robin youngson - compassion in care
DESCRIPTION
Presentation of Robin Youngson at expermeeting 'Ziel en zakelijkheid in de zorg' 29-nov-12TRANSCRIPT
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COMPASSION IN HEALTHCARE
and ‘Time to Care’
Dr Robin Youngson
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Healthcare is in pain,
all around the world
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Photo: Gus
Chan
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Student nurses graduate with high
ideals of compassionate, whole
person care…
But within two years of starting
practice, most are “compromised
idealists” or “crushed idealists”
Jill Maben 2007
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Photo: Andy
Hall
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78% of physicians said medicine is
either “no longer rewarding” or
“less rewarding”
60% of doctors would not
recommend medicine as a career to
young people.
Physicians Foundation 2008 Survey of 12,000 US
Physicians
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Photo: Gus
Chan
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The healthcare system
is failing both patients
and practitioners
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• The sheer pace of work
• Unrelenting demand
• Focus on tasks rather than
caring
• Increasing use of technology
• Treating just a diagnosis, rather
than a whole person
Healthcare has become de-
humanized
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How do we
find hope?
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What’s the secret of these
happy health professionals?
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kindness
appreciation
gratitude
mindfulness
self-compassion
the joy of service
The daily habits that enhance wellbeing are:
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And the scientific evidence shows
that this whole-person compassionate
care:
• is safer
• more effective
• achieves better outcomes
• saves time
• reduces demand
• gives back meaning to work
• and costs less!
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Money is NOT the fundamental issue
We need to focus on how we relate
to one another, not how we pay each
other
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empathy sympathy
non-
judgement sensitivity
motivation tolerance
of distress
Six components of compassion
Paul Gilbert 2009
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“Approach” “Withdrawal”
kindness
appreciation
gratitude
mindfulness
the joy of service
Two competing systems of
motivation:
pain
anxiety
fear
distress
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patient
suffering
em
path
y
“approach”
compassion
“withdrawal”
detachment
YES
NO
positivity
well-being
Compassion
‘tipping point’
provider
suffering
Decety 2010; Fredrickson 2008
adequate
resources?
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An intimate connection
The mirror neuron system
Interpersonal neurobiology
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The healing power of touch - evidence
from randomised controlled trials • Reduced pain, reduced cortisol, enhanced
immune function in post-op patients
• Reduced rate of complications and
hospital length of stay in premature infants
• Reduced pain levels in multiple studies
(meta analysis)
• Reduced fatigue and pain in cancer
patients
• Increased Hb levels in anaemic students
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Patients’ brainwaves synchronize
with your heartbeat
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The difference in mortality rate
between optimists and pessimists
is as big as the difference
between smokers and non-smokers
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Compassionate caring saves time
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Compassionate caring
achieves
better outcomes
and costs less
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Compassionate caring is not
just for patients
Compassionate caring is
EVERYONE’S concern
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Hearts in Healthcare is a new community, established
to champion compassionate care. We believe
bringing like-minded people together is the first step
to re-humanising healthcare around the world.
Introducing a new international
movement...
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To allow compassionate caring to rise above
institutional rules and practices
Encourage health workers to reconnect to the
heart of their practice
Increase the happiness, well-being and resilience
of healthcare workers
Our aims
are
simple....
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IT’S TIME
TO CARE
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Decety, J. (2010). "The Neurodevelopment of Empathy in Humans." Developmental Neuroscience 32(4):
257-267.
Fredrickson, B. (2010). Positivity : groundbreaking research to release your inner optimist and thrive.
Richmond, Oneworld.
Fredrickson, B., K. Coffey, et al. (2008). "Open hearts build lives: Positive emotions, induced through
loving-kindness meditation, build consequential personal resources." Journal of Personality and Social
Psychology 95 (5): 1045-1062.
Gilbert, P. (2009). "Introducing compassion-focused therapy." Adv Psychiatr Treat 15(3): 199-208.
Lown, B. (1996). The lost art of healing. Boston, Houghton Mifflin.
Lown, B. (2008). Prescription for survival : a doctor's journey to end nuclear madness. San Francisco,
Calif., Berrett-Koehler Publishers.
Maben, J., S. Latter, et al. (2007). "The sustainability of ideals, values and the nursing mandate: evidence
from a longitudinal qualitative study." Nursing Inquiry 14(2): 99-113.
Margaret Wheatley, D. F. (2008). Using Emergence to Take Social Innovation to Scale. T. B. Institute.
Merritt Hawkins & Associates (2008). The Physicians’ Perspective:Medical Practice in 2008. USA, The
Physicians’ Foundation.
References
Photo Credits Andy Hall: www.andyhallphotography.com
Gus Chan: www.cleveland.com/plaindealer