Mindfulness and Medicine

Transcription

1 Mindfulness and Medicine Associate Prof Sue Outram Ms Hannah Perkins

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3 What? Mindfulness - Definition. What it is, what it isn t. History of Modern Mindfulness movement, especially as it relates to Health and Health Care (Dr Jon Kabat- Zinn, Massachusetts General Hospital & MBSR). Research evidence for the positive effects of Mindfulness on health and wellbeing. How does this work? Neurobiology of stress and mindfulness. Guided exercise, awareness of breath. Applications in local healthcare settings JHH. Mindful Work Environments. Questions?

4 What is mindfulness? Paying attention, on purpose, in the present moment, non-judgementally, with curiosity and kindness, to what is going in your body, your mind and world around you. (Dr Jon Kabat-Zinn) attention, awareness, relationality, caring..universal (innate) human capacity

5 mindfulness is integral to the professional competence of physicians in promoting effective clinical decision making and reducing medical errors. Dr Ron Epstein: Shared entomological origins in the Latin word mederi which means to heal

6 What you may be thinking

7 What I m thinking

8 Neuronal plasticity Sustained focused attention Attention switching Open monitoring & general awareness (15)

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10 Benefits Psychological: Improved: equanimity, self-awareness & insight, selfcompassion, gratitude, behaviour control & stress resilience Reduced rates of: mental illness, burnout, addiction Peace of mind & sense of wellbeing Cognitive: Improved: attention, speed of processing, executive function, concentration & memory Functional: Improved: physical health, study & work performance, relationships, reduced maladaptive behaviours,

11 Medicine can be stressful! Compared to the general population and other health professionals doctors & medical students reported higher rates of: Psychological distress Burnout Suicidal ideation & attempt Diagnosed mental illness

12 Mental Health of Health Care providers WHY is this especially relevant to medicine? beyondblue. National mental health survey of doctors and medical students Oct source/research-project-files/bl1132-report--- nmhdmss-full-report_web

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14 Research evidence for the positive effects of mindfulness UCLA research resources - Stanford University Research -

15 How does this work? Neurobiology of stress and mindfulness The Brain and Stress Response Flight, Fight & Freeze Dan Goleman hand model

16 In local health care settings JHH Mindful Mondays in May (Dr Susannah Ward) JHH Ongoing Drop In : Mondays pm (now pm); Thursdays pm Smaller invited group sessions with different departments and health sites (eg pharmacy, community health, ICU..)

17 Thank you so much for organising these sessions. I feel they are so valuable considering the high stress environment of the hospital that we all work in. These sessions have started me on a pathway of mindfulness and have assisted me in dealing with workplace stress at a time when it was definitely needed. I am so glad that these sessions are continuing and feel that this is a proactive approach any employer could adopt in assisting employees with workplace and life stress.

18 JHH Mindful Mondays in May: Feedback Feeling less stress, both at home & at work. Able to breathe easier, thank you. It supported me in my role & continuing to mindful throughout the day. I was able to remind myself to breath before making decisions and to stop every now and then and breathe. It has made me more aware to stop and breathe when it gets hectic. Made it easier to focus on one task and control stress to think better. To sometimes just stop, breathe and think, do not be so quick to react.

19 I think being mindful made me realise that I was stressed and needed to make changes to my lifestyle. Reminder to take a breath and be less reactive to triggers, e.g. not to be swamped by the negativity that rises from within and assails from others. Gave me a tool i.e. a prompt of moments in the day when I can be 'mindful'/ regroup myself. Remembered the S.T.O.P moments.

20 Useful tools: examples 1. STOP Breathing Space S Stop (open to everything that is happening) T Take a breath (sensations of breathing) O Observe (feelings in body, thoughts, feelings) P Proceed (reconnecting with your activity) 2. Aquium moment (courtesy of Kate Braye & JHH Midwives)

21 Mindful work environments Dan Goleman Google Search Inside Yourself Program Dan Siegal & Carolyn Welch Arianna Huffington - Huffington Post

22 International initiatives: UK Mindful Nation UK (2015) The Mindfulness All-Party Parliamentary Group es/reports/mindfulness-appg-report_mindful- Nation-UK_Oct2015.pdf

23 Questions???

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