Cancer and Hospital Healing Environments

Embed Size (px)

Citation preview

  • 7/30/2019 Cancer and Hospital Healing Environments

    1/10

    ELISABETH CALBARI

    Psychologist Psychotherapist (EMDR-CBT)

  • 7/30/2019 Cancer and Hospital Healing Environments

    2/10

    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.

  • 7/30/2019 Cancer and Hospital Healing Environments

    3/10

    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

  • 7/30/2019 Cancer and Hospital Healing Environments

    4/10

    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.

  • 7/30/2019 Cancer and Hospital Healing Environments

    5/10

    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

  • 7/30/2019 Cancer and Hospital Healing Environments

    6/10

    Physical and emotional

    problems caused by PTSD. FEARS

    ANXIETY

    PANIC

    DEPRESSION RAGE

    IRRITABILITY

    INABILITY TORELAX

    SHAME

    GUILT

    ISOLATION

    EMOTIONLESS ALEINATION

    OVER-CONTROLLING

    ADDICTION

    TIMEMANAGEMENT

  • 7/30/2019 Cancer and Hospital Healing Environments

    7/10

    Psychotherapeutic

    Interventions

    COGNITIONS FEELINGS BEHAVIOR

  • 7/30/2019 Cancer and Hospital Healing Environments

    8/10

    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

  • 7/30/2019 Cancer and Hospital Healing Environments

    9/10

    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

  • 7/30/2019 Cancer and Hospital Healing Environments

    10/10

    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.