Better Patients Better Practice Better Lives 11 7

Better Practices!Better Patients!Better Lives!

Discover the Possibilities!

Dr. Russ L’HommeDieu, MAPT, DPT, Betterness® Coach

Change or GrowthChange or Growth

Traditional approaches to career planning assume that society is static, that individuals do not change, and that work choices are made for a lifetime.

Modified From: Hansen, L. S. (1997). Integrative Life Planning : Critical Tasks for Career Development and Changing Life Patterns. San Francisco: Jossey-Bass Publishers, Inc., p. 10.

But we need only look at the burgeoning literature on career transitions to realize that those assumptions are no longer correct.

The most frequent estimate is that the average adult will make five to seven major career changes in a lifetime.

Change is Inevitable

Growth is Optional

Change is Inevitable

Growth is Optional

~ Walt Disney~ Walt Disney

What is Betterness? What is Betterness?

Bett•er•ness®: (bet-ēr-nes) n.

an accumulation of small, positive changes

that achieves major growth.

I Discovered Betterness® I Discovered Betterness®

Somewhere Between Here . . .

and Here !

The Betterness Cycle of GrowthThe Betterness Cycle of Growth

Adaptation

Assimilation

Action

AccountabilityAcceptance

Awareness

Uncover, Discover and / orRecover Your

Passion for Physical Therapy

A Focus on AwarenessA Focus on Awareness

through Appreciative Inquiry

What is Appreciative Inquiry?

Ap-pre’ci-ate, v.,valuing; the act of recognizing the best in people or the world around us; affirming past and present strengths, successes, and potentials; to perceive those things that give life (health, vitality, excellence) to living systems

Synonyms: VALUING, PRIZING, ESTEEMING, and HONORING.

Every Organization, Every System, Every Profession,

Every Person, Every Life has something that is working.

Every Organization, Every System, Every Profession,

Every Person, Every Life has something that is working.

People have more confidence and comfort to journey to the future (the unknown) when they carry forward parts of the past (the known)

The Thin Book of Appreciative Inquiry by Sue Annis Hammond

If you are going to carry the past with you, shouldn’t it be what is best about the past?

Anything different would simply be . . . .

The Thin Book of Appreciative Inquiry by Sue Annis Hammond

Graphic from the book “Excess Baggage” by Paul Fellhttp://www.paulfellcartoons.com/books2.html

Freedom eludes those that focus mainly upon problems

Yes, the door is locked, but what is good about the situation?

Can You Imagine a System of “Problem Solving”

That Focuses on What is Best about the situation?

The Things That are Working!

Can You Imagine a System of “Problem Solving”

That Focuses on What is Best about the situation?

The Things That are Working!

In-quire’ (kwir), v.,1. The act of exploration and discovery.

2. To ask questions; to be open to seeing new potentials and possibilities.

3. To increase in value

Synonyms: DISCOVERY, SEARCH, and SYSTEMATIC EXPLORATION, STUDY.

If you are going to carry the past with you, shouldn’t it be what is best about the past?

When I asked this question . . . .

Did it make you Stop and Think? Did it make you Stop and Think?

The Act of asking questions influences the way we think.

The process of growth actually begins the moment a question is asked.

"Does teaching consist in putting questions?"

Indeed, the secret of your system has just this instant dawned upon me.

Oeconomicus (The Economist) as translated by H.G. DakynsDownloaded: 10/24/2009 2:28 PM http://ancienthistory.about.com/library/bl/bl_xenophon_economist19.htm

I seem to see the principle in which you put your questions. You lead me through the field of my own knowledge . . .

and then by pointing out analogies to what I know, persuade me that I really know some things which hitherto, as I believed, I had no knowledge of.”

~ Socrates

Einstein recalled how, at the age of 16, he imagined riding on a beam of light and that the thought experiment had played a memorable role in his development of special relativity.

The Genius is in the Creation of the Question

“What would the universe look like if I were riding on the end of a light beam at the speed of light?”

~ Albert Einstein

Appreciative Inquiry"What works around here?"

Future orientated approach

Appreciate "what is“

Imagine "what might be“

Determine "what should be“

Create "what will be"

Problem Solving"What’s the problem?"

Future orientated approach

Focuses on past problems

Appreciate "what is“

Imagine "what might be“

Determine "what should be“

Create "what will be"

Identify problem

Conduct root cause analysis (blame someone)

Brainstorm solution and analysis

Worry about how can we do this

Is a process that makes you feel Energetic

and Imaginative.

Is a process that makes you feel Energetic

and Imaginative.

