Occupational health encounter as a healing encounter

1. Occupational health encounter as a healing encounter

2. Optimal health WHO: “a state of complete physical, mental and social well being and not merely the absence of disease or infirmity”.

3. Definition of health Health = absence of disease + healthy behaviours + healthy interaction with environment

4. What is healing Healing is the process of recovery, repair and return to wholeness – salutogenesis. • Retain health (prevention) • Process of recovery, repair, reintegration and renewal from injury and illness • Increase resilience, coherence and wholeness

5. Involves whole person- physical, mental, social, spiritual and environmental • Unique personal and communal process and experience • Healing may or may not result in cure. • Focus is on SELF CARE

6. CURE HEALING Health-care Self-care

7. Illness-wellness The illness-wellness continuum Cure Healing

8. Components of healing • Develop intention and awareness • Experience of wholeness • Relationship centered care • Health promotion with self care and lifestyle skills • Collaborative treatment • Spiritual domain

9. Intention and Awareness • Intention- influence the motivation for change, understanding and compliance • Being fully present with positive intention for another- perceived by other, enhance healing • Truly connect with intention we first have to connect with ourselves • Pt care start with ourselves • MINDFULNESS

10. Wholeness • Health result of dynamic balance of bio-psychosocial and spiritual influences • Facilitate healing- develop insight into how these factors are expressed in each unique individual and ourselves • Explore mind, body, emotions and spirit to best understand how to facilitate positive change

11. Relationship-Centered care • Relationship is bond that removes isolation and fear. • Enhances insight, understanding and sense of control. • Trust enhance social connection, fosters communication, empathy and compassion • Helps to releases unhealthy emotions • Leads to optimism and positive expectations • Improve efficiency of care

12. Healing organization • Culture supports optimal health • WHO definition health: state of optimal physical, social , spiritual and environmental well-being • Well-being : state of being healthy, happy, productively contributing to one’s community and satisfied with one’s life • Appropriate leadership, team work and technology to create

13. Healing place • Respect and communication between team • Feel safe to deal with conflict • Be empowered to contribute towards improvement • Healing starts with modelling of self care and core values by leaders • Flows into mission, vision, planning and behaviour of health care teams

14. Enhance health habits • Empower individual how to best take care of him/her self • Both provider and patient are active participants in healing process • All healing is self-healing • Facilitate id to take care of themselves • Nutrition, physical activity, lifestyle choices, management of stress and anxiety

15. Collaborative medicine • Person centered – understand pt story- triggers, antecedents • Integrative approach • Use most effective tools possible to facilitate health- conventional or complementary • Begin with less invasive measures before costly • Team of providers to offer practices for healing • Combines best of technology- least harmful, most effective approach is used

16. Spiritual connection • Journey toward, or experience or connection with source of ultimate meaning as defined by each individual • Includes connection with self, with nature, with a higher power • Facilitate awareness of these connections- enhance a sense of purpose for living, reduce suffering and optimize self-healing • Most effective tools to help change unhealthy behaviour

17. Healing spaces • Physical structure • Nature, colour, light, fresh air, music, fine arts, architecture • Create space that influence health and well-being of those who enter the space

18. Current model • The terms allopathic or conventional medicine typically refer to “western”/ orthodox medicine as practised by the "scientifically" trained medical doctor in hospitals and clinics throughout the world. • Mind and body medicine seperate • Evidence based – linear relationship between single treatment and cure of disease

19. Disease is caused by a specific aetiological agent e.g. bacteria, virus, injury, organ or system dysfunction The patient is a passive recipient of medical intervention  The body is viewed in a mechanistic way  - a machine rather than part of a person who exists in a complex social environment Allopathic medicine

20. Restoring health usually requires the use of medical technology and advanced scientific procedures • Health of a society is largely dependent on medical knowledge and the availability of medical resources

21. Integrative model • Healing-oriented medicine • Systems approach • Whole person (body, mind and spirit), • Lifestyle and function • Behavioural change • Therapeutic relationship • Appropriate therapeutic approaches (biological/body mind/ musculoskeletal/surgical) • Healthcare professionals (including alternative) • Various disciplines • Evidence-based approach.

25. Optimal Healing Environment A system and place comprised of people, behaviors, treatments and their psychological and physical parameters. Its purpose is to provide conditions that stimulate and support the inherent healing capacities of the participants, their relationships and their surroundings.

26. Occupational health How do we change an occupational health encounter as a healing encounter ?

28. mbotha@eohhealth.co.za

29. www.eohhealth.co.za Thank you