Hi. In this video, we'll talk about why self-awareness is a critical skill for anyone who provides palliative care to people with serious illnesses. You'll recall that self-awareness is the first step in SNAP, the easy to remember set of four skills for effective communication about values and beliefs. Let's return to the tree metaphor, to understand what can happen when we talk about values and beliefs. Remember that the values and beliefs from our childhood and youth are hidden beneath the surface. The values and beliefs that we live out as adults are visible to other people through what we say and do. When we are under stress, we can react without thinking. Values and beliefs embedded deep within us from childhood and youth can rise to the surface, even taking us by surprise. This can happen if a stressful event recalls an experience that happened to us in the past. This might also happen, if we're not completely comfortable with our lived values and beliefs. In this case, it may feel like our embedded values and beliefs carry more authority in a particular situation. As the Attia video and the Mangan, Rasheed and Sorwhich this readings illustrate, we don't want to impose or defend our own biases. We also don't want to judge or pull away from someone to avoid conflict. Our goal is to engage their values and beliefs in a way that's helpful to them. As expert professional caregivers, we are often in positions of power with the people we care for. There are two ways we can exercise that power. First, we have a general power. Meaning we have needs to meet in an interaction with another person. For example; When we talk with patients, we need to ask about medications they take or inquire about other specific health information. We may also need to recommend treatment or provide instructions. We also have receptive power in that we listen to other people for whatever information they wish to share with us. Franzen reminds us that in some cases, it's up to the patient to determine what's relevant to the conversation. Both types of power are important as a caregiver. It's our responsibility to appropriately manage this power dynamic. Our focus has been on values conflicts with other people. Self-awareness can also help us cope better with internal values conflicts and with the ability to live out our core values in our professional lives. When we're able to live out our core values both personally and professionally, we experience well being and have the sense that we're living our life purpose. When we're unable to live out our core values for any reason, we can experience moral distress. There is now a lot of research about the moral distress that healthcare professionals experience. And we want you to experience wellbeing and long term resilience. In the next lesson, I'll provide guidance for you to reflect on your values and beliefs about health, illness and dying. Three important topics in palliative care.