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Being a patient is a unique interpersonal experience but it is also
a universal human experience. The relationships formed when we are
patients can also teach some of life's most important lessons, and
these relationships provide a special window into ethics,
especially the ethics of healthcare professionals. This book
answers two basic questions: As patients see it, what things allow
relationships with healthcare providers to become therapeutic? What
can this teach us about healthcare ethics? This volume presents
detailed descriptions and analyses of 50 interviews with 58
patients, representing a wide spectrum of illnesses and clinician
specialties. The authors argue that the structure, rhythm, and
horizon of routine patient care are ultimately grounded in patient
vulnerability and clinician responsiveness. From the short
interview segments, the longer vignettes and the full patient
stories presented here emerge the neglected dimensions of
healthcare and healthcare ethics. What becomes visible is an ethics
of everyday interdependence, with mutual responsibilities that
follow from this moral symbiosis. Both professional expressions of
healthcare ethics and the field of bioethics need to be informed
and reformed by this distinctive, more patient-centered, turn in
how we understand both patient care as a whole and the ethics of
care more specifically. The final chapters present revised codes of
ethics for health professionals, as well as the implications for
medical and health professions education.
Healthcare providers are constantly confronted with illness and
injury, and the challenges of healing. Yet this very work, the
relief of suffering, inflicts on healthcare providers suffering of
their own that is often crippling. The most common terms for the
pain caregivers and healers suffer from are burnout and moral
distress. These common terms are, however, often used
judgmentally—as if those trying to heal others have failed
themselves, their colleagues, and their patients. The net result is
that much discussion of burnout and moral distress, and the
interventions they underwrite, have served only to worsen the
crisis. Into the Field of Suffering: Finding the Other Side of
Burnout provides a much-needed reframing of burnout and moral
distress. These depleting experiences are approached as trials
virtually inevitable in the course of the healer's vocation. The
challenge medical professionals and caregivers face is not avoiding
them, but meeting them directly with insight into the role of moral
distress and burnout in the development of their vocation. Into the
Field of Suffering presents a set of analytical frameworks and
awareness skills, which have the potential to transform the work of
healers and caregivers. There is a growing body of academic
literature on these topics, and many memoirs recounting distressing
situations and wounding traumas. Into the Field of Suffering takes
its place alongside these works, while offering a distinctly
different approach that treats as essential the spiritual dimension
of the healing vocation. Practices, teachings and dialogues to
assist in the cultivation of compassion and gratitude are key
components in this presentation. Schenck and Neely address their
readers in a direct voice, speaking to the sense of failure and
discouragement so many healthcare professionals and caregivers
experience on a daily basis. This is a book that carries a mentor's
voice and presence, born out of experience with burnout and moral
distress, and grounded in hundreds of conversations, de-briefings
and interviews with healthcare workers and caregivers, patients and
families.
In addition to the treatments and prescriptions they receive, most
people hope for relationships with their clinicians that will
themselves be healing. Yet few scholars have taken to time to
understand just how relationships with healthcare providers can
help patients get well. In this volume Schenck and Churchill
synthesize the results of fifty interviews with practitioners
identified by their peers as "healers." This book explores in depth
the things that the best clinicians do. The focus is not on the
many theories of healing, but on the specific actions that
exceptional clinicians perform to improve their interaction with
their patients, and subsequently improve their patients' overall
health. The authors analyze the ritual structure and spiritual
meaning of these healing skills, as well as their scientific basis.
They offer a new, more holistic interpretation of the "placebo
effect," and provide recommendations that will promote relational
competence, as well as technical competence, in their students.
Recognizing that the best healers are also people who know how to
care for themselves, the authors examine responses to the question:
"What activities that promote wellness, wholeness and healing do
you personally engage in?" These responses will be of particular
value to healthcare professionals. The final chapter explores the
deep connections between the mastery of healing skills for patient
care and the mastery of what the authors call the "skills of
ethics." Being a good health care professional and being a good
person are intimately related. Schenck and Churchill argue further
that ethics should be considered a healing art, alongside the art
of medicine. This book has relevance for everyone who is or will be
a patient, everyone for whom relationships with healthcare
providers make a difference-in short, all of us.
In this groundbreaking volume, David Schenck and Larry Churchill
present the results of fifty interviews with practitioners
identified by their peers as "healers," exploring in depth the
things that the best clinicians do. They focus on specific actions
that exceptional healers perform to improve their relationships
with their patients and, subsequently, improve their patients'
overall health. The authors analyze the ritual structure and
spiritual meaning of these healing skills, as well as their
scientific basis, and offer a new, more holistic interpretation of
the "placebo effect." Recognizing that the best healers are also
people who know how to care for themselves, the authors describe
activities that these clinicians have chosen to promote wellness,
wholeness and healing in their own lives. The final chapter
explores the deep connections between the mastery of healing skills
and the mastery of what the authors call the "skills of ethics."
They argue that ethics should be considered a healing art,
alongside the art of medicine.
Being a patient is a unique interpersonal experience but it is also
a universal human experience. The relationships formed when we are
patients can also teach some of life's most important lessons, and
these relationships provide a special window into ethics,
especially the ethics of healthcare professionals. This book
answers two basic questions: As patients see it, what things allow
relationships with healthcare providers to become therapeutic? What
can this teach us about healthcare ethics? This volume presents
detailed descriptions and analyses of 50 interviews with 58
patients, representing a wide spectrum of illnesses and clinician
specialties. The authors argue that the structure, rhythm, and
horizon of routine patient care are ultimately grounded in patient
vulnerability and clinician responsiveness. From the short
interview segments, the longer vignettes and the full patient
stories presented here emerge the neglected dimensions of
healthcare and healthcare ethics. What becomes visible is an ethics
of everyday interdependence, with mutual responsibilities that
follow from this moral symbiosis. Both professional expressions of
healthcare ethics and the field of bioethics need to be informed
and reformed by this distinctive, more patient-centered, turn in
how we understand both patient care as a whole and the ethics of
care more specifically. The final chapters present revised codes of
ethics for health professionals, as well as the implications for
medical and health professions education.
With The Particular Design Of Showing The Part Borne By North
Carolina In That Struggle For Liberty And Independence, And To
Correct Some Of The Errors Of History In Regard To That State And
Its People.
With The Particular Design Of Showing The Part Borne By North
Carolina In That Struggle For Liberty And Independence, And To
Correct Some Of The Errors Of History In Regard To That State And
Its People.
With The Particular Design Of Showing The Part Borne By North
Carolina In That Struggle For Liberty And Independence, And To
Correct Some Of The Errors Of History In Regard To That State And
Its People.
Exciting narratives and battle maps are presented for each of the
following significant engagements: Camden, King's Mountain,
Cowpens, Guilford Court-House, Hobkirk's Hill and Eutaw Springs.
During the course of the war, the North Carolina Legislature vot
With The Particular Design Of Showing The Part Borne By North
Carolina In That Struggle For Liberty And Independence, And To
Correct Some Of The Errors Of History In Regard To That State And
Its People.
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