Alex's Lemonade Stand Foundation holds an annual Childhood Cancer Symposium in Philadelphia. It is designed to be an educational resource, providing families with the opportunity to learn about issues and topics of treatment and beyond, while meeting other families in a group setting. Registration is free and is open to all those touched by childhood cancer, including patients and their siblings.
Presentation by: Melissa Alderfer, PhD.
The document discusses disease burden and chronic disease management in India. It notes that non-communicable diseases like cardiovascular disease, COPD, asthma and diabetes remain major causes of morbidity. The disease burden from these conditions is projected to increase significantly by 2015. Effective chronic disease management requires sharing health information electronically through a health information exchange. However, convincing stakeholders to share data on a cloud is a major challenge. Personalized, convenient care that blends high-tech and high-touch approaches may help drive behavioral changes needed for successful disease management.
1) Early studies found associations between psychosocial stress like depression and cancer diagnoses, though determining cause and effect is complex.
2) While some research links psychosocial factors like social support and fighting spirit to cancer outcomes, evidence is mixed as to whether they impact cancer incidence or progression.
3) Psychosocial stress may influence immune system activity like natural killer cells in ways that could accelerate cancer, but biological pathways are not fully understood.
Dr. Aimee Thompson discusses the impact of childhood cancer on the family. To listen the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
Chronic rehabilitation is a term used to refer to the regular maintenance of a component that is required over its serviceable life.
Chronic rehabilitation can be costly and resource intensive in the long run, as regular inspection, assessment and repair are required periodically to ensure that the component in question operates as intended.
This document provides guidance on ensuring patient confidentiality. It outlines steps like providing training on HIPAA and confidentiality policies, implementing computer security, and having staff sign forms acknowledging the policies. Confidential patient information is defined as anything private like medical conditions, test results, or personal care details. Staff must understand what is confidential, the penalties for breaches, and use of informed consent when sharing information. Guidelines state to only discuss patients privately and securely store and dispose of documents with patient information to maintain confidentiality.
Ethical, moral and legal issues in oncologyManali Solanki
The document discusses end of life care and ethics in oncology nursing. It defines end of life care as treating, comforting, and supporting those living with or dying from chronic life-threatening illnesses. It also discusses the importance of communication, education, and addressing spiritual-psychosocial needs of dying patients and their families. The document outlines several ethical issues that may arise in end of life care, such as medical futility, terminal sedation, euthanasia, physician assisted suicide and advocates respecting patient autonomy.
This document summarizes a presentation on health care consent and advance care planning given by Judith Wahl from the Advocacy Centre for the Elderly. The presentation is divided into two parts, with part one covering health care consent basics and part two focusing on advance care planning. It discusses key concepts like informed consent, substitute decision-makers, and the difference between advance care plans and health care consent. Questions from participants are addressed during the webinar.
The document discusses disease burden and chronic disease management in India. It notes that non-communicable diseases like cardiovascular disease, COPD, asthma and diabetes remain major causes of morbidity. The disease burden from these conditions is projected to increase significantly by 2015. Effective chronic disease management requires sharing health information electronically through a health information exchange. However, convincing stakeholders to share data on a cloud is a major challenge. Personalized, convenient care that blends high-tech and high-touch approaches may help drive behavioral changes needed for successful disease management.
1) Early studies found associations between psychosocial stress like depression and cancer diagnoses, though determining cause and effect is complex.
2) While some research links psychosocial factors like social support and fighting spirit to cancer outcomes, evidence is mixed as to whether they impact cancer incidence or progression.
3) Psychosocial stress may influence immune system activity like natural killer cells in ways that could accelerate cancer, but biological pathways are not fully understood.
Dr. Aimee Thompson discusses the impact of childhood cancer on the family. To listen the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
Chronic rehabilitation is a term used to refer to the regular maintenance of a component that is required over its serviceable life.
Chronic rehabilitation can be costly and resource intensive in the long run, as regular inspection, assessment and repair are required periodically to ensure that the component in question operates as intended.
This document provides guidance on ensuring patient confidentiality. It outlines steps like providing training on HIPAA and confidentiality policies, implementing computer security, and having staff sign forms acknowledging the policies. Confidential patient information is defined as anything private like medical conditions, test results, or personal care details. Staff must understand what is confidential, the penalties for breaches, and use of informed consent when sharing information. Guidelines state to only discuss patients privately and securely store and dispose of documents with patient information to maintain confidentiality.
Ethical, moral and legal issues in oncologyManali Solanki
The document discusses end of life care and ethics in oncology nursing. It defines end of life care as treating, comforting, and supporting those living with or dying from chronic life-threatening illnesses. It also discusses the importance of communication, education, and addressing spiritual-psychosocial needs of dying patients and their families. The document outlines several ethical issues that may arise in end of life care, such as medical futility, terminal sedation, euthanasia, physician assisted suicide and advocates respecting patient autonomy.
This document summarizes a presentation on health care consent and advance care planning given by Judith Wahl from the Advocacy Centre for the Elderly. The presentation is divided into two parts, with part one covering health care consent basics and part two focusing on advance care planning. It discusses key concepts like informed consent, substitute decision-makers, and the difference between advance care plans and health care consent. Questions from participants are addressed during the webinar.
The document provides an overview of psycho-oncology. It discusses the mental health consequences of cancer at diagnosis, during active treatment, and for survivors. It covers common issues like maladaptation, mental disorders, suicide, and impact on quality of life and compliance. It also reviews psychiatric side effects of cancer treatments and management approaches.
This document discusses the gap in access to cancer care between what is needed and what is available. It outlines several recent advancements in cancer treatment but notes that large portions of populations still lack basic cancer care, known as the "care gap" or "equity gap." The care gap affects everyone but is more evident in low-income countries and among minority groups. People seeking cancer care face barriers like poverty, lack of education, gender discrimination, rural location, ageism, and prejudice. The document calls for efforts to close the care gap through awareness, advocacy, and strategic investments in equitable cancer resources and services.
