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SolarisCare Integrated care for cancer Complementary Therapies for Cancer Patients. Anna S Petterson PhD Postdoctoral Research Fellow & Medical Art Psychotherapist SolarisCare Foundation, Perth, Western Australia . 2001 Brownes Cancer Support Centre SCGH

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solariscare integrated care for cancer complementary therapies for cancer patients
SolarisCare

Integrated care for cancer

Complementary Therapies for Cancer Patients

Anna S Petterson PhD

Postdoctoral Research Fellow & Medical Art Psychotherapist

SolarisCare Foundation, Perth, Western Australia

slide2

2001 Brownes Cancer Support Centre SCGH

    • Initiated by Dr David Joske, Head of Haematology
    • 2002 Introduced symptom distress and quality of life measurements Data on 1244 cancer patients 2002 - 2007
    • 2006 SolarisCare Foundation established (charity)
    • 2008 Operates with donations (plus Liberal-National Govt Grant)
    • 2008 Opened St John of God, Subiaco, WA
    • 2010 Opened in Bunbury, SouthWest, WA
  • .

SolarisCare Foundation

slide5

Despite dazzling technological progress in diagnosis and treatment, doctors sometimes lack the capacity to recognise the impact of illness on patients, to extend empathy towards those who suffer and join honestly and courageously with patients in their illness.

www.solariscare.org.au

complementary therapy

Complementary Therapy:

Complementary Integrative Therapies are evidence-based and provide supportive care to improve quality of life and assist in reducing physical and psychological distress to achieve the best possible health outcome

solariscare therapies

Acupuncture

Beauty Therapy

Bowen Therapy

Chemo Club (Aspire Gym)

Counselling

Creative Visualisation

Expressive Art Therapy

Healing Touch

Kinesiology

Massage

- Aromatherapy – Relaxation

- Hand & Foot

Meditation/Mindfulness

Men in the Kitchen

- Bereavement Group

Music & Sound Therapy

Pranic Healing

Qi Gong

Reflexology

Reiki

(current October 2010)

SolarisCare Therapies

selection of therapy modalities
Selection of therapy modalities

Literature review1

Ability to share clinical dialogue

Availability

Risk reduction

Medico-legal risk: primum non nocere

Public sector volunteer guidelines

12 months experience + ‘active listening training’

Optimal training/ highest available + continued PD

Four weeks as meet-and-greet before starting

Self-awareness training + mainstream cancer info.

  • Joske, Kristjanson, Rao. Critical review of complementary therapies in Haematology-Oncology.
  • Int J Med 2006; 36: 479-586.
slide10

Nurses perceptions of providing reflexology on

day cancer unit

www.solariscare.org.au

slide11

Patients complete initial consultation form

    • age, cancer type, metastases, co-morbidities, mainstream treatment
  • SDS and QoLScales before and after sessions 1, 3 and 6
  • 7-point Edmonton Symptom Distress Scale
  • AdaptedKristjanson et al., (1999)
    • pain, fatigue, nausea, bowels, breathing, appetite, sleep
  • 7-point Psychological Quality of Life ScaleAdapted from the McGill Quality of Life Questionnaire Molzahn, A.E., (1998) “Quality of Life: Definitions, Measurements, Application to Practice”. Focus on Research pp55-71
    • disempowered, depressed, anxious, frustrated, confused, not coping, worried

Measurements & Methodological Challenges

slide13

...patient feedback....

Patients receiving complementary treatments report significantly lower levels of symptom distress and depression and high levels of quality of life both immediately and six weeks following treatment

slide15

...patient feedback....

Patients reported improved quality of life following a complementary therapy treatment including themes of empowerment, relaxation, social support and hope

slide16

Scientific competent medicine alone cannot help a patient grapple with the loss of health or find meaning in suffering. Along with scientific ability, doctors need the ability to listen to the narratives of the patient, grasp and honour their meaning and be moved to act on the patients behalf. Charon, R., (2001) JAMA 286:1897-1902

slide18

Using selected community-based complementary therapies for self-selected cancer patients is feasible and safe.

  • Using modified symptom distress and quality of life scales, there was a measurable reduction in symptom distress, and improved quality of life in 1244 cancer patients.
  • A beneficial effect of complementary therapy interventions appears the most likely explanation.

Some Conclusions

building hope providing complementary therapies for cancer patients their carers
Building HopeProviding Complementary Therapies for Cancer Patients & Their Carers

anna.petterson@solariscare.org.au