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WHOLE HEALTH:
Change the Conversa5on
FINDING MEANING IN OUR WORK Narra6ve Medicine & Spirituality
Overview • My VA, My Story is a grant project funded by the Office of Patient Centered Care and Cultural Transformation (OPCCCT).
• The three person team will interview 500 Veterans and put their stories into CPRS.
• The goal of the project is to foster a closer connection between health care providers and Veterans.
• Stories create a context and history behind the presenting medical condition which can inform the care that we provide.
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Project Components • Narratives – The team interviews Veterans about their life stories and creates a narrative - based on the interview and reviewed by the Veteran.
• Personal Health Inventories – Team members work with Veterans to complete a PHI and identify wellness goals. PHI is passed on to outpatient team and recorded in CPRS. • Writing Workshops – Opportunities for staff to write their own stories and reflect on their experiences as care providers.
VETERANS HEALTH ADMINISTRATION
My Life, My Story – Narrative Medicine
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VETERANS HEALTH ADMINISTRATION
CASE STUDY – Dave pg 48 in binder
• 68 year old male who is an Army Veteran (Vietnam). • Married (2nd marriage) and has one son (47) and one daughter (45). • Previous Car and engine mechanic, now re6red.
Current concerns: • Difficulty falling asleep, occasionally reports flashbacks and nightmares. • Diagnosed as diabe6c for 25 years. • Struggles with managing blood sugar levels. • Right BKA 4 years ago. • Chronic pain in le^ leg with poor circula6on and leg sores. • His le^ was foot removed 3 days ago, and he is currently in the hospital preparing
for surgery to remove his lower le^ leg tomorrow.
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DAVE
Personalized life story from the Veteran’s perspective
Page 49-50 in binders
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VETERANS HEALTH ADMINISTRATION
Discussion– Changing the Conversation
Imagine you are about to meet with Dave…
What did you learn from his story that will impact how you interact with this pa5ent? • How you feel about this pa6ent? • What you will say to this pa6ent?
If you asked what really maFers to him at this 5me, would it change the conversa5on? • What will you focus on for goals? • Will you make any new referrals? Imagine this was one of your pa5ents that presents with more challenges? • How would knowing this informa6on impact how you view and treat this person?
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VETERANS HEALTH ADMINISTRATION
Your turn to share… last small group page 109 in your binders
1. Share an object or symbol which represents your own meaning and purpose or can be a reminder of your Whole Health.
2. As 5me permits share from the following topics:
• Why did you choose to go into the healthcare profession? • What gives you meaning and purpose in your life?
• Who is someone who has been an inspira6on in your life and/or career?
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