Cancer is characterized by abnormal cell growth and the ability to invade nearby tissues. The most common cancers worldwide are lung, breast, and colorectal cancers. In India, the four most common cancers are oropharynx, esophagus, stomach, and lung cancers in men, and breast, cervix, oropharynx, and esophagus cancers in women. Environmental factors like tobacco, alcohol, viruses, radiation, and genetic factors contribute to cancer development. Cancer control involves prevention, early detection, treatment, and rehabilitation efforts. Breast and cervical cancers are significant issues, with screening and education helping address them.
This document discusses cancer, including categories of cancer, signs and symptoms, frequency and common cancers worldwide and in India. It summarizes that carcinomas arise from epithelial cells, sarcomas from connective tissues, and lymphomas from immune/bone marrow cells. The highest global cancer rates occur in Northern Europe and Australia. Lung cancer is most common worldwide while breast cancer has the highest rate in Belgium. Primary prevention focuses on reducing environmental/lifestyle risk factors while secondary prevention utilizes cancer screening and registries.
1. The document discusses a task-based model for understanding psychosocial adaptation to chronic illness. It proposes that individuals adapt by accomplishing a non-linear series of adaptive tasks in different life domains, rather than moving through rigid stages.
2. The model has five components: the stressor (diagnosis), cognitive appraisal of the stressor, adaptive tasks in physical, psychological, social, spiritual and vocational domains, coping skills used to accomplish tasks, and the outcome of adaptation.
3. Adaptive tasks involve meeting medical needs, maintaining emotional balance and control, seeking social support, finding meaning, and vocational engagement. Coping skills help accomplish these tasks. Successful adaptation results in a new equilibrium
Presented by The Royal's Dr. Fotini Zachariades at our annual Women in Mind Conference.
She is a Clinical, Health, and
Rehabilitation Psychologist currently at the Women’s
Mental Health Program at The Royal
This document provides information for parents on diagnosing childhood cancer, including common symptoms, diagnostic tests and procedures used to identify the type and stage of cancer, the importance of having biopsies done at specialized hospitals, and questions to ask about tests and results to understand the diagnosis and plan treatment. It explains that childhood cancers are different than adult cancers and lists the most common types such as leukemia, brain tumors, lymphoma, and others.
The International Agency for Research on Cancer (IARC) coordinates and conducts research on the causes of human cancer and mechanisms of carcinogenesis. IARC focuses on epidemiology of cancer and studying potential carcinogens, with field studies supplemented by laboratory research. Cancer epidemiology aims to identify risk factors for cancer and allow for early prevention by studying disease occurrence and outcomes in populations. Case-control and cohort studies have provided evidence linking exposures like smoking, radiation, and chemicals to increased cancer risk.
This document provides an overview of cancer and nursing care for clients with cancer. It defines cancer, reviews risk factors and pathophysiology, and discusses diagnostic tests and various treatment options including surgery, chemotherapy, radiation therapy, biotherapy, and complementary therapies. The document is intended to outline learning outcomes for understanding cancer and the nursing care of clients diagnosed with cancer.
This document discusses grief, loss, death and dying. It defines key terms like loss, grief, bereavement and mourning. It describes the grief process and common stages of grieving including denial, anger, bargaining, depression and acceptance. It discusses fears of dying persons, caring for dying persons, nursing responsibilities, signs of dying, pronouncement of death, stages of decomposition and postmortem care.
This document discusses the implementation of a psychosocial distress screening program at the Robert H. Lurie Comprehensive Cancer Center. It describes barriers to screening, the use of a computerized adaptive testing system to efficiently measure multiple domains of distress, and lessons learned from piloting the program. Screening results are integrated into patients' electronic health records and trigger messages to clinicians if severe distress is reported, in order to better manage patients' psychosocial needs. The goal is to systematically identify and address sources of distress throughout the cancer care process.
This document discusses communication and its importance in health behavior and education. It defines key terms like communication, health education, knowledge, attitude, and behavior. Effective communication requires a sender, message, channel, and receiver. Barriers to communication can occur at each level. Health education aims to change knowledge, attitude, and practices regarding health. The stages of behavioral change are discussed using the Health Belief Model. Factors affecting health behaviors and designing effective health education programs are also covered. The document provides an overview of communication and its role in health education.
The challenges of leading healthcare organizations and what makes an excellent healthcare leader given the various stake holders and divergent interests
Betty Newman's System Model provides a holistic and flexible framework for nursing. It focuses on a client system's response to stressors in the environment. The model views clients as unique composites of variables and uses primary, secondary, and tertiary prevention to support optimal wellness.
Betty Neumann developed the model in the 1970s based on general system theory. She viewed clients as open systems composed of physiological, psychological, socio-cultural, developmental, and spiritual variables that interact with internal and external environments. Health is defined as harmony among all client variables. Nursing aims to reduce stressors and support reconstitution through primary, secondary, and tertiary interventions.
This document discusses mental health issues among women of reproductive age. It notes that depression is common, affecting around 8% of pregnant women and 11% of non-pregnant women. Poor mental health can negatively impact physical health, pregnancy outcomes, and child development. The document reviews risk factors for depression like stress, low social support, pregnancy complications, and chronic illness. It also discusses treatments like antidepressants and therapy.
