10^th International Conference on Geriatrics Nursing and Palliative Care November 19-20, 2018 Holiday Inn – Marne La Vallée Paris, France

Biography:

Linda Roberts received her bachelor of science degree  from the University of Toronto and her Master’s degree from the Wurzweiler School of Social Work. She is the assistant manager of the Greenberg Academy for Successful Living, Hospital for Special Surgery. Ms. Roberts has presented at national conventions as well as local organizations reaching a wide variety of professional and public audiences.

Abstract:

Background It is vital for physicians and surgeons to communicate successfully with older adults, who often perceive themselves as stigmatized and powerless in healthcare settings. Communication with older adults is complicated by age-related issues (such as cognitive decline) as well as negative stereotypes about older adults and aging, which are an occupational hazard for healthcare workers, who encounter the most vulnerable elderly. Successful patient communication leads to better recall of information, compliance, adherence to medications, satisfaction, and overall better outcomes.

Methodology At Hospital for Special Surgery, in NYC, we developed a two-part training program (ongoing for 8 years) comprised of: 1) small-group interactive didactic sessions on aging issues; and 2) workshop demonstrations given by the residents to a group of older adults, followed by a question and answer session. Residents were assessed using a 22-item pre–post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Older adult participants were surveyed for perceptions of residents’ sensitivity toward them.

70 PGY3 residents, for whom the program is a requirement, and 711 older adult participants, participated over 8 years

Results Older adult participants: Of 711 participants, 648 (91%) responded; 96% strongly agreed/agreed that the residents had demonstrated sensitivity toward them. Residents: Of 70 Residents, 35 (50%) were assessed. Mean knowledge scores increased significantly (p ≤ 0.001); five of nine attitude items (p ≤ 0.05) and one of four anxiety items improved significantly (p ≤ 0.001).

Conclusions  In addition to significant increase in knowledge scores, significant change was seen in residents’ attitudes and anxiety levels toward older adults, attributes that are usually deep seated and hard to change. Our program enables residents to learn and realistically practice universal underlying communication skills in order to maintain effective and sensitive communication with this vulnerable population.  Further research is needed to evaluate if this training program is replicable to other specialty resident programs.

Biography:

Dr. Beverly Dexter, a US Navy Commander (Retired) with over 35 years of military experience, served on 4 shipboard tours, and tours with US Marines and Special Forces stateside, and Joint Service with US Marines and US Army in Iraq. A leader in the treatment and prevention of trauma, she founded  Military Special Interest Groups for the International Society for Traumatic Stress Studies, and the EMDR International Assoication. In continuing humanitarian work, she also has provided Planned Dream Intervention training at no cost, to groups in England, India, Israel, Zimbabwe, Australia, Canada and across the US. 

Abstract:

Planned Dream Intervention (PDI) is a highly effective, rapidly learned skill that teaches the dreaming brain how to sleep through nightmares.  Developed by Dr. Beverly Dexter in 2001 and taught to thousands of clients (including in an active combat zone),  health care providers and educators around the world. PDI is dramatically different from previous therapies that require multiple sessions, an established therapy relationship, continued follow up if more disturbing events occur, and is much more acceptable to the large percentage of nightmare sufferers who would never pursue traditional therapy or who might not have in-person access to therapy.  Briefly, the successful PDI is: 1) an intuitive emotion-gut creation; 2) may not necessarily be the first thing the individual thinks of; 3) the ‘emotional volume’ of the effective PDI matches that of the dream at the point where the dreamer woke up; 4) the successful PDI is not re-writing the dream—it kick-starts the person back into the dream with a sense of mastery; 5) if the dream is about a real life event, the PDI that will work may not necessarily appear to be related to what the dreamer would like to have happen in real life;  and 6) effective dream interventions can be created from physical sensations or emotions, even when the individual does not remember actual dream content.  PDI training creates a mastery experience allowing the dreamer to sleep through any dream without waking or acting out dream content, now and in the future.

Biography:

Joost Degenaar has graduated from Utrecht University in 1989. He worked in higher health education, mostly in nursing education and curriculum development, and was director of Education and |Research at Hanze University of Applied Sciences. Since 2013 he is director of the Centre of Expertise Healthy Ageing, a public private partnership in which Hanze University collaborates with 150 partner organizations in 20 innovation labs on innovation in health care. Questions and challenges from professional practice and a interdisciplinairy approach are starting point for innovation. Nursing research and innovation of nursing education is an important part of the activities.

Abstract:

In our ageing societies it is important for all of us to stay as healthy as possible. Health professionals play an important role in this. Healthy Ageing is one of the grand societal challenges and important for individual persons and for societies. Health professionals focus on health and wellbeing of older people they work with.

However, there are many different definitions of health and healthy ageing, and they can have huge effect on the approach of older people by health professionals.

In this workshop three definitions are compared: The curent WHO definition of health as “a state of complete physical, mental and social well-being”, a new definition of Positive Health, as “the ability to adapt and self manage in the face of emotional, physical and social challenges” and the ICF approach with functioning as central theme as a result of interaction between health conditions and contextual factors.

Research on positive health shows that there are important differences in the evaluation of different dimensions of health between different stakeholders like patients, policy makers, health providers and health professionals.

The discussion in the workshop will be about questions like: how does your definition of health influence your work with older people? What factors help or obstruct? The implications of a new vision on health and healthy ageing can have a big impact on your approach, on health education  and on the organization of health care.

Biography:

Dr. Beverly Dexter, a US Navy Commander (Retired) with over 35 years of military experience, served on 4 shipboard tours, and tours with US Marines and Special Forces stateside, and Joint Service with US Marines and US Army in Iraq. A leader in the treatment and prevention of trauma, she founded  Military Special Interest Groups for the International Society for Traumatic Stress Studies, and the EMDR International Assoication. In continuing humanitarian work, she also has provided Planned Dream Intervention training at no cost, to groups in England, India, Israel, Zimbabwe, Australia, Canada and across the US.

