The Healing Power of Presence July 10 2012

8/20/2019 The Healing Power of Presence July 10 2012

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The Healing Power of Presence

Malcolm L. Marler, D.Min., BCC

Director, Pastoral Care


2/21

A Story of Presence

“She slowly dipped a cloth in the soapy water,squeezed it out and showed me how to gently

remove the debris.Then she dipped a fresh cloth in the water, squeezedit out, and handed it to me. “That’s right Mama.” Shecooed as I swabbed my 6’4” baby.”


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Overview

• Strategies and resources for meetingemotional and spiritual needs

• How to be sensitive to the spiritual needs ofsomeone dierent than !our own.

• "nderstanding Presence

• #h! $uestions are more important thananswers.


4/21

Joint Commission ourna on Quality andSafety

December !!"# $olume % &umber '

• Press %ane!&s 'Patient Satisfaction Surve!(

• Literature review of over )** studies.

• +vidence reveals parallels betweenspiritual and emotional needs needsintermingle-

• Caring for both includes support, empath!,comfort, a/rmation, attentiveness to

patients& uni$ue needs.

i i i li d


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). 0re patients& emotional and spiritual needsimportant1

2. 0re hospitals eective in addressing theseneeds1

3. #hat strategies should guideimprovement in the near future and long4term1

J i C i i Q li d


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). Are emotional# s(iritual needsim(ortant)

'Degree to which hospital sta addressed !ouremotional5spiritual needs(-

• Patient satisfaction is signi6cantl! correlatedwith

• Sta response to concerns5complaints

• Sta eort to include patients in treatment decisions• Sta sensitivit! to the inconvenience of hospitali7ation

• 8mpact on health outcomes

).8mpact on hospital 6nances

2.+motional distress accompanies hospitali7ation

J i t C i i Q lit d


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2. Are hos(itals e*ective in addressingthese needs)

9 Patients e:perience emotional distress in

hospitali7ation9 Patients& and5or families& needs are handled in a

timel!, considerate, and empathetic wa!

9 0ll tests, interventions, and treatments are

e:plained in emotionall! sensitive andsupportive decision4ma;ing process

9 Sta demonstrabl! provide empatheticemotional support


8/21

Press %ane! 4 'Degree to which hospital staaddressed !our emotional needs(

? responses-

@th percentile vs. "HC, 2nd Auarter 2*)*

2 responses>th percentile vs. "HC, 2nd

Auarter 2*)2

J i t C i i Q lit d


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"+ Suggestions for im(rovement

9 Basic emotional and spiritual care

resources9 Boo;s, multimedia, support groups, music9 Meal choices for each religion9 Auiet secluded space chapel, meditation-

9 Chaplain5Pastoral Care eam9 Communit! outreach to faith groups, volunteers3.urses trained to provide pra!er

J i t C i i Q lit d


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9 Multidisciplinar! +motional and Spiritual

Care Aualit! 8mprovement eam9 Coordinate resources9 Ergani7ational learning of communication s;ills9 Senior leadership must empower the team to

carr! out organi7ation wide improvements9 Structured interventions, rela:ation techni$ues,

stress management education, counseling,!oga, meditation, massage therap!, access to

internet

J i t C i i Q lit d


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9 Standardi7ed +licitation of +motional and

Spiritual eeds9 Fe$uire spiritual screening to identif! needs

9 Fesponses to Patients&Concerns5Complaints

9 Sta&s eorts to include patients intreatment

9 Sta sensitivit! to patients& hopes, dreams,

li;es, loves, famil!, roles.


12/21

Ba!lor Health Care S!stem, Mar; %race, GP of Mission and Ministr!, 2*))

• #e had alwa!s as;ed the $uestion, 'Stawor;ed to meet !our spiritual needs.(

• Spiritualit! is a critical element of thewellness e$uation a holistic, patientcentered approach.

• 0s;ed patients in a random telephonesurve!, diverse population from ) units ofhospital


13/21

,hat Do Patients -ean by S(iritual)

• o be treated with dignit! and respect

• o be treated with compassion and

;indness

• o be valued as a person

• Ior sta to be sensitive to m! feelingsabout m! illness and hospitali7ation

• 0n environment that encourages hope

Baylor Health Care System


14/21

Baylor Health Care System

• Begins with the care patient receives,e:tends be!ond religion

• 8ncluding patients in treatment decisions

• Fesponding to emotional needs

• Fesponding to patient concerns, complaints

• Safe and secure environment, privac!

I n

t e r d i s c i p l i n

a r y


15/21

Ba!lor Health Care S!stem, 2*))

• Iocus on facilitating a dialogue withpatients related to spiritual needs.

• Learning to conve! compassion, empath!,and how to recogni7e spiritual distress.

• Femoved 'spiritual needs $uestion,(identi6ed three top priorities that inJuence

• Meeting emotional needs

• Fesponding to concerns and complaints

• 8nclude patients in decisions about treatment


16/21

,hat is Presence)

• Henri ouwen,Catholic priest, ps!chologist )@324)@@=-

• #hen someone comes to us in pain, something in

us wants to reassure the other and to move awa!from the pain.

• Feal healing is overcoming this mutual avoidance

and being together where it hurts. Sharing pain.

• rust becomes possible when someone sta!s withus in the pain. 0llow the $uestion to be there.


17/21

,hat is Presence)

• Margaret %uenther, PhD, MDiv.+piscopal priest, author of Hol! Listening, Spiritual Director )@2@ 4 -

•#e often confuse healing with curing

• Curing 4 often do something• Healing 4 a certain passivit!, willing surrender• Hope, not foolish optimism

•Listen, listen, listen• 0ccept the comfort of silence• 0void 6:ing, go where we are led

• #illingness to be touched, vulnerabilit!


18/21

,hat is Presence)

• Karen Stanle!, F, MS, 0EC, I00Palliative Care ursing Consultant

• Fe$uires ;nowing oneself • 0/rmation and valuing

• 0c;nowledging vulnerabilit!

•8ntuition

• Being in the moment

• Serenit!


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Discussion

• #hen have !ou e:perienced someonebeing 'present( to !ou1

• Er when !ou have observed another beingpresent to someone1

• #hat was dierent about this e:perience

from routine encounters with others1

• #hat was 'healing( in the encounter1


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Discussion

• 'Managing "p( 44 #ho are persons !ou;now at "0B Hospital who are a healingpresence to others1


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.ollow /(

• Powerpoint and other references for thispresentation can be found b! the end ofthe toda! at

• http55uabpastoralcare.org

• Clic; on the '+mplo!ees( tab, then choose

'Ps!chosocial Spiritual %rand Founds.(
http://uabpastoralcare.org/http://uabpastoralcare.org/

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The Healing Power of Presence July 10 2012

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