Value of Counselling to Cancer Care Marita Poll, Clinical - - PowerPoint PPT Presentation

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Value of Counselling to Cancer Care Marita Poll, Clinical - - PowerPoint PPT Presentation

Jan 20, 2023 483 likes •716 views

Value of Counselling to Cancer Care Marita Poll, Clinical Counsellor Patient and Family Counselling Services BC Cancer, Victoria Centre May 2019 1 Learning Objectives Gain understanding of the value of counselling within cancer care

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Value of Counselling to Cancer Care

Marita Poll, Clinical Counsellor Patient and Family Counselling Services BC Cancer, Victoria Centre May 2019

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Learning Objectives

  • Gain understanding of the value of counselling

within cancer care

  • Increase awareness of psychosocial issues

throughout cancer continuum

  • Reflect on the challenges for psychosocial

programs within medical cancer care

  • Q & A

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Recently…

  • PET Scan – Victoria/Vancouver
  • Psycho-social assessment of patient capacity

– Medically/physically fragile – Financially struggling – Limited social support – Compromised coping capacity

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Value of Counselling

  • Value to Health Care Providers:

– If a patient is coping well, they require less resources – Well-resourced and regulated patients move through the experience:

  • more efficiently
  • better quality of life
  • ambassadors (new patients reassured by their experience)

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Value of Counselling

  • Psychosocial oncology provides services to the

patient and family to assist them navigate medical cancer care:

– psychologically – physically – socially – practically

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Value of Counselling

  • Cancer care (dx & tx) is a prolonged experience

– diagnosis and treatment information provided and treatment given is stressful – intrusive (especially in terms of volume of appointments and recovery time) – can be difficult both physically and psychologically

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Value of Counselling

  • Counselling can:

– calm nervous system – decrease physical and psychological stress – create affect regulation – increase understanding – decrease a sense of aloneness

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Value of Counselling

  • Can be honest with counsellor

– don’t need to protect the counsellor – can’t share the difficult emotions with family/friends

  • desire to “protect” and “not be a burden”

– family: difficult to witness a beloved struggle or suffer

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Value of Counselling

  • Navigation of the cancer experience:

– learn about common experiences and milestones for cancer patients/family

  • Assistance with health care system navigation

(GP, Island Health Authority, BC Cancer )

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Value of Counselling

  • Learn skills for:

– stress management – depression management – anxiety management – affect regulation

  • Access information and resources to improve

needs being met

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Value of Counselling

  • What does Patient & Family Counselling Offer?

– Counselling Services – Patient Education workshops – Support Groups – Specialized Services

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RELAXATION GROUP Every Thursday 1:30 pm – 3:00 pm DROP-IN SESSIONS CANCER TRANSITIONS Post-treatment Wellness Workshop

  • Nutrition & Exercise
  • Coping Skills & Strategies

Call (250) 519-5525 to register PARTNERS GROUP For Spouses of patients with advanced or metastatic cancer Monthly Meetings 4th Thursday 5:30 pm – 7:00 pm Call Laura @ 250-519-5528 to register HEAD & NECK SUPPORT GROUP Monthly Meetings 4th Tuesday 10:30 – 12:00 am DROP-IN SESSIONS PATIENT & FAMILY COUNSELLING PROVIDES:

  • PROFESSIONAL

COUNSELLING

  • INFORMATION &

REFERRALS

  • THIS SERVICE IS PART OF

YOUR CANCER CARE, THERE IS NO COST ONLINE SUPPORT “LIVE” WRITTEN CHAT ******* COUNSELLOR LED ******* PATIENTS & CAREGIVERS http://cancerchat.desouzainstitute.com 1-844-725-2476 BRAIN TUMOUR SUPPORT GROUP Monthly Meetings 2nd Wednesday 10:30 am – 12:00 pm DROP-IN SESSIONS THERAPEUTIC TOUCH CLINIC

  • 1st and 3rd Wednesday of

each month, by appointment

  • For patients in treatment
  • r experiencing symptoms

REGISTRATION REQUIRED Call (250) 519-5525 PATIENT EDUCATION SERIES

  • Mindfulness Meditation
  • Brain Strength
  • Fear of Recurrence
  • The New Normal
  • Return to Work

Call (250) 519-5525 1-800-670-3322, EXT 5525 For More Information Website Resource: www.bccancer.bc.ca/health-info/coping- with-cancer OVARIAN & ADVANCED GYNECOLOGICAL CANCERS SUPPORT GROUP Monthly Meetings 3rd Thursday 10:30 am – noon DROP-IN SESSIONS COLORECTAL EDUCATION SESSIONS 2nd & 4th Wednesday

  • f each month

1:30 pm – 3:00 pm REGISTRATION REQUIRED (250) 519-5525 MEN & WOMEN WITH METASTATIC CANCER SUPPORT GROUP Monthly Meetings 3rd Friday 1:30 pm – 3:00 pm Call Marita @ 250 519 5524 to register

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Victoria Center - Patient and Family Counselling - 2019 Workshops

January 30th, 10:30am-12pm – Living With Your “New Normal”: Common Reactions After Cancer February 15th – Expressive Arts Sessions for Children March 11th, 18th & 25th, 2pm-4pm – Mindfulness Course: Skills to Enhance Wellbeing ฀ April 11th & 28th, 10am-2pm – Strategies to Manage Fear of Recurrence May 13th & 27th, 9:00am-4:30pm – Cancer Transitions: Post Treatment Wellness Program June 13th, 10:30am-12pm - Tools to Relax and Improve Your Sleep

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Cancer is Complex

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Patient Experience Along Continuum of Care

  • Diagnosis

– stress and coping (acute need at diagnosis, throughout) – system navigation – treatment decision making – talking to children – finances (e.g., income replacement)

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Patient Experience Along Continuum of Care

  • Treatment

– body image (during treatment through 1 year post) – symptom management – relationships – finances (medication coverage) – practical (accommodation, transportation, support)

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Patient Experience Along Continuum of Care

  • Post-treatment

– adjustment/changes due to diagnosis and treatment – integrating the experience (grief, assumptive world) – fear of recurrence – length of time to develop “stamina” (whole being) – return to work – focus on health and wellness

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Patient Experience Along Continuum of Care

  • Recurrence

– depression and hope – serious illness conversation – grief & loss, change & adjustment – impact of recurrence on family and finances

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Patient Experience Along Continuum of Care

  • Living with an Advanced Disease

– “foot in both worlds” – balancing profound and mundane – depression (facing mortality) and hope (living, QoL) – Medical Assistance in Dying – impact on family – Immunotherapy: palliative becomes more complex, unknown

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Patient Experience Along Continuum of Care

  • End of Life

– life review, meaning, exploring existential concerns – practical (legal, financial, arrangements) – grief, depression, boredom

  • Bereavement

– bereavement counselling and referrals – navigating the grief experience (palliative for over 1-2 years*)

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Challenges for Psychosocial within Medical Cancer Care

  • Our Challenge:

– Integrating psychosocial care within cancer care – Increasing awareness:

  • Patient and Family Counselling are resources for

health care providers and cancer care system

  • Psycho-social programs (staff, patients)
  • Increasing awareness the psycho-social has a

physical basis (L/R hemisphere, triune brain)

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  • Q & A, Discussion

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