Abstract:

Planned Dream Intervention (PDI) is a highly effective, rapidly learned skill that teaches the dreaming brain how to sleep through nightmares.  Developed by Dr. Beverly Dexter in 2001 and taught to thousands of clients (including in an active combat zone),  health care providers and educators around the world. PDI is dramatically different from previous therapies that require multiple sessions, an established therapy relationship, continued follow up if more disturbing events occur, and is much more acceptable to the large percentage of nightmare sufferers who would never pursue traditional therapy or who might not have in-person access to therapy.  Briefly, the successful PDI is: 1) an intuitive emotion-gut creation; 2) may not necessarily be the first thing the individual thinks of; 3) the ‘emotional volume’ of the effective PDI matches that of the dream at the point where the dreamer woke up; 4) the successful PDI is not re-writing the dream—it kick-starts the person back into the dream with a sense of mastery; 5) if the dream is about a real life event, the PDI that will work may not necessarily appear to be related to what the dreamer would like to have happen in real life;  and 6) effective dream interventions can be created from physical sensations or emotions, even when the individual does not remember actual dream content.  PDI training creates a mastery experience allowing the dreamer to sleep through any dream without waking or acting out dream content, now and in the future.

Biography:

Nan Nelson, MD, Psychiatrist in Cleveland, Ohio, USA,  was given the award of America’s Top Psychiatrists in 201. She has published four books, including Treatment of Perinatal Mood Disorders

Abstract:

Twenty percent of women and 10 percent of men around the world experience clinical depression. While most people believe that pregnancy is relatively protective against mental illness, recent research has indicated that up to 20 percent of pregnant women suffer from some type of anxiety or mood disorder during their pregnancy. One out of every eight to ten postpartum mothers or four hundred thousand per year reportedly have postpartum depression (PPD). According to the American Academy of Pediatricians, eight hundred thousand US women suffer postpartum depression. This is a misunderstood, misdiagnosed, and mistreated diagnosis and an underdiagnosed obstetrical complication, and an estimated 50 percent of cases go undetected. Every woman who gets pregnant is at risk of having a mood disorder.

Postpartum psychosis is a qualitatively different illness from postpartum depression and strikes one out of every 1,000 deliveries. Risk factors include a history of psychosis, bipolar disorder and having had symptoms of mental illness in the past. Those with postpartum psychosis are at a substantially increased risk of committing suicide and/or infanticide. These acts are the result of devastating biological disorders, not a conscious choice. But with proper diagnosis and intervention, there is recovery and tragedies tied to untreated psychosis can be avoided. Because these mental illnesses are so prevalent, more research is necessary to determine whether there are any long-term consequences to the fetus or newborn exposed to the various psychotropic medications available.

Postpartum Risk assessment after delivery, PPD depression scales, PPD, baby blues, PTSD, anxiety disorders, Drug screening for Opiate use, and treatment with Psychopharmacology during pregnancy and breastfeeding are some of many topic revolving and relating to Women’s Mental Health.

Biography:

Gabriel RAFI has completed his master’s degree at the age of 24 years from Paris Descartes University. He is neuropsychologist, the director of CIERA, a regional association for the professionals and the director of DEVACCESS, a company that aims to develop projects related to health. He has published one book on cognitive remediation and acts as a lecturer and professor in universities.

Abstract:

Despite the development of structures and associations for children (1 in 100 births) with Autism Spectrum Disorders (ASD) and behavioral Disorders in recent years, there are still few adult structures or places too limited. In addition, these institutions are subject to age constraints of their users. Some adults find themselves without solutions and can sometimes lose skills previously solicited or emerging and thus move away from any inclusion project. Today, in Europe, the unemployment rate for adults with autistic disorders varies between 76 and 90%. In 2015, there were 5,400 French adults with disabilities living in Belgian institutions. It is to fill this gap that we have developed  the AVAA program in order to best meet the needs of this audience, initially requiring support towards autonomy, in the broad sense of the term, from daily life to social and professional inclusion through access to employment. AVAA is aimed at 18-30 year olds with behavioral and learning difficulties. The goal is to offer these people and their families support : educational, therapeutic and professional. AVAA offers learning times oriented towards professional integration and the regulation of behavior. These times are broken down into learnings set up by the educational team : computer science, langage and mathematics. Also proposed is a work in behavioral, cognitive and social remediation, through therapeutic workshops performed by external stakeholders. AVAA also offers support for families, both in terms of administrative procedures and support and listening, through parenting conferences and the provision of qualified professionals.

Biography:

Seeling Tan is an artist and art educationalist who is specialises in working with children and young adults with learning differences. She is currently based in Kuala Lumpur Malaysia and provide intensive training for young artists diagnosed with Autism, Asperger’s Syndrome, Dyslexia, Dyspraxia and Down’s Syndrome. She is also a picture book maker, illustrator and author of three books “Discovering Serenity” (2009),“Sketches and Drawings around Orosei Sardinia” (2017) and

“Expressive Art as therapy- an insight with special needs” (2018). She was with Horizon Expatriate School Malaysia as an art educator from 2001 to 2010. In 2011 she set up Tutti Art Club to promote the works of special needs artists providing a sustainable platform for many of her students who are now able to create bridges on their own to promote their work. Her passion in teaching also motivate her to volunteer at Chin Student Organization (CSO) Refugee School as art educator young children.

She is actively involved in art exhibitions, talks and workshops on child psychology development through art.

Abstract:

Introduction: Art has been widely recognized as a form of visual language since ancient time. Art making is not a play thing but rather a continuous journey of exploring and learning about the self and a therapeutic tool for people who are dealing with mental issues. Mental illness like depression and anxiety, can happen to anybody at any age. It does not matter your career. One can be a successful actor, singer, author, designer, writer, husband, wife or a child. People who are suffering from mental illness often find themselves having issues with self-Identity. A child can even suffer from depression and anxiety at the young age due to trauma they have experienced. Children suffering from war, women being captured into sexual slavery or being abused by their partners, men having problems with relationships and the list goes on. Unfortunately not everyone is willing to open up to their problem and reach out for help.

How do you know you are having Depression and Anxiety? The feel good mood comes and go like a roller coaster. The mode of happiness is not consistent meaning one day one can be extremely happy and in a split second one can be sad when something triggers their sensitive feelings. It is like pressing the “wrong button /switch” the mood will just change.

How many of us are familiar with this kind of feelings? Identify and accepting is an important step to trying to find ways to manage the feelings. There are many ways to manage depression and anxiety when one is aware of experiencing this burnout that may feel like one is scrapping on rough road. Talk about it. Be more open to our inner feelings and emotions.

