A couples of weeks ago, I had an experience that has really stuck in my head. The resident and I were performing a painful procedure on a patient, and I could tell that he was really enduring a lot of pain by the grimace on his face. As I’ve done in the past, I instinctively reached out my hand and held his hand in mine. I allowed him to grip my fingers, and told him to squeeze my hand as hard as he needed to.
He started squeezing my fingers, and suddenly his face turned from a grimace to a smile. The change was rather startling, and so I jokingly told him that I’d never seen a patient with such a huge grin on their face while undergoing such a painful procedure. He smiled even more and said that it was because he was so happy to hold such a “pretty girl’s”? hand. I smiled back, and soon the procedure was over.
I think it probably makes common sense that hand holding might bring some relief from pain. We all reflexively hold a child’s hand when they’re in pain. And I believe that even the most callous people might agree that there is something powerful about the human touch. Hugs are an even better example. I don’t know when the hug was invented, but I’m sure that it’s been around for quite some time. People of all races, ethnicities, and cultures seem to use the hug as a means of displaying affection. And while certain cultures might value human touch to varying degrees, I think we all agree on its significance.
One of the most well known studies on the power of touch and the importance of physical and social interaction is that of Harry Harlow. In his famous experiments, he allowed rhesus monkeys to choose either a cloth or wire “?surrogate mother,”? both with and without a bottle of milk attached. Regardless of which mother had the bottle, the monkeys continued to choose the softer, cloth mothers. He also performed other controversial experiments, including ones where he deprived the monkeys of all physical or social interaction. The lack of physical touch produced monkeys with severe psychological pathologies, and in a few cases led to their deaths from self-induced starvation.
A study recently published in the journal Science also found some interesting results with regard to “warm hands and a warm heart.”? The researchers found that if people were given something warm to hold, they subsequently described other people as having “warmer”? personality traits, such as being more generous, more social, happier, and better natured. They also discovered that people who held something warm were more likely to behave in a friendly and generous way.
I’ve only begun to scratch the surface of the importance of the human touch, but you can see that the subject is much more than simply skin deep (pun intended). I tried to find some research that supports my anecdotal notion that holding someone’s hand who is in pain can serve to decrease their perception of the pain, but I was unable to find much research on this topic. Perhaps it’s a topic that will be further explored in the future.
But for the time being, I will continue to hold my patients’ hands. Whether they are in pain, or just very sad, or just very lonely, or even just very happy, I will continue to offer my hands to them. And hopefully when I need a hand to hold, someone will do the same for me :)
Sealed with a kiss by Nandini !!
6 comments:
Nandini..What a great blog, thank you! As a Doctor I cannot tell you how much this type of empathetic gesture means to patients. In Medical school we are taught how to use our "presence" as a therapeutic measure and I wish that this was also stressed in medical education. An encouraging smile, a touch of your hand or being willing to just sit quietly with a dying patient are all valuable therapeutic techniques. At the end of the day birth, life and death can be scary and lonely and the "presence" of someone who really cares about your well-being can make all the difference! I am very Glad and Happy to read your posts and its is really encouraging to know that there will soon be fine, caring doctors like you in the field!
very proud Dad:)
Nandini, great post! I have been a massage therapist since 1985 and have also spent the past couple of years as a respiratory therapist, in preparation for entering physician assistant program (I start this January!)I am currently employed locally to give complimentary short massage to inpatients (yes, even ICU/PCU), staff, longterm care, and cancer support clinic... with amazing response from everyone. Every day I watch stressed, hunched, SOB pts melt and slow down their breathing as I just gently massage hands, forearms or maybe lightly squeeze top of shoulders. They feel they are not forgotten. My own DO significantly affected my healing when I first met him in the midst of a medical crisis, and he said "Oh, you need a hug". The fact that he would cross that barrier to comfort me made all the difference in my willingness to trust him and follow his advice. But from a scientific standpoint there is unquestionably a body-mind correlation. Appropriate touch indicates to patients that we are truly present in that moment with them, and helps bridge the isolation and fear of not being important that pts often experience. Nandini, I could and probably will explore this for my master's project later on... but I am definitely bringing my massage table to med school and will give to my stressed out peers, while also imparting my experience of how touch is essential in the healing process.
keep up the awesome job
best regards .Anni
Perfect. "The healing power of the physican's touch."
Good Job Doc, you have written it well. Straight from the core of your heart. A great man once said "the cure is within us, what it needs is a touch."
and then he said,"Perfection demands equilibrium of knowledge, logic, timing and feelings."
Cheers!!
Thank you so much every one for your kind words :)
I came to ur blog after a long time .....and as was expected i missed alot of gud writeups .... this one has really reallllyyyyy touched my heart ..... keep it up sweets :)
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