patient family interaction pp

define family

a psychological group in which there is a commitment for members to nurture one another

what does the definition of family not include

blood and lineage

how should we, as therapists, discuss tx procedures and questions and explanations around the pts family

we should “read the room'“ and let the patient be heard

what questions should we ask ourselves when we are following pts cues on how much the family needs to hear

• does the pt want family to be included/excluded

• what concerns are voiced by pt and family members

• what are their important issues

what things should we be explaining to the pt about their day 1 tx

• positioning and immobilization

• length of the tx

• audio/visual interactions

• room noises

• machine movements

• day 1 vs all other days

what do we need to tell the patient about the audio/visual intercommunication system

make sure they know that we are not inside the room but we can hear and see them

what do we need to tell the patient about machine movements

the machine will move around them but will not touch them

what are some common, but significant concerns of patients and families?

• treatment experiences be like

• concerns about tx schedule

• financial concerns

• concerns about transportation

what are some common psychosocial issues faces by patient and family members

• unresolved family issues

• unfinished business

• unique coping mechanisms

• reminded of our mortality

what are some common misconceptions of patients and family members when they are diagnosed with cancer and given therapy tx?

• expectations

• stigma of cancer

• lobby education

• disagreement of tx plan

• misconceptions

who is often the primary support system for a pt undergoing cancer tx

family

what kind of sensitivity must we, as therapists, have towards patient's and their condition

professional

what can we, as therapists, do to help patients undergoing tx cope?

• refer to support groups

• give them information

• professional counseling

with a professional attitude, what are we to the patient and why

we are an advocate, we have more contact with them than anyone else on their care team and we serve as a voice for them

what are two ways for us to be a good health role model

avoid burnout and healthy living

do we use verbal or nonverbal cues more as therapists

nonverbal

what are some communication challenges that we might come across in healthcare?

hearing, vision, and speech difficulties

how must we communicate with patients given their situation?

being calm, hearing them, listening to them

what are some pointers to remember while listening to patients?

concentrate, eye contact, hear, reflect, non verbal response

what are some pointers to remember when responding to patients?

minimal verbal response, paraphrasing, open ended questions, interpreting

what kind of relationship should we have with our patients?

therapeutic

what does it mean to have a therapeutic relationship

close but not too close

what are the two ways someone explains the "survivorship" of their disease?

in terms of control and time

what are some examples of defining disease status in terms on control

NED, local control, survival

what are some examples of defining disease status in terms of time

5 year windows

how is survivorship defined

the experience of living through or beyond an illness

what are some psychosocial themes anticipated in adults surviving cancer

• fear of relapse or death

• survivor guilt

• social adaptations

• contagion effect

what percentage of cancer patients return to work after being diagnosed?

80%

what percent of cancer survivors experience some form of insurance discrimination?

30%

what does COBRA federal law offer

offers continuance of group medical coverage in some situations

body image involves both _ and _

self perception and social feedback