Stop being silent and share your difficult feelings and emotions with people you can trust. Reaching out is the first step to self-healing. We must end the stigma of not talking about mental illness that affects most people lives.

What is Expressive Art? Expressive art is a form of artistic expression whereby one is focuses on the process of making art at that moment.  It is often spontaneous and unfinished. It can be a process that combines other elements like music and dance with making art. There has been a growing interest in art in health initiative where the process of art making is seen as a therapeutic and healing for children and adults who have learning differences and mental health issues.

How Expressive Art can manage depression and anxiety? Engaging in art can help people with mental issues stay in the present moment. This activity also promotes the art of mindfulness because the mind and the body work together at the moment. It helps to put the mind at ease from other worries that have been stuffing and pressuring in the brain. Expressive Art helps a person stay conscious, centered and focused, allowing the mind to relax and let the energy of the body take over in the art making process. At the moment of mindfulness, art making process can even stimulate thoughts and ideas at the subconscious level. The process can open up the senses in our body and helps the flow of energy. Channeling the energy into symbols, lines, shapes and colours. Many people who suffer from depression, sadness, pain and anxiety disorders find art making as a safe and practical tool to release their feelings, thoughts and emotions.

This presentation includes slides showing images of paintings and explaining the feelings, emotions and transformation of energy from art making. The presentation also encourages participants to register for a workshop on Expressive Art (- a room to just being me).

Biography:

Olessia Gorkovenko, she is currently a Ph.D. (Psych) student at UNISA in South Africa. She runs a center “Pilatelicious” in Johannesburg, she is fellow in the WCP organization. She has published papers in reputed journals and has been serving as an editorial board member of Journal (ispcp-trcp.org/about.html). She wrote book Spiritually Evolved. She has a passion for teaching and coaching and is extremely meticulous in achieving the best results. She will work with her students and clients, then ensures that no mistakes are made and clients are staying motivated. She will carefully check with assessments and strategies, training routines, nutrition plans and therapeutic advice. If she has a suggestion to make, she won’t hesitate to do so if it’s in her client's benefit and will help them to achieve better results. That’s her main goal and purpose, to help clients become better and achieving perfect results. She operates on the fundamentals of positive psychology approaches that focus on the performance improvements as a result of holistic development. Olessia is a firm believer of best practices. She is always willing to share knowledge and collaboration between stakeholders in order to reach a common goal.

Abstract:

In the 21st century modern organisations are looking to differentiate themselves. Companies have begun to realise that merely relating on the emotional (EQ) and rational (IQ) levels and relying on the skills of their staff does not offer sufficient progress towards meaningful existence and the purpose of the organisation, to renew vision, and to overcome the complex problems facing staff, and so sustain the survival of the organisation. Covey explains that effective leaders in the organisation “consistently practice the four attributes of human personality: physical, mental, emotional, and spiritual” (at p. 38). Following the same direction, Strack and Fottler (2002) state that organisations where at least some of the leaders are more spiritually intelligent are more likely to implement the practices of effective leadership, such as empower others; challenge the process; inspire a shared vision; direct behaviour; and encourage the heart. Watkins (2003) argues that organisations have started to recognise the importance of the value of a person as a whole, more from a spiritual perspective than just as someone who brings the required skills for the job. Neal (2001) refers to the increasing awareness of Spiritual Intelligence in the workplace shown by organisations. Between 1999 and 2012, Koenig, King and Carson (2001) estimate that more then 3000 articles and studies which were published on the topic of spirituality.

Now an increasing number of companies have started incorporating spiritual intelligence training, skills, practices and transformation into their system of organisational development. Many business schools, and scientific, management, health research journals accept and recognise spirituality as an important and crucial area for study and research in the 21st Century.           

Spirituality is the ultimate level of intelligence, with or without any religious bias, to help one understand oneself. Neal (2001) highlighted that during periods of economic downturn, people become demotivated and start looking beyond conventional materialism for meaning and purpose in life. 

Stress at work and home has increased various stress-related health problems. This has made people tune into such concepts and practices as yoga, meditation, pilates, mindfulness, spiritual music and prayer. If an employee spent more than seven hours at the workplace and especially in the IT/ITES industry with typically extended working hours, there is a need for the organisation to look for methods and practices to relieve stress and anxiety. Work-life-family balance has become essential today. Several corporates in the US, France, India, Russia and England have opted for such programmes as the Achieving Personal Excellence offered by the Art of Living Foundation and similar programmes. Conger et al. (1994) refer to the workplace as a community rather than a neighbourhood. When more and more people reach the level and state of self-actualisation, their need for spirituality also increases as indicated by Maslow (1994). 

Biography:

Shikher Shrestha did his FCPS Neurosurgery (Fellow of College of Physicians and Surgeons, Pakistan) at 33 years of age on 2016. Currently, he is working as a consultant Neurosurgeon at National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal; where he got his formal training in with his mentor Prof. Devkota, pioneering Neurosurgeon in Nepal. He has worked in stroke management since the early phase of his training and has even published the paper on First thrombolysis in stroke in Nepal. He is a member of Nepalese Stroke Association and was in the organising committee 1st International Nepalese Stroke Conference 2017. His current interest is in the field of Neurovascular surgery and has been practising the same in Nepal.

Abstract:

Predictors of Shunt dependency in Spontaneous Hypertensive Intracerebral Haemorrhage (P-SSIH): Spontaneous Intracerebral hemorrhage (SICH) has a significant toll on morbidity and mortality with estimated annual affection of >1 million people worldwide. The most common risk factor being uncontrolled hypertension. The incidence is even higher in Asian population, partly due to limited care for hypertension and non-compliance. Frequently, SICH is complicated by acute hydrocephalus, necessitating emergency CSF diversion with a subset of patients, ultimately requiring long-term permanent Shunt diversion. The factors predicting need for ventricular shunt placement in SICH patient population is unclear. We try to analyse various factors that might have significant contributory effect for the need for long-term shunt placement in SICH patients.We performed a retrospective analysis of 48 patients out of 125 patients with hypertensive intracerebral hemorrhage intervened surgically at National Institute of Neurological and Allied Sciences, Bansbari, Nepal between 2015 to 2017. A multiple logistic regression model was developed to identify independent predictors of shunt-dependency after SICH. We included various clinical, radiological and interventional variables. Infratentorial Location of SICH, volume, initial hydrocephalus, intraventricular extension of bleed, third ventricular ballooning, need for craniotomy and initial EVD placement has a significant association for predicting long term shunt dependency; though does not show significant increase in risk.