Is a process that makes you feel Negative

and Easily Defeated.

Success breeds Success

Focusing on past success leads to hope

Hope frees you to be imaginative and creative

Success breeds Success

Misery Loves Company

Focusing on past success leads to hope

Focusing on problems leads to fear.

Hope frees you to be imaginative and creative

Problems are scaryFear will hold you back

"Fear is the path to the dark side. Fear leads to anger. Anger leads to hate. Hate leads to suffering."

~ Yoda

Gratuitous Yoda Quote

Life is a mystery to be uncovered and

discovered

Possibility ThinkingHolistic

Life is a mystery to be uncovered and

discovered

Life is to be dissected and the “problems” cut away & thrown

Possibility ThinkingHolistic

Deficit Thinking Reductionist

Your Words Make Your World

Human systems move in the direction of what they focus on, what they vision, what they think about.

“Whether you think that you can, or that you can’t, you are usually right.”

~Henry FordYour Thoughts Determine Your Reality

The formation of your reality begins as your five senses collect information about the outside world.

The Betterness® Weight Loss Solution by Dr. Russ L’HommeDieu, DPT

The data is then processed internally, filtered by your beliefs and fed back to you through the voice of your inner monologue and the whispers of your unconscious mind.

Your Vocabulary Creates Your Reality

This mixture of external facts and internal talk combines to form your world. It is the truth according to you and about you and it is the only truth you know.

Your Vocabulary Creates Your Reality

Like secret powers that work 24 hours a day, the specific words you think direct every aspect of your life.

(Past, Present and Future)

A vivid imagination compels the whole body to obey it.

~ Aristotle

Appreciative InquiryAppreciative Inquiryuses the art and practice of continuously asking carefully worded questions that strengthen our capacity to recall and to build on past and current successes.

Appreciative InquiryAppreciative InquiryThink

“Muscle Recruitment”

For the mind.

Appreciative InquiryAppreciative Inquiryit is a system that enables you to guide inevitable change into incredible growth by helping you to align your strengths so as to make the weaknesses irrelevant.

Paraphrased from a conversation btwn Peter Drucker and David Cooperrider 2003

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

I am NOT just

pumping sunshine!

Positive Action

Some main areas of research:• Placebo: Positive Self

Expectations influence positive outcomes

• Pygmalion: Positive Expectation of others influences positive outcomes

• Heliotrope: People grow towards hope and possibility

Positive Vision

NegativeAction

Negative Vision

Appreciative Inquiry is less about ignoring the negative

and more about . . .

Appreciative Inquiry is less about ignoring the negative

and more about . . .

Focusing on what is important.

•Focusing on the positive gives us energy and excitement to achieve more.

• Research shows that the meetings of the most successful organizations have 2 positive statements for every one negative.

Your success will be enhanced by an unbalanced -

(2:1, Positive to Negative) inner dialogue.

Appreciative Inquiry asks you to re-frame the negative to

approach issues from a more productive perspective.

Appreciative Inquiry asks you to re-frame the negative to

approach issues from a more productive perspective.

Appreciative Inquiry is a

PARTICIPATION sport!

Appreciative Inquiry is a

PARTICIPATION sport!

My aim is to help you all to get more out of physical therapy by

tapping into the collective wisdom within this room and use that brain trust to guide you to a higher level

of self discovery

My aim is to help you all to get more out of physical therapy by

tapping into the collective wisdom within this room and use that brain trust to guide you to a higher level

of self discovery

“The act of inquiry requires sincere curiosity and openness

to new possibilities, new directions and new understandings.”

“The act of inquiry requires sincere curiosity and openness

to new possibilities, new directions and new understandings.”

The Power of Appreciative Inquiry by Dana Whitney & Amanda Trosten-Bloom

We generally don’t engage in deep inquiry about the things we know (or think we know)

well . . .

We generally don’t engage in deep inquiry about the things we know (or think we know)

well . . .

It is hard to focus on learning when your mind is stuck in a state of knowingIt is hard to focus on learning when your mind is stuck in a state of knowing

When you say or think the words, “I Know,” it’s like driving with the parking brake engaged.

Teaching Balance Teaching Balance

Think about this: Have you ever really taught balance?

or must balance beExperienced?

Life balance is NO DIFFERENT!

Appreciative Inquiry is a PARTICIPATION sport!

• Please write down all the concerns that you have that may stop you from fully participating today.

Appreciative Inquiry is a PARTICIPATION sport!

• When you get to the end of your list write:

“I will set these concerns aside for the day.”

