scholarly journals CLEAR: Whole Person Care Model for the Health Sciences Professions

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Carla Gober ◽  
Kathy McMillan

Whole-person care has been important throughout the 150-year history of Loma Linda University and Hospital system (now Loma Linda University Health - LLUH). Since the 1950s, the motto is, “To make man whole.” However, up to 2011 there was no corporate-wide understanding of whole-person care, or a model to guide teaching and practice. Connected to this has been the question of whether spiritual care and whole person care were similar categories of understanding.Objective / Methods: In 2011 a group of nine researchers and clinicians designed a research/development project for the purpose of developing a whole-person care model to guide all teaching and practice at LLUH. A consultation group of approximately 300 researchers, clinicians, students and staff of LLUH were invited to give feedback during the course of the project through online avenues and group forums. This larger group was open to all interested people throughout LLUH. The research / development group considered all comments, critiques and suggestions made by the larger consultation group, with all work public to both groups.Results / Conclusions: From the process emerged the first draft of a whole-person care model in March of 2012, with the following qualities: measureable, memorable, practical, flexible, and teachable. After several pilot tests, the model was adopted by LLUH as the model to guide all teaching and practice at LLUH. Since that time, the model has been integrated into the orientation of new employees (clinical and university), the teaching practices of three schools (medicine, nursing, and religion) and is being integrated into the remaining four schools by 2014. It is also guiding the development of the online wellness website for the corporation. Finally, it is used to guide two new developments for the School of Medicine: 1) a Narrative Project designed for the first year School of Medicine students, and 2) the Integrative Whole-Person Care Simulation Labs developed for second year School of Medicine students.The poster presentation will describe the whole-person care model itself, the research/development process behind it, and give examples of how it has transformed teaching and practice in the university and clinical/hospital arenas.

2018 ◽  
Vol 21 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Jitoko Kelepi Cama ◽  
Sonal Singh Nagra

Post-graduate surgical training at the Fiji National University (FNU), previously known as the Fiji School of Medicine) has recently been updated by incorporating elements from the Royal Australasian College of Surgeons (RACS) training curriculum. The revised curriculum maintains strong contextual relevance to the needs and pathologies of the Pacific Island nations.  This paper outlines why the FNU surgical postgraduate training programme should be applauded as a successful programme in the training of surgeons for the region.


CNS Spectrums ◽  
2020 ◽  
Vol 25 (2) ◽  
pp. 216-222
Author(s):  
Benjamin Rose ◽  
Charles Broderick ◽  
Darci Delgado ◽  
Rebekah Kornbluh ◽  
Stephen M. Stahl

Objective.Historically, patients with multiple acts of aggression, or chronic aggressors, have been studied as one large group. It was our objective to subdivide this group into those patients who engage in physical aggression consistently over multiple years and see if common characteristics of chronic aggressors could classify patients into an aggressive or nonaggressive group.Method.Within a forensic hospital system, patients who had committed 5 acts of physical aggression, per year, for 3 years (2010 and 2015) were reviewed. Data was collected on clinical and demographic characteristics that have shown to be associated with chronically aggressive patients and compared to nonaggressive matched controls. Data collection and analysis were completed to determine if the variables could classify patients into an aggressive or nonaggressive group.Results.Analysis showed that 2 variables, the presence of a cognitive disorder and a history of suicidal behaviors were significant in the univariate and multivariate analyses. The 2 variables were able to correctly classify 76.7% of the cases.Conclusion.A cognitive disorder, a history of suicidal behavior, and increased age were factors associated with this subgroup of aggressive patients. Clinicians may want to explore treatment programs aimed at these clinical factors including cognitive rehabilitation and social cognition treatments, which have been shown to reduce aggression in cognitively impaired populations.


