robin youngson - compassion in care

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COMPASSION IN HEALTHCARE and ‘Time to Care’ Dr Robin Youngson

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Presentation of Robin Youngson at expermeeting 'Ziel en zakelijkheid in de zorg' 29-nov-12

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Page 1: Robin Youngson - Compassion in care

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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www.heartsinhealthcare.com

..... join together today

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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