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The Meaning of "Everything": Responding to Patient Requests for Aggressive Treatment at the End of Life

James A. Tulsky, M.D. (Director, Center for Palliative Care and Associate Professor of Medicine and Nursing; Senior Fellow, Center for the Study of Aging and Human Development, Duke University School Medicine) discussed the meaning of "everything" as heard in statements such as, "You are going to do everything for my Father, are'nt you?" Additionally, Dr. Tulsky reviewed the past decade of studies on communication, identified and listed barriers to change; and provided solutions to address requests that imply or directly ask for "everything" to be done to keep a person alive. Dr. Tulsky presented the NURSE Model of name, understand, respect, support, and explore the senstive situation of "doing everything" and almost certain impending death.
Health Sciences (Service Desk)

Therapeutic Gardens: Enriching the Garden Experience

Mr. Kamp, a specialist in landscape architecture for health care facilities and Ms. Chambers, a horticultural therapist discuss the need to understand the important relationship between nature, healing and the palliative effects gardens can have upon patients' environments in health care facilities.
Health Sciences (Rare Shelves)

The Family Puppet Interview [electronic resource]: You Can Learn a Lot From a Lobster

In the 1970s, pioneer drama therapist Eleanor Irwin and colleague Elaine Portner developed the Family Puppet Interview, a technique that uses a puppet-show format to diagnose psychological problems in families with school-age children. Observing the interaction between parents and children as they select puppets, plan a story, and present a show gives the therapist clues about the family's decision-making process, communication style, behavioral patterns, roles, and areas of conflict. In this program, Portner works with a volunteer family to demonstrate a Puppet Interview session and how it can shed light on group dynamics as well as individual areas of concern.

TEDTalks [electronic resource]: Ellen 'T Hoen - Pool Medical Patents, Save Lives

Patenting a new drug helps finance its immense cost to develop - but that same patent can put advanced treatments out of reach for sick people in developing nations, at deadly cost. In this TEDTalk, pharmaceutical law expert Ellen 't Hoen shares an elegant, working solution to the problem: the Medicines Patent Pool.

Art Therapy [electronic resource]: A Universal Language for Healing

When noted art therapist Judith Rubin invited her peers to submit footage of art therapy in action she received hundreds of hours of material from all over the world. This program draws from those submissions to document the use of art therapy in a wide variety of cultural settings. Vividly expressive works from children and adults affected by Israel's Six-Day War, America's 9/11 terror attacks, the 2011 Japanese tsunami, and other traumatic upheavals are shown throughout to illustrate the power of this modality. In addition, clinicians discuss the history of art therapy-which began with Carl Jung-their own training in the field, and the need for consistent standards.

Breakthrough [electronic resource]: Art, Analysis, and Liberation of the Creative Spirit

Some artists fear that psychotherapy will dull their creative edge and rob them of the spirit that informs their work. But many report that analysis has allowed for a richer exploration of the inner world, enhancing their art and leading to a liberating sense of personal growth. In this program, eight artists discuss their psychoanalytic treatment and explain how the combination of therapy and creative work enriched their lives. Highlights include the testimony of painter Andy Hammerstein, who just wanted to turn off the distracting voices in his head, and sculptor Helene Brandt, who resisted therapy at first but now has nothing but praise for its effects.

Art Therapy Has Many Faces [electronic resource]

Painters like Frida Kahlo have coped with personal anguish through the creation of art, and for people in therapy, art can be an effective way to deal with depression, traumatic memories, and even physical disability. "Art is not just about beauty," says one patient, "it's also about hideousness." This program provides an overview of art therapy - its aims, various approaches, and ways to best facilitate patient creativity - using footage of therapists in action and endorsements from patients who it has helped. The video also profiles some art therapy pioneers, documents its spread to a variety of settings, and lets viewers know what kind of training is needed to become an art therapist today.

Art Therapy With Blind Children [electronic resource]

What can children with multiple disabilities do when given art materials and offered freedom to explore them? Using extensive footage from a 1972 pilot program at the Western Pennsylvania School for Blind Children, this program demonstrates ways of using art to work with visually impaired youngsters in both small and large groups. The children, who also have developmental disabilities, are shown enjoying the texture and smell of clay, finger paints, and other materials as well as the rhythmic motion of drawing with colored markers. The video reveals how adults can help children grow in independence, mastery of materials, and the articulation of their own ideas through art therapy.

Expressive Arts Therapy Groups [electronic resource]: The Green Creature Within

Every week for two years during the early 1980s, a group of adolescents met at the Pittsburgh Child Guidance Center to participate in an expressive arts therapy program. To meet their different needs, a wide variety of materials was made available, with the hope that at least one of the creative modalities would enable the young people to overcome what one called "that green creature within." This program uses footage from the sessions to demonstrate the efficacy of using painting, drama, music, dance, sculpture, and photography as part of adolescent psychotherapy. In addition, the video includes detailed case studies of two of the group's members.

