A communication tool for cancer patients with pain: The art therapy technique of the Body Outline

2003 ◽  
Vol 1 (2) ◽  
pp. 135-142 ◽  
Author(s):  
PAOLA LUZZATTO ◽  
VALERIE SERENO ◽  
ROY CAPPS
Keyword(s):  
Cancer Patients ◽  
Art Therapy ◽  
The Body ◽  
Cancer Center ◽  
Communication Tool ◽  
Physical Pain ◽  
Therapy Technique ◽  
Psychiatric Department ◽  
Art Therapist ◽  
The Relationship

Objective: The multidimensional aspect of pain suggests the use of multimodal interventions. The Memorial Sloan-Kettering Cancer Center has recently utilized the art therapy modality to help patients communicate the painful side of their illness in such a way that they can feel understood and respected. In this paper we describe a simple innovative art therapy intervention that we have developed within the Art Therapy Service in the Psychiatric Department of Memorial Sloan-Kettering Cancer Center.Method: The patients work with a Body Outline as a starting template, together with the art therapist, in sessions lasting approximately 45 minutes. They are encouraged to fill the space inside and outside the Body Outline. They can use colored pastels, markers, or watercolor or cut out images for a collage.Results: Seventy hospitalized adult cancer patients, 60 women and 10 men, used this intervention between January 1999 and May 2000. We have analyzed the variety of responses from the 70 patients, and three main groups have emerged, which have focused on the following issues: (1) visualization of physical pain, (2) communication of emotions, and (3) search for meaning/spirituality.Significance of results: The results suggest that because of its abstract symbolic feature, the Body Outline is a very flexible therapeutic intervention. It must be offered within the relationship with the art therapist, and it may fulfill quite a variety of expressive needs, from the description of physical pain to the elaboration of spiritual longings.

Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness

2010 ◽  
Vol 8 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Silvia Forzoni ◽  
Michela Perez ◽  
Angelo Martignetti ◽  
Sergio Crispino
Keyword(s):  
Cancer Patients ◽  
Art Therapy ◽  
Chemotherapy Treatment ◽  
Dyadic Relationship ◽  
Therapy Technique ◽  
New Meanings ◽  
Art Therapist ◽  
The Relationship ◽  
Triadic Relationship ◽  
Radiotherapy Treatment

AbstractObjective:Art therapy has been shown to be helpful to cancer patients at different stages in the course of their illness, especially during isolation for bone marrow transplantation, during radiotherapy treatment, and after treatment. The aim of this study is twofold: (1) to assess whether patients during chemotherapy sessions perceive art therapy as helpful and (2) to outline in which way art therapy is perceived as helpful.Method:157 cancer patients attending an Oncology Day Hospital (Siena, Italy) met the art therapist during their chemotherapy sessions. The art therapist used the same art therapy technique with each patient during the first encounter (“free collage”); afterward the relationship would evolve in different ways according to the patients' needs. A psychologist interviewed a randomized group of 54 patients after the chemotherapy treatment using a semistructured questionnaire.Results:Out of the 54 patients, 3 found art therapy “not helpful” (“childish,” “just a chat,” “not interesting”). The other 51 patients described their art therapy experience as “helpful.” From patients' statements, three main groups emerged: (1) art therapy was perceived as generally helpful (e.g., “relaxing,” “creative”; 37.3%), (2) art therapy was perceived as helpful because of the dyadic relationship (e.g., “talking about oneself and feeling listened to”; 33.3%), and (3) art therapy was perceived as helpful because of the triadic relationship, patient–image–art therapist (e.g., “expressing emotions and searching for meanings”; 29.4%).Significance of results:These data have clinical implications, as they show that art therapy may be useful to support patients during the stressful time of chemotherapy treatment. Different patients use it to fulfil their own different needs, whether it is a need to relax (improved mood) or to talk (self-narrative) or to visually express and elaborate emotions (discovering new meanings). Some illustrations of patients using the art therapy process to fulfill these three different needs are provided.

Pancreatic carcinoma and Trousseau's syndrome: experience at a large cancer center.

