the healing power of presence july 10 2012
TRANSCRIPT
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The Healing Power of Presence
Malcolm L. Marler, D.Min., BCC
Director, Pastoral Care
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A Story of Presence
“She slowly dipped a cloth in the soapy water,squeezed it out and showed me how to gently
remove the debris.Then she dipped a fresh cloth in the water, squeezedit out, and handed it to me. “That’s right Mama.” Shecooed as I swabbed my 6’4” baby.”
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Overview
• Strategies and resources for meetingemotional and spiritual needs
• How to be sensitive to the spiritual needs ofsomeone dierent than !our own.
• "nderstanding Presence
• #h! $uestions are more important thananswers.
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
• Press %ane!&s 'Patient Satisfaction Surve!(
• Literature review of over )** studies.
• +vidence reveals parallels betweenspiritual and emotional needs needsintermingle-
• Caring for both includes support, empath!,comfort, a/rmation, attentiveness to
patients& uni$ue needs.
i i i li d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
). 0re patients& emotional and spiritual needsimportant1
2. 0re hospitals eective in addressing theseneeds1
3. #hat strategies should guideimprovement in the near future and long4term1
J i C i i Q li d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
). Are emotional# s(iritual needsim(ortant)
'Degree to which hospital sta addressed !ouremotional5spiritual needs(-
• Patient satisfaction is signi6cantl! correlatedwith
• Sta response to concerns5complaints
• Sta eort to include patients in treatment decisions• Sta sensitivit! to the inconvenience of hospitali7ation
• 8mpact on health outcomes
).8mpact on hospital 6nances
2.+motional distress accompanies hospitali7ation
J i t C i i Q lit d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
2. Are hos(itals e*ective in addressingthese needs)
9 Patients e:perience emotional distress in
hospitali7ation9 Patients& and5or families& needs are handled in a
timel!, considerate, and empathetic wa!
9 0ll tests, interventions, and treatments are
e:plained in emotionall! sensitive andsupportive decision4ma;ing process
9 Sta demonstrabl! provide empatheticemotional support
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Press %ane! 4 'Degree to which hospital staaddressed !our emotional needs(
? responses-
@th percentile vs. "HC, 2nd Auarter 2*)*
2 responses>th percentile vs. "HC, 2nd
Auarter 2*)2
J i t C i i Q lit d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
"+ Suggestions for im(rovement
9 Basic emotional and spiritual care
resources9 Boo;s, multimedia, support groups, music9 Meal choices for each religion9 Auiet secluded space chapel, meditation-
9 Chaplain5Pastoral Care eam9 Communit! outreach to faith groups, volunteers3.urses trained to provide pra!er
J i t C i i Q lit d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
"+ Suggestions for im(rovement
9 Multidisciplinar! +motional and Spiritual
Care Aualit! 8mprovement eam9 Coordinate resources9 Ergani7ational learning of communication s;ills9 Senior leadership must empower the team to
carr! out organi7ation wide improvements9 Structured interventions, rela:ation techni$ues,
stress management education, counseling,!oga, meditation, massage therap!, access to
internet
J i t C i i Q lit d
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Joint Commission ourna on Quality andSafety
December !!"# $olume % &umber '
"+ Suggestions for im(rovement
9 Standardi7ed +licitation of +motional and
Spiritual eeds9 Fe$uire spiritual screening to identif! needs
9 Fesponses to Patients&Concerns5Complaints
9 Sta&s eorts to include patients intreatment
9 Sta sensitivit! to patients& hopes, dreams,
li;es, loves, famil!, roles.
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Ba!lor Health Care S!stem, Mar; %race, GP of Mission and Ministr!, 2*))
• #e had alwa!s as;ed the $uestion, 'Stawor;ed to meet !our spiritual needs.(
• Spiritualit! is a critical element of thewellness e$uation a holistic, patientcentered approach.
• 0s;ed patients in a random telephonesurve!, diverse population from ) units ofhospital
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,hat Do Patients -ean by S(iritual)
• o be treated with dignit! and respect
• o be treated with compassion and
;indness
• o be valued as a person
• Ior sta to be sensitive to m! feelingsabout m! illness and hospitali7ation
• 0n environment that encourages hope
Baylor Health Care System
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Baylor Health Care System
• Begins with the care patient receives,e:tends be!ond religion
• 8ncluding patients in treatment decisions
• Fesponding to emotional needs
• Fesponding to patient concerns, complaints
• Safe and secure environment, privac!
I n
t e r d i s c i p l i n
a r y
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Ba!lor Health Care S!stem, 2*))
• Iocus on facilitating a dialogue withpatients related to spiritual needs.
• Learning to conve! compassion, empath!,and how to recogni7e spiritual distress.
• Femoved 'spiritual needs $uestion,(identi6ed three top priorities that inJuence
• Meeting emotional needs
• Fesponding to concerns and complaints
• 8nclude patients in decisions about treatment
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,hat is Presence)
• Henri ouwen,Catholic priest, ps!chologist )@324)@@=-
• #hen someone comes to us in pain, something in
us wants to reassure the other and to move awa!from the pain.
• Feal healing is overcoming this mutual avoidance
and being together where it hurts. Sharing pain.
• rust becomes possible when someone sta!s withus in the pain. 0llow the $uestion to be there.
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,hat is Presence)
• Margaret %uenther, PhD, MDiv.+piscopal priest, author of Hol! Listening, Spiritual Director )@2@ 4 -
•#e often confuse healing with curing
• Curing 4 often do something• Healing 4 a certain passivit!, willing surrender• Hope, not foolish optimism
•Listen, listen, listen• 0ccept the comfort of silence• 0void 6:ing, go where we are led
• #illingness to be touched, vulnerabilit!
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,hat is Presence)
• Karen Stanle!, F, MS, 0EC, I00Palliative Care ursing Consultant
• Fe$uires ;nowing oneself • 0/rmation and valuing
• 0c;nowledging vulnerabilit!
•8ntuition
• Being in the moment
• Serenit!
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Discussion
• #hen have !ou e:perienced someonebeing 'present( to !ou1
• Er when !ou have observed another beingpresent to someone1
• #hat was dierent about this e:perience
from routine encounters with others1
• #hat was 'healing( in the encounter1
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Discussion
• 'Managing "p( 44 #ho are persons !ou;now at "0B Hospital who are a healingpresence to others1
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.ollow /(
• Powerpoint and other references for thispresentation can be found b! the end ofthe toda! at
• http55uabpastoralcare.org
• Clic; on the '+mplo!ees( tab, then choose
'Ps!chosocial Spiritual %rand Founds.(
http://uabpastoralcare.org/http://uabpastoralcare.org/