Pub Date : 2023-01-06DOI: 10.26443/ijwpc.v10i1.373
Houman Farzin
{"title":"Healing at death’s door: one patient’s mystical experience with psilocybin","authors":"Houman Farzin","doi":"10.26443/ijwpc.v10i1.373","DOIUrl":"https://doi.org/10.26443/ijwpc.v10i1.373","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125482872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-06DOI: 10.26443/ijwpc.v10i1.363
Zeina Assaf Moukarzel
{"title":"(non) healing space: Because it’s much more than fixing the body","authors":"Zeina Assaf Moukarzel","doi":"10.26443/ijwpc.v10i1.363","DOIUrl":"https://doi.org/10.26443/ijwpc.v10i1.363","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128808999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Optical Coherence Tomography (OCT) in retinal imaging has evolved rapidly over the last twenty years. Along with these changes in technology, the nomenclature and relationships between healthcare professionals and patients have changed as well. How to translate the complex language of the field such that patients can understand it better is the focus of this paper.
{"title":"From science to adapted patient education in retinal optical coherence tomography","authors":"F. Galli","doi":"10.26443/ijwpc.v9i2.336","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.336","url":null,"abstract":"Optical Coherence Tomography (OCT) in retinal imaging has evolved rapidly over the last twenty years. Along with these changes in technology, the nomenclature and relationships between healthcare professionals and patients have changed as well. How to translate the complex language of the field such that patients can understand it better is the focus of this paper.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128212011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Detailing the moving story of his interactions with a patient and her significant other, Ahmed Imcaoudene's Goodwin Prize-winning essay on the Healer Role was selected for presentation in McGill University's Physicianship curriculum. It was also read at the 4th International Congress on Whole Person Care on October 22nd, 2021, introducing profound discussions on compassion in healthcare.
Ahmed Imcaoudene的这篇关于治疗师角色的文章，详细描述了他与一位病人和她的另一半之间的感人故事，这篇文章获得了古德温奖，被选为麦吉尔大学医师课程的演讲。在2021年10月22日举行的第四届国际全人护理大会上也宣读了这篇文章，对医疗保健中的同情心进行了深入的讨论。
{"title":"Humanity. A medical student's reflections on the healer role","authors":"Ahmed Imcaoudene","doi":"10.26443/ijwpc.v9i2.312","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.312","url":null,"abstract":"Detailing the moving story of his interactions with a patient and her significant other, Ahmed Imcaoudene's Goodwin Prize-winning essay on the Healer Role was selected for presentation in McGill University's Physicianship curriculum. It was also read at the 4th International Congress on Whole Person Care on October 22nd, 2021, introducing profound discussions on compassion in healthcare.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"244 14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123759810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Must keep going","authors":"Kateryna Metersky","doi":"10.26443/ijwpc.v9i2.311","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.311","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124326812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Learning from one another in medical encounters","authors":"P. Dobkin","doi":"10.26443/ijwpc.v9i2.353","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.353","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"268 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132902419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In our current environment of value based care and payment models, greater emphasis is placed on completing evidence based, routine screening tests for patients. While there is clear preventive health benefit, population based initiatives may overlook opportunities to prepare individual patients for possible abnormal results. Efforts to manage expectations, address health literacy gaps and ensure emotional support may help limit unnecessary distress and suffering during the screening process.
{"title":"When routine screening is not routine","authors":"Jeffrey Millstein","doi":"10.26443/ijwpc.v9i2.349","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.349","url":null,"abstract":"In our current environment of value based care and payment models, greater emphasis is placed on completing evidence based, routine screening tests for patients. While there is clear preventive health benefit, population based initiatives may overlook opportunities to prepare individual patients for possible abnormal results. Efforts to manage expectations, address health literacy gaps and ensure emotional support may help limit unnecessary distress and suffering during the screening process.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124831287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I’m a palliative care and hospice doctor focusing my clinical care on families near the end of life. It has been a great privilege to be welcomed to the bedside of so many seriously ill and dying patients to care for them and their families. Pursuing geriatrics and palliative care were not always met with welcome sentiments from my peers. “You’re going to take care of sick and dying patients.” “It is so depressing.” My experience is that geriatrics and palliative care are a little like peeking through the old skeletal keyhole into a living room. You have to get up real close to peek inside and if you dare to go through and enter in, a whole new world opens. It is often a sacred space. A space for a team of professionals caring together.
{"title":"Caring for patients near the end-of-life at Mayo Clinic: a narrative","authors":"Cory Ingram","doi":"10.26443/ijwpc.v9i2.348","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i2.348","url":null,"abstract":"I’m a palliative care and hospice doctor focusing my clinical care on families near the end of life. It has been a great privilege to be welcomed to the bedside of so many seriously ill and dying patients to care for them and their families. Pursuing geriatrics and palliative care were not always met with welcome sentiments from my peers. “You’re going to take care of sick and dying patients.” “It is so depressing.” My experience is that geriatrics and palliative care are a little like peeking through the old skeletal keyhole into a living room. You have to get up real close to peek inside and if you dare to go through and enter in, a whole new world opens. It is often a sacred space. A space for a team of professionals caring together. ","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129969943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This abstract serves to introduce a 10 minute video in which I will discuss issues pertaining to the structure of the healthcare system in Quebec. At the same time I will review the concept of community within and around that system. The relationship and interplay between the two will be explored in the hope that the viewer might find resonance and meaning, and perhaps a springboard to further reflection and conversation. Many perceive a need for change in both the organizational systems as well as in the existing cultures within healthcare institutions, both in and outside of Quebec. Yet we often feel powerless to act. I will touch upon ideas on how we can make a difference using our individual influence to bring about the changes we seek. The concepts under discussion are abstract. In the hope of creating a greater degree of tangibility, I will offer a metaphor – namely the long-term detrimental effects brought about by the disruption, and in many cases destruction, of vibrant North American communities, caused by the building of highways straight through their hearts. I will suggest that though there may have been benefits to the society as a whole arising from the building of those highways, the adverse effects extended well beyond the individual communities involved. With this metaphor in mind, I will present the argument that the current structure of healthcare in Quebec, brought into effect in 2015, has resulted in over-bureaucratization and “decommunitization”, with a consequent diminution in the presence and role of culture, ultimately representing a loss for the community at large. Unintended deleterious societal effects arising from social system restructuring, are a phenomenon not unique to healthcare, nor to Quebec. It may take years for these consequences to become manifest, by which time they may prove difficult to reverse.
