15 super powers you never knew you had
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1 15 super powers you never knew you had
2 15 super powers you never knew you had Introducing your guide s on this Every day Hero journey: Toby Campbell; MD Christine Monahan; MSW Carolyn Strubel; HD
3 Objectives Develop personal confidence in architecting conversations with families facing a death Define & practice your super power when discussing end of life decisions Design your super powers around openings to these conversations Design your super powers to help families transition in their understanding around grave prognosis/death
4 Super powers Empathy Healing strength Leadership Truth (lasso of truth) Super speed Messages (good or bad) Fairness Loving of Peace Communication skills Longevity Wisdom Courage Endurance Enhanced Hearing Heart Everyday Hero
5 Agenda: Hero s among us Yes Let s : Guardians of the Gift Ranting: Why consider it a Super Power SPIKES/NURSE: WHO YOU ARE WHAT YOU DO Everyday hero s Brain storm/responding to emotion: Openings & Transitions: Icon, Valor, Illuminator, Fortitude, Innovation, Idol, HERO S
6 Yes, Let s
7 The 2 minute Rant
8 This image cannot currently be displayed. SPIKES/NURSE S Set the Scene P Understand Perception I Get and Invitation K Share Knowledge E Empathetic Statements S Summarize and Strategize N Name the Emotion U Understanding Statements R Respecting and praising S Supporting Statements E Exploring Statements
9 Setting the Scene
10 Scene: basics Your name, role and relationship My name is Greeting to everyone in the room Sit, whenever possible Make Connection
11 Understand their Perception
12 Perception Where are we and where are we going? First: Understand Second: Guide Test the Hypothesis: This family understands the illness accurately. Disclaimer followed by a open-ended question Can you tell me your understanding about what the doctor/nurse has told you? Hopes and Goals: Agendas Are there things you want to make sure we discuss today? What other questions do you have?
13 Get an Invitation Is now an okay time to talk? Would you like to talk about what this means?
14 Warning Shot It s not the news we were hoping for. we didn t find an answer for.. there are some areas in question I need to investigate further. I have bad news.
15 Share Your Knowledge Just the facts, simple and straight forward and brief. The Apnea test shows.. The clinical exam shows Your father has had a heart attack. Give your sentence a period. Silence is an active process, a decision you make to create space for processing.
16 Empathetic Statements Name: I can see Praise: You ve done all we asked. Explore: Tell me more about I wish there were something else
17 Summarize & Strategize
18 Motivational Interviewing O A R S Open-ended Questions Affirmations Reflective Listening Summaries
19 Brain Storm/responding to emotion Openings Components of a conversation Skill vs. Mastery Demonstration Transitions Using language to assist family Demonstrations
20 Seeking Mastery Novice Advanced Beginner Competent Proficient Expert Master Reliant on rules/guidelines Conceptual Models Frameworks in context of big picture What distinguishes the Master from the Expert? Dreyfus Model of Skill Acquisition, Hubert and Stuart Dreyfus, 1986
21 The Expert Seeking Mastery What distinguishes Master and Expert? Knows -- Intuitively does what works Identifies and solves problems The Master Has developed personal style like an artist Welcomes novelty, challenge and experimentation opportunities to re-examine assumptions & explore new paths
22 Superpowers Brainstorm Good ways to open a difficult conversation
23 Superpowers Brainstorm Good transition phrases
24 Superpowers Brainstorm Talking about dying
25 Take Home Points SPIKES NURSE Opening and Transition Great Questions Phrasing to Talk about Dying Individual Action Plan
26
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2014 Free Spirit Publishing. All rights reserved.
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