BUILDING RESILIENCY FOR OURSELVES DARSHAN MEHTA, MD MPH MEDICAL - - PowerPoint PPT Presentation

▶
building resiliency for ourselves
SMART_READER_LITE
LIVE PREVIEW

BUILDING RESILIENCY FOR OURSELVES DARSHAN MEHTA, MD MPH MEDICAL - - PowerPoint PPT Presentation

Mar 19, 2023 153 likes •501 views

BUILDING RESILIENCY FOR OURSELVES DARSHAN MEHTA, MD MPH MEDICAL DIRECTOR ASSOCIATE DIRECTOR OF EDUCATION BENSON-HENRY INSTITUTE FOR MIND BODY MEDICINE OSHER CENTER FOR INTEGRATIVE MEDICINE MASSACHUSETTS GENERAL HOSPITAL BRIGHAM &

slide-1
SLIDE 1

BUILDING RESILIENCY FOR OURSELVES

DARSHAN MEHTA, MD MPH

MEDICAL DIRECTOR ASSOCIATE DIRECTOR OF EDUCATION BENSON-HENRY INSTITUTE FOR MIND BODY MEDICINE OSHER CENTER FOR INTEGRATIVE MEDICINE MASSACHUSETTS GENERAL HOSPITAL BRIGHAM & WOMEN’S HOSPITAL INSTRUCTOR IN MEDICINE, HARVARD MEDICAL SCHOOL DMEHTA@PARTNERS.ORG

slide-2
SLIDE 2
slide-3
SLIDE 3
slide-4
SLIDE 4
slide-5
SLIDE 5

WHAT IS THE WOUNDED HEALER?

  • Carl Jung
  • The Archetype of the Wounded Healer
  • Overcome the pain of our own suffering by becoming compassionate teachers and show
  • thers how they too can transcend their own pain
  • Transcend our suffering through the path of service leading them to help others
  • See this suffering in others and they can therefore lead others to find ways to overcome their
  • wn suffering
  • Help heal the wider ailments of humanities shared life, but our wounds may not fully heal
slide-6
SLIDE 6

WOUNDED HEALER

slide-7
SLIDE 7

CONSEQUENCES OF HEALTHCARE PROVIDER BURNOUT

Shanafelt and Noseworthy, 2017

slide-8
SLIDE 8

CONSEQUENCES OF HEALTHCARE PROVIDER BURNOUT

National Academy of Medicine Initiatives

slide-9
SLIDE 9

MY PERSONAL JOURNEY

DISCOVERING HELPLESSNESS CREATING NEW MEANING

slide-10
SLIDE 10

POWER OF RITUAL

CREATING THE MEANING IN ADVERSITY

slide-11
SLIDE 11

POWER OF RITUAL

slide-12
SLIDE 12
slide-13
SLIDE 13

WHY NOW?

  • If skills to prioritize values, and to

determine a personal philosophy that integrates professional, personal and spiritual domains are not honed in training, such balance will not easily

  • ccur later in one’s career. (Quill, 1990)
slide-14
SLIDE 14

PRESENT REALITY

slide-15
SLIDE 15

RELAXATION RESPONSE

  • Initially described by Dr. Herbert

Benson in mid-1970s

  • Conditions by which it is evoked
  • The repetition of a word, sound, prayer,

thought, phrase or muscular activity

  • The passive return to the repetition

when other thoughts intrude

  • Breaks the train of everyday thought
  • Benefits seen when performed 15-20

minutes 1-2x/day

slide-16
SLIDE 16

RELAXATION RESPONSE

  • State which is elicited by many mind-body

practices, including meditation, tai chi, and yoga

  • Conceptually the opposite of the stress response
  • Accompanied by physiological changes include:
  • Decreased heart rate
  • Decreased blood pressure
  • Decreased respiratory rate
  • Increased exhaled nitric oxide
slide-17
SLIDE 17

Dusek, Minn Med. 2009

slide-18
SLIDE 18

MEDITATION CHANGES GENE EXPRESSION

  • > 1500 differentially regulated genes
  • Decreases in inflammatory pathways
  • Improved insulin utilization
  • Increased ATP synthase/mitochondrial energy

production

Dusek, PLoS ONE, 2008 Bhasin, PLoS ONE, 2013

slide-19
SLIDE 19

Dusek JA et al. 2008. PLoS ONE 3:e2576

…Apoptosis …Inflammation …Stress Response ELICITING THE RELAXATION RESPONSE IMPACTS…

slide-20
SLIDE 20

MEDITATION CHANGES BRAIN STRUCTURE

  • Regions of the brain affected involve
  • cognition & executive function
  • emotion regulation
  • neurotransmitter release

Holzel BK, Psychiatry Res. 2011.

slide-21
SLIDE 21

Overall Health

Pharmaceuticals Surgery Self-care

A NEW PARADIGM OF HEALTH

slide-22
SLIDE 22

BENSON-HENRY INSTITUTE FOR MIND BODY MEDICINE AT MASSACHUSETTS GENERAL HOSPITAL

  • Independent thematic center at

MGH

  • Clinical practice, research and

education

  • Study ways to combat stress

and enhance resiliency

  • Focus on mind body practices

in the healthcare system:

  • Meditation
  • Yoga
  • Tai chi
slide-23
SLIDE 23

PILLARS OF FINDING MEANING

“IT TURNS OUT HAPPINESS IS OVERRATED”

Adapted from 2017 TED talk given by Emily Esfahani Smith

slide-24
SLIDE 24

PILLAR 1: BELONGING

slide-25
SLIDE 25

PRACTICING GIVING AND RECEIVING PRESENCE

If you love someone, the greatest gift you can give them is your presence. ― Thích Nhất Hạnh

slide-26
SLIDE 26

PILLAR 2: PURPOSE

slide-27
SLIDE 27

PILLAR 3: TRANSCENDENCE

slide-28
SLIDE 28

MINDFUL AWARENESS

  • To become more aware of one's own mental processes, listen

more attentively, become flexible, and recognize bias and judgments, and thereby act with principles and compassion

  • To have an ability to observe the observed while observing the
  • bserver in the consulting room
  • Mindful practice requires mentoring and guidance

Epstein RM. Mindful Practice. JAMA. 1999; 282: 833-839

slide-29
SLIDE 29
slide-30
SLIDE 30

PILLAR 4: STORYTELLING

slide-31
SLIDE 31

WHAT MAKES MEDICINE SO SPECIAL (AND SO DIFFICULT)?

  • Medicine informs and transforms not only the patient, but also the provider
  • Meaning and values underlie professional behavior and commitment
  • Integrating professionalism into personal identity requires a safe learning environment
  • Healthcare providers often have a genuine commitment to healing and service
slide-32
SLIDE 32
slide-33
SLIDE 33

IN GRATITUDE

Please Reach Out: Darshan Mehta dmehta@partners.org 617-643-6046