Blog

  • Aug 3, 2021

    Risk factors for burnout can be sorted into three groups:
    •    Risk factors related to the organizational culture and practices.
    •    Risk factors from exposure to suffering.
    •    Risk factors related to personality and…

  • Feb 27, 2021

    Helping professions are by nature, asymmetrical where the clinical team does the giving, ideally without expectation of any particular response from the patient and family. Christina Maslach , one of the original researchers on burnout observed…

  • Jan 28, 2021

    The three W’s are a wish, a worry and a wonder. This skill can be combined with other communication skills, such as asking permission, expressing alignment, and reassuring that care will not stop…

  • Dec 15, 2020

    Covid-19 has irretrievably changed our world. One of the harshest consequences has been the way patients are separated from other people.  Electronic devices can offer a possible and sometimes powerful way for a patient to connect with others…

  • Sep 18, 2020

    There is no question that all kinds of people become ill, and some are more pleasant to care for than others. Yet when we use labels like “difficult” or “manipulative” or “demanding” it may weaken our ability to be a healer. We may…

  • Aug 5, 2020

    In a Harvard Business Review article entitled, Managing the Hopes of Seriously Ill Patients, Brad Stuart describes a toolkit for managing hope.
    (Comments and…

  • Jul 30, 2020

    How do you hope when you cannot “get your life back?” Does one have to give up hope to receive palliative care?

  • May 27, 2020

    The Covid19 pandemic has caused all of us to live with uncertainty. For a person living with serious illness, daily uncertainty can cause distress and despair. One day the symptoms are under control in the morning and then fly out of control that…

  • Mar 26, 2020

    Humans are social. As we age we tend to spend more time alone than we did when were younger. Serious illness can add to isolation as reduced energy and the burden of symptoms decrease tolerance for socializing.…

  • Feb 19, 2020

    Leaders play a large role in organizational culture and act symbolically; what leaders pay attention to signals what is most important to the organization members. For example, when leaders bestow perks on certain roles and not others, it sends a…