dialogue with cervix cancer patients in grief
DESCRIPTION
DIALOGUE WITH CERVIX CANCER PATIENTS IN GRIEF. MS. IVA ATHAVIA Cancer Patients Aid Association Mumbai,India. Email: [email protected] www.cancer.org.in. Introduction ----------Care for the family and bereavement follow-up is considered part of good palliative practice. - PowerPoint PPT PresentationTRANSCRIPT
DIALOGUE WITH CERVIX CANCER PATIENTS IN GRIEF
MS. IVA ATHAVIAMS. IVA ATHAVIACancer Patients Aid AssociationMumbai,India.Email: [email protected]: [email protected]
Introduction
----------Care for the family and bereavement follow-up is
considered part of good palliative practice.
“ A Man’s Dying Is More The Survivor’s Affair Than His Own.”
--- Thomas Mann.
Service With the Cervix Cancer Patients in Grief
It provides It provides understanding and understanding and compassion for compassion for patients with advanced patients with advanced illnesses and their illnesses and their loved ones loved ones
The Goal of our Service With the Cervix Cancer Patients
To relieve suffering and improving the quality and quantity of life of the patients
CPAA’s Counselling CPAA’s Counselling Cell in a Govt. Cell in a Govt. HospitalHospital
MEANING OF GRIEF GRIEF: Is the feeling of reaching
out to the departed one.
MOURNING GRIEF: Rites and Rituals which follow death.
ANTICIPATORY GRIEF: Sense of loss before death.
ABNORMAL /PATHOLOGICAL GRIEF: Extended grief in different issues.
Counselling with a Cervix Counselling with a Cervix Cancer Patient in a Cancer Patient in a SanatoriumSanatorium
Risk Factors of Risk Factors of Cervical Cancer Cervical Cancer PatientsPatients Having sex at an early age
Multiple sexual partners Sexual partners who have
multiple partners
Women whose mothers took the drugs during pregnancy to prevent miscarriage
…………..2
Weakened immune system Infections with genital herpes Chronic chlamydia infections Poor economic status (may not be
able to afford regular Pap Smear) Long-term use of birth control pills.
GROUP COUNSELLING GROUP COUNSELLING IN A SANATORIUMIN A SANATORIUM
Psychosocial Issues Psychosocial Issues Faced by Cervix Faced by Cervix PatientsPatients Lack of Lack of awarenessawareness AnxietyAnxiety andand sadnesssadness GuiltGuilt and and RegretRegret for for not going to not going to
the doctor earlierthe doctor earlier AngerAnger directed at doctors for directed at doctors for
mismanaging their treatmentmismanaging their treatment FearFear of the future for of the future for family family
specially childrenspecially children Early marriagesEarly marriages and and Child birthChild birth
…………2 …………2
StressStress and and FearFear of of social social boycottboycott
Sexual problemSexual problem on on post post treatmenttreatment
DifferencesDifferences with the with the spouse spouse attitudeattitude
Extra marital affairsExtra marital affairs or or remarriage of their husbandremarriage of their husband
Suicidal attitude.Suicidal attitude.
A Cervix Cancer A Cervix Cancer Patient expressing her Patient expressing her griefgrief
MARITAL PROBLEMS WITH MARITAL PROBLEMS WITH CERVIX CANCER PATIENTSCERVIX CANCER PATIENTS (Grief questionnaire among (Grief questionnaire among 126 Cervix patients)126 Cervix patients) Domestic abuse - 54%
Abandonment - 37%
Material support only - 21%
Infidelity - 95%
Suicidal - 11%
Factors Influencing on Cervix Cancer Patients Duration of cancer illness
Age of the deceased
Extent of physical suffering
Lack of support from the family ….….2
Depletion of resources
Guilt feelings
Feelings of social isolation.
A Cervix Cancer A Cervix Cancer Patient Expressing her Patient Expressing her TortureTorture
The Best Primary Support The Best Primary Support to CERVIX Cancer to CERVIX Cancer Patients in GriefPatients in Grief1) To Understand & Be Available during their grief
2) Offering friendship / A listening ear / Companionship.
3) COUNSELING: Identifying - Physical / Psychological / Social / Emotional needs.
Possible Reasons For Possible Reasons For Abnormal Grief. Abnormal Grief. Dependent relationships
A history of unresolved grief
Guilt feelings
Idealization of the deceased
……………2
Creating a shrine
Fear of the disease
Negative Personality Trait
Sudden and unexpected death.
Counselling at CPAA Counselling at CPAA Office with a Cervix Office with a Cervix Cancer PatientCancer Patient
Stages Of GriefStages Of Grief1) Initial Reactions of grief:-
1.
Relief
70%
2.
Numbness
22%
3.
Disbelief
8%
2) Grief:-
Common Emotions & Experiences
1.
Sadness
77%
2.
Anxiety
15%
3.
Insomnia
8%
3) Despair:-
Loss Of Meaning In Life For Survivor - Nil
4) Adjustment:-
Acceptance: The Road Ahead - Total
Reactions To Cervix Reactions To Cervix Patients at Home visitPatients at Home visit -Enriching And Fulfilling Experience
Social Maintenance / Social Maintenance / Need HelpNeed Help - 32 %
A Cervix palliative A Cervix palliative cancer patient with her cancer patient with her family membersfamily members
ConclusionConclusion1) Local Situations different to those in the West
2) Financial / Social Help Needed
3) Not much Abnormal Grief found
God hath not promised skies always blue,Flower-strewn pathways all our lives through;
God hath not promised sun without rain,Joy without sorrow, peace without pain.
But God hath promised strength for the day,Rest for the labor, light for the way.
Grace for the trials, help from above,Unfailing sympathy Undying Love.
………………………………………..
AAROLE PLAYROLE PLAY
Data has been collected from the following Hospitals
B.Y.L. NAIR Charitable HospitalMumbai, India.
&Cama & Allbless HospitalMumbai, India.
THANK YOUTHANK YOU