Empathy in Healthcare

Would you describe yourself as a person with empathy for supporting emotional needs of others? Were you born with this ability? It may surprise you to know that you were not. This fundamental force of morality, this psychological phenomenon is actually a learned behavior. Scientific testing with animals, infants, adults and robots suggests that empathy viewed as an automatic process that catches the feelings of others is actually constructed in the course of development through social interactions, not through genes.

The ability to empathize is especially important in healthcare professions where biases can contribute to healthcare disparities. Sometimes the bias is overt, even intentional. Other times, it is done implicitly, unconsciously, but still doing harm. Healthcare providers must be able to better recognize situations where they can offer empathy in addition to problem solving. Patient care is more than just physical healing. Good healthcare includes building a connection that encompasses a patient’s mind, body, and soul. It includes standing in someone else’s shoes, feeling what that person feels, and responding in the appropriate manner.

One way of learning empathy in general living is by consciously putting yourselves in the position of others in an effort to better understand what they experience. Older adults are a growing population that more people are having contact with as caregivers and in general living. By simulating the experiences of many older adults, everyone and especially young people can develop deeper understanding of various issues of old age that they may not have considered. This helps them develop more empathy for the older adult population and a better understanding of how they can navigate their own aging.

Frances Shani Parker is author of Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes available in paperback and e-book editions in America and other countries at online and offline booksellers. Her blog is Hospice and Nursing Homes Blog. Visit her website at http://www.francesshaniparker.com.

Hospice-Palliative Care Diversity Outreach: Asian Culture (Chinese American Video 1:32)

Meeting the cultural needs and preferences (ethnic and religious beliefs, values, and practices) of hospice-palliative care patients is an important part of quality health care. People view the world through their cultures and values. To ignore this fact and impose one’s own culture and values on others caters to miscommunication and alienation. With respect and sensitivity, bridges can be built that help people connect at human levels, regardless of their differences. The availability of more language interpreters at healthcare institutions can facilitate this communication and bonding. Ongoing education on the culture and traditions of various populations, along with the understanding that varied beliefs exist within each group, must be increased throughout the healthcare system to improve service to diverse groups.

Many Asians prefer family caregiving of their aging, terminally ill relatives. In addition to being reluctant to place their elders in nursing homes for hospice care, they may also be reluctant to discuss specifics about illnesses with those in their care to keep them hopeful and without worry. Some Asian cultures consider direct eye contact, particularly with someone considered a superior to be inappropriate. Healthcare providers should gather more knowledge of Asian culture, including input from Asians, in order to promote benefits of hospice and palliative care.

In the following video, Nellie Kwan, a hospice clinical supervisor who works for Self-Help Hospice in San Francisco, describes cultural concerns regarding end-of-life care and Chinese Americans. According to her, most Chinese Americans do not understand hospice at all. This video is part of the Hospice Foundation of America “HFA Cares” series:

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

Healthcare Urban Legends Test-- Nursing Homes, Health, Senior Citizens

If you have opened forwarded e-mails or “chain letters,” you’ve probably read false information that you thought was true. Believing what you read may have caused you to panic. Wanting to help others, you couldn’t wait to forward the warning, protection prayer, or request for a donation to family and friends. But there’s a more constructive way to deal with this phenomenon. Today’s post offers a brief mental workout to help keep you informed about nursing homes, health issues, and seniors while squashing rumors.

Can you guess which of the following health-related stories are true or false? The correct answers are at the end.

1) While being transported from a nursing home to a doctor’s office for an appointment, an elderly patient died when the gurney to which he was strapped rolled away with him, overturned, and caused a head injury.

2) The artificial sweetener aspartame has been proved responsible for an epidemic of cancer, brain tumors, and multiple sclerosis. This story gives a detailed description of the health dangers of diet drinks.

3) Some senior citizens are choosing to live their retirement years on cruise ships where the amenities are much better and the average costs per day are cheaper than living in nursing homes.

Fortunately, there is a website that can help you decipher what’s true and what isn’t. Many of you are probably aware of snopes.com, which has been around for years. This website is the Internet reference source for urban legends, folklore, myths, rumors, and misinformation. If you haven’t already, you might want to bookmark this site and check out information you receive. You can delete the hoaxes and end the spreading of false information. 

Answers:     1. True    2. False     3. True

Frances Shani Parker, Author

"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”

“Hospice and Nursing Homes Blog”

2008 Post-Katrina Elderly Deaths and New Orleans Healthcare Services (Video 4:30 mins.)

The third anniversary of Hurricane Katrina’s impact on New Orleans, my hometown, arrives with continuing concerns about the elderly and healthcare services in the city.

The journal “Disaster Medicine and Public Health Preparedness” reports the following statistics regarding elderly deaths and Hurricane Katrina:

1. Most Louisiana deaths resulting from Hurricane Katrina were in New Orleans. According to researchers, of the nearly 1,000 who died, almost half were age 75 or older. Keep in mind that even more deaths were indirectly related to the storm.

2. Most elderly persons drowned on the day of the flooding, and more than a third died at home. Many old people refused to abandon their homes, due to potential looting, fear of the unknown, and the possibility that hurricane warnings were a false alarm.

Three years after Hurricane Katrina, the people of New Orleans are still waiting for adequate healthcare services. Even though flooding only occurred in the basement of the famous Charity Hospital, the second-largest hospital in the nation and a primary trauma center, the hospital still remains closed in 2008.

The basement had been cleaned up and ready to reopen in October of 2005, but that never happened. Unresolved issues over plans to build a newer hospital continue to delay progress. To build a new hospital would take years and millions of dollars. Charity Hospital stands empty, while many people must rely heavily on free health clinics or wait in long lines to be seen at smaller remaining hospitals, while their health deteriorates.

This video examines the healthcare crisis in New Orleans.

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog