THE RESILIENT STRENGTH BLOG

Patient Centered Care: Stay Out of the Cool Kids Club

Have you ever noticed how we tend to develop subgroups or “cool kids clubs” whenever we find ourselves in large groups?  Of course you have; after all what else are cliques and ‘gatekeeping’ if not evidence of our well-honed ability to perpetually form smaller and more exclusive group identities?

In the world of pain-based therapies this tendency has both limited the spread of knowledge and has detracted from the quality of care.  Let’s get more specific.  There exists a strange association between insisting upon a scientifically rigorous approach to clinical care and a tendency to restrict treatment options only for the sake of restriction.  In other words the approach turns into a contest to have the most rigorous (aka restrictive) standards for appropriate treatment options. 

After all, the practitioner who is willing to do utilize the smallest variety of options must have the highest standards for “evidence-based” care, right?  Its an approach to practice that seems to emphasize the rejection of pseudoscience more highly than care that is truly patient centered.  The consequence is this a culture which can only support a tiny and very uniform array of acceptable patient interactions.

Caregivers, Not Researchers

And this is an unfortunate development because, as I have alluded to, these rules weren’t put in place in response to any patient demand.  They were created by and for the community of evidence based pain therapists.  Don’t get me wrong here, the reasons behind their existence are very valid.  The rules exist because the community genuinely hopes that they will the patient experience.  The problem is that things just don’t seem to play out to the intended effect.  The history of humanity is a story of a pendulum swinging from one extreme to another and clinicians, coaches and therapists are no exception.  But as with so much in life the truth is somewhere in the grey zone.

Its Not About Us

See, the degree of acceptance of and adherence to the patient’s desires for the direction and goals of care will powerfully predict the success of that care.  But in my experience the patient’s EXPECTATIONS and the adherence to them is far more powerful.  And despite the fact that patient empowerment, resilience and pain context are the most absolutely powerful pain relief methods that we have ever known, they aren’t enough.

Because the fact is this: the patient doesn’t expect that you are going to guide them on some kind of spirit journey and show them that “they had the power all along.”  They are expecting that you are going to do a thing and after you do that thing that they will feel better.  So it becomes extremely important to avoid coming right out the gate with “hey guess what, you have the power to make powerful, positive impacts on your own well-being and so we are going to empower you to do the bulk of the work!”

Don't Rush The Plot

In the early 2000’s we all loved a good origin story.  Batman Begins was first and then what followed was an unending parade of comic book hero reboots and origin stories.  The familiar and, oh so very effective, formula of these stories is always the same: our protagonist is just trying to live their life.  Then something dramatic happens.  Now stay with me here.  Because what happens next is that the movie takes some time to show us how they GRADUALLY come to grips with and accept the fact that they must master and utilize this new power.  It took time for Peter Parker to understand what Uncle Ben meant by “with great power comes great responsibility.”  Hell, Chris Nolan’s Batman technically took 3 movies to figure out who Batman is within the context of Gotham City.  

But imagine we made a movie where Peter gets bit by a spider and the very next scene is Uncle Ben saying “Congrats Pete, you’re a spider-boy now!  Get out there and start slapping around some criminals.”  This is essentially what clinicians are doing to patients who show up for the purpose of relief and are then immediately told that pain relief will be a team effort but that the practitioner will spend most of their time simply cheerleading for the patient.

Patients present to a pain-care provider’s office for help.  To pretend that our relationship with them is not based upon us giving them something that they could not otherwise attain is disingenuous and needlessly obfuscative.  There will come a point when we need to give the patient an external “something.”  We, an external force, will eventually have to intercede into the well-being of the person we are serving.  This is both inevitable and appropriate. 

I want to leave you with one last thought.  And that is that not everyone within the biopsychosocial or evidence based approaches slams the pendulum all the way to to other side of its swing.  There are some excellent healers and educators out there.  So I want to give credit where credit is due.  

Greg Lehman BKin, MSc, DC, MScPT – He has published what may be the greatest free resource for clinicians and patients alike.  Go check out his recovery strategies guide and everything else he has to say including at his YouTube channel.  

