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Putting the “CARE” back into HealthCare West Georgia Technical College

Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia [email protected]

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Page 1: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Putting the “CARE” back into HealthCare

West Georgia Technical College

Page 2: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Putting the CARE back into HealthCARE

Phyllis Ingham EdD. MEd. M.T.(ASCP)

West Georgia Technical College

Waco, Georgia

[email protected]

West Georgia Technical College

Page 3: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Outcomes

• Define and identify empathy

• Summarize the 5 steps in developing empathy skills

• Identify at least 1 empathy activity to utilize in the classroom

West Georgia Technical College

Page 4: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

STATEMENT OF THE PROBLEM(“Houston: We Have A Problem”)

Did you know………70% of college

students are less likely to care?

Recent studies indicate we are 40% less

empathetic than we were 30 years ago.

By the 3rd year of residency, 80% of physicians report empathetic decline.

West Georgia Technical College

Page 5: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

How Do We Solve the Problem?

Empower our students to CARE

“Pay it Forward” ripple effect

Recent studies indicate Empathy is the first step to improve not only patient satisfaction scores better patient health outcomes.

West Georgia Technical College

Page 6: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Can We Teach People to Care?(……To Be Empathetic?)

“No one cares how much you know, until they know how much you care.”

Theodore Roosevelt

West Georgia Technical College

Page 7: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

EMPATHYHow would you define Empathy?

West Georgia Technical College

Page 8: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

West Georgia Technical College

Page 9: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Empathy Building Process FiveImportant First Steps!

Must intentionally “tune in”

Reactivate your Heart

Make a human connection

Must “Value” people

Treat others as you would like

to be treated

West Georgia Technical College

Page 10: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Our Plan: What We Decided to Try

West Georgia Technical College

Page 11: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Cleveland Clinic: The Human Connection(Intentionally Tune In, Reactivate the Heart)

• https://www.youtube.com/watch?v=cDDWvj_q-o8

West Georgia Technical College

Page 12: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Activity One: Sticky Note ExerciseTake a minute to write down in a word or sentence:………..

1. What is your “take away”? How did the video clip make you feel? Did you connect with any of these individuals?

2. What is the first thing that came to mind as you observed this video? West Georgia Technical College

Page 13: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Need a Volunteer………

West Georgia Technical College

Page 14: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Everybody has a story Teflon vs. Velcro

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Page 15: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Questions to increase your empathetic response

How does the person I am trying to help feel?

How would I feel if I were that person?

Is there something I could do to help?

What would I want to be done for me if the roles were reversed?

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Page 16: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Project Helping Hands: Make a Human Connection

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Page 17: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Together We Can Do More!

West Georgia Technical College

Page 18: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

“Pay it Forward”

• Random Acts of Kindness

https://www.youtube.com/watch?v=gw0Lvr4eK-k

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Page 19: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Wall of Encouragement

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Page 20: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

How can we build empathy?

West Georgia Technical College

Page 21: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Communication is Key to Empathy Building

• Step one:

Internalization of the other person's perceptions and an translating of it, where in the empathizer attempts to imaginatively perceive the details of an experience, how the other person interprets it, and the emotions associated with it.

West Georgia Technical College

Page 22: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Communication is Key to Empathy Building

Step Two

• After assessing all of the things that were broken down in the internalization process, empathizer decides on the best approach to take with the person they are empathizing with.

• In other words, the empathizer decides on the best way to more closely relate with the other person in order to help them and/or offer them support.

West Georgia Technical College

Page 23: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Role Play Scenarios

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Page 24: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Walk a mile in my shoesWhat would you do?

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Page 25: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

You Give it a Try…….

Think, Pair, Share

West Georgia Technical College

Page 26: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Role Play Scenario 1: What Would You DO?

Maddie enters a patient room to assist the physician with a bone marrow aspirate and biopsy. Upon entering the room, Maddie finds the patient sitting in the bed, holding her husband’s hand, crying about the news that her cancer has spread. Maddie proceeds to wash her hands, ask the patient for her name and birthdate, and begins to prepare her slides for the bone marrow aspiration. The physician is running late, Maddie leaves the room without asking about tears or if there is anything she can do to help.

West Georgia Technical College

Page 27: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Role Play Scenario 2: What Would You Do?

The doctor has ordered STAT blood work on Mr. Jones in room 432. Mr. Jones is an older male who has been in the nursing home for rehab. He had been living at home alone until a fall resulted in a left hip fracture. You have heard from other staff members that “he is just a grumpy old man”. No one else is available to go collect the stat blood work so you must go collect the samples. Upon entering the room, Mr. Jones yells out very loudly and tells you to “GET OUT and LEAVE ME ALONE”.

West Georgia Technical College

Page 28: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Role Play Scenario 3: What Would You Do?

As a Hematology/Oncology team member, you are working today with pediatric cancer patients. Today you will be assisting the physician with Spinal fluid taps. Scotty is a 12 year old leukemia patient who has completed his third round of Chemotherapy an radiation treatments. Scotty’s parents told him the news that he is out of remission and abnormal cells were identified on his blood smear. While you are in the treatment room with Scotty, he suddenly says to you “I do not want to die”.

West Georgia Technical College

Page 29: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Take Aways…..

West Georgia Technical College

Page 30: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Could a greater miracle take place than for us to look through each other’s eyes for an instant?

Henry David Thoreau

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Page 31: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

•“Empathy starts with ONE”

Mother Teresa

West Georgia Technical College

Page 32: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

ReflectionsPutting the “CARE” into

HealthCARE = Positive Patient Outcomes

West Georgia Technical College

Page 33: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

West Georgia Technical College

Page 34: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

The Challenge is Yours!

West Georgia Technical College

Page 35: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

#LoveLab4Life

West Georgia Technical College

Page 36: Putting the “CARE” back in HealthCare · Putting the CARE back into HealthCARE Phyllis Ingham EdD. MEd. M.T.(ASCP) West Georgia Technical College Waco, Georgia Phyllis.ingham@westgatech.edu

Resources

• Compassion training in healthcare: what are the patient’s perspectives on training healthcare providers. Sinclair S, Torres MB, Raffin-Bouchai S, Hack TF, McClement S, hagen NA, Chochinov HM. BMC Med Educ. 2016 Jul 11; 16:169

• Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences. Sinclair S, Beamer K, et al. Palliat Med 2017;May 31(5) 437-447

• Mindfulness and compassion-oriented practices at work reduce distress and enhance seld-care of palliative care teams: a mixed-method evaluation of an “on the job” program. Orellana-Rios CL, Radbruch L, Kern M, Regel YU, et al. BMC Palliat Care 2017 July 6, 17 (1):3

• Why empathy has a beneficial impact on others in medicine: unifying theories. Smith KE, Norman GJ, Decety J. Medical education 2017 Sep 7; 51(11): 1146-1159.

• From the Editorial Board: Empathy Decline in Medical Education. Jaffe, W. February 2015.

• Mitchell P, Wynia M, Golden R, McNellis B, Okun S, Webb CE, et al. Core principles and Values of Effective Team-Based Healthcare Discussion Paper. Washington D.C: Institure of Medicine, 2012

• Olsen L. Young PL. The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary National Academic Press 2014.[PubMed]

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