Patient Satisfaction Quotes

I am not more gifted than the average human being. If you know anything about history, you would know that is so--what hard times I had in studying and the fact that I do not have a memory like some other people do… I am just more curious than the average person and I will not give up on a problem until I have found the proper solution. This is one of my greatest satisfactions in life--solving problems--and the harder they are, the more satisfaction do I get out of them. Maybe you could consider me a bit more patient in continuing with my problem than is the average human being. Now, if you understand what I have just told you, you see that it is not a matter of being more gifted but a matter of being more curious and maybe more patient until you solve a problem.

You get what you expect and you deserve what you tolerate.

Anyone can choose to have success, but only the patient ones will get rewarded by it. Be relentless in chasing your dreams.

The great majority of men and women, in ordinary times, pass through life without ever contemplating or criticising, as a whole, either their own conditions or those of the world at large. They find themselves born into a certain place in society, and they accept what each day brings forth, without any effort of thought beyond what the immediate present requires. Almost as instinctively as the beasts of the field, they seek the satisfaction of the needs of the moment, without much forethought, and without considering that by sufficient effort the whole conditions of their lives could be changed. A certain percentage, guided by personal ambition, make the effort of thought and will which is necessary to place themselves among the more fortunate members of the community; but very few among these are seriously concerned to secure for all the advantages which they seek for themselves. It is only a few rare and exceptional men who have that kind of love toward mankind at large that makes them unable to endure patiently the general mass of evil and suffering, regardless of any relation it may have to their own lives.

Our own attitude is that we are charged with discovering the best way of doing everything.

Be patient. Changes that alter the structure of power and widen opportunity require years of hard work, as those who toiled for the Civil Rights and Voting Rights Acts, or have been working for the rights of the disabled and gays, would tell you. It took thirty years of continuous fulmination for women to get the right to vote; fifty years of agitation before employers were required to bargain with unionized workers. Those who benefit from the prevailing allocation of power and wealth don’t give up their privileged positions without a fight, and they usually have more resources at their disposal than the insurgents. Take satisfaction from small victories, but don’t be discouraged or fall into cynicism. And don’t allow yourself to burn out. I

Dive from a high platform, walk a country lane, watch your computer freeze, cross a finish line, hear your morning alarm, look for a parking space, toast on your anniversary, embrace a friend after a funeral. As you live your life, what do you feel? Terror, serenity, frustration, relief, groaning reluctance, patient endurance, pride, satisfaction, or a grief made bearable because somehow life will go on. We experience life as feelings.

Many treatment approaches for traumatic stress focus on desensitizing patients to their past, with the expectation that reexposure to their traumas will reduce emotional outbursts and flashbacks. I believe that this is based on a misunderstanding of what happens in traumatic stress. We must most of all help our patients to live fully and securely in the present. In order to do that, we need to help bring those brain structures that deserted them when they were overwhelmed by trauma back. Desensitization may make you less reactive, but if you cannot feel satisfaction in ordinary everyday things like taking a walk, cooking a meal, or playing with your kids, life will pass you by.

Patience is only possible within the time we are able to be patient.

Lean is about the total elimination of waste and showing respect for people.

Its narcissistic joy defines a world deformed by form where diagnosis is the sickness, the patient, the nurse to whom satisfaction is perception's norm; but now, atleast, I know how to curse

Participatory Medicine is a model of cooperative health care that seeks to achieve active involvement by patients, professionals, caregivers, and others across the continuum of care on all issues related to an individual’s health. Participatory medicine is an ethical approach to care that also holds promise to improve outcomes, reduce medical errors, increase patient satisfaction and improve the cost of care.

Why is it so hard to find liberation? Because our own minds are the source of our difficulties. Eliminate desire, accept personal shortcomings, and work toward a patient elimination of the mind's own hunger for outward satisfaction.

I was surprised and alarmed by the satisfaction I sometimes felt after I’d wrestled a patient to the floor so a nurse could give an injection, and I gradually realized how much of our professional training was geared to helping us stay in control in the face of terrifying and confusing realities.

Antipsychotic medications such as Risperdal, Abilify, or Seroquel can significantly dampen the emotional brain and thus make patients less skittish or enraged, but they also may interfere with being able to appreciate subtle signals of pleasure, danger, or satisfaction. They also cause weight gain, increase the chance of developing diabetes, and make patients physically inert, which is likely to further increase their sense of alienation.

In the bedroom the truer, unpremeditated behavior of intimacy appears, the way this spouse relates to others on the most personal level, body to body and soul to soul. Is he truly patient in sexuality? So he seemed on long spring evenings. Or does he push forward at his own speed to his own satisfaction? And does he consider his satisfaction the measure of his prowess? As he acts here, uncovered, so does he act—more subtly and covertly—in the rest of the marriage.” P35

Leading and improving! teaching and tutoring! bearing and forbearing! Pah! my husband is not to be my baby. I am not to set him his daily lesson and see that he learns it, and give him a sugar-plum if he is good, and a patient, pensive, pathetic lecture if he is bad. But it is like a tutor to talk of the "satisfaction of teaching." I suppose you think it the finest employment in the world. I don't. I reject it. Improving a husband! No. I shall insist upon my husband improving me, or else we part.

a famous 1925 lecture given by Professor Francis Peabody to the Harvard medical student body:             The good physician knows his patients through and through, and his knowledge is bought dearly. Time, sympathy, and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine. One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient.

He doesn't realise how much it hurts me when he's so curt," his mother said sorrowfully. "He doesn't mean it," I said. "It's just calving. I expect every dairy farmer in the country is being rude to his mother just now." "It's Rose, too," she told me. "He's such a dear boy Josie; it's tearing him apart to see her so unwell. Perhaps-" she paused and looked at me with a Madonna-like expression of patient and loving reproach - "perhaps it might help if you didn't expect him to dance attendance very spare minute, hmmm ?" My hand clenched on the handle of my fork as I considered throwing it at her like a spear. I've got pretty good aim - I'd probably be able to get her in the side of the head from here. But the consequences wouldn't be worth the fleeting satisfaction. I dropped my eyes to my plate and nodded. "You're a sweet girl. I know you don't mean to be selfish.

Ravic went into his room to read. He had once bought several volumes of world history and now he took them out. It was not particularly cheerful to read them. The only thing one gained by it was a strangely depressing satisfaction that what was happening today was not new. Everything had happened before dozens of times. The lies, the breaches of faith, the murders, the St. Bartholomew massacres, the corruption through the lust for power, the unbroken chain of wars—the history of mankind was written in blood and tears, and among the thousands of bloodstained statues of the past, only a few wore the silver halo of kindness. The demagogues, the cheats, the parricides, the murderers, the egoists inebriated with power, the fanatic prophets who preached love with the sword, it was the same time and again—and time and again patient peoples allowed themselves to be driven against one another in a senseless slaughter for kaisers, kings, religions, and madmen—there was no end to it.  

Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious but also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noölogical dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflicting claims of id, ego and superego, or in the mere adaptation and adjustment to society and environment.

Many people, I should add, have an incorrect perception of the Stoics. They think of them as emotionless beings whose primary goal was to stand there and grimly take whatever life threw at them, but this was not the case. Their goal wasn’t to banish emotion but to minimize the number of negative emotions—such as feelings of frustration, anger, grief, and envy—that they experienced. They had nothing against the experience of positive emotions, including delight and even joy. We should think of the Stoics not as grim individuals but as eternal optimists who possessed a profound ability to put a positive spin on life’s events. Rather than experiencing frustration and anger on being set back, they might experience no small measure of satisfaction on successfully dealing with the challenge presented them by that setback. It is tempting, at this point, to describe the Stoics as patient people, and indeed they were, but a caveat is in order. In one sense, a patient person is one who can suffer a setback without complaint. This is not, however, what the Stoics were doing. Their goal was not to remain calm while suffering a setback but rather to experience a setback without thereby suffering. It is an important difference.

Rea­sons Why I Loved Be­ing With Jen I love what a good friend you are. You’re re­ally en­gaged with the lives of the peo­ple you love. You or­ga­nize lovely ex­pe­ri­ences for them. You make an ef­fort with them, you’re pa­tient with them, even when they’re side­tracked by their chil­dren and can’t pri­or­i­tize you in the way you pri­or­i­tize them. You’ve got a gen­er­ous heart and it ex­tends to peo­ple you’ve never even met, whereas I think that ev­ery­one is out to get me. I used to say you were naive, but re­ally I was jeal­ous that you al­ways thought the best of peo­ple. You are a bit too anx­ious about be­ing seen to be a good per­son and you def­i­nitely go a bit over­board with your left-wing pol­i­tics to prove a point to ev­ery­one. But I know you re­ally do care. I know you’d sign pe­ti­tions and help peo­ple in need and vol­un­teer at the home­less shel­ter at Christ­mas even if no one knew about it. And that’s more than can be said for a lot of us. I love how quickly you read books and how ab­sorbed you get in a good story. I love watch­ing you lie on the sofa read­ing one from cover-to-cover. It’s like I’m in the room with you but you’re in a whole other gal­axy. I love that you’re al­ways try­ing to im­prove your­self. Whether it’s running marathons or set­ting your­self chal­lenges on an app to learn French or the fact you go to ther­apy ev­ery week. You work hard to be­come a bet­ter ver­sion of your­self. I think I prob­a­bly didn’t make my ad­mi­ra­tion for this known and in­stead it came off as ir­ri­ta­tion, which I don’t re­ally feel at all. I love how ded­i­cated you are to your fam­ily, even when they’re an­noy­ing you. Your loy­alty to them wound me up some­times, but it’s only be­cause I wish I came from a big fam­ily. I love that you al­ways know what to say in con­ver­sa­tion. You ask the right ques­tions and you know ex­actly when to talk and when to lis­ten. Ev­ery­one loves talk­ing to you be­cause you make ev­ery­one feel im­por­tant. I love your style. I know you think I prob­a­bly never no­ticed what you were wear­ing or how you did your hair, but I loved see­ing how you get ready, sit­ting in front of the full-length mir­ror in our bed­room while you did your make-up, even though there was a mir­ror on the dress­ing ta­ble. I love that you’re mad enough to swim in the English sea in No­vem­ber and that you’d pick up spi­ders in the bath with your bare hands. You’re brave in a way that I’m not. I love how free you are. You’re a very free per­son, and I never gave you the sat­is­fac­tion of say­ing it, which I should have done. No one knows it about you be­cause of your bor­ing, high-pres­sure job and your stuffy up­bring­ing, but I know what an ad­ven­turer you are un­der­neath all that. I love that you got drunk at Jack­son’s chris­ten­ing and you al­ways wanted to have one more drink at the pub and you never com­plained about get­ting up early to go to work with a hang­over. Other than Avi, you are the per­son I’ve had the most fun with in my life. And even though I gave you a hard time for al­ways try­ing to for al­ways try­ing to im­press your dad, I ac­tu­ally found it very adorable be­cause it made me see the child in you and the teenager in you, and if I could time-travel to any­where in his­tory, I swear, Jen, the only place I’d want to go is to the house where you grew up and hug you and tell you how beau­ti­ful and clever and funny you are. That you are spec­tac­u­lar even with­out all your sports trophies and mu­sic cer­tifi­cates and in­cred­i­ble grades and Ox­ford ac­cep­tance. I’m sorry that I loved you so much more than I liked my­self, that must have been a lot to carry. I’m sorry I didn’t take care of you the way you took care of me. And I’m sorry I didn’t take care of my­self, ei­ther. I need to work on it. I’m pleased that our break-up taught me that. I’m sorry I went so mental. I love you. I always will. I'm glad we met.

Further investigation of the subject shows that the analyst has to combat no less than five kinds of resistance, emanating from three directions—the ego, the id and the super-ego. The ego is the source of three of these, each differing in its dynamic nature. The first of these three ego-resistances is the repression resistance, which we have already discussed above and about which there is least new to be added. Next there is the transference resistance, which is of the same nature but which has different and much clearer effects in analysis, since it succeeds in establishing a relation to the analytic situation or the analyst himself and thus re-animating a repression which should only have been recollected. The third resistance, though also an ego-resistance, is of quite a different nature. It proceeds from the gain from illness and is based upon an assimilation of the symptom into the ego. It represents an unwillingness to renounce any satisfaction or relief that has been obtained. The fourth variety, arising from the id, is the resistance which, as we have just seen, necessitates ‘working-through’. The fifth, coming from the super-ego and the last to be discovered, is also the most obscure though not always the least powerful one. It seems to originate from the sense of guilt or the need for punishment; and it opposes every move towards success, including, therefore, the patient's own recovery through analysis.

The slim chestnut-haired woman had been battering an assailant twice her size with precisely aimed strikes of her cane. Ethan had loved the way she'd done it, as if attending to some necessary task, like carrying a household bin out to the rubbish carter. Her face had been unexpectedly young, her complexion clean-scrubbed and as smooth as a tablet of white soap. All cheekbones and cool green eyes, with a sharp little rampart of a chin. But amidst the elegant angles and edges of her features, there was a valentine of a mouth, tender and vulnerable, the upper lip nearly as full as the lower. A mouth with such pretty curves that it did something to Ethan's knees every time he saw it. After that first encounter, Ethan had taken care to avoid Garrett Gibson, knowing she would be trouble for him, possibly even worse than he would be for her. But last month he'd gone to visit her at the medical clinic where she worked, for information concerning one of her patients, and his fascination had ignited all over again. Everything about Garrett Gibson was... delicious. The dissecting gaze, the voice as crisp as the icing on a lemon cake. The compassion that drove her to treat the undeserving poor as well as the deserving. The purposeful walk, the relentless energy, the self-satisfaction of a woman who neither concealed nor apologized for her own intelligence. She was sunlight and steel, spun into a substance he'd never encountered before. The mere thought of her left him like a stray coal on the hearth.

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Marriages in the bourgeois sense of the word, and I mean in the most respectable sense of the word 'marriage', haven't the least to do with love no kind of institution can be made from love - and just as little with money; but rather with the social permission given to two people to satisfy their sexual desires with each other, of course under certain conditions, but such conditions as have the interests of society in view. It's clear that the prerequisites for such a contract must include some degree of liking between the parties concerned and very much goodwill - the will to be patient, conciliatory, to care for one another - but the word love should not be misused to describe it! For two lovers in the whole and strong sense of the word, sexual satisfaction is not the essential thing and really just a symbol: for one party, as has been said, a symbol of unconditional submission, for the other a symbol of assent to this, a sign of taking possession.- Marriage in the aristocratic sense, the old nobility's sense of the word, is about breeding a race (is there still a nobility today?) Quaeritur, in other words about maintaining a fixed, particular type of ruling men: man and woman were sacrificed to this viewpoint. Obviously, the primary requirement here was not love, on the contrary! - and not even that measure of mutual goodwill on which the good bourgeois marriage is based. The decisive thing was first the interest of the dynasty, and above that the class. Faced with the coldness, severity and calculating clarity of this noble concept of marriage, which has ruled in every healthy aristocracy, in ancient Athens as in eighteenth-century Europe, we would shiver a little, we warm-blooded animals with our ticklish hearts, we 'moderns'! And this is precisely why love as passion, in the grand understanding of the word, was invented for the aristocratic world and within it―where coercion and privation were greatest...

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one's search or a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is neither pathological or pathogenic. A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. it may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious bu also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noological dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflict claims of id, ego and supergo, or in the mere adaptation and adjustment to society and environment.

He gripped the sides of her body carefully, keeping her in place as he parted her with his tongue and stroked the sides of the soft furrow. Entranced by the vulnerable shaper of her, he lapped at the edges of softly unfurled lips and tickled them lightly. The delicate flesh was unbelievably hot, almost steaming. He blew a stream of cooling air over it, and relished the sound of her moan. Gently he licked up through the center, a long glide through silk and salty female dampness. She squirmed, her thighs spreading as he explored her with flicks and soft jabs. The slower he went, the more agitated she became. He paused to rest the flat of his tongue on the little pearl of her clitoris to feel its frantic throbbing, and she jerked and struggled to a half-sitting position. Pausing, Keir lifted his head. "What is it, muirninn?" Red-faced, gasping, she tried to pull him over her. "Make love to me." "'Tis what I'm doing," he said, and dove back down. "No- Keir- I meant now, right now-" She quivered as he chuckled into the dark patch of curls. "What are you laughing at?" she asked. "At you, my wee impatient bully." She looked torn between indignation and begging. "But I'm ready," she said plaintively. Keir tried to enter her with two fingers, but the tight, tender muscle resisted. "You're no' ready," he mocked gently. "Weesht now, and lie back. 'Tis one time you won't be having your way." He nuzzled between her thighs and sank his tongue deep into the heat and honey of her. She jerked at the feel of it, but he made a soothing sound and took more of the intimate flavor he needed, had to have, would never stop wanting. Moving back up to the little bud where all sensation centered, he sucked at it lightly until she was gasping and shaking all over. He tried to work two fingers inside her again, and this time they were accepted, her depths clenching and relaxing repeatedly. As he stroked her with his tongue, he found a rhythm that sent a hard quiver through her. He kept the pace steady and unhurried, making her work for it, making her writhe and arch and beg, and it was even better than he'd imagined, having her so wild beneath him, hearing her sweet little wanton noises. There was a suspended moment as it all caught up to her... she arched as taut as a drawn bow... caught her breath... and began to shudder endlessly. A deep and primal satisfaction filled him at the sounds of her pleasure, and the sweet pulsing around his fingers. He drew out the feeling, patiently licking every twitch and tremor until at last she subsided and went limp beneath him. Even then, he couldn't stop. It felt too good. He kept lapping gently, loving the salty, silky wetness of her. Her weak voice floated down to him... "Oh, God... I don't think... Keir, I can't..." He nibbled and teased, breathing hotly against the tender core. "Put your legs over my shoulders," he whispered. In a moment, she obeyed. He could feel the trembling in her thighs. A satisfied smile flicked across his mouth, and he pressed her hips upward to a new angle. Soon he'd have her begging again, he thought, and lowered his head with a soft growl of enjoyment.

Even though we have all had experiences of feeling distant from God, the Dark Night of the Senses is a particular experience with identifiable symptoms, described by John of the Cross. Although not every person necessarily experiences all these symptoms, we can get a good feel for this painful time by looking at the characteristics he describes:4 • The Dark Night of the Senses usually comes after a season of consistent and satisfying meditative prayer, and we have been experiencing some detachment from old dependencies on worldly things. • In the darkness, we no longer derive real satisfaction or consolation from spiritual practices or from other people. • The darkness does not have any apparent causes; it is not the result of depression or newly committed sins or imperfections.5 • We feel as though we are not serving God well, but backsliding in our faith, and we become concerned about failing God. • We experience a powerlessness to meditate on God’s Word and to make use of our imagination to relate to the truths of Scripture. God doesn’t seem to speak to us through our analysis and synthesis of the ideas in the text. Prayer may well feel like a waste of time. • In the midst of our spiritual dryness and the absence of God’s consolations, a “dark light” shines that brings us even greater pain. As this dark light shines on us, we gain a greater awareness of our own sinful nature and the extent to which every thought and action is tainted with self. • We find ourselves deeply grieved over our sinful nature and the sins of others. • In the light of our greater self-knowledge, we find ourselves humbler and more patient with the struggles of others. • The Dark Night season often feels even emptier by the absence of qualified spiritual direction to help interpret what is happening, or worse, by bad advice from others. • Whether the Dark Night time is relatively short or extends for years, it is terribly painful, like that endured by a lover separated from her beloved.

Experiencing Christ’s Love For I am persuaded that neither death nor life, nor angels nor principalities nor powers, nor things present nor things to come, nor height nor depth, nor any other created thing, shall be able to separate us from the love of God which is in Christ Jesus our Lord. Romans 8:38-39 NKJV How much does Christ love us? More than we, as mere mortals, can comprehend. His love is perfect and steadfast. Even though we are fallible and wayward, the Good Shepherd cares for us still. Even though we have fallen far short of the Father’s commandments, Christ loves us with a power and depth that are beyond our understanding. The sacrifice that Jesus made upon the cross was made for each of us, and His love endures to the edge of eternity and beyond. Christ is the ultimate Savior of mankind and the personal Savior of those who believe in Him. As His servants, we should place Him at the very center of our lives. And, every day that God gives us breath, we should share Christ’s love and His message with a world that needs both. Christ’s love changes everything. When you accept His gift of grace, you are transformed, not only for today, but also for all eternity. If you haven’t already done so, accept Jesus Christ as your Savior. He’s waiting patiently for you to invite Him into your heart. Please don’t make Him wait a single minute longer. It is when we come to the Lord in our nothingness, our powerlessness and our helplessness that He then enables us to love in a way which, without Him, would be absolutely impossible. Elisabeth Elliot The love of Christ is a fierce thing. It can take the picture you have of yourself and burn it in the fire of His loving eyes, replacing it with a true masterpiece. Sheila Walsh Live your lives in love, the same sort of love which Christ gives us, and which He perfectly expressed when He gave Himself as a sacrifice to God. Corrie ten Boom Blessed assurance, Jesus is mine! O what a foretaste of glory divine! Fanny Crosby Christ is with us, and the warmth is contagious. Joni Eareckson Tada To a world that was spiritually dry and populated with parched lives scorched by sin, Jesus was the Living Water who would quench the thirsty soul, saving it from “bondage” and filling it with satisfaction and joy and

It’s important to treat each patient the best way, every day, patient satisfaction and experience must be a priority. From the moment they check in, to the moment they check out, friendly faces will calm them down.

That BIDMC did not bother to apply to the American Nurses Credentialing Center for recognition as a magnet hospital—one of Beth Israel’s distinguishing features—demonstrates just how susceptible to disruption these arrangements are. Such fluctuations and changes could have ramifications not just for individual nurses’ satisfaction and burnout rate but also for the quality of care patients receive.

61% of physicians felt their EHR improved the quality of care they delivered to patients, but only 1 in 3 said it had improved their job satisfaction, and 1 in 5 said they would go back to paper if they could. Tellingly, the more advanced the EHR; for example, systems that offered reminders, alerts, and messaging capability, the greater the unhappiness.

The integration of nanoscience and nanotechnology with CBD (cannabidiol) product design and development has had a powerful effect on patient experiences and satisfaction levels. Currently in 2020, sales of nano CBD products are dramatically increasing among all demographics, and in all 50 States as more people become aware of its existence.

A great story about a big company’s ability to do this comes from one of the world’s biggest businesses, General Electric. I learned about Doug Dietz a few years ago when I saw him speak to a group of executives. Doug leads the design and development of award-winning medical imaging systems at GE Healthcare. He was at a hospital one day when he witnessed a little girl crying and shaking from fear as she was preparing to have an MRI — in a big, noisy, hot machine that Dietz had designed. Deeply shaken, he started asking the nurses if her reaction was common. He learned that 80 percent of pediatric patients had to be sedated during MRIs because they were too scared to lie still. He immediately decided he needed to change how the machines were designed. He flew to California for a weeklong design course at Stanford’s d.school. There he learned about a human-centric approach to design, collaborated with other designers, talked to healthcare professionals, and finally observed and talked to children in hospitals. The results were stunning. His humandriven redesigns wrapped MRI machines in fanciful themes like pirate ships and space adventures and included technicians who role-play. When Dietz’s redesigns hit children’s hospitals, patient satisfaction scores soared and the number of kids who needed sedation plummeted. Doug was teary-eyed as he told the story, and so were many of the senior executives in the audience. Products should be designed for people. Businesses should be run in a responsive, human-centric way. It is time to return to those basics. Let TRM be your roadmap and turn back to putting people first. It worked for our grandparents. It can work for you.

the bidding of one's confessor, or voluntarily, and by patiently accepting trials and sufferings. This is the ex press teaching of the Tridentine Council: "If anyone saith that satisfaction for sins, as to their temporal pun ishment, is nowise made to God through the merits of Jesus Christ, by the punishments inflicted by Him and patiently borne, or by those enjoined by the priest, nor even by those voluntarily undertaken, as by fastings, prayers, almsdeeds, or by other works of piety; ... let him be anathema." 29 It is likewise an article of faith that the penitential works just described in some manner actually blot out the temporal punishments due to sin. That this effect is produced not merely per satisfactionem de congruo, but likewise, and in particular, per satisfactionem de condigno, may be deduced from the condemnation of a certain proposition espoused by Baius. 30 However, this is not de fide dogmatic a. Proof, a) The just man can acquire super natural merits de condigno by performing good works. 31 Now between merit and satisfaction there is no formal but only a material distinction, based on their respective effects. Merit increases sanctifying grace and effects eternal beatitude;

This girl had no clue what I was capable of. She was accustomed to young men, boys that were impatient and too eager to bust a quick nut. But for me, I was patient. I wanted my lover to achieve ultimate bliss and satisfaction, and then I’d go for the kill. Drilling. Pounding. Screwing. Grinding. Even licking. The pussy would surely be mine. I’d leave her thinking for days, wondering what more I could do to make her mind and body feel truly amazing.