{"title":"Healthcare highways in your community","authors":"Howard Stuart","doi":"10.26443/ijwpc.v9i1.334","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i1.334","url":null,"abstract":"This abstract serves to introduce a 10 minute video in which I will discuss issues pertaining to the structure of the healthcare system in Quebec. At the same time I will review the concept of community within and around that system. The relationship and interplay between the two will be explored in the hope that the viewer might find resonance and meaning, and perhaps a springboard to further reflection and conversation. Many perceive a need for change in both the organizational systems as well as in the existing cultures within healthcare institutions, both in and outside of Quebec. Yet we often feel powerless to act. I will touch upon ideas on how we can make a difference using our individual influence to bring about the changes we seek. \u0000The concepts under discussion are abstract. In the hope of creating a greater degree of tangibility, I will offer a metaphor – namely the long-term detrimental effects brought about by the disruption, and in many cases destruction, of vibrant North American communities, caused by the building of highways straight through their hearts. I will suggest that though there may have been benefits to the society as a whole arising from the building of those highways, the adverse effects extended well beyond the individual communities involved. With this metaphor in mind, I will present the argument that the current structure of healthcare in Quebec, brought into effect in 2015, has resulted in over-bureaucratization and “decommunitization”, with a consequent diminution in the presence and role of culture, ultimately representing a loss for the community at large. Unintended deleterious societal effects arising from social system restructuring, are a phenomenon not unique to healthcare, nor to Quebec. It may take years for these consequences to become manifest, by which time they may prove difficult to reverse.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122080962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Devangi Patel, Kayleigh Beaveridge, Zoe O'Neill, I. Lowensteyn, Mohammed Kaouache, Steven Grover
The pandemic has highlighted the need for accessible and effective health promotion as Canadians are isolated from their communities during social distancing measures. A web-based health promotion program in which participants also received individualized email-based health coaching from medical students has been available during the pandemic to empower veterans and their family members to engage in healthy lifestyle change. Health coaches’ email interactions with participants used techniques of motivational interviewing, including an empathetic style, statements of affirmation, and reflections. Open-ended questions were useful in gaining insight into the participant’s current lifestyle, including habits, challenges, and coping strategies. As services have transitioned online and individuals have become more isolated, the connection formed between online health coaches and individuals participating in the health promotion program became crucial in countering the mental and physical health repercussions of the pandemic. In a preliminary analysis, we show that web-based health promotion with health coaching, for Canadian Veterans and their families, leads to significant weight loss, increased activity and improvement in wellbeing metrics such as sleep and stress. The medical students acting as health coaches were able to gain a deeper understanding of the challenges involved in behaviour change, something that is seldom covered in detail in the medical school curricula. Medical students were also able to practice their motivational counseling skills surrounding lifestyle changes. Given the lack of available evidence for web-based health promotion that targets veterans and their families, these preliminary results appear promising, with longer-term follow-up planned for the next two years.
{"title":"Online health promotion program and individualized health coaching for veteran wellbeing","authors":"Devangi Patel, Kayleigh Beaveridge, Zoe O'Neill, I. Lowensteyn, Mohammed Kaouache, Steven Grover","doi":"10.26443/ijwpc.v9i1.328","DOIUrl":"https://doi.org/10.26443/ijwpc.v9i1.328","url":null,"abstract":"The pandemic has highlighted the need for accessible and effective health promotion as Canadians are isolated from their communities during social distancing measures. A web-based health promotion program in which participants also received individualized email-based health coaching from medical students has been available during the pandemic to empower veterans and their family members to engage in healthy lifestyle change. \u0000Health coaches’ email interactions with participants used techniques of motivational interviewing, including an empathetic style, statements of affirmation, and reflections. Open-ended questions were useful in gaining insight into the participant’s current lifestyle, including habits, challenges, and coping strategies. As services have transitioned online and individuals have become more isolated, the connection formed between online health coaches and individuals participating in the health promotion program became crucial in countering the mental and physical health repercussions of the pandemic. \u0000In a preliminary analysis, we show that web-based health promotion with health coaching, for Canadian Veterans and their families, leads to significant weight loss, increased activity and improvement in wellbeing metrics such as sleep and stress. \u0000The medical students acting as health coaches were able to gain a deeper understanding of the challenges involved in behaviour change, something that is seldom covered in detail in the medical school curricula. Medical students were also able to practice their motivational counseling skills surrounding lifestyle changes. Given the lack of available evidence for web-based health promotion that targets veterans and their families, these preliminary results appear promising, with longer-term follow-up planned for the next two years.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123891670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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