Ben Cormack D.P.T. – This is really more of a resource for students and clinicians but the resources through Cor-Kinetic may be the most well thought out among the ongoing conversation. 

Jacob Harden D.C. – Dr. Harden is another great resource for recovery and rehab information.  His Instagram account is loaded with actionable, relevant info for bridging the gap from movement based rehab to picking up heavy things and building strength safely.  

135 Responses

  1. A lot of thanks for all your efforts on this site. Gloria enjoys engaging in investigation and it’s easy to understand why. Almost all know all concerning the dynamic means you deliver great items on the web blog and as well encourage contribution from other people on that concern plus our daughter is actually being taught a lot. Have fun with the remaining portion of the new year. You’re the one conducting a glorious job.

  2. Thanks for your whole work on this website. My niece takes pleasure in working on research and it is simple to grasp why. We all notice all relating to the powerful ways you render vital tips and tricks via your website and therefore welcome response from website visitors on this topic while our own simple princess is without question understanding so much. Take pleasure in the rest of the year. Your performing a very good job.

  3. Thanks for your whole work on this website. My mum takes pleasure in setting aside time for research and it is simple to grasp why. We notice all relating to the powerful ways you render very useful tips and tricks via your website and therefore strongly encourage response from website visitors on this theme while our own simple princess is without a doubt understanding so much. Take pleasure in the rest of the year. Your performing a useful job.

  4. I needed to create you one little observation just to say thank you as before for these fantastic information you’ve discussed here. It has been certainly particularly generous of people like you to convey freely all that a lot of people could possibly have made available as an e book to earn some cash for their own end, especially considering the fact that you could possibly have done it if you ever decided. The good tips also acted like a fantastic way to be sure that other individuals have similar dreams just like my own to grasp a whole lot more in terms of this issue. I’m sure there are many more fun occasions ahead for individuals that find out your blog post.

  5. I needed to draft you one little observation so as to say thank you as before for those great methods you’ve documented here. It has been certainly pretty generous of people like you to convey freely exactly what a number of people could possibly have made available as an e book to earn some cash for their own end, even more so considering the fact that you could possibly have done it if you ever decided. The ideas also acted like a fantastic way to comprehend other individuals have similar dreams like my own to grasp good deal more on the subject of this issue. I’m sure there are many more fun occasions ahead for individuals that look into your blog post.

  6. Thank you for every one of your labor on this web site. My daughter really loves managing investigations and it’s really obvious why. Most people learn all regarding the lively mode you present rewarding techniques through this web site and even inspire participation from some others on the point then our favorite princess is really starting to learn a whole lot. Take advantage of the rest of the year. You are always doing a splendid job.

  7. I am just writing to make you understand what a notable experience my wife’s girl had using your web site. She mastered so many pieces, which included what it is like to possess an excellent helping nature to let other people with ease learn some problematic things. You truly surpassed people’s expected results. Thank you for producing these precious, trusted, informative and in addition fun tips about this topic to Lizeth.

  8. I am glad for writing to make you know what a nice encounter my wife’s girl had studying your web site. She mastered several pieces, which include what it’s like to possess an awesome helping nature to let other individuals with ease know precisely some problematic subject matter. You truly exceeded people’s expectations. Thank you for producing these practical, trusted, informative and in addition fun tips about this topic to Kate.

  9. I cling on to listening to the news bulletin talk about getting boundless online grant applications so I have been looking around for the top site to get one. Could you advise me please, where could i acquire some? Grete Wald Alroy

  10. Roasted Herbs Squash i my favourite i even simple mashed potatoes that are half boiled and then mashing them on a hot oiled pan with some simple pick rock salt and spices, letting them burn a little bit and then just enjoying them with a netflix. Kassie Raimondo Annadiana

  11. I blog quite often and I seriously appreciate your information. Your article has really peaked my interest. I am going to book mark your website and keep checking for new details about once a week. I opted in for your Feed as well. Gigi Conway Scharaga

  12. least one post a day to make the visitors keep coming back to your blog for more. 2. Search Engine Optimization Make sure your blog posts are keyword rich. Write blogs around the in-demand keywords for your subject. This enhances the visibility of your blogs on the search engines, thereby increasing your success rate. Also adhere to following norms Molli Vassili Walkling

  13. Tanhu; Toptan ve Perakende, İthalat ve İhracat Seçenekleri ile, İstediğiniz Ürünleri ve Markaları Tedarik Edeceğiniz En Güvenilir Şirket ve Alışveriş Ortamı.!

