L1- Mindfulness in medicine Flashcards Preview

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Flashcards in L1- Mindfulness in medicine Deck (36)
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1

why teach medical students about mindfulness

1) Doctor wellbeing and self-care a priority - Mindfulness seen as potential solution 2) Inform patients of alternative evidence-based treatments

2

mindfulness in medical students reduction in

depression perceived stress burnout

3

mindfulness in medical students increases in

empathy clinical decision making emotional intelligence

4

definition of mindfulness from secular perspective

“the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding experience moment by moment”

5

mindfulness rooted in

buddhism - 5-3rd century BC

6

Sati is Sanskrit

mindfulness - remembrance or recollection

7

in meditative terms mindfulness means

awareness

8

aim of mindfulness

to reduce suffering

9

how many pillars of mindfulness

7

10

name the 7 pillars of mindfulness

- Acceptance - Patients - Non-judgement - Beginners mind - Letting go - Trust - Non-striving

11

why is Leicester concentrating on mindfulness

• Increased stress/mental health problems in students • perceived decreased resilience • ever increasing amounts of information to process • poor communication can precipitate complaints

12

burnout

a state of mental and physical exhaustion related to work or care-giving activities - emotional exhaustion - depersonalisation - reduced sense of personal achievement

13

depressed professionals make up to

x6.2 as many medication errors as non depressed

14

mindfulness and burnout

strong evidence for the use of mindfulness practice tor educe burnout among healthcare professionals and teachers

15

attention deficit trait

Trying to deal with too much input, results in: – Black-and-white thinking; perspective and shades of grey disappear – Difficulty staying organized, setting priorities, and managing time – Feel a constant low level of panic and guilt

16

multitasking is an

illusion - Reality is that we are switching back and forth between tasks

17

mobile phones reduce

connectedness- reusing cognitive capacity

18

ruminators

prolong low mood AND have reduced problem solving ability

19

allostatic load

Prolonged stress leads to wear-and-tear on the body

20

allostatic load causes

Impaired immunity, atherosclerosis, metabolic syndrome, bone demineralization

21

growth of amygdala

mediates fear response

22

stress and telomere shortening

psychological stress associated with lower telomerase activity - leading to shorter telomere length - shorter lives

23

define flow

“...a psychological state that can occur when challenges and skills in a situation are both high.”

24

HEP is based on the

ESSENCE model

25

ESSENCE of health is based on the

7 pillars of health

26

ESSENCE stands for

• Education • Stress management (underpins all others) • Spirituality • Exercise • Nutrition • Connectedness • Environment

27

Cycle of change is by

Prochaska and DiClemente

28

how many stages in the cycle of change

6

29

what are the stages of the cycle of behaviour change 

1. Pre-contemplation

2. Contemplation

3. Preparation

4. Action

5. Maintenace 

5. Relapse

30

In the contemplation stage

 the person has identified that there is a problem but not yet decided to make any effort to change. Here there may be a mental “turning point” where you recognise the problem, but nothing changes yet.