This document discusses cancer screening guidelines for several common cancers. It recommends screening for breast cancer with annual mammograms and clinical exams starting at age 40, and beginning earlier or including MRI for those at high risk. Cervical cancer screening should begin at age 21 with Pap tests every 3 years or co-testing with HPV every 5 years. Colorectal cancer screening options include colonoscopy every 10 years, sigmoidoscopy every 5 years, or annual fecal tests. Genetic screening is recommended for those with a family history suggesting inherited cancer risk. Lung cancer screening with low-dose CT is advised for high-risk smokers aged 55-74. Prostate cancer screening involves PSA testing and DRE for men aged 50-69
Cervical cancer is a major public health problem that is largely preventable. It is the third most common cancer in women worldwide, with over 500,000 new cases and 200,000 deaths each year. While often asymptomatic in early stages, if detected early through screening it can be treated effectively. Screening allows for detection and treatment of precancerous lesions before they develop into invasive cancer. The document discusses the causes, risk factors, natural history, screening methods such as Pap smear and visual inspection with acetic acid, diagnostic tools, and treatment options including ablation, excision and hysterectomy for prevention and management of cervical cancer.
PSYCHO-SOCIAL AND MENTAL HEALTH IN END OF LIFE , PALLIATIVE CARE , HOSPICE CARE selvaraj227
PSYCHOSOCIAL AND MENTAL HEALTH IN END OF LIFE, LOSS, ANTICIPATORY GRIEF, MOURNING , BEREAVEMENT, GRIEF THEORY, END OF LIFE CAREGIVING IN THE FINAL STAGES OF LIFE, PALLIATIVE CARE HOSPICE CARE
1) Patient-centered care is a philosophy that encourages shared control of medical decisions between the patient and doctor and focuses on treating the whole patient, not just their disease.
2) The concept developed in the 1950s and key components include understanding the patient's experience of illness and social context, finding common ground on treatment goals, and enhancing the patient-doctor relationship.
3) Benefits of patient-centered care include improved patient satisfaction and adherence, better health outcomes, and decreased medical litigation. While it may take more time initially, average visit lengths are not significantly different than conventional care.
Alex's Lemonade Stand Foundation holds an annual Childhood Cancer Symposium in Philadelphia. It is designed to be an educational resource, providing families with the opportunity to learn about issues and topics of treatment and beyond, while meeting other families in a group setting. Registration is free and is open to all those touched by childhood cancer, including patients and their siblings.
Hear from speaker Rochelle Bagatell, MD of Children's Hospital of Philadelphia as she discusses clinical trials and experimental treatments in childhood cancer cases.
For more information on Alex's Lemonade Stand Foundation's childhood cancer resources, click here: http://www.AlexsLemonade.org
In this session, doctors Lauren Daniel, PhD and Dava Szalza, MD, MSHP, discusses the transition from active cancer treatment to survivorship care. To listen to the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
The document provides an overview of psycho-oncology. It discusses the mental health consequences of cancer at diagnosis, during active treatment, and for survivors. It covers common issues like maladaptation, mental disorders, suicide, and impact on quality of life and compliance. It also reviews psychiatric side effects of cancer treatments and management approaches.
This document discusses the gap in access to cancer care between what is needed and what is available. It outlines several recent advancements in cancer treatment but notes that large portions of populations still lack basic cancer care, known as the "care gap" or "equity gap." The care gap affects everyone but is more evident in low-income countries and among minority groups. People seeking cancer care face barriers like poverty, lack of education, gender discrimination, rural location, ageism, and prejudice. The document calls for efforts to close the care gap through awareness, advocacy, and strategic investments in equitable cancer resources and services.
Cancer is characterized by abnormal cell growth and the ability to invade nearby tissues. The most common cancers worldwide are lung, breast, and colorectal cancers. In India, the four most common cancers are oropharynx, esophagus, stomach, and lung cancers in men, and breast, cervix, oropharynx, and esophagus cancers in women. Environmental factors like tobacco, alcohol, viruses, radiation, and genetic factors contribute to cancer development. Cancer control involves prevention, early detection, treatment, and rehabilitation efforts. Breast and cervical cancers are significant issues, with screening and education helping address them.
This document discusses cancer, including categories of cancer, signs and symptoms, frequency and common cancers worldwide and in India. It summarizes that carcinomas arise from epithelial cells, sarcomas from connective tissues, and lymphomas from immune/bone marrow cells. The highest global cancer rates occur in Northern Europe and Australia. Lung cancer is most common worldwide while breast cancer has the highest rate in Belgium. Primary prevention focuses on reducing environmental/lifestyle risk factors while secondary prevention utilizes cancer screening and registries.
1. The document discusses a task-based model for understanding psychosocial adaptation to chronic illness. It proposes that individuals adapt by accomplishing a non-linear series of adaptive tasks in different life domains, rather than moving through rigid stages.
2. The model has five components: the stressor (diagnosis), cognitive appraisal of the stressor, adaptive tasks in physical, psychological, social, spiritual and vocational domains, coping skills used to accomplish tasks, and the outcome of adaptation.
3. Adaptive tasks involve meeting medical needs, maintaining emotional balance and control, seeking social support, finding meaning, and vocational engagement. Coping skills help accomplish these tasks. Successful adaptation results in a new equilibrium
Presented by The Royal's Dr. Fotini Zachariades at our annual Women in Mind Conference.
She is a Clinical, Health, and
Rehabilitation Psychologist currently at the Women’s
Mental Health Program at The Royal
This document provides information for parents on diagnosing childhood cancer, including common symptoms, diagnostic tests and procedures used to identify the type and stage of cancer, the importance of having biopsies done at specialized hospitals, and questions to ask about tests and results to understand the diagnosis and plan treatment. It explains that childhood cancers are different than adult cancers and lists the most common types such as leukemia, brain tumors, lymphoma, and others.