Biography:

A Macieira-Coelho is a Research Director at the French National Institute of Health. He received an MD from the University of Lisbon, Portugal, and a PhD from the University of Uppsala Sweden. He made an internship at the University Hospital in Lisbon and was a Research Associate at the Wistar Institute in Philadelphia (USA) and at the Department of Cell Biology of the University of Uppsala (Sweden). He became Head of the Department of Cell Pathology at the Cancer Institute in Villejuif (France) and was a visiting Professor at the University of Linkoping (Sweden). He published 150 papers in professional journals and 9 books on cancer and aging. He received the following awards: Fritz Verzar Prize (University of Vienna, Austria), “Seeds of Science” Career Prize (Lisbon, Portugal), Dr. Honoris Causa (University of Linkoping, Sweden), Johananof International Visiting Professor (Institute Mario Negri, Milano, Italy).

Abstract:

Attempts to find the cause of aging focused in general on one specific aspect of the functioning of the organism. Theories considered the phenomenon either as the result of wear and tear, a depletion of a potential, a programmed type of event or of some kind of advantage for the survival of the population where natural selection would play the main role. A theory like the protein error hypothesis has a cultural origin, it is based on the belief common to different cultures that human are finite because of the accumulation of faults. Theories like the rate of living or the stress theory are based on the depletion of a reserve. The endocrine theory sees aging as a programmed event. The immune theory envisioned aging as a progressive functional decline of the immune system. The cross-linking or free radical theories focalize on a molecular event in a universe of metabolic reactions. Evolutionary theories explain aging as the action of genes modulated through natural selection. We believe that it is hopeless to look for a particular cause of aging there is simply no other alternative. One has to look for the phenomenon of aging in terms of the basic requirements needed for life to persist; the most fundamental requirement is energy expenditure, which inevitably follows the second law of thermodynamics. The data that support this view will be described.

Biography:

Umur Kayabasi is a graduate of Istanbul Medical Faculty. After working as a resident in Ophthalmology, he completed his clinical fellowship program of Neuroophthalmology and electrophysiology at Michigan State University in 1995 After working as a consultant neuro ophthalmologist in Istanbul, he worked at Wills Eye Hospital for 3 months as an observer. He has been working at World Eye Hospital since 2000 He has chapters in different neuro- ophthalmology books, arranged international symposiums, attended TV programs to advertise the neuro- ophthalmology subspecialty. He has also given lectures at local and international meetings, plus published papers in neuro-ophthalmology. He became an assistant professor at Uskudar University- Istanbul in 2015

Abstract:

Background: Recent research suggests that Tau is the culprit lesion along with neuroinflammation in the etiology of Alzheimer' s Disease ( AD ).  Retina is the extention of the brain and is the most easily approachable part of the central nervous system.  Detection of the pathological protein accumulations may be possible by using spectral domain optical coherescent tomography ( SD-OCT ) and fundus autofluorescein ( FAF ).  There is evidence showing that retinal plaques start accumulating even earlier than the ones in the brain.  Most recent Tau protein images in the brain consist of normal or reverse C-shaped paired hellical filaments.

 Methods: 20 patients with PET proven AD were examined by SD-OCT and FAF.  Mean age was 72. Hypo or hyperfluorescent retinal  lesions were scanned by SD-OCT and C shaped paired hellical filaments were investigated in a masked fashion.  The researchers agreed on the shape of the lesions. Both C-shaped ( normal or reverse ) filaments and thinner  fibrillary structures were taken into consideration.

 Results: In all the patients, paired hellical filaments that exactly corresponded with the histopathologic and cryo-EM images of Tau in terms of shape and dimension were detected along with thin fibrils and lesions similar to amyloid beta.  The number of the retinal filaments  and other abnormal proteins was in concordance with the severity of the disease process. The advanced retinal filaments had normal or reverse paired C shapes and thin fibrils had the shape of histopathologic images seen in early developmental stages of the disease.

 Conclusions: Retinal images of Tau were disclosed for the first time in live AD patients.  Retinal neuroimaging is a trustable biomarker and tool for monitoring the disease.

Biography:

Jean-manuel Morvillers is a Nurse and PhD in Education Sciences, he was the main coordinator of a research on the therapeutic Alliance funded by the DGOS as part of the Program of Nursing and Paramedical Research (PHRIP) in 2013. He is currently in charge of research and projects within the geronto-pole of Ile de France: Gérond'IF

Abstract:

Introduction: According to the WHO, mental illness affects 15% of people aged 60 and over, and these disorders sometimes require hospitalization in psychiatry.

Objective: The main objective of our research was to measure the Therapeutic Alliance (AT) score in hospitalized psychiatric patients and to compare the scores of patients over 60 years old with those under 60 years of age.  

METHOD: This is a cross-sectional, multicenter descriptive study conducted in four Parisian general psychiatric hospitalization centers. The STAR-P scale, translated into French by us, adapted to hospitalization and self-reported, was used to obtain the TA score between patients and nurses. Sociodemographic data as well as primary and secondary diagnoses were collected and analyzed.

Results: 240 patients were included including 41 people over 60 years old. The TA scores for the entire population included a normal distribution tending toward the highest scores (Median 10.0, IQR [8.0-12.0]). The descriptive analysis of the participants shows 5 variables with a significant difference between the 2 groups: the marital status (only 48% are single for 60 years and over vs. 68.8% p = 0.03), the living conditions: 37 , 5% of 60 years and older are owners vs. 9% (p less than 0.0001), the associated diagnosis 25% of those 60 years and older have mood disorders vs. 7.9% (p = 0.03), the mode admission to free hospitalization (65.9% vs. 48.7% p = 0.04) and the first visit to the Center Médico-Psychologique (CMP) for outpatient follow-up after discharge from hospital (97.4% vs 83.4%). , 7%, P = 0.02). The TA scores are comparable between the two populations and show rather favorable results [median 11.0 (8.0-12.0 and mean 9.9 (2.2)], for 26.8% of respondents this was their first hospitalization. Conclusion: People over 60, hospitalized in general psychiatry have a good therapeutic alliance with the nursing teams and they go massively to their first post-hospitalization appointment. It remains to show that there is a significant link between these two indicators.

Biography:

Olessia Gorkovenko, she is currently a Ph.D. (Psych) student at UNISA in South Africa. She runs a center “Pilatelicious” in Johannesburg, she is fellow in the WCP organization. She has published papers in reputed journals and has been serving as an editorial board member of Journal (ispcp-trcp.org/about.html). She wrote book Spiritually Evolved. She has a passion for teaching and coaching and is extremely meticulous in achieving the best results. She will work with her students and clients, then ensures that no mistakes are made and clients are staying motivated. She will carefully check with assessments and strategies, training routines, nutrition plans and therapeutic advice. If she has a suggestion to make, she won’t hesitate to do so if it’s in her client's benefit and will help them to achieve better results. That’s her main goal and purpose, to help clients become better and achieving perfect results. She operates on the fundamentals of positive psychology approaches that focus on the performance improvements as a result of holistic development. Olessia is a firm believer of best practices. She is always willing to share knowledge and collaboration between stakeholders in order to reach a common goal.

Abstract:

Introduction

In this post-materialistic era, the basic needs of many people are constantly changing.  This is in the workplace, together with family, social, organizational and global needs. Labour activity becomes more significant and progressive, where employees have high creative potential and the opportunity to improve themselves. To improve this direction, leadership in the workplace should be based on a higher level of Cognitive Intelligence (IQ), Emotional Intelligence (EQ), Spiritual Intelligence (SQ), and even Artificial Intelligence (AI). Cognitive and Emotional Intelligence has become more common, while Spiritual Intelligence and Artificial Intelligence are in the early stages of development.

In the world and in psychology there is a growing interest in Emotional Intelligence (EI) and Spiritual Intelligence (SQ).

Labour activity becomes more significant and progressive, where employees have high creative potential and the opportunity to improve themselves.

It is for us - specialists in mental health it is necessary to solve this issue because only we stand next to the sea of the abundance of the different psychological and psychotherapeutic techniques attaining high psycho-emotional and spiritual qualities. What kind of psychological qualities can we talk about?

As our experience has shown, these are the following four psychological emotional qualities - inner calmness, - internal relaxation, - benevolence, - emotional stability. It is these qualities that give strength to the main tool of the specialist - his good mood, which, as is known, is contagious, especially in the children's environment.

When we talk about the spiritual, it is in the context of a bio-psycho-socio-spiritual paradigm.

About the program

In the process of the master class: - two concepts of Emotional Intelligence (EI) - the Western (Mayer, Salovey, Caruso) and Russian constructive model (Tabidze) will be used. New psychodiagnostic techniques will be given, allowing to measure all these qualities and establish a new psychological indicator of SQ  - high or low, EQ - the degree of emotional maturity of a person - that it is the formation of the positive degree of emotional maturity of EQ that is the key to achieving high Emotional Intelligence - a new theory of personality will be presented showing how much Emotional Intelligence depends on the psychophysiology of a person and his unconscious processes - a new model of the psyche overcoming the limitations of the models of Freud, Myasischev, Wayne, Gurdjieff will be presented - it will be shown how this new model and emotional maturity are related to the moral, spiritual qualities of a person. - and, finally, it will be shown that it is the high emotional intelligence that is the basis of bodily health, the condition of family happiness and creative longevity.

In the definition of Spiritual Intelligence (SQ), the Zohar Danas model (1997) will be presented that describes Spiritual Intelligence (SQ) - as an innate human need to understand oneself, "about oneself" and understand others more deeply. She proposed 12 principles to describe Spiritual Intelligence and Self-Consciousness.

The model of the King (2009) will also be mentioned. He defined Spiritual Intelligence as a set of adaptive mental abilities based on intangible and superior aspects of reality. Specifically, they "contribute to understanding, integration, and adaptive application of the intangible and superior aspects of their existence. They lead to a profound existential reflection, increase in significance, recognition of the transcendental self, and mastery of spiritual levels. King’s (2009) a 24-item questionnaire to be used in this Master Class (training).

Participants

The master class is intended for psychiatrists, psychotherapists, psychologists, social workers, nurses and other assisting professions and is aimed at improving both their emotional and spiritual qualities.The aim is to build skills in achieving a high degree of emotional maturity and spirituality. This is helpful in upgrading and improving professional education in the psychotherapeutic field.

Biography:

Jay Ostrowski is the Director of the TeleBehavioral Health Center of Excellence and the CEO of Behavioral Health Innovation, creators of Adaptive Telehealth software. Jay is as a subject matter expert on Telebehavioral Health for the United State Federal Government. He's pioneered research on the laws/ethics of telemental health, founded the Board Certification in Telemental health, created 9 peer-reviewed courses in telemental health, created 10 software applications for telehealth, and continues Telebehavioral health research with Harvard University and the University of Virginia. Jay holds a Master’s degree in Counselling Psychology and is a Licensed Professional Counselor and Licensed Supervisor

Abstract:

Peer-reviewed, multidisciplinary, and focused on best-practices, this seminar is a quick-start guide derived from extensive research and applies to international audiences. The same author created the Board Certification in Telemental Health (BC-TMH) for the Center for Credentialing and Eduction in the United States that launched in 2018. This practical seminar was created from the most comprehensive study to date of international laws, ethics, best practices and efficacy research on the topic of telebehavioral health and the collective experience of 20 telebehavioral health experts. The extensive literature review included the 46 related terms for mental and behavioral health services delivered over the internet that are found in the research and popular literature. The professions included are (in US terms) medical doctors, nurse-practitioners, psychologists, social workers, professional counselors, addictions therapists, and marriage and family therapists.

Telebehavioral Health solves many provider shortage and access problems for mental and behavioral health services around the world. Developing safe, effective, and sustainable services requires knowledge in a wide range of areas in addition to mental and behavioral health training. with this in mind, a specific process is presented for efficiently creating or improving a telebehavioral health program and can be applied to a small single clinic or an extensive multi-hospital network. The process is flexible enough to be applied to most all scenarios. Areas of focus include efficient program development, funding, selecting settings, selecting and setting up service offerings (psychiatry, medication-assisted therapy, psychological assessment, counseling, peer-coaching, clinical supervision, self-help, etc.), internet security selecting secure video software, setting up online workflows, provider and patient adoption strategies and how to prevent the most common program failures. Particular attention is paid to differences between clinic-to-clinic work and direct-to-consumer (in patient home) work where setup, security, software and best practices differ.