• Don’t let excess baggage weigh you down

The Physical Therapy Practice Actfor the State of Maine

As you read your practice act, think about these questions:

1 What is good about PT for me?2 What do I love about being a PT?3 What do I want PT to become for me?

Highlight 3 to 5 phrases within your practice act that, if properly explored, will make physical therapy more effective, more energizing and more fun for you.

Imagine the Possibilities!

The administration, interpretation and evaluation of tests and measurements of bodily functions and structures for the purpose of treatment planning . . .

Downloaded: Tuesday, October 13, 2009

from http://www.mainelegislature.org/legis/statutes/32/title32sec3111-A.html

to detect, assess, prevent, correct, alleviate and limit physical disability, bodily malfunction and pain from injury, disease and any other bodily condition . . .

the planning, administration, evaluation and modification of treatment

and instruction . . .

and the use of physical agents and procedures, activities and devices for preventive and therapeutic purposes . . .

and the provision of consultative, educational and other advisory services . . .

for the purpose of reducing the incidence and severity of physical disability, bodily malfunction and pain.

Appreciative InterviewsAppreciative Interviews

Find a partner you DO NOT know well and sit next to them

Allow 10 minutes for each person to ask the interview questions

Listen intently and take good notes

You will need them

Mini Interview QuestionsMini Interview Questions

Tell me about a peak experience or high point in your professional life…a time when you felt most alive, most engaged, and really proud of yourself and your work.

Mini Interview QuestionsMini Interview QuestionsWithout being humble, what do you most value about:

• Yourself, and the way you do your work. • Your interactions with patients and / or other

PTs.• Your profession and its larger contribution to

society or the world?

What unique skills and gifts do you bring to your patients and your profession?

When do you feel most alive, excited or most energized as a PT?

Think of moments in your professional life where you seemed to have boundless enthusiasm and energy or moments that were filled with joy and laughter.

Mini Interview QuestionsMini Interview QuestionsWhat made it an exciting experience?

Who were the most significant others?

Why were they significant?

What was it about you that made it a peak experience?

effective, energizing, fulfilling and fun . . .

what would they be?

If you had just liberated the magic PT genie and you had three wishes that would make your practice of physical therapy more

Interview Your Partner 10min

and then switch

Have Your Partner Interview You for the NEXT 10min

Interview Your Partner 10min

and then switch

Have Your Partner Interview You for the NEXT 10min

Identifying ThemesIdentifying ThemesIn small groups of 6 to eight people

Take 3 minutes each to share your partner’s highlights, focus on the great stories, along with inspiring best practices and ideas. Then, as a group, continue to discuss stories and determine factors that contributed to high point experiences.

Identifying ThemesIdentifying ThemesLet’s take 20 Min to Share themes

and stories with entire groupEach small group shares one or two great stories with the whole group – stories that represent the essence of what the small group has been learning.As we talk, we develop themes and make a master list of theme your vision statements

Identifying ThemesIdentifying Themes

We will now take the next 15Min to choose winning themes.

Please place a dot next to each theme that you feel is closest to you vision for your professional life.

Winning ThemesWinning ThemesChoose ONE theme that you would

like to explore a little further.

When I read that theme raise your hand.

We will then re-organize into groups based on these themes.

Fun with Winning ThemesFun with Winning ThemesWe will now take the next 15Min to

design a way to communicate the statement –

“Tell us what it is like to live this vision.”

Focus on the positive, think as if the vision were true right now.

What would a perfect day be like living this vision?

Define your VisionDefine your Vision

I challenge you to make the most out of the time we have spent together by writing a personal vision statement which will serve as an image of your dream for the future.

Your vision is a positive statement in which you imagine your dream is happening in your life right now.

Define your VisionDefine your Vision• Make your vision is a positive

image that will inspire or direct positive action.

• Just as a golfer might imagine or visualize the perfect shot, so our vision statements might help us imagine the optimal way of organizing and conducting our professional lives.

It should capture the imagination and inspire you to stretch further to make the vision for the future expressed by the proposition come true.

Deliver your VisionDeliver your Vision

When I lost weight, I focused my goals into four primary areas.

Think Better, Eat Better, Move Better and Live Better.

These areas have become the basis of my weight loss system and my book.

Segmenting my vision into focus areas helped me to set more attainable “Betterness” goals.

I encourage you to define 3 or 4 focus areas that make up your vision

To determine your focus areas, it may help to think about these questions,

“What is the smallest possible change I can make in my life that would bring me closest to my vision?”

“Is there a word or words to describe that particular aspect of your life into which that singular change can be placed?”

It may help to refer back to your original themes -

Better Patients Better Practice Better Lives 11 7

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