The International Agency for Research on Cancer (IARC) coordinates and conducts research on the causes of human cancer and mechanisms of carcinogenesis. IARC focuses on epidemiology of cancer and studying potential carcinogens, with field studies supplemented by laboratory research. Cancer epidemiology aims to identify risk factors for cancer and allow for early prevention by studying disease occurrence and outcomes in populations. Case-control and cohort studies have provided evidence linking exposures like smoking, radiation, and chemicals to increased cancer risk.
This document provides an overview of cancer and nursing care for clients with cancer. It defines cancer, reviews risk factors and pathophysiology, and discusses diagnostic tests and various treatment options including surgery, chemotherapy, radiation therapy, biotherapy, and complementary therapies. The document is intended to outline learning outcomes for understanding cancer and the nursing care of clients diagnosed with cancer.
This document discusses grief, loss, death and dying. It defines key terms like loss, grief, bereavement and mourning. It describes the grief process and common stages of grieving including denial, anger, bargaining, depression and acceptance. It discusses fears of dying persons, caring for dying persons, nursing responsibilities, signs of dying, pronouncement of death, stages of decomposition and postmortem care.
This document discusses the implementation of a psychosocial distress screening program at the Robert H. Lurie Comprehensive Cancer Center. It describes barriers to screening, the use of a computerized adaptive testing system to efficiently measure multiple domains of distress, and lessons learned from piloting the program. Screening results are integrated into patients' electronic health records and trigger messages to clinicians if severe distress is reported, in order to better manage patients' psychosocial needs. The goal is to systematically identify and address sources of distress throughout the cancer care process.
This document discusses communication and its importance in health behavior and education. It defines key terms like communication, health education, knowledge, attitude, and behavior. Effective communication requires a sender, message, channel, and receiver. Barriers to communication can occur at each level. Health education aims to change knowledge, attitude, and practices regarding health. The stages of behavioral change are discussed using the Health Belief Model. Factors affecting health behaviors and designing effective health education programs are also covered. The document provides an overview of communication and its role in health education.
The challenges of leading healthcare organizations and what makes an excellent healthcare leader given the various stake holders and divergent interests
Betty Newman's System Model provides a holistic and flexible framework for nursing. It focuses on a client system's response to stressors in the environment. The model views clients as unique composites of variables and uses primary, secondary, and tertiary prevention to support optimal wellness.
Betty Neumann developed the model in the 1970s based on general system theory. She viewed clients as open systems composed of physiological, psychological, socio-cultural, developmental, and spiritual variables that interact with internal and external environments. Health is defined as harmony among all client variables. Nursing aims to reduce stressors and support reconstitution through primary, secondary, and tertiary interventions.
This document discusses mental health issues among women of reproductive age. It notes that depression is common, affecting around 8% of pregnant women and 11% of non-pregnant women. Poor mental health can negatively impact physical health, pregnancy outcomes, and child development. The document reviews risk factors for depression like stress, low social support, pregnancy complications, and chronic illness. It also discusses treatments like antidepressants and therapy.
This document discusses cancer screening guidelines for several common cancers. It recommends screening for breast cancer with annual mammograms and clinical exams starting at age 40, and beginning earlier or including MRI for those at high risk. Cervical cancer screening should begin at age 21 with Pap tests every 3 years or co-testing with HPV every 5 years. Colorectal cancer screening options include colonoscopy every 10 years, sigmoidoscopy every 5 years, or annual fecal tests. Genetic screening is recommended for those with a family history suggesting inherited cancer risk. Lung cancer screening with low-dose CT is advised for high-risk smokers aged 55-74. Prostate cancer screening involves PSA testing and DRE for men aged 50-69
Cervical cancer is a major public health problem that is largely preventable. It is the third most common cancer in women worldwide, with over 500,000 new cases and 200,000 deaths each year. While often asymptomatic in early stages, if detected early through screening it can be treated effectively. Screening allows for detection and treatment of precancerous lesions before they develop into invasive cancer. The document discusses the causes, risk factors, natural history, screening methods such as Pap smear and visual inspection with acetic acid, diagnostic tools, and treatment options including ablation, excision and hysterectomy for prevention and management of cervical cancer.
PSYCHO-SOCIAL AND MENTAL HEALTH IN END OF LIFE , PALLIATIVE CARE , HOSPICE CARE selvaraj227
PSYCHOSOCIAL AND MENTAL HEALTH IN END OF LIFE, LOSS, ANTICIPATORY GRIEF, MOURNING , BEREAVEMENT, GRIEF THEORY, END OF LIFE CAREGIVING IN THE FINAL STAGES OF LIFE, PALLIATIVE CARE HOSPICE CARE
1) Patient-centered care is a philosophy that encourages shared control of medical decisions between the patient and doctor and focuses on treating the whole patient, not just their disease.
2) The concept developed in the 1950s and key components include understanding the patient's experience of illness and social context, finding common ground on treatment goals, and enhancing the patient-doctor relationship.
3) Benefits of patient-centered care include improved patient satisfaction and adherence, better health outcomes, and decreased medical litigation. While it may take more time initially, average visit lengths are not significantly different than conventional care.
Alex's Lemonade Stand Foundation holds an annual Childhood Cancer Symposium in Philadelphia. It is designed to be an educational resource, providing families with the opportunity to learn about issues and topics of treatment and beyond, while meeting other families in a group setting. Registration is free and is open to all those touched by childhood cancer, including patients and their siblings.
Hear from speaker Rochelle Bagatell, MD of Children's Hospital of Philadelphia as she discusses clinical trials and experimental treatments in childhood cancer cases.