Biography:

Shikher Shrestha did his FCPS Neurosurgery (Fellow of College of Physicians and Surgeons, Pakistan) at 33 years of age on 2016. Currently, he is working as a consultant Neurosurgeon at National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal; where he got his formal training in with his mentor Prof. Devkota, pioneering Neurosurgeon in Nepal. He has worked in stroke management since the early phase of his training and has even published the paper on First thrombolysis in stroke in Nepal. He is a member of Nepalese Stroke Association and was in the organising committee 1st International Nepalese Stroke Conference 2017. His current interest is in the field of Neurovascular surgery and has been practising the same in Nepal.

Abstract:

Predictors of Shunt dependency in Spontaneous Hypertensive Intracerebral Haemorrhage (P-SSIH): Spontaneous Intracerebral hemorrhage (SICH) has a significant toll on morbidity and mortality with estimated annual affection of >1 million people worldwide. The most common risk factor being uncontrolled hypertension. The incidence is even higher in Asian population, partly due to limited care for hypertension and non-compliance. Frequently, SICH is complicated by acute hydrocephalus, necessitating emergency CSF diversion with a subset of patients, ultimately requiring long-term permanent Shunt diversion. The factors predicting need for ventricular shunt placement in SICH patient population is unclear. We try to analyse various factors that might have significant contributory effect for the need for long-term shunt placement in SICH patients.We performed a retrospective analysis of 48 patients out of 125 patients with hypertensive intracerebral hemorrhage intervened surgically at National Institute of Neurological and Allied Sciences, Bansbari, Nepal between 2015 to 2017. A multiple logistic regression model was developed to identify independent predictors of shunt-dependency after SICH. We included various clinical, radiological and interventional variables. Infratentorial Location of SICH, volume, initial hydrocephalus, intraventricular extension of bleed, third ventricular ballooning, need for craniotomy and initial EVD placement has a significant association for predicting long term shunt dependency; though does not show significant increase in risk

Biography:

Marie-Conception Léocadie is a lecturer at the University of Health of Geneva in the nursing care sector. She is a PhD student in the Research Chair in Nursing Science at Paris 13, Laboratory Health Education and Practice (LEPS), her research program called HESTIA aims to support family caregivers in dementia type disease.

Abstract:

Introduction: According to the WHO, mental illness affects 15% of people aged 60 and over, and these disorders sometimes require hospitalization in psychiatry.

Objective: The main objective of our research was to measure the Therapeutic Alliance (AT) score in hospitalized psychiatric patients and to compare the scores of patients over 60 years old with those under 60 years of age. 

Method: This is a cross-sectional, multicenter descriptive study conducted in four Parisian general psychiatric hospitalization centers. The STAR-P scale, translated into French by us, adapted to hospitalization and self-reported, was used to obtain the TA score between patients and nurses. Sociodemographic data as well as primary and secondary diagnoses were collected and analyzed.

Results: 240 patients were included including 41 people over 60 years old. The TA scores for the entire population included a normal distribution tending toward the highest scores (Median 10.0, IQR [8.0-12.0]). The descriptive analysis of the participants shows 5 variables with a significant difference between the 2 groups: the marital status (only 48% are single for 60 years and over vs. 68.8% p = 0.03), the living conditions: 37 , 5% of 60 years and older are owners vs. 9% (p less than 0.0001), the associated diagnosis 25% of those 60 years and older have mood disorders vs. 7.9% (p = 0.03), the mode admission to free hospitalization (65.9% vs. 48.7% p = 0.04) and the first visit to the Center Médico-Psychologique (CMP) for outpatient follow-up after discharge from hospital (97.4% vs 83.4%). , 7%, P = 0.02). The TA scores are comparable between the two populations and show rather favorable results [median 11.0 (8.0-12.0 and mean 9.9 (2.2)], for 26.8% of respondents this was their first hospitalization.

Conclusion: People over 60, hospitalized in general psychiatry have a good therapeutic alliance with the nursing teams and they go massively to their first post-hospitalization appointment. It remains to show that there is a significant link between these two indicators.

Biography:

Jean-manuel Morvillers is a Nurse and PhD in Education Sciences, he was the main coordinator of a research on the therapeutic Alliance funded by the DGOS as part of the Program of Nursing and Paramedical Research (PHRIP) in 2013. He is currently in charge of research and projects within the geronto-pole of Ile de France: Gérond'IF

Abstract:

Introduction: According to the WHO, mental illness affects 15% of people aged 60 and over, and these disorders sometimes require hospitalization in psychiatry.

Objective: The main objective of our research was to measure the Therapeutic Alliance (AT) score in hospitalized psychiatric patients and to compare the scores of patients over 60 years old with those under 60 years of age.  

Method: This is a cross-sectional, multicenter descriptive study conducted in four Parisian general psychiatric hospitalization centers. The STAR-P scale, translated into French by us, adapted to hospitalization and self-reported, was used to obtain the TA score between patients and nurses. Sociodemographic data as well as primary and secondary diagnoses were collected and analyzed.

Results: 240 patients were included including 41 people over 60 years old. The TA scores for the entire population included a normal distribution tending toward the highest scores (Median 10.0, IQR [8.0-12.0]). The descriptive analysis of the participants shows 5 variables with a significant difference between the 2 groups: the marital status (only 48% are single for 60 years and over vs. 68.8% p = 0.03), the living conditions: 37 , 5% of 60 years and older are owners vs. 9% (p less than 0.0001), the associated diagnosis 25% of those 60 years and older have mood disorders vs. 7.9% (p = 0.03), the mode admission to free hospitalization (65.9% vs. 48.7% p = 0.04) and the first visit to the Center Médico-Psychologique (CMP) for outpatient follow-up after discharge from hospital (97.4% vs 83.4%). , 7%, P = 0.02). The TA scores are comparable between the two populations and show rather favorable results [median 11.0 (8.0-12.0 and mean 9.9 (2.2)], for 26.8% of respondents this was their first hospitalization. Conclusion: People over 60, hospitalized in general psychiatry have a good therapeutic alliance with the nursing teams and they go massively to their first post-hospitalization appointment. It remains to show that there is a significant link between these two indicators.

