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15 super powers you never knew you had - UW Health · PDF file 15 super powers you never knew you had. 15 super powers you never knew you had. Introducing your guide’s on this Every

Sep 22, 2020

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  • 15 super powers you never knew you had

  • 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

  • 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

  • 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

  • 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

  • “Yes, Let’s”

  • The 2 minute Rant

  • 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

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  • Setting the Scene

  • Scene: basics • Your name, role and

    relationship – “My name is

    _______________ – Greeting to everyone in the

    room

    • Sit, whenever possible • Make Connection

  • Understand their Perception

  • 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?”

  • Get an Invitation

    • “Is now an okay time to talk?”

    • “Would you like to talk about what this means?”

  • • “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.”

    Warning Shot

  • 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.

  • Empathetic Statements • Name: “I can see…” • Praise: “You’ve done all

    we asked.” • Explore: “Tell me more

    about…” • “I wish there were

    something else…”

  • Summarize & Strategize

  • Motivational Interviewing

    • O Open-ended Questions

    • A Affirmations

    • R Reflective Listening

    • S Summaries

  • Brain Storm/responding to emotion • Openings

    – Components of a conversation

    – Skill vs. Mastery Demonstration

    • Transitions – Using language to assist

    family • Demonstrations

  • 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

  • Seeking Mastery

    What distinguishes Master and Expert?

    • The 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

  • Superpowers Brainstorm

    Good ways to open a difficult conversation

  • Superpowers Brainstorm

    Good transition phrases

  • Superpowers Brainstorm

    Talking about dying

  • Take Home Points

    • SPIKES • NURSE • Opening and Transition Great Questions • Phrasing to Talk about Dying • Individual Action Plan

  • 15 super powers you never knew you had 15 super powers you never knew you had �Objectives �Super powers Agenda: �Hero’s among us “Yes, Let’s” The 2 minute Rant SPIKES/NURSE Setting the Scene Scene: basics Understand their Perception Perception Get an Invitation Slide Number 14 Slide Number 15 Empathetic Statements Summarize & Strategize Motivational Interviewing Brain Storm/responding to emotion Seeking Mastery �Seeking Mastery �What distinguishes Master and Expert? �Superpowers Brainstorm �Superpowers Brainstorm �Superpowers Brainstorm �Take Home Points Slide Number 26 Slide Number 27

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