For more information on Alex's Lemonade Stand Foundation's childhood cancer resources, click here: http://www.AlexsLemonade.org
In this session, doctors Lauren Daniel, PhD and Dava Szalza, MD, MSHP, discusses the transition from active cancer treatment to survivorship care. To listen to the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
Children who have been affected by childhood cancer may face unique educational challenges. In this slideshare, Joseph Montgomery, Esq. shares how to help your child access educational services and programs such as an Individualized Education Plan (IEP) or 504 Plan. Watch and listen to the full presentation on YouTube: http://youtu.be/3trNxSQe210
For more information on Alex's Lemonade Stand Foundation:
★ Website: http://www.AlexsLemonade.org
★ Facebook: http://facebook.com/AlexsLemonade
★ Twitter: http://twitter.com/AlexsLemonade
★ Google+: http://google.com/+AlexsLemonadeStand
This document provides tips for using social media platforms like Facebook, Twitter, YouTube, Pinterest, blogs, and Instagram to promote fundraising events for Alex's Lemonade Stand Foundation (ALSF). It recommends creating social media posts and events advertising your fundraiser; using hashtags like #ChildhoodCancer; following and tagging ALSF's official accounts; and sharing photos and videos from your event to help raise awareness and donations. The goal is to leverage your social networks to spread the word about your fundraiser and ALSF's work to find cures for childhood cancer.
Mary T. Rourke, Ph.D., discusses how medical traumatic stress impacts the whole family. This session is part of Alex's Lemonade Stand Foundation's annual Childhood Cancer Symposium. To listen to the audio recording please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer.
Psychosocial aspects of cancer care by phillip odiyoKesho Conference
This document discusses the psychosocial aspects of cancer care and challenges with patient communication and survivorship. It outlines the complexity of psychosocial issues associated with cancer and how the doctor-patient relationship has evolved from a paternalistic model to one that emphasizes patient autonomy. Effective doctor-patient communication is important for clinical reasoning, patient satisfaction, and medication adherence. However, studies show that doctors often miss patients' main concerns and psychosocial problems. The document advocates for a patient-centered approach and communication styles like SPIKES and BATHE that focus on the patient's perspective and psychosocial context across the cancer care continuum.
Trauma Informed Care & Graduation Rates (Joseph Lavoritano)JoeLavoritano
Developmental trauma is real, and disproportionately affects children from poor neighborhoods.
Prolonged exposure to stress and trauma has a deleterious effect on the developing brain.
Moving from a "sickness model" to an "injury model" of trauma-informed care has had a positive impact on outcomes for the youth in the St. Gabriel's system.
This document provides an introduction to mindfulness and its role in caring for dying patients. It defines mindfulness as regulating attention to bring non-judgemental awareness to current experiences. Mindfulness can help cultivate empathy, self-awareness, and the ability to hold contradictory truths. Practicing mindfulness can help clinicians address burnout, errors, and lack of presence by learning to stay present with discomfort. Formal mindfulness practices like meditation as well as informal practices like mindful moments can promote mindfulness. Mindfulness may improve physician well-being, quality of care, and quality of caring.
The Role of Occupational Therapy in Childhood Trauma atchison
This is an introduction to concepts of childhood trauma and the role of occupational therapy as a team member in comprehensive assessment and intervention
This document discusses psychiatric emergencies in children. It defines psychiatric emergencies as situations where there is direct and immediate threat to a child's mental health or where distressing psychiatric or behavioral symptoms require emergency attention. Common psychiatric emergencies in children include severe depression and suicide risk, dissociative disorders, anxiety, abuse, conduct disorders, and psychotic disorders. Emergent presentations can include impaired consciousness, abnormal behavior, suicidal behavior, aggression, refusal to eat, and acute anxiety. The document outlines approaches to assessment and management of such psychiatric emergencies in pediatric populations.
John Nash develops paranoid schizophrenia while studying for his PhD at Princeton University. He begins having delusional episodes and sees things that aren't real. This causes great strain on his relationship with his wife Alicia. Through hospitalization, medication, the support of his wife, and psychotherapy, Nash is able to gain a level of stability and understanding of his condition. The film is based on Nash's life and brings attention to the challenges of living with schizophrenia.
Early Intervention: Changing Lives, Saving Livescommteam
This document discusses the importance of early intervention for mental illnesses like psychosis. It begins by debunking myths about mental illnesses in teenagers. It then describes symptoms of psychosis like hallucinations and delusions. Early intervention is associated with more rapid recovery and preservation of functioning. The document outlines early warning signs and differentiates between normal stress responses and signs of mental illness. It advises seeking help for suicidal thoughts or voices. Overall it encourages advocacy for greater awareness of early intervention services.
Darkness to light child abuse damages a whole life powerpointDenice Colson
The document summarizes research on adverse childhood experiences (ACEs) and their long-term impacts. It finds that experiencing ACEs is strongly correlated with negative physical and mental health outcomes in adulthood, including heart disease, lung cancer, depression, suicide attempts, drug use, and more. The more categories of ACEs experienced, the greater the likelihood of health and social problems later in life. Treating trauma in adults can help prevent intergenerational cycles of abuse and benefit both current and future children's well-being.
The document discusses Generalized Anxiety Disorder (GAD), which was suffered by the character Charlie Cheswick in the novel One Flew Over the Cuckoo's Nest. It defines GAD as excessive and prolonged worrying about everyday life events. It notes that psychotherapy, behavior therapies like systematic desensitization, medication, and stress management are common treatments for GAD.
COVID19 Updates Related to Children: 3 Hot TopicsKatherine Noble
Presentation for Greenwich Public Schools PTA Council Public Forum 1/29/2021, focusing on 1) COVID19 Vaccination for Children, 2) PE & Sports Clearance for COVID19+ Students, 3) Mental Health Challenges for Children During The Pandemic
With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
- Trauma in young children can be caused by a single event, ongoing stressors, or chronic stress and can negatively impact lifelong health and social development.
- Common symptoms of childhood trauma include sleep issues, appetite changes, physical pains, behavioral changes like aggression, hyperactivity, worry/fear, and developmental regression.