  14. İnstagram organik takipçi satın al hizmetimiz ile hesabını yükselişe geçirmeye hazır ol! Güvenilir, ucuz ve organik instagram takipçi satın al hizmeti sunan sitemiz ile kaliteli takipçi satın alma paketlerinin tadını çıkar. İnstagram takipçi satın al hizmetimizi kullanmaya başlamak için 4 yıldır hizmet verdiğimiz instagram takipçi satın alma sitemizi ziyaret edebilirsiniz.

  15. Thank you, I’ve recently been searching for info approximately this topic for a while and yours is the greatest I’ve discovered till now.

    But, what concerning the conclusion? Are you sure concerning the source?

  16. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  17. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  18. İnstagram takipçi satın alarak takipçi sayınızı arttırmak sandığınızdan çok daha kolay. Websitemizi ziyaret edin ve takipçi satın almak için paketinizi seçin. Ödeme yöntemlerinden dilediğinizi seçerek, güvenilir instagram takipçi satın alın. Hadi sende gel ve takipçi satın alarak, takipçi sayını arttır.

  19. İnstagram hesabınızı daha fazla kitleye ulaştırmak için sizde instagram takipçi satın alabilirsiniz. Türk ve gerçek aktif takipçileri profilinize hızla gönderin. Faturalı ve kurumsal alışveriş ile güvenilir takipçi satın alın. Hadi sende durma ve instagram takipçi satın almak için takipçi paketlerimizi incele.

  20. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  21. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  22. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  23. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  24. In the video below you are going to see how I use xxx to find places on high quality targeted blogs to leave comments and to build some really fantastic high authority backlinks and although in the video below, I only find a couple of places, but if you spend a little longer, then you find some great places to leave your link. It really does go to show that I am doing this live and not staged because of I was I would have pre-found the links.

  25. İnstagram takipçi satın alma konusunda türkiye’nin lider sosyal medya ajansını denediniz mi? Sizde instagram takipçi satın al hizmetini ucuz bir şekilde kullanmak için hemen takipçi satın alabilirsiniz. Türk, gerçek, aktif, güvenilir ve en ucuz instagram takipçi satın alma hizmeti ile yükselişe geç. İnstagram takipçi satın al ve takipçini rakiplerine oranla arttır.

  26. Tiktok takipçi satın al son zamanlarda binlerce kişi tarafından araştırılmaktadır. Tiktok takipçi satın al hizmetinden faydalanmak için alacağınız sitenin güvenilir olması gerekmektedir. Güvenilir tiktok takipçi satın almak için bizi tercih etmenizde fayda vardır. Tiktok takipçi satın al hizmeti için en güvenilir site ile karşınızdayız!

  27. Pingback: levitra 200 mg
  28. Hi there just wanted to give you a quick heads up. The words in your post seem to
    be running off the screen in Internet explorer.
    I’m not sure if this is a format issue or something to do with browser compatibility but I thought I’d post to let you know.
    The design and style look great though! Hope you get the problem resolved soon. Many thanks

  29. Hello there, I found your web site via Google even as searching for a
    similar topic, your web site got here up, it looks good.
    I have bookmarked it in my google bookmarks. Hi there, simply was aware of your blog via Google, and located that it is truly informative.
    I’m gonna be careful for brussels. I will appreciate when you proceed this in future.
    Lots of other people shall be benefited from your writing. Cheers!

  30. Одновременно с этим существует и другая сторона формирования и организации высказывания.

  31. Одновременно с этим существует и другая сторона формирования и организации высказывания.

  32. Одновременно с этим существует и другая сторона формирования и организации высказывания.

  33. Одновременно с этим существует и другая сторона формирования и организации высказывания.

Leave a Reply

Your email address will not be published. Required fields are marked *