Biography:

Olessia Gorkovenko, she is currently a Ph.D. (Psych) student at UNISA in South Africa. She runs a center “Pilatelicious” in Johannesburg, she is fellow in the WCP organization. She has published papers in reputed journals and has been serving as an editorial board member of Journal (ispcp-trcp.org/about.html). She wrote book Spiritually Evolved. She has a passion for teaching and coaching and is extremely meticulous in achieving the best results. She will work with her students and clients, then ensures that no mistakes are made and clients are staying motivated. She will carefully check with assessments and strategies, training routines, nutrition plans and therapeutic advice. If she has a suggestion to make, she won’t hesitate to do so if it’s in her client's benefit and will help them to achieve better results. That’s her main goal and purpose, to help clients become better and achieving perfect results. She operates on the fundamentals of positive psychology approaches that focus on the performance improvements as a result of holistic development. Olessia is a firm believer of best practices. She is always willing to share knowledge and collaboration between stakeholders in order to reach a common goal.

Abstract:

Introduction

In this post-materialistic era, the basic needs of many people are constantly changing.  This is in the workplace, together with family, social, organizational and global needs. Labour activity becomes more significant and progressive, where employees have high creative potential and the opportunity to improve themselves. To improve this direction, leadership in the workplace should be based on a higher level of Cognitive Intelligence (IQ), Emotional Intelligence (EQ), Spiritual Intelligence (SQ), and even Artificial Intelligence (AI). Cognitive and Emotional Intelligence has become more common, while Spiritual Intelligence and Artificial Intelligence are in the early stages of development.

In the world and in psychology there is a growing interest in Emotional Intelligence (EI) and Spiritual Intelligence (SQ).

Labour activity becomes more significant and progressive, where employees have high creative potential and the opportunity to improve themselves.

It is for us - specialists in mental health it is necessary to solve this issue because only we stand next to the sea of the abundance of the different psychological and psychotherapeutic techniques attaining high psycho-emotional and spiritual qualities. What kind of psychological qualities can we talk about?

As our experience has shown, these are the following four psychological emotional qualities - inner calmness, - internal relaxation, - benevolence, - emotional stability. It is these qualities that give strength to the main tool of the specialist - his good mood, which, as is known, is contagious, especially in the children's environment.

When we talk about the spiritual, it is in the context of a bio-psycho-socio-spiritual paradigm.

About the program

In the process of the master class: - two concepts of Emotional Intelligence (EI) - the Western (Mayer, Salovey, Caruso) and Russian constructive model (Tabidze) will be used. New psychodiagnostic techniques will be given, allowing to measure all these qualities and establish a new psychological indicator of SQ  - high or low, EQ - the degree of emotional maturity of a person - that it is the formation of the positive degree of emotional maturity of EQ that is the key to achieving high Emotional Intelligence - a new theory of personality will be presented showing how much Emotional Intelligence depends on the psychophysiology of a person and his unconscious processes - a new model of the psyche overcoming the limitations of the models of Freud, Myasischev, Wayne, Gurdjieff will be presented - it will be shown how this new model and emotional maturity are related to the moral, spiritual qualities of a person. - and, finally, it will be shown that it is the high emotional intelligence that is the basis of bodily health, the condition of family happiness and creative longevity.

In the definition of Spiritual Intelligence (SQ), the Zohar Danas model (1997) will be presented that describes Spiritual Intelligence (SQ) - as an innate human need to understand oneself, "about oneself" and understand others more deeply. She proposed 12 principles to describe Spiritual Intelligence and Self-Consciousness.

The model of the King (2009) will also be mentioned. He defined Spiritual Intelligence as a set of adaptive mental abilities based on intangible and superior aspects of reality. Specifically, they "contribute to understanding, integration, and adaptive application of the intangible and superior aspects of their existence. They lead to a profound existential reflection, increase in significance, recognition of the transcendental self, and mastery of spiritual levels. King’s (2009) a 24-item questionnaire to be used in this Master Class (training).

Participants

The master class is intended for psychiatrists, psychotherapists, psychologists, social workers, nurses and other assisting professions and is aimed at improving both their emotional and spiritual qualities.The aim is to build skills in achieving a high degree of emotional maturity and spirituality. This is helpful in upgrading and improving professional education in the psychotherapeutic field.

Biography:

Jay Ostrowski is the Director of the TeleBehavioral Health Center of Excellence and the CEO of Behavioral Health Innovation, creators of Adaptive Telehealth software. Jay is as a subject matter expert on Telebehavioral Health for the United State Federal Government. He's pioneered research on the laws/ethics of telemental health, founded the Board Certification in Telemental health, created 9 peer-reviewed courses in telemental health, created 10 software applications for telehealth, and continues Telebehavioral health research with Harvard University and the University of Virginia. Jay holds a Master’s degree in Counselling Psychology and is a Licensed Professional Counselor and Licensed Supervisor

Abstract:

Peer-reviewed, multidisciplinary, and focused on best-practices, this seminar is a quick-start guide derived from extensive research and applies to international audiences. The same author created the Board Certification in Telemental Health (BC-TMH) for the Center for Credentialing and Eduction in the United States that launched in 2018. This practical seminar was created from the most comprehensive study to date of international laws, ethics, best practices and efficacy research on the topic of telebehavioral health and the collective experience of 20 telebehavioral health experts. The extensive literature review included the 46 related terms for mental and behavioral health services delivered over the internet that are found in the research and popular literature. The professions included are (in US terms) medical doctors, nurse-practitioners, psychologists, social workers, professional counselors, addictions therapists, and marriage and family therapists.

