5/7/2015 1 Cultivating Reverence for Living: Mindfulness Practices for Caregivers, Providers, and Patients Bob Vahary, LCSW, OSW-C “Sometimes the most important thing in a whole day is the rest we take between two deep breaths.” Etty Hillesum “Mindfulness is paying attention in a particular way: on purpose, in the present moment, and non- judgmentally” Jon Kabat-Zinn Paying attention in a particular way; Observer Controlling attention not what we think Present moment Mental noting Nonjudgmental and Accepting Non-striving It Is and Takes Practice; Double duty: Quality we all possess Practices that enhance
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Cultivating reverence for living: Mindfulness practices ...Jack Kornfield, A Path with Heart After the Ecstasy, the Laundry Keating, Thomas Open Mind, Open Heart Smith, Jean, ed.,
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5/7/2015
1
Cultivating Reverence for Living: Mindfulness Practices for Caregivers, Providers, and Patients
Bob Vahary, LCSW, OSW-C
“Sometimes the most important thing in a whole day is the rest we take between two deep breaths.”
Etty Hillesum
“Mindfulness is paying attention in a particular way:
on purpose, in the present moment, and non-
judgmentally”
Jon Kabat-Zinn
Paying attention in a particular way; Observer
Controlling attention not what we think
Present moment
Mental noting
Nonjudgmental and Accepting
Non-striving
It Is and Takes Practice;
Double duty:
Quality we all possess
Practices that enhance
5/7/2015
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Better understand how Mindfulness can help with
compassion fatigue, errors, emotions, energy and promote
work life engagement.
Introduce mindful concepts and tools for patient care.
Increase clarity in our provision of care; what works?
Story of CRL In September of 2002 St Vincent launched a Mindfulness Based Stress Reduction
Program called "Cultivating Reverence for Living". It is a six-week program
where St Vincent staff and volunteers spend two hours per week learning spiritual,
physical and emotional practices. Initial research indicates its efficacy for reducing
stress; however its impact on the culture of cancer patient care is remarkable.
Innovation grant
Formative Spirituality Component, Formation field
Program for associates and volunteers
50 6 week classes from 2002 to present
13 years of data , SWB, State Trait Anxiety
State trait Anxiety Perceived Stress Scale
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State-Trait Anxiety Inventory
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Perceived Stress Scale
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“Cultivating Reverence for Living Program” offered to all
providers including leadership, physicians, hospice, pastoral care,
social work, nursing, pharmacy, information systems, housekeeping
and volunteers.
Integrative medicine team efforts: Hand Massage, aroma therapy.
“Calming the Mind, Calming the Body” CD available to all cancer patients; MP3 available on www.ourfightagainstcancer.com
Counseling involves mindful principals to help processing of emotions through self soothing practices, emotional regulation, present moment awareness, mental noting, non judgmental observation, and loving kindness practice.
Centering Meditative Practices
Relaxation menu on Skylight educational network include “Calming the Mind, Calming the Body” for inpatient and infusion.
“My first experience with mindfulness was attending the "Cultivating Reverence for Living: A
Stress Reduction Program". I was not sure what this was about and if this program was of any
value for our cancer patients or our care givers. Through the six week sessions we learned about
Breathing in, I know I’m breathing in; breathing out, I know I am breathing out
Breathing in, I calm my body; breathing out, I smile
Breathing in, my breath goes deep; breathing out, my breath goes slow.
Breathing in, I dwell in the present moment; breathing out, I know it is a wonderful moment.
From The Blooming of a Lotus by Thich Nhat Hanh
CBT, counseling
Resistance
Pain management
Emotions
Helps with Symptom management
Helps mediate perceptions taste, dyspnea
Meaning and purpose
Stress reduction
Tool for healthy lifestyle choices
Tool for habit change
Helps clarify and support healthy relationships
Teaches appreciation for life
Problem Solving Tool
Empowering Device
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Reducing compassion fatigue, (beginners mind)
Work life engagement
Evidenced based practice
“Mindful practitioners attend in a nonjudgmental way to their own physical and mental processes during ordinary and everyday tasks. This critical self reflection enables physicians to listen attentively to patients, make evidence based decisions, clarify their values so they can act with compassion, technical competence, presence and insight” JAMA
Carlson, L. and Garland, S. 2005. Impact of mindfulness-based stress reduction on sleep, mood, stress and fatigue symptoms in cancer outpatients. International Journal of Behavioral Medicine, 12: 278–285. 11.
Carlson, L., Speca, M., Patel, K. and Goodey, E. 2003. Mindfulness based stress reduction in relation to quality of life, mood symptoms of stress and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65: 571–581.
Epstein, R., 1999. Mindful Practice. JAMA,282:833-839.
Kabat-Zinn, J. 1990. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness, New York, NY: Dell.