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Developing
the Skill of Gracious Caregiving
Patricia L. Raymond MD FACP FACG
Rx For Sanity
Health
care professionals are taught to use many tools in our medical training-
phlebotomy, nebulizer administration, blood pressure measurements,
and how to roll a stretcher through a doorway without scraping the
paint (a skill that eluded me as a candy striper, but didnt
thwart me from the pinnacle of doctorhood). However, we oftentimes
overlook an important tool in our medical arsenal- the skill of
gracious caregiving.
One
of my greatest role models in medical school was a junior faculty
from physical diagnosis class, the first course that we actually
touched live patients. He insisted that we treat our patients with
graciousness, giving them ownership of their hospital rooms and
their bodies.
You
can afford to be gracious, he said. You are fully clothed,
your butt is not exposed, you got a good nights sleep, ate
what you wanted for breakfast, and youre not in pain or frightened.
So
be gracious. Knock on their door, and ask for permission to enter.
Introduce yourself, and state your purpose. Explain what you are
going to do to them. Ask for permission to examine them. Explain
what you found. Describe the tests that they are going to have and
what they will show. Bring them on board as a partner in their own
heath care.
When
you leave, say goodbye. Thank them. And lastly, ask them if they
would like their door opened or shut. Its the little controls
you can give back to your patients that restore power and relieve
their feelings of helplessness.
The
lesson I learned that day provided me with the tool of gracious
caregiving.
The definition of gracious, according to the American
Heritage® Dictionary of the English Language, includes kindness
and warm courtesy, tact and propriety, and a merciful or compassionate
nature. We generally think of gracious in association with a partys
host. You know how to be gracious; you do it all the time when you
entertain guests (although not necessarily close personal friends;
they are left to scrounge up food for themselves).
So,
how do you become a gracious caregiver? Follow these simple tips
with your ill guests, gleaned from rules of hosting
parties and adapted to medical caregiving:
Eight
tips for being a gracious caregiver:
Greet your guests with enthusiasm
Introduce yourself each time you see them until they greet you
by name. Remember your advantage- their name is on their wrist,
on the chart, and on the door. Offer to give them your card or
write down your name. The recurrent hospital guest may have a
guest book for you to sign.
Explain your role in their care; do not assume that they are medically
savvy. Then, explain in a detailed fashion what they are about
to experience.
Introduce them to any HCP who enters the room while you are there,
giving your guest the advantage. Say, Mrs. Guest, may I
introduce Dr. Pulmonary?
Never talk over or around your guest without involving them in
the conversation. Excuse yourself if medically appropriate to
discuss another guests personal business.
Give able guests small tasks to carry out, such as self-care,
carrying their record during transport, even assisting in monitoring
their own vital signs and I/Os.
Always ask permission to touch or adjust unless it is an actual
emergency. We flick back covers with a casual air, but ferociously
guard our own modesty.
Give your guest governance in their room- over bed position, their
door, and their possessions. Ask permission to enter.
Remember
our advantage. You ate breakfast; your butt is not exposed. We take
much for granted in our treatment of our guests. You can afford
to be gracious.
Virginia
Beach gastroenterologist, Patricia L. Raymond M.D. FACG is an author
and consultant, who speaks to nurses and physicians through hospital
systems and medical conventions. With her company Rx For Sanity,
she humorously leads physicians and nurses to rediscover their joy
in medicine and to learn to first Turn Care Inward.
Her book, Dont Jettison Medicine: Resuscitate Your Passion
For The Career You Loved! is available now. Visit www.RxForSanity.com
for complimentary information and links to better care for yourself
and for your staff, and to subscribe to our FREE monthly newsletter,
Rx For Sanity eNews, with medical humor and simple tips to enhance
your life in Medicine.
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© 2003 Patricia L. Raymond
  
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