Case vignette

Preventative care: Social Determinants of health. The Demonstration

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Preventative care: Social Determinants of health. The Demonstration

Mindfulness is a practice that involves paying attention to the present moment without judgment. Mindfulness interventions have been shown to be effective in reducing stress, anxiety, and depression.

Provider

First, find a comfortable position. Sit with your back straight, or lie down if you prefer. You can also do this exercise standing, as long as you're comfortable.

Patient

Can I do this at work?

Provider

Yes, of course. If you feel comfortable, close your eyes to minimize distractions.

Patient

Closing my eyes does help me.

Provider

Now, exhale slowly and completely through your mouth or nose, counting to four as you release the breath. Pay attention to the sensation of exhaling. After you've exhaled, hold your breath out for another count of four. Use this moment to notice the absence of breath.

Patient

Wow I really do have to concentrate on my breathing and take it slow.

Provider

Begin by taking a slow, deep breath in through your nose. Count to four as you inhale, making sure your breath is slow and steady. Once you've completed your inhalation, hold your breath for a count of four. During this pause, focus on the sensation of holding your breath.

Patient

I can see how this slows things down.

Provider

Continue this square breathing pattern, maintaining the four-count for each phase of the breath cycle: inhale, hold, exhale, and hold. You can practice square breathing for a few minutes or as long as needed to feel more relaxed and centered.

Patient

Thank you, I’m going to try and do this in the mornings when I’m always rushing.

Provider

Yes, this is a great tool to practice daily whether you’re stressed or not. It allows you to be present in the moment.

Patient

Provider

Patient

Things to consider.

01

Mindfulness exercises are most effective when they can be integrated into the patient's daily life. The provider emphasizes the versatility of the technique and how it can be practiced at work or in the mornings, aligning the exercise with the patient's routine. This ensures that the patient can realistically incorporate mindfulness into their lifestyle to manage work-related stress.

02

The dialogue should encourage patient engagement and participation. The provider in this dialogue does a good job of explaining the technique step by step, responding to the patient's questions, and acknowledging the patient's experience. Patient engagement is crucial for the successful adoption of mindfulness practices.

Question to think about:

How can the integration of mindfulness techniques like box breathing into routine health care visits promote preventive care and overall well-being for patients?