Journal of Sacred Work

Caregivers have superpowers! Radical Loving Care illuminates the divine truth that caregiving is not just a job. It is Sacred Work.

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 The "My Story Program" Can Transform Your Organization Into a More Healing Place
-Erie Chapman

   A nurse calls out to one of her partners, "How’s the gall bladder in 6038?" An admitting clerk sees a familiar face cross the threshold of the ER holding a bleeding arm, "Here comes our frequent flier again," she laughs to a co-worker.  An ICU nurse greets a hospital executive performing his morning rounds. In the background, a patient cries out continuously from her room, "Sorry sir, we’ve got a screamer today."
   I’ve heard each of these sentences and many more like them during a quarter century as a hospital CEO. The language is understandable considering the stresses of caregiving, but it needs to be changed. Patients are not gall bladders, frequent fliers or screamers. To describe them as such My_story
demeans not only the humanity of the person but also the humanity of the caregiver.
   How are we going to change this? At St. Jude Medical Center in Fullerton, California (part of the St. Joseph Health System,) Chief Operating Officer Doreen Dann, R.N., along with her boss and her staff have transformed caregiving with a powerful and beautifully simple program. It all arose from a terrible personal tragedy… 

October 23, 2003. Michael G. Dann drives slowly down the road toward the running
track where he works out. He wants to stay lean and healthy, to live a long life with his
wife, Doreen, and their three children. In his early fifties, Michael is in
the peak of health.
   He never makes it to the track. A car traveling in excess of seventy
miles an hour stikes Michael’s car causing deeply traumatic injuries. His life hangs by a slender thread.
  This story has just begun.
  Transported to a nearby trauma center, Mike’s identity is as unknown to the staff as are his chances for survival. With no identification, he is placed with more than twenty other anonymous people in the ICU at the trauma center. He is one of the John Does of medicine.
   When Doreen, Mike’s wife, arrives at the hospital, she is horrified to see her husband’s condition and heartbroken to see that staff caring for Mike at such a crucial time don’t even know who he is.
    "I wanted them to know MY Mike," Doreen told a hushed audience at a summit meeting of leaders in the St. Joseph Health System where she serves as a hospital leader.
   And that’s exactly how each of us would feel if our loved one suddenly landed in the hands of  caregivers – not only in a hospital, but in a hospice, a nursing home, or in the embrace of any other orgaSt_judenization that cares for us in our most vulnerable moments. We want ourselves and our loved ones to be thought of as complete human beings, not as body parts or anonymous semi-humans.
    As if inspired by St. Jude himself (the patron saint of lost causes) Doreen sprang into action. She wrote down facts about her husband on notes she posted around the room. She put up pictures and she asked each caregiver to read about Mike before they looked after her husband. This effort helped to humanize, for the caregiving staff, the unconscious person before them.
   The hard part of the story is that Michael passed away eight days after the accident. The inspiring part of this story is that Doreen Dann wouldn’t let this story die. Working together, the St. Jude Healthcare Team created a dynamic program that EVERY caregiving organization should use. Starting ASAP!
   The program is called My Story. It includes a basic four page brochure and a stirring video describing the genesis of the program. What else is in the brochure? Basically, it’s the format of a Mike_doreen_dannlittle scrapbook. Every patient or family member is asked to fill out information about the patient’s life –  not the blood pressure and heart rate information –  but some of the patient’s life story. Was he a football player in high school? Does she have children? Pets? What are their names? What are the patient’s hobbies? Most important: What would the family like the caregiving team to know about this patient? (see image of Mike and Doreen from the My Story video, left)
   Sound small? Turns out, this program is huge. Implemented at St. Jude Medical Center, this effort has had a remarkable impact on further enhancing caregiving in this healing organization and it can do the same thing in your organization. Part of the surprise is not only the humanizing impact on the patient’s care, but the influence it has on the caregivers and on the families and friends that surround the patient.
   We all react to what’s right in front of us. It can be difficult to recall that the injured person, the elderly patient, the leukemia victim is more than what we see.   
   If, subconciosuly, you think of yourself as a nurse caring for "gall bladders," you’re sort of a body mechanic. But if you’re a nurse caring for human beings whose health is threatened by gall bladder disease, your work becomes sacred and your daily/nightly calling is enriched with meaning.
   This is the beauty of the My Story program. And its the beauty of Doreen’s gift to everyone wise enough to implement her wonderful idea.
   Doreen asks only one thing in return: that you honor her husband by referencing his name, Michael G. Dann, as the inspiration for this program. It is one way his legacy will live in the hearts of those who never met this person and yet will be affected by his life and the example his wife and others set to offer this story as an example that can help thousands of others.

