11/15/2019 Virtual Reality: Life and Death Through a Hospice - - PDF document

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11/15/2019 Virtual Reality: Life and Death Through a Hospice - - PDF document

11/15/2019 Virtual Reality: Life and Death Through a Hospice Patients Eyes Daryl Cady CEO, Hospice of Southern Maine 1 What is Virtual Reality? A believable , interactive 3D computer-created world that you can explore so you feel you


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Virtual Reality: Life and Death Through a Hospice Patient’s Eyes

Daryl Cady CEO, Hospice of Southern Maine

What is Virtual Reality?

A believable, interactive 3D computer-created world that you can explore so you feel you really are there, both emotionally and physically.

History

Carrie Carrie Shaw Founder, Embodied Labs, with her mom

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48-Hour Immersion @ Gosnell Memorial Hospice House A Collaboration was Born

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The “Labs”

The Clay Lab

END OF LIFE CONVERSATIONS

The Beatriz Lab

A JOURNEY THROUGH ALZHEIMER'S DISEASE (AD)

The Alfred Lab

MACULAR DEGENERATION & HEARING LOSS

Embodied Learning allows viewer to:

➔ Speed up the learning process ➔ Go inside and outside the body ➔ Visit unique perspectives ➔ Trick their brain into living “real experiences”

Why Virtual Reality? VR Education Model

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VR Education Model VR Education Model VR Education Model

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VR Education Model

Preparing Viewers for the Clay Lab Lessons Learned by HSM

  • Take time to explain the equipment that will be used
  • Present a Content Advisory- Content may not be suitable

for all viewers.

  • Make sure the environment feels safe and secure and

that participants know they can stop the experience at any time

  • Provide psycho-social support via the presence of a

social worker, chaplains, or trained staff

The Clay Lab End-of-Life Conversations

You, the viewer, will “embody” Clay Crowder, a 66-year old Veteran with stage IV, incurable lung cancer. 13 14 15

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Part 1: Receiving a Terminal Diagnosis

As Clay, you go with your family to your

  • ncologist, and receive

the news that there are no longer effective curative treatments for your cancer.

Part 2: Transitioning to Home Hospice

As Clay, you experience a fall related to your disease, visit the ER, interacts with a compassionate nurse, decide with your family to start home hospice, and interact with members of the home hospice team.

Part 3: Last Days

As Clay, you enter your final days, and receive care from your home hospice team and your family. You will virtually experience the end of life, and observe how your body is transported to the funeral home as an honored veteran.

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The Clay Lab End-of-Life Conversations

Let’s take a look! 19 20 21

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Let’s pause for a minute…

1) Educate community and referral sources

Increases understanding of EOL and hospice care

2) Educate staff

Allows them to “stand in the shoes of” the patient, family, and doctor, especially for understanding the entire experience prior to entering hospice care

How We Use it...

1) Educate community and referral sources

Increases understanding of EOL and hospice care

2) Educate staff

Allows them to “stand in the shoes of” the patient, family, and doctor, especially for understanding the entire experience prior to entering hospice care

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Hospice Training Points

★ Models serious illness conversations ★ Falls/ER visits often precede hospice ★ Care is patient and family centered ★ Family dynamics ★ Coming on to hospice sooner means better quality of life, longer life, and the likelihood that EOL wishes will be respected.

Pre and Post Surveys

1)

I am comfortable talking about issues related to the end of life.

2)

I feel confident in my ability to provide care to someone in the last months of that person’s life.

3)

What is your view of hospice care?

4)

You are about to embody a man with a terminal cancer diagnosis. Think about how you might feel if you were told that you have a disease that is incurable. I would feel… (check all that apply)

5) What, if anything, will you do differently as a result of watching

Clay

After completing Clay, learners report:

✓ 36% feel less helpless ✓ 34% feel less fear ✓ 9% feel less sadness ✓ 34% feel more peacefulness ✓ 18% feel more empowerment

Is it Working?

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What people are saying...

“I felt emotionally involved from the

  • start. It gave me

good perspective

  • n the last few

days to hours of life." UNE Medical Student

“New virtual reality helps hospice workers see life and death through a patient's eyes.” “Virtual reality enlightens medical students about end-

  • f-life care.”

55 Stories …across 20 states reaching nearly 50M people

Thank you!

For more information or to make an appointment: Hospice of Southern Maine (207) 289-3640 info@HospiceofSouthernMaine.org Acknowledgements Hospice of Southern Maine’s VR project was funded by the Rev. Anne E. Hunter, MD Endowment Fund and developed in collaboration with Embodied Labs and University of New England.

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