop “active
coping skills”
4. Fine-tune your oral
compass
5. Have role models
Photo: valleybusiness report.com
131. Resilience Can Be Trained!
6. Face your fears
7. Have strong social
support
8. Maintain Physical well-
being
9. Train regularly (plan
ahead)
10.Recognize and foster
your strengths
Photo:HdFlowerWallpaper.com
134. Shifting Our Thinking –
Three Examples
1. All-or-nothing thinking
– Everything is either all good or all bad
– Can some things be in between?
– Catch yourself, and try to look at things in a new way
2. Self-blame
– “It’s all my fault.”
– Is it? Can you look at it in other ways?
– Can you be kind to yourself?
3. Filters
– Only seeing things one way (usually negative)
– What if you try a different filter?
135. Discussion:
Resilience Superstars
• At your table, each person chooses one of the
following to share about for for a minute or two.
1. Who do you admire for their resilience? Why?
2. When have you shown resilience in your own life?
How? What helped you succeed?
3. How can you cultivate more resilience in your life?
4. Share an example of when a patient or colleague
demonstrated strength and resilience.
5. How can you enhance resilience in your workplace?
Photo: positivepsychologyprogram.com
136. To Learn More:
Whole Health Education Library
https://wholehealth.wisc.edu/tools/burno
ut-part-1-origins/
https://wholehealth.wisc.edu/tools/burno
ut-part-2-solutions/
137. The Personal Health Inventory pp. 9-10
• What do you need to
take even better care of
yourself?
• The Brief PHI is one
example
• Several sections
– Vitality signs
– Big Questions
– Self/Professional Care
Ratings
– Vision of the Future
• One of many
assessments
138. Activity: Your Own PHI
• Complete the Brief Personal Health
Inventory on page 9-10
–It is 2 pages (don’t forget the back!)
–Takes about 5-10 minutes
• You will be discussing the inventory with
others throughout the rest of the course
139. What was it like to
complete the PHI?
What did you
notice?
Discussion
Photo: nga.gov