Finding Balance in a Medical Life


Book Description

The system of medicine, world-wide, is in a state of rapid change. This has left physicians in a state of anxiety, fatigue and even burnout. Finding Balance in a Medical Life is the culmination of the authors years of working with large physician groups, evaluating physician health research and delivering workshops to physicians and their families. It is intended to help physicians, healthcare professionals and their families to understand how they find themselves 'stuck' in their work lives and even in their personal relationships. It explores the ramifications of the physician personality structure and helps the reader to analyze their own personality. It clarifies the effect of medical training and practice on the physicians' health and relationships. It teaches the reader various tools and techniques to manage stress, enhance performance, and improve communication as well as how to plan their futures in by identifying their life purpose. About the Author Lee Lipsenthal, M.D., ABHM is a recognized leader, teacher and pioneer in the field of provider wellness. He is an internist by training and is internationally known for his research work with Dr. Dean Ornish, in preventive cardiology. He is also well known in the field of Integrative Medicine. Dr. Lipsenthal is a member of the American Medical Association Physician Well-being Planning Committee and has authored many professional and popular publications on healthcare provider wellness medicine. He is a frequently invited workshop presenter and speaker at healthcare conferences in the U.S. and world-wide. "Finding Balance in a Medical Life is an eloquent, potent way of enhancing awareness and promoting healing in ourselves, ourfamilies, and our patients. It is a call to action that may help you save a very important life. Yours." - Dean Ornish, M.D., Founder and President, Preventive Medicine Research Institute, Clinical Professor of Medicine, University of California, San Francisco "Finding Balance in a Medical Life is distilled from the author's experience over many years of teaching physicians about managing stress, improving performance, and increasing connection with life s purpose. I know you will enjoy it and find it useful." - Andrew Weil, MD "Lee Lipsenthal brings tremendous insights into the stresses and strains of being a physician. Put down your medical journal and pick up this book; it may be the most important read of your life." - Steve McDermott, Chief Executive Officer, Hill Physicians Medical Group




The Best Care Possible


Book Description

A doctor on the front lines of hospital care illuminates one of the most important and controversial social issues of our time. It is harder to die in this country than ever before. Though the vast majority of Americans would prefer to die at home—which hospice care provides—many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to “fight disease and illness at all cost.” Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that how we die represents a national crisis today. To ensure the best possible elder care, Dr. Byock explains we must not only remake our healthcare system but also move beyond our cultural aversion to thinking about death. The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning life-or-death medical drama. It has the power to lead a new national conversation.




Taking Action Against Clinician Burnout


Book Description

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.




Dying in America


Book Description

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.




Treating Later-Life Depression


Book Description

Depression is a leading mental health concern in aging individuals. Written to be used in collaboration with a qualified mental health professional, Treating Later-Life Depression: Workbook is designed to address and alleviate depression and related concerns (chronic pain, sleep problems, anxiety, brain health, family caregiving and grief) in middle-aged and older adults. This practical Workbook, along with its companion Clinician Guide, reflects the latest scientific and clinical advances in cognitive-behavioral therapy for age-related problems, in individual, group, and telehealth formats. Along with learning how to re-engage in a meaningful daily life, individuals will build skills using personalized change strategies such as problem solving, relaxation training, self-compassion, reframing unhelpful thoughts and effective communication practices, among others. The Workbook closes with resources to support middle-aged and older adults' ongoing efforts at achieving and maintaining a greater sense of wellbeing.




Values at the End of Life


Book Description

This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions. America’s health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient’s suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death—or even in denial—many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.




Dying Well


Book Description

From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life.




The Therapist as a Person


Book Description

In this collection of powerfully illuminating and often poignant essays, contributors candidly discuss the impact of central life crises and identity concerns on their work as therapists. With chapters focusing on identity concerns associated with the body-self (body size, ethnicity, sexual orientation, and age), urgent life crises, and defining life circumstances, The Therapist as a Person exemplifies the myriad ways in which the therapist's subjectivity shapes his or her interaction with patients. Included in the collection are life events rarely if ever dealt with in the literature: the death of family members, late pregnancy loss, divorce, the failure of the therapist's own therapy, infertility and childlessness, the decision to adopt a child, and the parenting of a profoundly deaf child.




Love and Loss in Life and in Treatment


Book Description

Have you ever wondered what a therapist really thinks? Have you ever wondered if a therapist truly cares about her patients? Have you tried to imagine the unimaginable, the loss of the person most dear to you? Is it true that `tis better to have loved and lost, than never to have loved at all? ` Love and loss are a ubiquitous part of life, bringing the greatest joys and the greatest heartaches. In one way or another all relationships end. People leave, move on, die. Loss is an ever-present part of life. In Love and Loss, Linda B. Sherby illustrates that in order to grow and thrive, we must learn to mourn, to move beyond the person we have lost while taking that person with us in our minds. Love, unlike loss, is not inevitable but, she argues, no satisfying life can be lived without deeply meaningful relationships. The focus of Love and Loss is how patients' and therapists' independent experiences of love and loss, as well as the love and loss that they experience in the treatment room, intermingle and interact. There are always two people in the consulting room, both of whom are involved in their own respective lives, as well as the mutually responsive relationship that exists between them. Love and loss in the life of one of the parties affects the other, whether that affect takes place on a conscious or unconscious level. Love and Loss is unique in two respects.The first is its focus on the analyst's current life situation and how that necessarily affects both the patient and the treatment. The second is Sherby's willingness to share the personal memoir of her own loss which she has interwoven with extensive clinical material to clearly illustrate the effect the analyst's current life circumstance has on the treatment. Writing as both a psychoanalyst and a widow, Linda B. Sherby makes it possible for the reader to gain an inside view of the emotional experience of being an analyst, making this book of interest to a wide audience. Professionals from psychoanalysts and psychotherapists and bereavement specialists through students in all the mental health fields to the public in general, will resonate and learn from this heartfelt and straightforward book.




The Inner Life of the Counselor


Book Description

One of the greatest gifts helping professionals can share with others is a sense of their own peace. However, retaining and renewing a sense of a healthy perspective requires not only self-care strategies, but also an awareness of basic profound, yet simple, wisdom themes. The Inner Life of the Counselor presents classic and contemporary wisdom that examines and explores each of these themes in a way that both professional and non-professional helpers will find revealing and meaningful in understanding their own journey. Informed by the author's over thirty years of experience as a therapist, mentor, and clinical supervisor of professional helpers?as well as by his expertise in resiliency and prevention of secondary stress?The Inner Life of the Counselor thoughtfully looks at those elements that encourage sustained personal growth and professional development, such as self-care, stress management, and mindfulness. Lively, practical, and marked by an elegant sense of simplicity, this nurturing book demonstrates how exploring the inner life can lead counselors to new wisdom and inner peace?not only for themselves but also for those who come to them for relief and insight. It is an invitation to pause, reflect, renew, and navigate one of contemporary society's most challenging yet rewarding professions.