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News flash: care improves when doctors consider the whole person

15 May

by Carolyn Thomas  @HeartSisters

When I worked in hospice palliative care, I remember being gobsmacked while reading in a medical journal one day about Dr. Harvey Chochinov’s research on Dignity Therapy out of the Manitoba Palliative Care Research Unit. His studies determined that – wait for it! – patients feel better when their doctors listen to them. This of course sounds like a no-brainer until it hits you upside the head that, apparently, not all doctors know this fact to be true.

Is it actually possible, I wondered at the time, that doctors thumbing through journals madly take notes when they discover a surprisingly shocking news flash like this?

Recently, I ran across yet another fine example of the bleedin’ obvious that makes me crazy-go-nuts, as my Ukrainian relatives would say. Continue reading 

A look back at nurses in 1950

7 May

Happy National Nursing Week to my wonderful nurse friends!

Can you identify the countries in which these nurse uniforms were worn?

Continue reading 

Emotional intelligence in health care relationships

29 Apr

I’m so pleased to share, with her kind permission, this guest post written by Colette Herrick, originally published on the Six Seconds website. I especially love her example of how a new puppy taught her twin grandchildren a powerful lesson in compassion.

“While medicine continues to advance, receiving health care as a patient is fundamentally a human process.

At the center of effective care delivery is a connection between the health care provider and patient. Yet in the last 25 years, many pressures have eroded the quality of this human-to-human healing connection. The good news is that in spite of all the external and very real pressures on the patient-provider relationship, research reveals something many of us have known: health care providers can learn fairly simple skills that make a large difference.  Continue reading 

When doctors use words that hurt

21 Apr

by Carolyn Thomas  @HeartSisters

Consider hearing the scary diagnosis of “heart failure” tripping lightly from your doctor’s lips as if it were no big deal. Can there be anything more terrifying and demoralizing than hearing that your heart is failing”And the words don’t even  accurately reflect this condition, which actually means that your heart is not pumping blood as well as it should. 

So why did doctors come up with this heart failure name, and what on earth were they thinking when they decided it would be a good idea to actually say these words out loud to Real Live Patients? And is there a better piece of medical jargon they could use instead?   Continue reading 

Patient engagement? How about doctor engagement?

9 Apr

by Carolyn Thomas  @HeartSisters

It’s a stressful time to be a patient these days, what with expectations running high that we should be both empowered and engaged while self-tracking every trackable health indicator possible – and of course retaining an all-important positive mental attitude – in order to change health care forever. 

Whew. I had to go have a wee lie-down just thinking about how big that responsibility may seem on days when we patients are feeling, yes, sick -  as an annoyingly significant number of patients living with a chronic and progressive illness tend to feel on any given day. That’s why we’re called “patients”.   Continue reading 

What if hospital staff could read our minds?

5 Apr

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Thank you, Cleveland Clinic, for producing this moving 4 1/2 minute little film, Empathy: The Human Connection to Patient Care

Just not listening – or “narrative incompetence”?

22 Mar

by Carolyn Thomas  @HeartSisters

The Radical EarI’ve been reading lately about something called the patient’s narrative in medicine. Although it’s basically defined as patients telling the story of what originally brought them to see the doctor, it’s actually much more.

Doctors, for example, all too often may see “the story” as an unnecessarily lengthy distraction from getting swiftly to diagnosis and treatment.

But as U.K. physician Dr. Jeff Clark describes it, connecting with and understanding the patient requires a doctor to appreciate each person’s unique perspective. In the December 2008 issue of The British Journal of General Practice, he asked other doctors to consider how not listening to a patient’s story can be compared to his colleague’s golf game:  Continue reading 

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