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7/30/2019 Cancer and Hospital Healing Environments
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ELISABETH CALBARI
Psychologist Psychotherapist (EMDR-CBT)
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What is PostTraumatic Stress
Disorder (PTSD)
It is an anxiety disorder that was first
introduced for combat veterans in Vietnam
War and then was spread to other life
threatening situations disease and illness.
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Post Traumatic Stress Disorder
--PTSD-
1. RE-EXPERIENCING SYMPTOMS:mirror the persistence of thoughts,feelings and behavior related to the
event.2. AVOIDANCE NUMBING: Include all
the Emotional-Behavioral and CognitiveStrategies that a person uses so as the
person not to re-experience symptoms.3. HYPERAROUSAL: physiological
reactions to memories
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What are the emotional
symptoms?
Flashback episodes
Memories
Nightmares
Frightening (and intrusive) thoughts,especially when they are exposed toevents or objects reminiscent of thetrauma.
Anniversaries of the event can alsotrigger symptoms.
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What are the physical
symptoms? Headaches
Dizziness
Chest pain
Gastro-intestinal distress Immune systems problems
Discomforts in other parts of the body arealso common in people with PTSD
Bodily stress and tension
Jumpiness
Lack of concentration
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Physical and emotional
problems caused by PTSD. FEARS
ANXIETY
PANIC
DEPRESSION RAGE
IRRITABILITY
INABILITY TORELAX
SHAME
GUILT
ISOLATION
EMOTIONLESS ALEINATION
OVER-CONTROLLING
ADDICTION
TIMEMANAGEMENT
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Psychotherapeutic
Interventions
COGNITIONS FEELINGS BEHAVIOR
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The Patient and the Hospital
Environment
From 19th c. Florence Nightingale
introduced the importance of aesthetic
sensory impressions during
hospitalizationsThe HOSPITAL ENVIRONMENT for a
cancer patient seems symbolically to
express messages of existential matterssuch as DEATH-DANGER-STIGMA-
PAIN AND HUMILIATION
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Psychotherapeutic interventions
Stress Management techniques
Time Management Techniques
Control Management
Systematic desensitization In-vitro exposure
Visual imagery (scene presentation)
Safe place Pain Management
Anger Management
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Guided Imagery A Mind/Body
ExperienceWe use our minds eyes to visualize
positive changes taking place in our body,
thoughts and feelings.
Daydreaming, Happy memories
Power of the mind, words help paint a
picture, visualize images, light, color andenergy moving throughout and then out of
the body.