1986 ◽  
Vol 4 (4) ◽  
pp. 509-514 ◽  
Author(s):  
R Pinzon ◽  
B Drewinko ◽  
J M Trujillo ◽  
V Guinee ◽  
G Giacco
Keyword(s):  
Pancreatic Carcinoma ◽  
Predisposing Factors ◽  
The Body ◽  
Cancer Center ◽  
Common Belief ◽  
Cancer Of The Pancreas ◽  
Head Of The Pancreas ◽  
Clinically Significant ◽  
Adenocarcinoma Of The Pancreas ◽  
The Relationship

It is common belief that carcinoma of the pancreas has an inherent and unique ability to induce a hypercoagulable diathesis that leads to clinically significant thrombosis. We evaluated 130 consecutive patients with adenocarcinoma of the pancreas to document the incidence and the predisposing factors related to the postulated increased association of thromboembolic disorder (TED) and pancreatic carcinoma. Only nine such patients (6.9%) demonstrated TED complications of the classical Trousseau syndrome. In these instances, the location of the tumor and its mucin-producing potential were significant predisposing factors. In our series, TED was usually associated with tumors of the body and tail, which had a greater likelihood to be mucinogenic as compared with those localized to the head of the pancreas. Routine tests for hemostasis were not helpful in predicting the development of TED except, perhaps, for decreased platelet counts. Therefore, we believe that the relationship between cancer of the pancreas and TED should be de-emphasized since it is neither unique nor especially common to pancreatic carcinoma and since it may be frequently encountered in other varieties of visceral malignancies of the cancer patient population.

From You and Me to Us and We

2017 ◽  
Vol 42 (2) ◽  
pp. 79-86
Author(s):  
Julia Sideris
Keyword(s):  
Art Therapy ◽  
Therapeutic Relationship ◽  
Service Providers ◽  
Point Of View ◽  
Main Theme ◽  
Art Making ◽  
Black And White ◽  
Liminal Spaces ◽  
Art Therapist ◽  
The Relationship

Drawing on a wide body of theory, including work on trauma and art therapy, this paper calls for art therapy to be considered a seminal player in the healing of childhood trauma across a range of service providers. The paper reflects on a therapeutic relationship between a recently graduated art therapist and a 7-year-old Aboriginal primary school boy living in rural Australia. Written from the therapist's point of view, this paper considers the responses of both the client and the therapist, and the transformative nature of this particular therapeutic relationship. The paper focuses on ‘Jannali’ (pseudonym) who was referred to the art therapy programme in the school, as he was distracted, difficult and disruptive in class. Struggling with his identity, his place in the community, his family and his skin, the relationship between the art therapist and Jannali developed through art and play. Reconciliation, not in terms of black and white, but in terms of relationship was a main theme: therapist and client moved from a state of ‘you and me’ to one of ‘us and we’. The paper shows how, through art making and play in a specific therapeutic context, cross-cultural relationships were forged, opening up liminal spaces in which the client's presenting issues and difficulties were both explored and supported and he was able to begin his journey as a learner where previously he was not. These changes also indicate that breaking the transmission of transgenerational trauma and its effects may be possible through art therapy.

scholarly journals Scored patient-generated Subjective Global Assessment: Length of hospital stay and mortality in cancer patients

2017 ◽  
Vol 30 (5) ◽  
pp. 545-553
Author(s):  
Alexsandro Ferreira dos SANTOS ◽  
Antonio Aragão RABELO JUNIOR ◽  
Fernanda Larissa Brito CAMPOS ◽  
Rosângela Maria Lopes de SOUSA ◽  
Helma Jane Ferreira VELOSO ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Cancer Patients ◽  
Global Assessment ◽  
Length Of Hospital Stay ◽  
The Body ◽  
Severe Malnutrition ◽  
Cancer Center ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Prolonged Hospitalization

ABSTRACT Objective To determine the association of a scored patient-generated Subjective Global Assessment with mortality and length of hospital stay in cancer patients. Methods Cross-sectional study carried out between July and September 2014 using secondary data collection using data from 366 medical records of patients admitted to a hospital recognized as a cancer center of excellence. The present study included patients with hospital stay over than or equal three days and minimum age of 20 years. The patient-generated Subjective Global Assessment scores were calculated and compared with the patients’ clinical and anthropometric characteristics and outcomes (death and long length of stay in hospital). Results Of the 366 patients evaluated, 36.0% were malnourished. The presence of malnutrition, according to the scored patient-generated Subjective Global Assessment, was statistically associated with the presence of metastasis (52.4%). On the other hand, malnutrition, according to the body mass index in adults (55.8%) and in older elderly patients (54.2%), was associated with death (55.0%). The adjusted logistic regression model showed that the following factors were associated with prolonged hospitalization: early nutritional screening, presence of severe malnutrition, radiotherapy and chemotherapy, and surgical procedures. As for mortality, the associated factors were: male reproductive system tumor, presence of metastasis, clinical treatment, prolonged hospitalization, and the presence of some degree of malnutrition. Conclusion The patient-generated Subjective Global Assessment score is an important risk marker of prolonged hospitalization and mortality rates. It is a useful tool capable of circumventing significant biases in the nutritional evaluation of cancer patients.

