Can Spiritual Care Support Realistic Medicine in Practice Often a patients distress is created by the situation they may find themselves in rather than by the symptoms of the illness 10232018 ID: 933321
Download Presentation The PPT/PDF document "Spiritual Care Conference" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Spiritual Care Conference
Can Spiritual Care Support Realistic Medicine in Practice?Often a patient’s distress is created by the situation they may find themselves in, rather than by the symptoms of the illness
10/23/2018
1
#
spiritualcareconf
Slide2Can Spiritual Care Support Spiritual Care Support Realistic Medicine in Practice?
Often a patient’s distress is created by the situation they may find themselves in, rather than by the symptoms of the illness
Spiritual Care Conference
Slide3Spiritual Care?
What do we mean we speak of ‘spirituality’?10/23/2018
3
Slide4Psychodynamic Unity
10/23/20184
Slide5HDL (2002) 76 Spiritual Care in NHS Scotland
Acknowledged spiritual and religious changes eg belief without BelongingDescribed relationship spiritual/religiousInvolving all staff not just chaplainsA sensitive, non judgemental, person centred, culturally competent serviceAccepting WHO description which integrates spirituality as part of health
10/23/2018
5
Slide6Contemporary Spiritual Care
It is widely recognised that the spiritual is a natural dimension of what it means to be human, which includes awareness of self, of relationships with others and with creation. Spiritual care is not necessarily religious. Religious care should always be spiritual 10/23/2018
6
Slide7Contemporary Spiritual Care
Spiritual Care is usually provided in a one to one relationship, is completely person centred and makes no assumptions about personal conviction or life orientation.Religious Care is provided in the context of shared religious beliefs, values, liturgies and lifestyle of a faith community.10/23/2018
7
Slide8Among the basic spiritual needs that might be addressed within the normal, daily activity of healthcare are:
The need to give and receive loveThe need to be understoodThe need to be valued as a human being
The need for forgiveness, hope and trustThe need to explore beliefs and values
The need to express feelings honestlyThe need to find meaning and purpose in life.
10/23/2018
8
Slide9Communication?
Why is communication a barrier to realistic medicine?10/23/20189
Slide10Background & contextScotland-wide survey, focus groups and interviews
The majority of people in Scotland (70%) think that as a society we do not discuss death and dying enough (SPPC, 2003). This cultural resistance can contribute to poor communication when planning of end of life care (Scottish Government, 2008). 10/23/2018
10
Slide11Background & context cont:
Living and Dying Well 2008Short life Working Group 7 Report 2010Stakeholder Group March 2011 CEL2011 Shaping Bereavement CareScottish Patient Safety Programme Fellowship 2012 “What matters to you”?IHI Conversation Ready 2015Strategic Framework for Action on Palliative and End of Life Care 2016
10/23/2018
11
Slide12Background & context cont:Chief Medical Officer’s Reports 2016 – 2018
Realistic Medicine 2016Realising Realistic Medicine 2017Practising Realistic Medicine 2018 “Poor communication is the biggest source of complaints in the NHS, and she says there are too many examples of families being distraught at the overtreatment of loved ones at the end of life when they would have preferred less to be done”. (Catherine Calderwood, BMJ 2016;355:i5455 )
10/23/2018
12
Slide131998 Thesis:PALLIATIVE CARE : A THEOLOGICAL FOUNDATION
“... a “good death” can be achieved when the dying person is relieved not only of their physical pain but also of their emotional pain and relief of emotional pain is somewhat achievable through good honest and open communication ...”George Beuken; Scottish Journal of Healthcare Chaplaincy Vol. .6 No. 1 2003
10/23/2018
13
Slide14VisionScotland should be a society in which dealing with death, dying, bereavement and loss in a healthy and constructive way is seen as part of ordinary life and where members of the public and health and social care professionals and volunteers have awareness of these issues and the many ways in which communities and individuals can support each other
10/23/2018
14
Slide15Slide16The Great Taboo
Conversations around Death & Dying
Slide17Fear
10/23/201817
Slide18The Scale of the Problem
Unnecessary harm is caused because people in Scotland are not open about death, dying and bereavement. For example:People who are dying or bereaved can experience isolation because people don't know what to say or how to act towards them
People die without wills, leaving complicated situations for their families and friends.
Health care professionals struggle to have conversations with their patients about what care or treatments they want as they approach death. This makes it hard to plan the care that a person really wantsIf the fact that someone is dying is not acknowledged then opportunities to resolve issues and say goodbye may be missed
Slide1910/23/2018
19
Slide20Breaking the TabooHow?
10/23/201820
Slide21A Framework for Improving End-of-Life Care:Five Conversation Ready Principles
23/10/201821
Engage
Steward
Respect
Exemplify
Connect
Slide22Exemplify
this work in our own lives, so that we fully understand the benefits and challengesThis principle embodies “walk the walk” and encourages all clinicians to “have the conversation” with their own families and loved ones about end-of-life care wishes.Through IHI’s work, we gained increased confidence that this is an important starting point with organizations involved in Conversation Ready work — not just a “nice to have” but, in many cases, essential to achieving their aims.
23/10/2018
22
Slide23Slide24I didn't want thatNotice
WonderRealise10/23/2018
24
Slide25Key MessagesBeing more open about death is a good thing
Death is normal Thinking about death when you’re healthy means there is less to think about if you get sick We can all help each other with death, dying and bereavement Coming terms with your own mortality can help you to live life to the full There are things individuals and communities can actively do to help friends through difficult times relating to death, dying and bereavement Death is happening all around us, causing sadness and difficulties that people often don’t share
Death can be upsetting, and people need to take the time to grieve
Slide26Useful Resources
Good life, Good death, Good Grief http://www.goodlifedeathgrief.org.uk/ Dying Matters
http://www.dyingmatters.org/overview/resources
Slide27