Facing life facing death counselling for cancer and other life threatening illness
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Facing Life & Facing Death – Counselling for Cancer and other life threatening illness. Presented by Stephen Quinlan And Juliette Kalifa. Stages and cycles. Diagnosis Treatment Recurrence Recovery Palliation Bereavement. DIAGNOSIS: “This could kill me.”. How / when May be a process

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Facing Life & Facing Death – Counselling for Cancer and other life threatening illness.

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Facing life facing death counselling for cancer and other life threatening illness

Facing Life & Facing Death – Counselling for Cancer and other life threatening illness.

Presented by

Stephen Quinlan

And

Juliette Kalifa


Stages and cycles

Stages and cycles

  • Diagnosis

  • Treatment

  • Recurrence

  • Recovery

  • Palliation

  • Bereavement


Diagnosis this could kill me

DIAGNOSIS: “This could kill me.”

  • How / when

  • May be a process

  • Shock

  • A line is crossed


Diagnosis client tasks doka

Diagnosis: Client tasks - Doka

  • Understanding the disease

  • Examining / maximising health, lifestyle

  • Maximising strengths /limiting weaknesses

  • Developing coping strategies

  • Exploring effect on self & others

  • Ventilating fears /feelings

  • Accepting / incorporating present reality


Diagnosis 3 stages holland

Diagnosis: 3 stages - Holland

1. Denial , Disbelief

2. Turmoil

3. Doing


Diagnosis therapy aspects

Diagnosis: Therapy aspects

  • Helping client’s struggle with uncertainty, anxiety, ambiguity.

  • A problem to be solved.

  • Explore coping styles.

  • Identify supports.

  • Clarify client choices.

  • Develop strategies for dealing with changed self image / interpersonals.


Treatment

Treatment

  • For most, there is neither quick recovery nor rapid deterioration.

  • Struggles with treatments, side effects, daily business of living.

  • Chronicity – weariness, fatigue

  • What else is going on...?


Treatment client tasks doka

Treatment – client tasks: Doka

  • Managing symptoms, side effects

  • Compliance – medical regimes

  • Preventing / managing medical crises

  • Managing stress / coping

  • S social support, social isolation

  • Normalising life in face of illness

  • Finances

  • Preserving self concept

  • Redefining relationships

  • Ventilating feelings / fears

  • Finding meaning


Treatment therapy aspects

Treatment: Therapy aspects

  • What can you address? (eg, pain vs psyche)

  • Strategies, eg, mindfulness; one day at a time; imagery; guided meditation; relaxation exercises; support groups.

  • Reality testing

  • ? Surprises

  • Role play

  • Sexuality

  • Being non-judgmental; no assumptions


Treatment therapy aspects cont

Treatment: Therapy aspects (cont)

  • Q.’s that help client find meaning in the experience, eg, How has this experience changed you? What have you learned from this experience?

  • Choices “within” even if not “about”.


Treatment outcome

Treatment: outcome

Recovery?

Remission?

Recurrence?


Treatment recovery remission

Treatment: Recovery/Remission

  • Client Tasks - Doka:

    1. Dealing with the physical, psychological, social, financial and spiritual residues of illness

    2. Coping with fears / anxieties, esp fear of recurrence

    3. Reconstructing life

    4. Redefining relationships, esp with carergivers


Recovery remission therapy aspects

Recovery/Remission: Therapy aspects

  • Grief and loss

  • Guilts: survivor, behaviours

  • Fears: commitment, “damaged goods”

  • Venting

  • Validation and exploration

  • Normalising and the “new normal”


Recovery remission therapy aspects cont

Recovery/Remission: Therapy aspects (cont)

Q’s: - What will you leave behind from this experience?

What will you keep of this illness experience?

What will you add?

  • Fear of Recurrence

  • Extremely prevalent

  • How to manage: Information/education; mindful distraction; reality acceptance; recognising triggers; explore the fear


Treatment recurrence

Treatment - Recurrence

  • May or may not lead to palliation

  • Revisiting the land of Malady

  • “I have done this before – I can do it again.”

  • The goals of hope change


Treatment palliation

Treatment - Palliation

  • Change of goals

  • Client tasks – Doka

  • Managing physical symptoms

  • Managing health and institutional procedures

  • Managing stress ,fears and anxieties

  • Preparing for death / saying goodbye

  • Preserving self concept and relationships

  • Finding meaning in life and death


Palliation therapy aspects

Palliation: Therapy aspects

  • Conversations about death

  • Open communication – let the client lead you

  • The client sets the tone

  • Remember: “Hope should not expire before the person.”

  • ? What does a dying person need?


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