It is, of course, laudable that patient satisfaction has become a high priority, but sometimes window-dressing efforts like fancy coffee in the waiting room get priority over things that might have an actual effect on health care, such as giving nurses paid time off for continuing education.

The empathetic doctor must think "as if" she inhabits the patient's world during the clinical encounter, without losing sight of the fact that her own natural reactions would likely be very different from her patient's. The doctor must strive to clarify the patient's "almost articulated fear," accept where the patient is in his journey even if the doctor thinks he's headed in the wrong direction, and take the time to think and reflect about this loaded interaction.

A ubiquitous problem faced by our patients is that they feel they are too heavy. This leads to attempts to diet which, associated with over-exercising, may lead to major weight loss and anorexia nervosa. Any degree of food restriction may trigger the body’s natural mechanisms, which counter the reduction in nutrition. These include thinking about food and feeling hungry, and the thoughts can become pervasive and last all day, sometimes even entering dreams. These responses are perfectly natural and act as important survival mechanisms which lead a hungry person to go in search of food. The more extreme the restriction, the more pronounced are the food preoccupations. If weight does go down, it is possible that the preoccupations and urges to eat may be even worse. Imagine someone in this state who eats a sweet treat. The food preoccupations become focused on the treat and expand into an insatiable urge to eat, which grows until satisfied. The degree of restriction and probably the degree of being underweight seem to determine the amount of food consumed and before long the patient is in the grip of an eating binge. Initially the satisfaction of the urge to eat can be pleasurable, but after a time, as more and more food is consumed, the patients become increasingly regretful and guilty, and these thoughts usually predominate in the aftermath. There then arises an urgent need to get rid of the food and reverse or at least mitigate the nutritional impact of the binge, and the patient may go to the toilet and put her fingers down her throat in order to induce vomiting. Huge relief accompanied by regret and guilt at the behaviour often accompanies this. The whole process of restriction, bingeing and vomiting with alternating need, satisfaction guilt and relief can become habitual and, some say, addictive.

In a review of the published literature on the role of empathy on patient satisfaction, adherence to treatment, and patient outcomes, researchers at Radboud University Nijmegen Medical Center in the Netherlands stated that ‘empathy in the patient-physician communication in general practice is of unquestionable importance.’20 They reported that empathy lowers anxiety and distress levels in patients and that it delivers significantly better clinical outcomes.

If we take it much further, then paying tithing in church can also be considered a scam. Simply, the priest is idle in prayer; patiently waiting for your 10% of your income. You work to feed him. Free money.

We must most of all help our patients to live fully and securely in the present. In order to do that, we need to help bring those brain structures that deserted them when they were overwhelmed by trauma back. Desensitization may make you less reactive, but if you cannot feel satisfaction in ordinary everyday things like taking a walk, cooking a meal, or playing with your kids, life will pass you by.

Consider Johnson & Johnson. It has the corporate world’s single most eloquent statement of purpose—its “credo,” which hasn’t changed since J&J’s legendary chair Robert Wood Johnson created it in 1943. Here it is, in abbreviated form: We believe our first responsibility is to the doctors, nurses, and patients, to mothers and fathers and all others who use our products and services.… We are responsible to our employees, the men and women who work with us throughout the world.… We are responsible to the communities in which we live and work and to the world community as well.… Our final responsibility is to our stockholders.… When we operate according to these principles, the stockholders should realize a fair return. The credo bluntly spells out the pecking order: customers come first, and shareholders last. However, J&J has confidence that when customer satisfaction is at the top of the list, shareholders will do just fine.

I’m Jay Powers, the circulating nurse”; “I’m Zhi Xiong, the anesthesiologist”—that sort of thing. It felt kind of hokey to me, and I wondered how much difference this step could really make. But it turned out to have been carefully devised. There have been psychology studies in various fields backing up what should have been self-evident—people who don’t know one another’s names don’t work together nearly as well as those who do. And Brian Sexton, the Johns Hopkins psychologist, had done studies showing the same in operating rooms. In one, he and his research team buttonholed surgical staff members outside their operating rooms and asked them two questions: how would they rate the level of communications during the operation they had just finished and what were the names of the other staff members on the team? The researchers learned that about half the time the staff did not know one another’s names. When they did, however, the communications ratings jumped significantly. The investigators at Johns Hopkins and elsewhere had also observed that when nurses were given a chance to say their names and mention concerns at the beginning of a case, they were more likely to note problems and offer solutions. The researchers called it an “activation phenomenon.” Giving people a chance to say something at the start seemed to activate their sense of participation and responsibility and their willingness to speak up. These were limited studies and hardly definitive. But the initial results were enticing. Nothing had ever been shown to improve the ability of surgeons to broadly reduce harm to patients aside from experience and specialized training. Yet here, in three separate cities, teams had tried out these unusual checklists, and each had found a positive effect. At Johns Hopkins, researchers specifically measured their checklist’s effect on teamwork. Eleven surgeons had agreed to try it in their cases—seven general surgeons, two plastic surgeons, and two neurosurgeons. After three months, the number of team members in their operations reporting that they “functioned as a well-coordinated team” leapt from 68 percent to 92 percent. At the Kaiser hospitals in Southern California, researchers had tested their checklist for six months in thirty-five hundred operations. During that time, they found that their staff’s average rating of the teamwork climate improved from “good” to “outstanding.” Employee satisfaction rose 19 percent. The rate of OR nurse turnover—the proportion leaving their jobs each year—dropped from 23 percent to 7 percent. And the checklist appeared to have caught numerous near errors. In

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His hand slid around to the nape of her neck. Slowly, inexorably, he forced her head down toward his. Shea closed her eyes, wanting, yet dreading his taking her blood. “I’d hate to have to feed you every day,” she muttered rebelliously. And then his mouth touched hers. Featherlight, a skimming brush Shea felt right down to her toes. His teeth scraped her lower lip, teasing, tempting, enticing. Darts of fire raced through her bloodstream. Her stomach muscles clenched. Open your mouth for me, stubborn little red hair. His teeth tugged; his tongue followed with a soothing caress. Shea gasped as much at the tender, teasing note as at the feel of his lips on hers. He took advantage immediately, fastening his mouth to hers, his tongue exploring every inch of her velvet-soft interior. Flames licked at her, swept through her like a storm. Electricity crackled, and Shea knew the full meaning of chemistry. Feeling. Pure and simple. There was nothing else but his mouth claiming hers, whirling her into another world she hadn’t known existed. The ground shifted, and Shea clutched at his shoulders to keep from floating to the clouds. He was sweeping aside every resistance, demanding her response, taking her response, all hunger and desire. Then he was in her mind, white-hot heat, possession. She was his, only his, always his. Smug male satisfaction. Shea shoved at his broad shoulders, then tumbled backward to the floor, wiping at her mouth with the back of her hand. They glared at one another, until amusement crept into her mind. Low, male, taunting. Nothing showed on his face, not a flicker in the ice of his eyes, but she knew he was laughing at her. It took a moment to realize her robe was gaping open, giving him a generous view of her bare skin. With great dignity Shea dragged the lapels together. “I think we need to straighten something out here.” Sitting on the floor, struggling desperately to get her breathing under control, to throw ice water on the raging fire in her blood, Shea was afraid he wasn’t going to take her seriously. “I am your doctor. You are my patient. This…” She waved a hand, searching for the right words. “This sort of thing is unethical. And another thing. I am in charge here. You follow my orders, not the other way around. Absolutely never, under any circumstances, do that again.” Involuntarily she touched her fingers to her lower lip. “It wouldn’t have happened at all if you hadn’t infected me with some sort of, I don’t know, rabies strain.” She glared at him.

The good mother must be able to provide affection and warmth as well as to control the child and provide physical nourishment. She must furnish security and satisfaction, and she is the person (agent) through which the child must learn to achieve successful socialization. In this sense the concept of love-food is a product-relationship variable referring to the psychonutritional exchange between the mother and her child. Anyone who has had the experience of working or coming into contact with schizophrenics has been impressed with the amount of preoccupation with food that these patients indicate. The classical Freudian position is, of course, that the schizophrenic has regressed to the oral phase of psychosexual development. Often they suspect that their food has been poisoned or tampered with. Many times there is considerable ritual concerning the partaking of meals.

The doctors and staff at Orthopedic Surgeon welcome you. We are committed to providing a high level of personal care to all patients. Thus entire Orthopedic Surgeon staff is committed to delivering excellence orthopedic service & satisfaction of the patient. Phillips Orthopedic Associates provides orthopedic services in the Fredericksburg, TX, area. Visit our website to learn how we can serve you.

Sense people’s needs before they ask (initiative). Help each other out (teamwork). Acknowledge people’s feelings (empathy). Respect the dignity and privacy of everyone (courtesy). Explain what’s happening (communication). In the passing years tens of thousands of patient-satisfaction surveys from a score of research companies have validated these five behaviors as having the highest correlation with overall satisfaction and loyalty.

Patient loyalty is far more important than a numbers game, because the difference between satisfaction and loyalty is the difference between fool’s gold and something you can take to the bank to protect your future against competitive forces.

The Healthcare Advisory Board had one word to describe the difference between hospitals that receive high patient-loyalty scores and those that don’t: hardwiring. When responsibility for satisfaction and loyalty is hardwired into every manager’s accountabilities, then courtesy gets hardwired into every employee’s performance evaluation.

Another compound, psilocybin, the psychoactive chemical in “magic” mushrooms, prevents serotonin reuptake and also mimics serotonin, activating its receptors. This is unlike MDMA, which floods the synapses with your own serotonin. For this reason, psilocybin may have fewer negative long-term effects. In groundbreaking research performed by both New York University and Johns Hopkins University, psilocybin was shown to alleviate anxiety and increase feelings of life satisfaction in patients with life-threatening cancer for six months after just a single dose.16 The cognitive-enhancing potential of low doses of psilocybin, called micro-dosing, is currently being studied.

no universal patient satisfaction or experience scores exist for meaningful global comparisons.