2014 ◽  
Vol 4 (1) ◽  
pp. 14-18
Author(s):  
Marijana Bras ◽  
Veljko Đorđević ◽  
Nadja Komnenić

The promotion of person-centered medicine and people-centered healthcare has been occurring in Croatia for decades. Professor Andrija Štampar, considered by many as the father of public health, pioneered various public health projects in Croatia and abroad. Croatia is a country with a long history of patient associations, as well as one with an array of public health projects recognized worldwide. Recently, a group of enthusiasts gathered here to undertake the creation of a variety of projects related to the development of person-centered medicine. The International College on Person Centered Medicine (ICPCM) emerged from the ongoing annual Geneva Conferences and from the aspiration to promote medicine of the person, for the person, by the person, and with the person. The main theme of the First International Congress of the ICPCM in Zagreb in November 2013 was the Whole Person in Health Education and Training. The Zagreb statement on the appraisal and prospects for person-centered medicine in Croatia was formulated and adopted, wherein it was concluded that Croatia could contribute significantly to the development of person-centered medicine and people-centered healthcare, within Croatia and abroad.


2020 ◽  
Vol 95 (9S) ◽  
pp. S46-S49
Author(s):  
Tamara Shankel ◽  
Lynda Daniel-Underwood ◽  
Daniel Rogstad ◽  
Amy Hayton ◽  
Tamara Thomas

1979 ◽  
Vol 1 (5-6) ◽  
pp. 6-27 ◽  
Author(s):  
William Partridge

A development project "is alive, it changes its form and develops, or it declines" (Opler, Morris E. Social Aspects of Technical Assistance. p. 70. Amsterdam: UNESCO, 1954). Conditions in the natural history of a development project are different in its conception phase as compared to its construction phase, or two years after it is in operation, or a generation later—project objectives evolve, personnel come and go, interorganizational relationships shift, program designs are modified, and the uses to which social scientific data and analysis are put change over the life of the project. The evaluation of the socioeconomic and cultural impacts of a project undertaken at only one stage is, perforce, unsystematic and only rarely comprehensively analytical. When anthropologists enter a development project, it is often as technicians. They are fieldworkers on sojourns from academe, hired to carry out studies and write reports and leave the decisions to others. Our wholistic perspective does not assist us in achieving systematic and comprehensive analyses of impacts when we are limited in this way.


2020 ◽  
Vol 13 (4) ◽  
pp. 543-548
Author(s):  
Patricia Beierwaltes ◽  
Sharon Munoz ◽  
Jennifer Wilhelmy

PURPOSE: Skin-related issues have a significant impact on health, activities of daily living, and quality of life among people with spina bifida. Data presented by select clinics that participate in the National Spina Bifida Patient Registry reported that 26% of individuals had a history of pressure injuries with 19% having had one in the past year. The spina bifida community lack direct guidelines on prevention of these and other skin related issues. The Integument (skin) Guidelines focus on prevention, not treatment, of existing problems. METHODS: Using a consensus building methodology, the guidelines were written by experts in spina bifida and wound care. RESULTS: The guidelines include age-grouped, evidence-based guidelines written in the context of an understanding of the whole person. They are presented in table format according to the age of the person with spina bifida. CONCLUSION: These guidelines present a standardized approach to prevention of skin-related issues in spina bifida. Discovering what results in successful minimization of skin-related issues with testing of technology or prevention strategies is the next step in protecting this vulnerable population.


2018 ◽  
Vol 59 ◽  
pp. 01030
Author(s):  
Wai Ching Angela Wong

This paper traces the history of United Board‘s engagement with service-learning through higher education in Asia and reflects on the recent discussion about the relevancy of service-learning activities to today‘s higher education system. Through a close review of the experience shared in recent projects sponsored and organized by United Board in the last five years, service learners from colleges and universities around Asia all testified an process that deepens both cognitive and affective learning, generating in service-learning actors-faculty, students and community members-a connection that could inspire and sustain their vision and passion for life. Despite the seemingly still marginalized status of service learning programs and faculty in most higher education institutions, educators believing in whole person education only find service-learning ever more important in the face of higher education that has been increasingly trapped by the ranking race.


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