- A Holistic Model of Care to Support Those Living with and beyond Cancer
- A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies
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- Psychological Treatment of Older Adults : a Holistic Model. - Version details - Trove
Utilizing a holistic approach to the care of the child client, a team approach builds resilience across the family support structure of the child. The Pediatric Psychology Preventative Model [ 42 ] is the model to guide the psychosocial assessment. This adaptation is an ongoing process of adjustment [ 43 ]. BCC is continuing to develop other AYA initiatives with its partners to provide activity based quarterly support group PlayStation, pizza, volleyball , and tailored individual counseling opportunities.
Most people telephoned and made an appointment, but a third arrived without notice. Qualitative comments validated these finding with comments including: Respondents reflected the level of satisfaction reported by respondents including: Respondents validated these findings with comments such as: About one-fourth of respondents wanted nutrition information, assistance with the emotional effects of cancer, and help getting back to normal. Overall, while BCC ranks high in client satisfaction with clients, they recognize areas of improvement and strive for their care process to be client-centered rather than service-centered.
BCC want effective and warm communication in every client interaction which is demonstrated by providing explanations of what is happening and what to expect to support clients to respond positively to services [ 45 ]. Some qualitative comments are: This aim of this investigation was to describe how the BCC utilizes principles of holistic care to explore patients self-reported experiences and expectations of care living with and beyond cancer and to identify opportunities for better practice and service provision.
While this paper provides formative data to BCC for improvement, it also provides promising evidence in support of models that provide holistic care for those living with and beyond cancer. There are several limitations in this study that should be noted. First, there was a small sample suggesting caution when interpreting the results. Furthermore, while patients were not required to participate, those who choose to participate self-selected, which could bias the sample. Specifically, there may be a difference between those who choose to participate and were satisfied with the services versus those who were not satisfied with services and choose not to participate.
Finally, there was not a comparison group so we do not have data to determine the differences between those who responded to the survey and those who did not. Despite these limitations, this study provides a contribution to the emerging literature that discusses the utilization of holistic care for patients living with and beyond cancer. Furthermore, this study offers potential support for further research to influence future policy and funding decisions.
While BCC strives to be a center of excellence for integrated cancer care, there are challenges to address to ensure that BCC not only maintains its profound connection and understanding of their clients and their needs, but is able to directly affect those clients who continue to be underserved in their region. The primary challenge is to meet the needs of the growing number of cancer survivors within rural and regional areas. Many survivors and their families are not seeking available and needed services.
Patients and family members are often overwhelmed at the time of diagnosis and treatment when referrals are made to supportive care services, such as BCC. Thus, they do not take advantages of available services to assist them during and after treatment. As a result, BCC plans to expand services in rural areas to increase the likelihood of access. With services available in those areas, BCC can work to help families seek services.
Furthermore, there is a dominance of breast cancer services offered in Queensland and Australia [ 46 ]. Therefore, reaching other populations such as men is difficult. As a result, BCC is planning to offer services specifically for men including a support group and exercise classes and BCC networks with other cancer organizations such as prostate cancer groups and the Cancer Council. Finally, while funding is an ongoing challenge for BCC, BCC is able to rely on grants, community support, fundraising and their Op shops and not on government funding. The strength in not using government funding provides BCC opportunities to be creative and respond quickly to meet the needs of their clients.
A Holistic Model of Care to Support Those Living with and beyond Cancer
Further research to gain greater clarification on the facilitators and barriers to sustaining the program is important. BCC has a continuous quality improvement strategy to ensure that they meet their mission and goals. Continuous research and evaluations of the program will help in this process. As a community based organization, the evaluation of services and the delivery of evidence-based intervention is a central focus to ensure quality services and sustainability.
In order to develop a systematic approach to evaluation, the BCC has formed a strategic alliance with the university to assist with the implementation of a rigorous evaluation and ongoing monitoring of patient outcomes. This will provided much needed outcome based data on the provision of services within a holistic integrated cancer care setting and ensure that the serviced being provided to clients are evidence based interventions and help to secure non- governmental grants and support.
Cindy Davis and Tamara Cadet conceived, designed, interpreted and wrote the paper. Jacinta Elks and Patricia Wilson designed, interpreted and wrote the paper.
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National Center for Biotechnology Information , U. Journal List Healthcare Basel v. Published online Nov Author information Article notes Copyright and License information Disclaimer. Received Jul 21; Accepted Nov This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution CC-BY license http: Introduction Globally, the burden of cancer continues to increase with an expected Holistic Cancer Care Providing holistic care is a component of providing integrative care [ 12 , 13 ].
Some of the principles of an integrated care model include: Integrated care models emphasize a patient centered approach;. Services are provided in a consistent approach across a range of providers, not just one organization or provider;. Patients should have access to high quality care as close to home as possible assuming the availability of equipment and resources exist;. Comprehensive screening for supportive care needs is critical to ensuring holistic care for cancer patients [ 17 ].
Survivorship Care in Australia Although there is very active survivorship research in Australia, work to improve survivorship care to date has been patchy and not coordinated [ 29 ]. Methods Using a quality improvement approach, this paper seeks to describe how the Bloomhill Cancer Center BCC utilizes the evidenced based principles of holistic care described above to explore patients self-reported experiences and expectations of care living with and beyond cancer and to identify opportunities for better practice and service provision.
Design This investigation utilized an observational non-equivalent group comparison design from a retrospective survey of all eligible patients. Other links Ebook Library at http: Set up My libraries How do I set up "My libraries"? These 6 locations in All: Barwon Health Library Service. Not open to the public Held. Edith Cowan University Library. Open to the public Book English Monash Health. SAE - Byron Bay. May not be open to the public Held. University of Queensland Library. Open to the public ; Online: Not available for loan Book English Show 0 more libraries This single location in New South Wales: Book English Show 0 more libraries This single location in Queensland: This single location in South Australia: These 2 locations in Victoria: To foster this, the facilitator utilizes behavior modification techniques, such as self-monitoring, to promote more ownership of their memory.
Again, we teach this in each session and enter the additional markers of exercise, stress reduction, mindfulness and relaxation, diet, socialization, and general health , one for each of the sessions.
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- A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies.
In the two cases above, each person was assessed and provided a plan based on the CT and on the six spokes of the Memory Clinic. The cases differ by severity of their problems, nonetheless both are applicable for the model. Joe had the good fortune to be in an ALF where there was support for CT and several other model markers. We coordinated the model with them. During the memory clinic, itself, he continued to show difficulty with retrieval and attending to directions.
Socializing was targeted and he partook in exercises during opening activities.
A Holistic Approach to Assess Older Adults' Wellness Using e-Health Technologies
He was able to communicate and interact skillfully with fellow participants. He went to movies with others and took a trip to the Biltmore estate. His health was discussed and monitored in the primary care clinic where the training took place. He was also taught stress reduction methods breathing and acceptance challenges for OCD. He noted, during our discussion of diet and nutrition that, although his diet is fairly controlled by the facility, it was fairly close to the Mediterranean diet. The clinic advocated exercise in the facility gym and he complied.
Joe was cooperative with a yoga exercise and agreed to monitor and increase his everyday physical activity. Overall, Joe was cooperative and compliant on targeted exercises. Mary is of course a different case.
She quickly became a widow during the study as her husband who was sickly died and is now assisted by her son who has moved in. A careful plan was developed for her that included the assistance of her son and other family members. She can drive, do shopping, and handle basic home tasks of cleaning and cooking. She has help with her medications and finances as well as health cancer survivor.
She also has age-related hearing loss impacting her social functioning. Mary indicated that she is not comfortable wearing her hearing aids. That said, she was requested to use them for targeted tasks. She was reluctantly compliant. Her son was her coach. She was to see the clinic physician every two months to assure health. She was overweight and with no exercise program. She agreed to take up bowling and walking. Her diet was now monitored by her son who was a chef.
Psychological Treatment of Older Adults : a Holistic Model. - Version details - Trove
She was now crying frequently. She was validated for this and given two strategies for crying, including isolating times for this.
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Cognitively it is noteworthy that she had substantial language problems and she communicated poorly with those around her. She was also provided strategies for this including an accepting position on her condition. She also gave herself time and wrote down statements or at least core words. Additionally, her attention is poor and she has difficulty focusing, with her hearing again being a major hindrance. She has problems understanding and following directions. Her processing speed is low and she has trouble organizing and making use of information.