scholarly journals EVALUATION OF CURRENT SCENARIO OF CANCER DISEASE AT CHATTAGRAM IN BANGLADESH

2020 ◽  
Author(s):  
Emon Paul ◽  
Md. Shahidul Islam
Keyword(s):  
Peer Review ◽  
Cancer Patients ◽  
The Body ◽  
Cancer Center ◽  
College Hospital ◽  
Cancer Disease ◽  
Medical College ◽  
Long Term Follow Up ◽  
Review Reports ◽  
E Mail

Objective: Now a day Cancer is the furthermost dangerous diseases. It can develop almost anywhere in the body. Cancer is a disease whose treatment process takes too long time and also too costly. Methods: This is a survey work on cancer due to current increasing of the number of cancer patients in Bangladesh. This evaluation was conceded in Chittagong Medical College Hospital, Bangladesh, from 10th November 2019 to 25th February 2020. Here, 31 cancer patients were evaluated. Results: In this work, it is observed that most of the cancer patients were female. In this study, it was also observed the cancer was occurred highly at the age of 41-50 years (30%), then age limit 31-40 (20%).Most of the female are bearing ovary cancer (26%) and Breast cancer (29%) and also male are affected by Thyroid cancer (26%). We found that 60% of patients were being treated with chemotherapy alone. Doctors were commonly prescribed of chemo drugs Cisplatin (21%) and Folinic acid (29%). Conclusion: Government should highlight on the expansion of specific cancer center. Such types of centers can also deliver rehabilitation as well as relaxing care for dangerous cancer patients to release their highdistress. Peer Review History: Received 26 February 2020;   Revised 7 March; Accepted 9 March, Available online 15 March 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file   Average Peer review marks at initial stage: 4.0/10 Average Peer review marks at publication stage: 7.0/10 Reviewer(s) detail: Name: Dr. Dalia Kamal Zaffar Ali Affiliation: Modern University for technology and information, Egypt E-mail: [email protected]   Name: Dr. Mohammad Tauseef Affiliation: Department of Pharmaceutical Sciences College of Pharmacy, Chicago State University E-mail: [email protected] Comments of reviewer(s): Similar Articles: TREATMENT OF PATIENTS WITH ADVANCED CANCER FOLLOWING CHEMOTHERAPY AND TRADITIONAL MEDICINE - LONG TERM FOLLOW UP OF 75 CASES

Interactive Effects of Acute Suicidal Affective Disturbance and Pain Persistence on Suicide Attempt Frequency and Lethality

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Megan L. Rogers ◽  
Thomas E. Joiner
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Pain Perception ◽  
Suicide Attempts ◽  
Pain Tolerance ◽  
Self Report ◽  
Interactive Effects ◽  
Physical Pain ◽  
Affective Disturbance ◽  
The Relationship

Abstract. Background: Acute suicidal affective disturbance (ASAD) has been proposed as a suicide-specific entity that confers risk for imminent suicidal behavior. Preliminary evidence suggests that ASAD is associated with suicidal behavior beyond a number of factors; however, no study to date has examined potential moderating variables.  Aims: The present study tested the hypotheses that physical pain persistence would moderate the relationship between ASAD and (1) lifetime suicide attempts and (2) attempt lethality. Method: Students ( N = 167) with a history of suicidality completed self-report measures assessing the lifetime worst-point ASAD episode and the presence of a lifetime suicide attempt, a clinical interview about attempt lethality, and a physical pain tolerance task. Results: Physical pain persistence was a significant moderator of the association between ASAD and lifetime suicide attempts ( B = 0.00001, SE = 0.000004, p = .032), such that the relationship between ASAD and suicide attempts strengthened at increasing levels of pain persistence. The interaction between ASAD and pain persistence in relation to attempt lethality was nonsignificant ( B = 0.000004, SE = 0.00001, p = .765). Limitations: This study included a cross-sectional/retrospective analysis of worst-point ASAD symptoms, current physical pain perception, and lifetime suicide attempts. Conclusion: ASAD may confer risk for suicidal behavior most strongly at higher levels of pain persistence, whereas ASAD and pain perception do not influence attempt lethality.