For more information, go to www.stjudemedicalcenter.org

-Erie Chapman

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9 responses to “The Power of “My Story” from St. Jude”

  1. Mary Jean Powell, MSW Avatar
    Mary Jean Powell, MSW

    This sounds like such a wonderful program and I will recommend to my boss that we start this here.
    Thank you for sharing this moving story and congratulations to Ms. Dunn on her wonderful initiative!

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  2. Laurie Ames, R.N. Avatar
    Laurie Ames, R.N.

    I agree with my friend and teammate Mary Jean. This seems like such a great idea that I wonder why we haven’t thought of it sooner!

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  3. Carol Elkins, R.N. Avatar
    Carol Elkins, R.N.

    I can just see a lovely idea like this getting caught in red tape at our place by nurses who don’t want “extra work.” So I’m just going to start doing this on my own! Thank you, Doreen.

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  4. Jim Nork Avatar
    Jim Nork

    I was in the hushed audience during Doreen’s summit presentation, sharing her pain in re-living her tale. I admire her courage and am grateful and fortunate for this gift she has given to healthcare practice. What a wonderful tool this is to help embark down the pathway of compassionate, loving, holistic, patient-centered care.
    Surely in the days and years to come many will benefit from the legacy of Michael Dann.

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  5. Deborah Proctor Avatar
    Deborah Proctor

    I, too, was in the audience when Doreen shared her story. As the CEO for St. Joseph Health System,of which St. Jude’s is a part, I am always so touched by the stories of our patients and caregivers. Doreen has truly given us a gift as we now try to touch our patients in a more reverent way, one in which we honor their personal story. After watching Doreen’s video, I decided to use it as the reflection for our System Board meeting last week. It was incredibly powerful and we followed the video by asking each of our board members to share their story with us so we could know them on a more personal level.

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  6. Chris York Avatar
    Chris York

    This is great! Thanks for sharing. We’re going to begin working on this right away at Cobb Hospital.

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  7. liz Wessel RN, MS SJHS Home Health Network, Orange, CA Avatar
    liz Wessel RN, MS SJHS Home Health Network, Orange, CA

    Doreen Dann is an amazing woman who has courageously shared her family story for the benefit others and to find meaning in Mike’s tragic death. At the Patient Centered Care Summit, I had an opportunity to speak with Doreen and to listen to the wisdom she offered… and for this, I am sincerely grateful to her. I have come to know Doreen as a person of strong conviction who deeply cares about honoring the sacred in patients, especially when they are most vulnerable and in need of compassionate care. She is someone I am proud to say I know.
    Thank you Erie for sharing the “My Story” with Journal readers, so that the good that has been created from something so sad can continue to spread out across the country for the betterment of our patients, family members, and caregivers.

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  8. Doreen Dann, R.N. Avatar
    Doreen Dann, R.N.

    Words cannot express the gratitude I have for Erie and everyone who has supported the My Story concept. I’m both moved and humbled by their generosity and kind words, but more importantly, I’m inspired by those who are determined to treat and care for the whole person, mind, body and spirit, as well as engage and embrace their family. You are perfect examples of what is best in our profession.
    Nursing has provided me with many opportunities I never thought I’d have—My Story is one of them. As you can imagine, this has been a very personal and difficult journey, but I find comfort in knowing that my family’s experience may—in some small way—help others.
    There is healing power in the life story. It is when we are at our most frail, that our story, our memories, our hopes and dreams become so crucial. Our life story binds us to those we love and helps us endure the indignities of illness. It is my hope that in knowing the life story we can elevate the patient to a person—a person with feelings and fears.
    When I first saw my husband in that ICU trauma bed with multiple injuries and intracranial bleeds, and before we knew he had a shirred brain from the impact of the auto accident, all I could think was these physicians and nurses must know that he is not who they see. He is an avid athlete, an outdoorsman, a man of integrity with such love for family that he would climb mountains or work against insurmountable odds to be there for his family, if he could. So being able to tell his story helped me to help others be sure he was given every chance to make a strong recovery, if within God’s plan. It is truly my desire that whether it is an emergent situation like my Mike’s, or an elective or unanticipated admit into one of our hospitals nationwide, that every person has their dignity preserved and celebrated through their story being known and shared with the healthcare team, if they desire. It is so important that we look beyond the tubing and technology and reach out and take the time to understand—really understand— those in our care.
    Erie, I cannot thank you enough, your support means the world to me. I’d also like to thank the St. Joseph Health System and St. Jude Medical Center for their leadership and encouragement.

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  9. Larry Dann Avatar
    Larry Dann

    I am Mike Dann’s brother, and I flew to be with Mike and his family during Mike’s hospitalization. I was amazed then, during a time of great fear and uncertainty, at Doreen’s inspiration to make Mike’s medical team aware of the whole person they were treating. That she had the perseverance and vision to develop this idea into a practice that can be helpful to others is a testament to the strength of Doreen’s (and Mike’s, when he was living) commitment to improving the quality of people’s lives.

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