SIMPLE CANNABUTTER This is an easy, quick way to infuse cannabis into butter on your stove top. Be sure to use salted butter since it has a higher smoke point, and don’t leave your saucepan unattended! You can make this cannabutter relatively quickly, and use it in any of the recipes in this book. MAKES ½ CUP ½ cup (1 stick) salted butter* ¼ ounce cannabis buds, finely ground *To make cannamargarine, simply substitute margarine for butter in this recipe. 1. Melt the butter on low heat in a saucepan. Add the ground buds, and simmer on low heat for 45 minutes, stirring frequently. 2. Strain the butter into a glass dish with a tight-fitting lid. Push the back of a spoon against the plant matter, and smash it against the strainer to squeeze out every drop of butter available. When you’re done, discard the plant matter. 3. Use your cannabutter immediately, or refrigerate or freeze until it is time to use. You can easily scale this recipe up for larger batches of cannabutter. 1 pound of butter (4 sticks) can absorb 1 ounce of cannabis, but you may want to simmer for up to 60 minutes. Drizzle this cannabutter over freshly cooked pasta or popcorn for instant satisfaction. Reserve large batches in the fridge or freezer for use in recipes. Note: For medical patients, I would recommend using 2 ounces of cannabis for each pound of butter, effectively making a double-strength cannabutter.

And though they may have many scruples that they are wasting time, and that it may be better for them to betake themselves to some other good work, seeing that in prayer and meditation they are become helpless; yet let them be patient with themselves, and remain quiet, for that which they are uneasy about is their own satisfaction and liberty of spirit. If they were now to exert their inferior faculties, they would simply hinder and ruin the good which, in that repose, God is working in the soul; for if a man while sitting for his portrait cannot be still, but moves about, the painter will never depict his face, and even the work already done will be spoiled.

Pious soldiers in all Southern armies were appalled at the prevalence of gambling. G. W. Roberts of Mississippi was one of the many who chafed at his enforced association with the evil. But his messmates, who were evidently chronic gamblers, gave him little heed. “I have ask them to quit playing cards in our tent or about our tent,” he wrote. “It does not become any man to entrude upon me like they do. If they wish to play cards let them Build a house off to themselves then they could play to their own satisfaction.” Roberts resolved to deal patiently with the sinners and prayed God for grace to win them from their evil ways. But his efforts were unsuccessful. Gambling continued to flourish under his tent roof, provoking finally the observation, “There is men in this encampment that does not care for anyone.”3

Typically, patients with multiple symptoms of depression are vulnerable to allowing the past to dominate their present-moment experience. Patients who live in the future will be faced with apprehension, worry, and anxiety. It’s interesting to note that most positive emotions are “right here, right now” experiences, whereas negative emotions tend to have a past or future focus.

No problems is a problem.

In the lean approach, companies are taught that prices are set by the market and that one way to improve profit margin is to reduce costs. This thinking flies in the face of "cost plus" thinking, where we look first at our own costs and set prices based on our desired profit margin. The reality is that most companies whether manufacturers or hospitals, do not have market power to set prices as they wish.

Gwendolyn Galsworth writes that the purpose of visual management is to reduce "information deficits" in the workplace. She writes that "In an information-scarce workplace, people ask lots of questions, and lots of the same questions, repeatedly- or they make stuff up.

But when we train the senses we conserve our vital energy, the very stuff of life. Patient and secure within, we do not have to look to externals for satisfaction. No matter what happens outside--whether events are for or against us, however people behave towards us, whether we get what pleases us or do not--we are in no way dependent. Then it is that we can give freely to others; then it is that we can love.

My first night with Beck, she told me, 'I had many times in my life where I could have either chased despair or been weird. I chose weird.' Beck says that a third of people who sign up for life-coach training don't know what they want from it. They are looking for something different. Something weird. This is where Beck comes in with her shaman friends and her psychic ponies. Her coaching is designed to give women permission to be weird, because who knows? Beck believes that weirdness, or being open to weirdness, is the key to a more meaningful existence. Dorothy Dix advised women on how to disguise their weirdness; she believed there was always a way, even without a husband, for a woman to contribute to society. Dear Abby and Ann Landers were dogged in their insistence that were only a select number of ways to live. Beck continues in the tradition of Mildred Newman, training her followers to ignore the judgements of others and their own self-doubt. But Newman was concerned only with the health and satisfaction of her patients and readers, wheres Beck thinks all this self-care leads to something awesome, in the most literal sense of the word, that it generates miracles and time travel and a new world order. She senses, perhaps, that this is what her readers need to hear. Newman's followers, especially the celebrity set, were focused on and delighted by their own achievements, but Beck's followers are more self-conscious and coy. Their self-care needs to be justified.

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The term quadruple aim was coined in 2014 to highlight the four main aims of healthcare reform efforts (and evaluation thereof) that were the focus of the ACA: improved quality of patient care, reduced healthcare costs, improved population health status, and job satisfaction among healthcare workers (Bodenheimer & Sinsky, 2014).