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    The Power of Empathy in Health Care

    January 8th, 2008

    by Nick Jacobs

    Denise Grady wrote a great Op Ed for the New York Times today about her sister's fight with cancer. In this opinion column she discusses empathy toward vulnerability. Interestingly, she quotes Dr. James A. Tulsky, director of the Center for Palliative Care at Duke University Medical Center whose study published in the Journal of Clinical Oncology found that doctors and patients weren't communicating all that well about emotions. She quoted the study as having revealed that male doctors were less than 50% as empathetic as female doctors in their responses to patients.

    Ms. Grady made a point of indicating that it was not necessarily critical for the physicians to engage in long dialogue with the patients where they became psychological counselors. In fact, according to Tulsky, "Brief, empathetic responses will suffice."

    A few days ago, I ended a post by quoting Maya Angelou who said, "I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel."

    So much of our life is spent looking for emotional support in some way, shape or form. The management schools teach us that "It's not all about the money." The attorneys tell us that "If we are kind and explain ourselves to the patients, our chances of being sued drop exponentially."

    This morning we dealt with an employee complaint. It wasn't about time, money, or benefits. The complaint was that the employee was not treated with compassion, respect or dignity. It was about how one of her peers made her feel.

    There are very difficult emotional challenges that come with being a chemotherapy or, for that matter, any type of cancer patient. After all, this disease can very clearly make us deal with our own mortality in a very direct, uncaring, matter of fact way. It is or it isn't. We are or we aren't; and one of the examples that we use is that "It may be your 543 rd Leukemia or melanoma or lymphoma, but it is the patient's first."

    We are not indicating that our world must be one of mamby pamby, warm fuzzies that never deal with the truth. We are indicating that the people with whom we deal are human beings. I heard a comedian say last night that he had just gone through a tough divorce and lost weight. He then said, "I think I lost about 30 pounds. That's how much a soul weighs, right?"

    So, as we move about in our world every day, remember Denise Grady, remember her sister, and remember that warmth, concern, compassion, and empathy are NOT bad things. The day that we found out that my father's cancer had metastasized, the doc told him not to worry. He told him that everything was okay. Then he turned to my mother and winked. That day will forever be burned in my memory. His was the wink of death.

    Just remember that, "Wherever there is a human being, there is an opportunity for kindness."

    Comments:

    Comment from: Dale Ann Micalizzi [Visitor] · http://www.taskforce.org/justinhope.asp
    Dear Nick and other compassionate healthcare leaders,

    You may be interested in joining me in a new international campaign to restore compassion in healthcare.

    "From small beginnings in New Zealand, an international dialogue and network is starting to take shape. Please join us in this endeavour."

    http://www.clanz.org.nz/compassion_in_healthcare/

    Simply complete the online membership form and participate.

    ~dale

    Permalink 01/09/08 @ 17:50
    Comment from: jacqueline [Visitor] · http://www.fackeldeydinds.com
    @Dale Ann: I am not a healthcare leader but I certainly am passionate about what I call human to human marketing and I introduced the hotealthcare concept based on that human to human marketing vision. I would like to join your group and so I would like to ask you can I? You can find out more about human to human marketing overhere at slideshare http://www.slideshare.net/fackeldeyfinds/the-future-of-marketing-is-human-1007 and more about hotealhcare at my blog (in Dutch) http://www.fackeldeyfinds.com/tag/hotealthcare/
    Permalink 01/11/08 @ 16:35
    Comment from: Dale Ann Micalizzi [Visitor] · http://www.taskforce.org/justinhope.asp
    http://www.clanz.org.nz/index.cfm?CFID=356658&CFTOKEN=61900699

    Yes, Jacqueline, I think you would be perfect! I will post more info on my site as it becomes available or will post on facebook. My resposne from one of the leaders was:
    "I suggest you join up through the CLANZ site and encourage others to do the same. We already have a significant number of people networked from different countries, which include both health professional and consumers. The website will be rebranded soon but all contacts and relevant content will be maintained."
    Permalink 01/12/08 @ 10:22
    Comment from: Jacqueline [Visitor] · http://www.fackeldeyfinds.com
    @Dale Ann: Thanks for your kind reply. I just have registered myself and I will ask others to so too.
    Permalink 01/14/08 @ 08:07
    Comment from: Kim [Visitor] · http://www.emergiblog.com
    Empathy is needed in all areas of health care, not just end-of-life care.

    You would be surprised at how just a little empathy goes a long way in making an emergency room visit much easier for a patient to tolerate.
    Permalink 01/15/08 @ 14:29
    Comment from: health care boy [Visitor] · http://www.qualifiedweblinks.com/links/Health/
    You can find more related and qualified links here.
    Permalink 02/19/08 @ 08:12
    Empathy is a good method in this type of serious situaiton. In America, many clinics are available to use eöpathy in health care.
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