Human%20Caring:%20Relationship-Centered%20Care%20for%20Case%20Managers

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Human CaringRelationship-Centered Care for
Case Managers

• Coleen Cox-Ballah, DHA, MS, RN, CCM

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Jean Watsons Caritas Quote

• Humanistic, altruistic value system comes to
  life when one cultivates the ongoing practice of
  Loving-Kindness and Equanimity, a form of
  cultivated mindfulness awareness / meditation, a
  practice that opens and awakens the
  compassionate, forgiving love of the heart
  center (Watson, 2008, p. 35)

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Objectives

• Case Managers will understand Human Caring Theory
• Case Managers will Describe the Caring Core Ten
  Caritas Processes.
• Case Managers will Describe how
  Relationship-Centered Care is applied to case
  management practice
• Case managers will demonstrate centering
  exercises useful for maintaining balance in their
  practice.

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Theory of Human Caring Science

• An evolving field of study grounded in the
  discipline of nursing and informed by related
  fields
• Framework for all caring-healing professions,
  moving beyond nursing
• Caring is a sacred art
• Caring is an act of Love
• (Watson, 2005)

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Caring Science

• Major Principles
• Relational Caring
• Caring core Ten Carative Factors / Caritas
  Processes
• Transpersonal Caring Moment-Caring Field
• Caring as consciousness energy-intentionality-hu
  man presence
• Caring-Healing modalities

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Caring Core Caritas Processes

• Caritas to cherish, to appreciate, to give
  special, if not loving attention to (Watson,
  2008, p. 39).
• Ten Caritas Processes

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Ten Caritas Processes

• 1. Practice of loving-kindness/compassion and
  equanimity with self/other
• 2. Being authentically present enabling belief
  system and subjective world of self/other
• 3. Cultivating own spiritual practices beyond
  ego-self to authentic transpersonal presence
• 4. Developing and sustaining a loving, trusting,
  and caring relationship

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Ten Caritas Processes

• 5. Allowing for expression of feelings
  authentically listening and holding another
  persons story for them
• 6. Creative problem-solving-solution-seeking
  through caring process, full use of self all
  ways of knowing/doing/being engage in artistry
  of human caring-healing practices and modalities

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Ten Caritas Processes

• 7. Authentic teaching-learning within context of
  caring relationship stay within others frame of
  reference shift toward a health-healing-wellness
  coaching model
• 8. Creating healing environment at all levels
  physical/nonphysical, subtle environment of
  energy, consciousness, wholeness, beauty,
  dignity, and peace are potentiated

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Ten Caritas Processes

• 9. Reverentially and respectfully assisting with
  basic needs, holding an intentional, caring
  consciousness of touching the embodied spirit of
  another as sacred practice, working with life
  force/life energy/life mystery of other
• 10. Opening to spiritual, mystery,
  unknowns-Allowing for miracles

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Setting Intentionality Caring

• Caring in the Beginning
• Caring in the Middle
• Caring in the End
• Caring Continuing

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Relationship Centered-Care

• Practitioners relationship with self
• Practitioner-to-patient relationship
• Practitioner-to-community relationship
• Practitioner-to-practitioner relationship

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Practitioners Relationship with Self

• Understand self as a source of healing of self
  and others
• Understand the role of family, culture, and
  community that influences health
• Understand situations that may be harmful to the
  underpinning of relationships
• Understand the essentials of effective
  communication

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Practitioners Relationship with Self

• Practice self-reflection
• Give full self and presence
• Active listening
• Accept patients emotions and understanding
• Significance of self, awareness, caring, and
  growth
• Honor the spiritual aspects of caring processes
• Acknowledge ones insights, value non-judgmental
  and compassionate relationships

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Practitioner-to-Patient Relationship
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Practitioner-to-Patient Relationship

• Patient Mind, Body, Spirit Holistic
• Identify the meaning in patients life stories
• Give full self and presence to patients
• Acknowledge and act on the pain/suffering of
  patients
• Acknowledge and act on moral/ethical dilemmas
• Encourage hope, trust, and faith
• Attentively listen and enable learning

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Practitioner-to-Community Relationship

• Understand the physical/social/economical/occupati
  onal influence on health
• Engage in community assessments, public policy,
  organization activities, and facilitate change
• Share expertise
• Assist in creating caring-healing communities

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CMSA Day on the Hill
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(No Transcript)
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Practitioner-to-Practitioner Relationship

• Understand self in relation to others
• Understand the healing approaches of others
• Interdisciplinary teamwork
• Communicate effectively and collaborate with
  others
• Advocate mutual trust, empathy, and grace

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Practitioner-to-Practitioner Relationship
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Practitioners Relationship with Self

• Practice
• Self-reflection
• Self-awareness
• Self-growth
• Self-caring

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Centering Exercises

• Basic quieting, centering exercise
• Sitting or lying position
• Close eyes and become aware of your body
• Breathe deeply, relaxed and easily
• Go to a quiet place within yourself
• (Watson, 2010)
• Practice Daily

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Centering Exercise

• GPS for the Soul App
• We all have a centered place of harmony and
  balance
• Lifes challenges and complications may take us
  from that place
• iPhone camera lens measure stress level
• Start guide if out of sync
• (Institute of HeartMath, 2014)

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Other Healing Modalities

• Reflective Journaling
• Poetry
• Art
• Music
• Exercise

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Desiderata

• . Be yourself.Especially, do not feign
  affection.Neither be critical about love for in
  the face of all aridity and disenchantment it is
  as perennial as the grass.
• Take kindly the counsel of the years, gracefully
  surrendering the things of youth.Nurture
  strength of spirit to shield you in sudden
  misfortune. But do not distress yourself with
  imaginings.

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Desiderata

• Many fears are born of fatigue and loneliness.
  Beyond a wholesome discipline, be gentle with
  yourself.
• You are a child of the universe, no less than the
  trees and the starsyou have a right to be here.
• And whether or not it is clear to you, no doubt
  the universe is unfolding as it should Max
  Ehrmann, 1927

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Intentionality Caring In the End

• Cultivate loving-caring practice for self
• Use the events of the day as lessons learned
• Offer gratitude for the sacred circle of your
  life
• Bless, release, and dedicate the day
• Create your own intentions

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In Loving-Gratitude
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Additional Resources

• Mindfullness Apps (www.freemindfulness.org/apps)
• Relaxation Techniques for Stress Relief
  (www.helpguide.org)
• Watson Caring Science Institute
  (watsoncaringscience.org)

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References

• Institute of HeartMath. (2014). GPS for the soul.
  Retrieved from http//www.heartmath.org/free-servi
  ces/solutions-for-stress/gps-for-the-soul.html
• Watson, J. (2005). Caring science as sacred
  science. Philadelphia, PA F. A. Davis Company.
• Watson, J. (2008). Nursing The philosophy and
  science of caring. Boulder, CO University Press
  of Colorado.
• Watson, J. (2010). Post modern nursing and
  beyond. Boulder, CO Watson Caring Science
  Institute.