- Younger children react differently than older children, with babies and toddlers demonstrating clinginess, crying, defiance while preschoolers show repetitive play, nightmares, and school issues.
- The absence of a supportive caregiver can turn tolerable stress into toxic stress, impacting brain development especially in the prefrontal cortex responsible for self-regulation.
This document summarizes key concepts related to mindfulness for physicians. It discusses mindfulness as non-elaborative awareness of current experience with curiosity and acceptance. Mindfulness can cultivate exquisite empathy and self-awareness while holding contradictory truths. It addresses burnout rates among physicians and residents and how mindfulness can promote well-being, quality of care, and quality of caring. Formal and informal mindfulness practices are presented that can be used in clinical settings. Reflective questioning is encouraged to promote openness and honesty in interactions with patients and colleagues. Patients have noted improved communication and satisfaction when physicians practiced mindfulness.
?A landmark study and the many since that have supported the initial results have led to a growing consensus on the need for policies and practices to prevent, intervene, and promote healing" #AdverseChildhoodExperiences
This document discusses the importance of treating patients holistically and providing compassionate care. It notes that being in the hospital can be a traumatic experience and patients need more than just medical treatment - they need kindness, empathy, a listening ear and comfort during a difficult time when their lives have been turned upside down. The document emphasizes that healthcare providers have the opportunity to make a positive difference through small acts of human compassion.
The document discusses postpartum psychosis, a severe mental illness that can occur after childbirth. It outlines signs and symptoms of the condition such as confusion, hallucinations, and thoughts of harming the baby. Treatment recommendations include identifying the mother's symptoms, placing the baby in a safe location if she is experiencing an episode, and restraining the mother if necessary to prevent harm while obtaining a psychological consultation. Multidisciplinary support is emphasized to properly treat the mother and ensure the safety of both patient and baby.
The document discusses mental illness, providing statistics on prevalence rates in Australia and discussing common conditions like schizophrenia, bipolar disorder, depression and anxiety disorders. It describes symptoms people with mental illnesses may experience and things to keep in mind when interacting with them, such as respecting their dignity and not arguing with delusions. The document also introduces Arafmi, an organization that provides various supports for families of those with mental illness, including a 24/7 support line, support groups, education, respite programs and counseling.
The document provides an overview of postpartum depression (PPD), including its symptoms, risk factors, screening and treatment. Key points include:
- PPD affects 10-20% of women and has several risk factors including a history of depression or anxiety.
- Symptoms include sadness, lack of interest in the baby, and in severe cases thoughts of harming oneself or the baby.
- New Jersey requires screening for PPD before hospital discharge and at postnatal checkups using the Edinburgh Postnatal Depression Scale.
- Treatment options depend on severity but may include therapy, medication and in severe cases hospitalization. Social support is important for recovery.
This document discusses childhood trauma treatment services provided by The Children's Home in Cincinnati, Ohio. It notes that childhood trauma is highly prevalent in the US, with many children experiencing physical abuse, neglect, sexual victimization or witnessing violence. Left untreated, childhood trauma can lead to serious long-term health problems. The Children's Home provides evidence-based trauma therapy using models like TF-CBT and works with a network of experts to train its therapists. It aims to help vulnerable children overcome trauma and avoid poor health outcomes through its experienced staff and proven therapy methods.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
1. at The Children’s Hospital of Philadelphia
The Cancer Center
Coping with Cancer:
A family journey
Melissa A. Alderfer, PhD
The Children’s Hospital of Philadelphia &
The University of Pennsylvania School of Medicine
2. Overview
at The Children’s Hospital of Philadelphia
Discuss a traumatic stress model that we
The Cancer Center
find helpful in understanding coping with
childhood cancer
Summarize what we know about the
psychosocial impact of childhood cancer on
families
Provide suggestions for maximizing
adjustment to cancer
3. Cancer
Traumatic
of Childhood
Stress Model
The Cancer Center
at The Children’s Hospital of Philadelphia
4. Traumatic Stress Model
Traumatic Stress Models have been discussed
at The Children’s Hospital of Philadelphia
dating back to the nineteenth century
The Cancer Center
- Railway Spine: nightmares, avoidance, chronic pain
- Hysteria: agitation, dissociation
- Soldier’s Heart: cardiovascular activation, fatigue
- Shell Shock: memory loss, emotional outbursts, numbing
Conceptualization of the phenomenon developed
through the years
In 1980, Posttraumatic Stress Disorder was
defined by the American Psychiatric Association
5. Traumatic Stress Model
A “normal” reaction to catastrophic event
at The Children’s Hospital of Philadelphia
The Cancer Center
Traumatic event:
- involves actual or threatened death or serious injury or a
threat to the physical integrity of self or others
- produces intense fear, horror, or helplessness
Symptoms include intrusive memories, avoidance,
and physiological arousal
“Diagnosis of a life threatening illness” and
“learning that one’s child has a life-threatening illness”
specifically listed as potentially traumatic events
6. Traumatic Stress
Re-experiencing of the event
at The Children’s Hospital of Philadelphia
The Cancer Center
- Recurrent, intrusive, distressing recollections
- Recurrent distressing dreams
- Acting or feeling as if the event is recurring
- Intense psychological distress at exposure to internal or
external cues that symbolize or resemble the event
- Physiological reactivity to such cues
7. Traumatic Stress
Avoidance and numbing
