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