Assisting the Patient With Self-Administration of Medication [electronic resource]

Designed for assisted living facilities and nursing homes alike, this important program reviews the role of the nursing assistant in helping residents with self-medication. The most common routes of medication administration are also addressed. Designated for 4 contact hours of continuing nursing education.

Communication With Cognitively Impaired Clients [electronic resource]

Aging, disease processes, and other chronic conditions may lead to cognitive and behavioral changes. This program teaches nursing assistants how to distinguish between delirium and depression and how to effectively communicate with cognitively impaired clients or residents. Through several problem situations, the video instructs nursing assistants in how to assess their own skills as communicators, examine and apply various communication techniques, recognize how changes with aging affect the communication process, improve communication with patients who have suffered a stroke or are confused, and discuss communication skills with terminally ill patients and their families. Ultimately, the degree to which professionals are able communicate effectively determines the quality of care t [...]

Proper Transfer Techniques for the Health Care Professional [electronic resource]

This program focuses on safe transfer techniques for health care assistants. After demonstrating the use of good body mechanics for professionals, the video teaches the correct use of assistive devices for promoting patient mobility. Designated for 2 contact hours of continuing nursing education.

Competent Care in a Culturally Diverse Nation [electronic resource]

Culturally competent care adapts care interventions to the cultural needs and preferences (ethnic and religious beliefs, values, and practices) of diverse clients. This program provides practical and effective methods for recognizing and dealing with the particular needs of clients coming from different cultures. Designated for 3 contact hours of continuing nursing education.

Blood-Borne Pathogens [electronic resource]: Hiv / Aids / Osha

Focusing on the subject of blood-borne pathogens, this program includes discussion of epidemiology, pathophysiology, risk behaviors, opportunistic diseases, and diagnostic tests. The video also reviews disease transmission and prevention as well as current treatment modalities. Complies with OSHA standards. Florida-approved curriculum. Designated for 2 contact hours of continuing nursing education.

Alzheimer's Disease Level II [electronic resource]: For Assisted Living Facilities

A must-see for health care workers in assisted living facilities, this program teaches the various strategies professionals can use in managing Alzheimer's disease residents with patience and respect, while also taking steps to reduce their own stress levels. Meets Florida state requirements for Alzheimer's training. Designated for 4 contact hours of continuing nursing education.

Alzheimer's Disease Level I [electronic resource]: Is It Delirium or Dementia? For Nursing Homes

Designed especially for nursing home personnel, this program explores several successful methods for dealing with residents who have an altered mental status. Using these methods, personnel will find their work easier and more rewarding - they will also be better able to calm the concerned family members of affected residents. Meets Florida state requirements for nursing home staff. Designated for 1 contact hour of continuing nursing education.

No Place Like Home [electronic resource]: Management of the Client's Home

Household management is a skill that everyone should know. Everyday activities such as home organization, housecleaning, laundry, and chores are essential for a happy home life, but these can all be daunting when one is first starting out. Designed for health care professionals who regularly visit clients' homes and help in daily living routines, this program demonstrates how to conduct a home safety check, how to establish relationships with a client and their family, and basic meal preparation and safety. Driving home the importance of both home organizational and interpersonal skills, the video provides real-world examples in an easy-to-understand format to help professionals bring outstanding care to their clients. Meets Florida state requirements for nursing home staff. Designat [...]

The Arts as Therapy for Children [electronic resource]

It's natural for children to engage in creative activities, and when their enjoyment is therapeutically guided, an even greater sense of mastery and well-being quite often results. This program shows activities in multiple modalities - music, dance, art, and drama - in a creative arts therapy program for youngsters at risk for developing emotional problems. Examples taken from each of the modalities depict how directed creativity can help channel aggression, while also illustrating the social benefits of the multicultural gatherings. Using classic footage from pioneering sessions filmed in 1973, the video emphasizes the mental health values common to all of the art forms when used as therapy.

Dance Therapy and Authentic Movement [electronic resource]: Looking for Me

A leading proponent of the discipline known as authentic movement and the founder and director of the first school devoted to its study (The Mary Starks Whitehouse Institute), Dr. Janet Adler has taught extensively in both the U.S. and Europe. Her appearances in film and media have also been crucial to raising awareness of the power of dance therapy. This documentation of Dr. Adler's work has been celebrated for vividly capturing a series of sessions between Janet and two autistic girls, ages two and five. As she mirrors their gestures the children gradually develop trust in her, shifting out of their profound isolation. With time they accept a degree of reciprocity and intimacy which firsthand observers of the process may not have believed possible.

Dance Therapy and Authentic Movement [electronic resource]: Still Looking

Twenty years after leading the on-camera demonstration of dance therapy entitled Looking for Me (item 52196), Dr. Janet Adler produced the first filmed sessions featuring authentic movement, an embodied awareness practice with roots in dance, somatic healing, and mysticism. In this film, the renowned teacher and therapist conducts an exploration of the spontaneous movement experiences of eight professional women as they discover the relationship between moving and witnessing. Discussions and demonstrations focus on the process of compassionate witnessing, learning how to see and be seen clearly in the presence of one another, inviting consciousness, and enhancing the integration of body and spirit.