at The Children’s Hospital of Philadelphia
The Cancer Center
- Efforts to avoid thoughts, feelings, conversations
- Efforts to avoid activities, places or people
- Inability to recall an important aspect
- Diminished interest or participation in significant activities
- Feelings of detachment or estrangement
- Restricted range of affect
- Sense of foreshortened future
8. Traumatic Stress
Increased arousal
at The Children’s Hospital of Philadelphia
The Cancer Center
- Difficulty falling or staying asleep
- Irritability or outbursts of anger
- Difficulty concentrating
- Hypervigilance
- Exaggerated startle response
To qualify for a diagnosis of PTSD
- 1 re-experiencing, 3 avoidance, 2 arousal symptoms
- Symptoms for at least 1 month
- Significant distress or impairment in functioning
9. Traumatic Stress Model
Continues to evolve, draw on coping literature
at The Children’s Hospital of Philadelphia
The Cancer Center
Trauma symptoms may be normative and adaptive
- distress communicates a need for support
- re-experiencing allows cognitive processing of the event
- avoidance may reduce distress and allow functioning
- arousal keeps you primed to recognize and deal with
additional traumatic events
10. Traumatic Stress Model
Premise: Traumatic events challenge the patterns
at The Children’s Hospital of Philadelphia
of thoughts and behaviors that allow people to
The Cancer Center
function on a daily basis
“Psychologically seismic events that can severely
shaken, threaten or reduce to rubble many of the
schematic structures that have guided understanding,
decision making, and meaning in the world”
Can lead to distress or provide the opportunity for
generative experiences, positive growth, enhanced
adjustment
11. Families
Impact of
Cancer on
Psychosocial
The Cancer Center
at The Children’s Hospital of Philadelphia
12. Patterns of Response
Different patterns of response are possible:
at The Children’s Hospital of Philadelphia
The Cancer Center
- Hardy (minimal, temporary distress)
- Chronically Distressed (consistent high levels of distress)
- Resilient (high levels of distress that improve)
- Delayed Distress (late increases in distress)
- Enhanced Functioning (better than baseline)
Most children with cancer are Hardy; some
evidence of Delayed Distress in young adult survivors
Most parents and siblings show Resilience
Growing evidence of Enhanced Functioning
13. Diagnosis
Range of expected strong emotions across
at The Children’s Hospital of Philadelphia
family members:
The Cancer Center
- Shock, disbelief, denial
- Confusion, frustration
- Anxiety, fear, helplessness
- Sadness, mourning, grief
- Guilt, anger
14. Diagnosis
Within 2 weeks of diagnosis, 85% of parents report
at The Children’s Hospital of Philadelphia
significant distress
The Cancer Center
Parents have more anxiety, poorer quality of life,
and more symptoms of depression
Within 1 month of diagnosis, 51% of moms, 40% of
dads qualify for a diagnosis of Acute Stress Disorder
Within 1 month of diagnosis
- 75-83% of parents reported re-experiencing
- 70-83% reported avoidance
- 83% reported arousal
15. Diagnosis
The reactions of the child with cancer to diagnosis
at The Children’s Hospital of Philadelphia
vary depending upon his or her age
The Cancer Center
Some symptoms of anxiety, fear, and sadness are
common
May see some developmental regression
Overall, research does NOT indicate increased
rates of depression or traumatic stress symptoms in
patients shortly after diagnosis
16. Diagnosis
Siblings report loneliness, marginalization,
at The Children’s Hospital of Philadelphia
jealousy and worry
The Cancer Center
Within 1 month of diagnosis, 57% of siblings report
impaired emotional quality of life
Nearly 40% of siblings report significant difficulties
with memory concentration and learning within one
month after cancer diagnosis
Rates of traumatic stress symptoms have been
unexplored
17. Diagnosis
Marital distress is common: 40% of married
at The Children’s Hospital of Philadelphia
parents indicating problems
The Cancer Center
Parenting stress is typical: over-protection,
impatience, relaxed rules and inconsistency in
discipline is reported by 32% of fathers and 48% of
mothers
Families report pulling closer together: 60% of
families report increased cohesion
Benefit finding and traumatic growth have been
unexplored
18. Treatment
Two-thirds of parents report that dealing with
at The Children’s Hospital of Philadelphia
their own intense emotions and traumatization is
The Cancer Center
the greatest challenge
Feelings of helplessness, powerlessness, and
lack of control are common
Anxiety and depression symptoms decrease
within the first three months after diagnosis, but
remain significantly elevated for parents
19. Treatment
At 6 months post-diagnosis, 40-50% of parents
at The Children’s Hospital of Philadelphia
continue to report increased distress
The Cancer Center
During the first few months of treatment about
44% of parents qualify for a diagnosis of PTSD
About one year after diagnosis, 68% of moms
and 57% of dads report moderate to severe PTS
By 24 months post-diagnosis most parents report
distress levels at normative levels; a small subgroup
remain distressed
20. Treatment
During treatment children with cancer continue
at The Children’s Hospital of Philadelphia
to show little or no evidence of emotional or
The Cancer Center
behavioral problems
Some reports suggest LOWER levels of
depression and anxiety than healthy children
Traumatic stress symptoms are present, but
mean levels are no different from healthy children
21. Treatment
Disruptions in family life take a toll on siblings;
at The Children’s Hospital of Philadelphia
absence of their brother or sister, separation from
The Cancer Center
parents and poor communication fuels confusion
and anxiety
Three-fold increase in behavior problems, two-
fold increase in emotional problems, decrements in
quality of life, declines in school performance for
siblings
Within 2 years of diagnosis, 25% qualify for a
diagnosis of PTSD, 60% in moderate to severe
range for PTS
Report positive aspects of the experience
22. Treatment
Significant marital distress continues to be
at The Children’s Hospital of Philadelphia
reported among 25 to 30% of parents throughout
The Cancer Center
the first year post-diagnosis
Inconsistent discipline continues as parents often
feel guilty about putting their child through treatment
Role overload is common as family members
must juggle their typical responsibilities with needs
