Definition 1 of 35
Watson's theory of varing is one of many theories of care that guides the total system of providing
care to the patient
Patient and clinician have unique and independent life histories with a past, a present, and a future
as they meet at this point in time
Clinician cares for patient, both are affected by that intersection moment of caring
Whatever they each experience with the other will now influence each of them as they leave that
moment chose how to react to what happens in that encounter
True connection: event expands the limits of openness and expand the human capacities of the
patient and the clinician
As it ends, each takes with them the impact of the experience
What are the implications of Porges' polyvagal theory for patient-physician relationship
dynamics?
What is the transpersonal caring moment in Watson's theory of Caring?
What is the Model of Balanced Compassionate caring?
What are the 9 practices and skills of Balanced Compassionate Caring?
,Definition 2 of 35
When the brain is in a compassionate mental state, it impacts 5 different areas simultaneously
The clinician's internal psychological state (centered, focused attention, the balance between
emotional detachment and emotional overinvolvement)
Optimum access to use of medical knowledge and medical competence
The patient experience (both patient satisfaction and medical outcomes
Clinician well-being and resilience
Organizational culture (bidirectional impact)
What is the 5 component model of the compassion science paradigm in healthcare? (can
use the 5 finger brain model)
What are the 4 organizational/business/systemic factors of Balanced Compassionate
Caring?
What is self-compassion with its three components (from Neff, 2003) & why is it important?
What does it means for compassionate caring to be at the center of how we conceive of
healthcare?
,Definition 3 of 35
YES IT IS! Organizational models
Utilize electronic medical records in a way that you remain engaged, maintain eye contacts
Build habit of connecting with patient first
Human touch then medical touch
Integrate it into your everyday practice, look for mentors who exhibit compassion
Compassion champion
Culture of compassion affects you
Evaluate this statement: "I used to be a caring doctor. But after 3 years of patients who are
drug-seeking, non-compliant, or won't take care of themselves, I am not the idealistic
caring doc I used to be"
Evaluate this statement: "Don't get too attached to patients because that will just burn you
out"
Evaluate this statement: "Certain specialities don't need to learn bedside manner as much
as others"
Evaluate this statement: "It's really nice to talk about the ideal of compassionate care in
your training, but it isn't really possible to practice that way in today's healthcare business"
, Term 4 of 35
What are the 7 attitudes of Balanced Compassionate Caring?
1) Competence in the skills & interventions of your helping profession
2) Caring intent is concretely expressed with balanced emotional involvement
3) Being able to care for a person using challenge & confrontation
4) Balance between other-care & self-care
5) Energy devoted to self-reflection & analyzing helping interactions
6) Ways of dealing with effects of working w/ individuals w/ severe problems
7) Skill of managing emotions & using them for the healing process
8) Effective organizational & practice management skills
9) Mind training practices to cultivate compassion & reduce stress
1) Caritas attitude: compassionate caring attitude as the core driving force in patient-
clinician relationships
2) Balanced notion of personal responsibility & outcome
3) Compassionate empathic concern vs. emotional detachment or emotional engulfment
4) Therapeutic perspective vs. detached objectivity (person-centered)
5) Being centered
6) Lifetime of caring as a story with succession of awakenings
7) Awareness & use of the Wounded Healer Archetype
We cannot selectively numb emotions, decreased gratification
Negative effects on clinician and patient
Negatively impacts patient care and cognition
Challenge to personal relationships
Decreased gratification
Suppressing negative feelings that negative and positive feelings not processa nd result is
emotional withdrawal
Patients don't feel as safe or able to be vulnerable with physician
1) noticing another's suffering
2) empathically feeling the other person's pain in a state of emotional regulation
3) wishing or desiring to see a relief of that suffering
4) responding or acting to help ease or alleviate that suffering
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