2. Moser stuff

what do survivors remember

1. physical pain they felt at moment of impact

2. lack of compassion from healthcare members

how is compassion different from sympathy/empathy

compassion also involves taking action

Over ___% of americans believe that our healthcare system is not compassionate

50%

[compassion compromises <1% of communication btwn pt/physician]

examples of benefits of showing compassion to pt

- more likely to be meticulous w care and less chances of making error

- compassion buffers stress

- compassion is associated w better pt outcomes (ex: blood sugar)

- enhanced immune response and lower duration/severity of sx

- increased pt self care and adherence

- fewer hospitalizations and fewer charges

______% of physicians believe they dont have time for compassion

56%

[cancer study-> 40 seconds to make meaningful difference. helps both worker and pt]

t/f: compassion can help burnout

true

t/f: compassionate behaviors can be learned

true

partnership model

physicians and pts spend equal time talking

AIDET

Acknowledge

Introduce

Duration

Explain

Thank you

RESPECT model

Rapport

Empathy

Support

Partnership

Explanations

Cultural Competence

Trust

4 components of caring, effective patient centered communication

Comfort

Acceptance

Responsiveness

Empathy

shared decision making

A patient and provider work together to decide on a treatment plan

professional practice standard

traditional practices of professionals will develop the standard of practice

(pharmacist has expertise to decide in all cases what sort of info pt needs to have )

reasonable person standard

shifts the determination of extent of information disclosure from the health care professional (professional practice standard) to the pt

- must provide info that a reasonable pt would find relevant

subjective disclosure standard

the pharmacist determines the needed information for each individual patient based on the necessary information for them to make a decision. May include assessing the patient's health literacy, etc

Patient Self-Determination Act of 1990

part of OBRA. this law requires that patients are provided the opportunity to express their preferences regarding lifesaving or life-sustaining care

-also requires that adequate information be supplied to the patient so that he or she can make informed decisions regarding self-determination

this act requires pharmacists to perform a prospective drug utilization review for pts, encompassing the complete range of their intended drug therapy, including any nonprescription medications they may be taking

OBRA 90

The balance point between an individual's resource pool and the challenges faced. Presence of positive emotions and moods, absence of negative emotions, satisfaction with life, fulfillment and positive functioning

well-being

t/f: 30% of undergrad and 28% of grad students have experiences high stress within last month

true

t/f: 30% of undergrad and 20% of grad students have screened positive on suicidal screenings

true

which factors can increase wellbeing

Social interaction

Exercise

Mindful

Sleep

Kindness

Grateful

warning signs for depression

tired, less focused, depressed mood, hopelessness, frequent illnesses, suicidal ideation

t/f: the first amendment protects free speech from private sector disciplinary action

false. The first amendment right to Freedom of Speech allows individuals to express themselves without interference or constraints by the government. Speech is not protected from private sector disciplinary action.

sympathy vs empathy

Sympathy - understanding that others are suffering

Empathy - experiencing the feelings of others

__________________________ - uniform standard practiced by all pharmacists, e.g. Joint Commission outlines education for oral anticoagulants. Utilizes medical care standards rather than patient's rights.

Professional Practice Standard

______________________ - provide information that a reasonable person "would find relevant and could reasonably be expected to assimilate"

Reasonable Person Standard

_____________________- the pharmacist determines the needed information for each individual patient based on the necessary information for them to make a decision. May include assessing the patient's health literacy, etc...

Subjective Disclosure Standard

_________ refers to the right of an individual to keep his or her health information private. __________ refers to the duty of anyone entrusted with health information to keep that information private.

privacy; confidentiality

what does HIPPA say regarding disclosing a minor's information to parents

-HIPAA defers to state law on the question of WHEN and to WHAT EXTENT a parent may make health care decisions on behalf of an unemancipated minor

-silent on whether pharmacists can divulge the health information of minors to parents

Exceptions in which health care providers may treat unemancipated minors without obtaining parental consent in Michigan

-urgent circumstances

-parent authorizes another adult to give consent

· tx of venereal diseases and other communicable diseases, pre-natal/pregnancy related care, abuse of controlled substances/alcohol, emotional disturbance

would the following violate HIPPA: sharing info with the authorized prescriber who issued the prescription, or a licensed health professional who is currently treating the patient.

does not violate HIPPA

due to negative emotions, misperceptions or stereotypes, poor communication between parties or repetitive negative behaviors by a party

relationship conflict

occurs from a lack of information or misinformation, the different interpretations of information and whether it is relevant.

data conflict

due to forces external to those in dispute such as limited physical resources, time or organizational changes

structural conflict

arise from different ways of life, ideology or religion

value conflict

5 conflict management styles

competing, collaborating, compromising, avoiding, accommodating/harmonizing

When does a conversation become a Crucial Conversation?

1. Opposing opinions

2. Strong emotions

3. High stakes

medical vs social model for disability

The medical model views disability as a problem that exists in a person's body and requires medical treatment.

The social model of disability, by contrast, distinguishes between impairment and disability, identifying the latter as a disadvantage that stems from a lack of fit between a body and its social environment.