The use of Body Surface Index as a Better Clinical Health indicators Compare to Body Mass Index and Body Surface Area for Clinical Application

2018 ◽  
pp. 131-136
Author(s):  
Shirazu I. ◽  
Theophilus. A. Sackey ◽  
Elvis K. Tiburu ◽  
Mensah Y. B. ◽  
Forson A.
Keyword(s):  
Surface Area ◽  
Body Surface Area ◽  
Clinical Application ◽  
Body Surface ◽  
Body Height ◽  
Health Indicators ◽  
The Body ◽  
Body Parameters ◽  
The Relationship ◽  
Individual Body

The relationship between body height and body weight has been described by using various terms. Notable among them is the body mass index, body surface area, body shape index and body surface index. In clinical setting the first descriptive parameter is the BMI scale, which provides information about whether an individual body weight is proportionate to the body height. Since the development of BMI, two other body parameters have been developed in an attempt to determine the relationship between body height and weight. These are the body surface area (BSA) and body surface index (BSI). Generally, these body parameters are described as clinical health indicators that described how healthy an individual body response to the other internal organs. The aim of the study is to discuss the use of BSI as a better clinical health indicator for preclinical assessment of body-organ/tissue relationship. Hence organ health condition as against other body composition. In addition the study is `also to determine the best body parameter the best predict other parameters for clinical application. The model parameters are presented as; modeled height and weight; modelled BSI and BSA, BSI and BMI and modeled BSA and BMI. The models are presented as clinical application software for comfortable working process and designed as GUI and CAD for use in clinical application.

CONCEPTUALISING RISK CULTURE ON ERM IMPLEMENTATION IN CONSTRUCTION COMPANIES

2020 ◽  
Vol 17 (1) ◽  
pp. 59
Author(s):  
Ching Ching Wong
Keyword(s):  
Risk Management ◽  
Risk Identification ◽  
The Body ◽  
Risk Indicators ◽  
Construction Companies ◽  
Risk Appetite ◽  
Risk Culture ◽  
Risk Treatment ◽  
Managing Risk ◽  
The Relationship

Enterprise Risk Management (ERM) is an effective technique in managing risk within an organization strategically and holistically. Risk culture relates to the general awareness, attitudes and behaviours towards risk management in an organisation. This paper presents a conceptual model that shows the relationship between risk culture and ERM implementation. The dependent variable is ERM implementation, which is measured by the four processes namely risk identification and risk assessment; risk treatment; monitor and consult; communicate and consult. The independent variables under risk culture are risk policy and risk appetite; key risk indicators; accountability; incentives; risk language and internal relationships. This study aims to empirically test the relationship between risk culture and ERM implementation among Malaysian construction public listed companies. Risk culture is expected to have direct effects and significantly influence ERM. This study contributes to enhance the body of knowledge in ERM especially in understanding significant of risk culture that influence its’ implementation from Malaysian perspective.

Structural Mediation Model of Information System and Sustainable Performance of UAE Manufacturing Sector

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Mohamed Ahmed Darwish Abdulla Larii ◽  
◽  
Fatma Ahmed Lari ◽  
Mohamed Ahmed Darwish Abdulla Lari ◽  
◽  
...  
Keyword(s):  
Information System ◽  
Manufacturing Sector ◽  
Organisational Culture ◽  
The Body ◽  
Mediating Effect ◽  
Operational Performance ◽  
Manufacturing Companies ◽  
Mediation Model ◽  
Sustainable Performance ◽  
The Relationship

This study intends to find out the mediating effect of organisational culture on the relationship between information system and sustainable performance of manufacturing sector in UAE. This study used AMOS-SEM software to develop mediation model that linking the mediating relationships between Information System, Organisational Culture and Sustainable operation Performance. Data was collected through questionnaire survey among the operation staff of Abu Dhabi manufacturing companies. A total 250 questionnaires were distributed however 205 were returned and only 200 are valid which indicates a response rate of 80%. The analysis found that TPS has positive but not significant effect to SP; OIS has positive but not significant effect to SP; FMW has a positive and significant effect on SP; SDS has a negative and not significant effect to SP and SP has positive but not significant effect OC. For the path relationship between the four exogenous variables (TPS, OIS, SDS, and FMW) and the mediator variable (OC), the results are TPS has positive and significant effect to OC; OIS has positive but not significant effect to OC; FMW has positive and significant effect to OC and SDS has positive and not significant effect to OC. Collectively, the five exogenous constructs (TPS, OIS, SDS, FMW and OC) explained 89% variation in operational performance and 86% of the variation in organisational culture. However, for a mediator, it was found that OC has no significant mediating effect on the relationship between TPS and SP; OC has no significant mediating effect on the relationship between OIS and SP; OC has no significant mediating effect on the relationship between SDS and SP and OC has no significant mediating effect on the relationship between FMW and SP. it can be concluded that there is a positive relationship between information system dimensions and operational performance. However organizational culture has no contributing any mediating effect to the relationship. These findings have contributed to the body of knowledge and could be shared among the UAE manufacturing practitioners.

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