of treatment
Parenting Stress increases once the child
reaches remission
23. Survivorship
Time of ambivalent feelings: relief and joy coupled
at The Children’s Hospital of Philadelphia
with fear and uncertainty
The Cancer Center
Depression and anxiety scores no longer elevated
for most, a subset of parents continue to have
distress
Traumatic Stress symptoms remain:
- Moms: 14 to 20% with current PTSD, 27 to 30% with
PTSD at some time since diagnosis of cancer; up to
44% in moderate to severe range
- Dads: 10% current PTSD, 12% PTSD since cancer; 33
to 35% in moderate to severe range
24. Survivorship
97% of moms, 87% of dads indicate at least one
at The Children’s Hospital of Philadelphia
symptom of re-experiencing
The Cancer Center
64% of moms, 44% of dads report at least 2
symptoms of physiological arousal
34% of moms, 16% of dads report at least 3
symptoms of avoidance
Parents also report positive outcomes of the
experience
- 86% of moms and 62% of dads indicate a positive
change in the way they think about their life
- 58% of moms and 48% of dads indicate a positive
change in how they treat others
25. Survivorship
Adolescent survivors report some traumatic
at The Children’s Hospital of Philadelphia
stress:
The Cancer Center
- 5% current PTSD; 8% PTSD since cancer diagnosis
- 12-18% moderate to severe traumatic stress
- 73% report re-experiencing; 41% report arousal; 16%
report avoidance
More positive view of life, good self-esteem,
broader perspective
Enhanced maturity, greater compassion and
empathy, new values and priorities, new strengths
53% indicate a positive change in how they think
about life; 42% indicate a positive change in their
plans for the future
26. Survivorship
Young adult survivors of childhood cancer do not
at The Children’s Hospital of Philadelphia
show elevated rates of anxiety or depression
The Cancer Center
Report more traumatic stress than adolescent
survivors or controls:
- 18-22% current PTSD; 21% PTSD since cancer
- 80% report re-experiencing; 42% report arousal;
44% report avoidance
27. Survivorship
Family patterns forged during treatment may
at The Children’s Hospital of Philadelphia
continue and marginalize siblings
The Cancer Center
Among siblings of survivors, about 32% report
moderate to severe PTS
Siblings report many positive outcomes:
- enhanced maturity, responsibility, independence and
personal growth
- more empathy, thoughtfulness, compassion
28. Summary
Distress is greatest at diagnosis and improves
at The Children’s Hospital of Philadelphia
over time reaching near normal levels by 2 years
The Cancer Center
post-diagnosis
Parents report the most distress within the
family, followed by siblings
The child with cancer seems to function quite
well throughout the cancer experience
Evidence of symptoms of traumatic stress and
traumatic growth across family members
29. your
Cope
Family
Helping
The Cancer Center
at The Children’s Hospital of Philadelphia
30. Be patient…
with yourself, your family, and treatment. It takes time:
at The Children’s Hospital of Philadelphia
to learn about cancer, treatment and the medical system
The Cancer Center
to adjust emotionally
to understand the reactions of family members
to find the best way for your family to
work together and support each other
to accept the uncertainty
With time it gets better
31. Help your children…
understand what is happening. Talk to them;
at The Children’s Hospital of Philadelphia
be age-appropriate (young children don’t need detail; explain
The Cancer Center
physical changes, treatment course, changes in routine)
be reassuring and supportive (this is not punishment; it is not
contagious; they will not be abandoned; their needs will be met)
be sensitive to their preferences and style (not your own)
be honest (help them prepare; build trust)
be open to their questions (you don’t
have to have all the answers)
Talk with your children
32. Share your feelings…
with family and friends. It is important:
at The Children’s Hospital of Philadelphia
The Cancer Center
to recognize how your thoughts and feelings impact your
behavior with others
to talk about how you feel
to share your feelings with and encourage children to
express their feelings
to understand positive emotions are OK
to accept the feelings of others
Emotional connections help
33. Rely on others…
to help you and your family. Ask or allow
at The Children’s Hospital of Philadelphia
The Cancer Center
the medical team to help educate and prepare you and your
children for what is to come
extended family to help maintain your home, spend time with
healthy siblings, become involved in medical care
friends, neighbors, community members
to provide support to your family
the school to help your children
Don’t try to go it alone
34. Establish routines…
and maintain rules. Consistency helps:
at The Children’s Hospital of Philadelphia
The Cancer Center
offset the unpredictability of cancer
allow children to feel more safe and secure
ward off behavioral problems in the future
give everyone something to expect
Create your “new normal”
35. Take care…
of yourself. To be at your best:
at The Children’s Hospital of Philadelphia
The Cancer Center
take time for yourself
do enjoyable things with family and friends
maintain your own physical health
accept what you can’t control; focus on what you can
look for realistically positive aspects of
your experience
don’t pressure yourself to do too much
Replenish yourself
36. Ask for help…
from a psychosocial provider when:
at The Children’s Hospital of Philadelphia
The Cancer Center
emotional reactions are interfering with cancer treatment or
appropriate follow-up care
someone has problems with day to day functioning that aren’t
improving with time
differences in coping style are causing
relationship problems
you have concerns and need advice
Get help when needed
37. Conclusions
Childhood cancer is a
at The Children’s Hospital of Philadelphia
stressful, potentially traumatic
The Cancer Center
event
Research documents high
levels of distress for families
that improve with time
A Traumatic Stress Model
seems to capture the nature of
cancer-related distress
- explains symptoms of distress
- explains possibility of growth
38. Conclusions
at The Children’s Hospital of Philadelphia
To maximize adjustment:
The Cancer Center
- be patient, it takes time
- talk with your children
- share your feelings
- rely on others
- create your “new normal”
- take care of yourself
- ask for help when you need it