Telebehavioral Health solves many provider shortage and access problems for mental and behavioral health services around the world. Developing safe, effective, and sustainable services requires knowledge in a wide range of areas in addition to mental and behavioral health training. with this in mind, a specific process is presented for efficiently creating or improving a telebehavioral health program and can be applied to a small single clinic or an extensive multi-hospital network. The process is flexible enough to be applied to most all scenarios. Areas of focus include efficient program development, funding, selecting settings, selecting and setting up service offerings (psychiatry, medication-assisted therapy, psychological assessment, counseling, peer-coaching, clinical supervision, self-help, etc.), internet security selecting secure video software, setting up online workflows, provider and patient adoption strategies and how to prevent the most common program failures. Particular attention is paid to differences between clinic-to-clinic work and direct-to-consumer (in patient home) work where setup, security, software and best practices differ.

Biography:

Xu Xiaofeng is a graduate student at Sichuan University,China.Her major is Geriatrics Nursing.She has published some articles in indifferent journals. She has done a series of research on Geriatrics Nursing.Hu Xiuying is professor and has published more than 100 articles in in reputed journals and has been serving as an editorial board member of repute.
 

Abstract:

Objective： To investigate the current situation of the activities of daily living (ADL) of the aged at home in western China, and to analyze its influencing factors so that we can improve the quality of life and pension services of elderly people.

Methods: The elderly people who came from Qinghai Pro-vince, Ningxia Autonomous Region, Xinjiang Uygur Autonomous Region, Shanxi Province, Guizhou Pro-vince, Guangxi Province, Sichuan Province, Yunnan Province and Chongqing were surveyed by questionnaires. Logistic regression model was used to analyze the influencing factors of ADL.

Results: A total of 7 175 aged people living in the western China were surveyed. In the study, 78.86% of the aged at home could independently live. 12.32% of the aged were of mild dysfunction. 6.27% of the aged had mode-rate dysfunction. And 2.55% of the aged suffered severe dysfunction. Multiple Logistic analyses indicated that age, educational level, economic income, body mass index and disease were the factors that affected their ADL. The risk of decreased ADL in the 60-69 and 70-79year-old groups were 0.221 (95%CI: 0.190-0.258) and 0.353 (95%CI: 0.305-0.409) times that of the elderly over the age of 80. Compared with illiterate seniors，the risks of decline in ADL of primary school, junior high school, secondary or high school, college or undergraduates, postgraduates or above were 0.299 (95%CI: 0.140-0.637), 0.312 (95%CI: 0.146-0.663), 0.238 (95%CI: 0.112-0.510), 0.226 (95%CI: 0.105-0.484), and 0.238 (95%CI: 0.110-0.514) times. The declines in the risk of ADL for elderly people with quite difficult economic conditions, slight difficulty and breaking even were 2.720 (95%CI: 2.015-3.672), 2.344 (95%CI: 1.816-3.027), and 1.542 (95%CI: 1.215-1.957) times of the economically abundant people. Compared with those with a body mass index (BMI)≥28, the risk of ADL reduction for BMI<18.5 was 1.577 (95%CI: 1.142-2.179) times. And the ADL of the elderly with no disease was at the risk of falling 0.685 (95%CI: 0.602-0.779) times that of an elderly person with the disease.

Conclusion: The activities of daily living of age at home of western China are not high, and affected by many factors, such as age, educational level and so on. With the increasing of the elderly, maintaining and improving the ADL are the problems and challenges that we are faced with.

Biography:

Wang Lingying is studying in West China School of Medical,Sichuan University for master nursing degree.She is a student cadre.

Abstract:

Objective:  To provide a reference for further research on the burden of dementia patients by studying the relationship between the burden of disease in dementia patients and the existing problems.

Methods:  Bibliometric analysis was conducted on the main contents and related characteristics of the literatures in CBM, VIP, CNKI and WanFang databases. Results  A total of 147 articles were included in this studyand about 122 articles(83.0%) were periodical ones. Literatures from Beijing enjoyed the largest share of 24 articles(16.4%); 86.4% of the first author were from hospitals and universities;All articles were published in 76 kinds of journals and Chinese Journal of Gerontology had the biggest share, about 5.4%; Cooperation degree of the authors was 3.21 and coauthor rate was 74.8%. Most research objects were caregivers, accounting for 57.8% and 6.8% of the literatures were carried out in multidimensional burden. 45 papers were supported by funds and 22 literatures were cited more than 20 times.

Conclusion:  The research on the burden of disease in dementia patients is more and more concerned by researchers. However, the quality, breadth and depth of overall research need to be strengthened to improve the research and reduce the burden of dementia patients.

Biography:

Vernita Annette Marsh has completed her PhD in Clinical Psychology from Michigan State University and her Pre-doctoral and Post-doctoral training from Harvard Medical School, Beth Israel Hospital. Following this training, she has completed a Fellowship at Massachusetts General Hospital. Currently, she is the Founder of a group clinical practice, Dr. Vernita Marsh & Associates and she is also the Founder of The Marsh Clinics®, an organization to address the disparities concerning mental health care. Most notably, she has served as a Consultant, Supervisor, and Mentor for clinicians. She has published, presented, and offered several trainings in the various topics of Mental Health

Abstract:

The use of telehealth is rapidly changing; how one interfaces with healthcare including mental health services. A model is proposed specifically for reaching and servicing clients in the urban and undeserved communities via the use of telehealth to reduce the social stigma of mental health care. Considerations of the use of telehealth including the ethical and legal ramifications of mental health for this population are elucidated. Multicultural and interdisciplinary perspectives are also visited. Both the advantages as well as the challenges of telehealth are discussed.

Biography:

Linda Roberts received her Bachelor of Science degree from the University of Toronto and her Master’s degree from the Wurzweiler School of Social Work. She is the Assistant Manager of the Greenberg Academy for Successful Living, Hospital for Special Surgery. She has presented at national conventions as well as local organizations reaching a wide variety of professional and public audience.

Abstract:

Background: It is vital for physicians and surgeons to communicate successfully with older adults, who often perceive themselves as stigmatized and powerless in healthcare settings. Communication with older adults is complicated by age-related issues (such as cognitive decline) as well as negative stereotypes about older adults and aging, which are an occupational hazard for healthcare workers, who encounter the most vulnerable elderly. Successful patient communication leads to better recall of information, compliance, adherence to medications, satisfaction, and overall better outcomes.

Methodology: At Hospital for Special Surgery, in NYC, we developed a two-part training program (ongoing for 8 years) comprised of: 1) small-group interactive didactic sessions on aging issues; and 2) workshop demonstrations given by the residents to a group of older adults, followed by a question and answer session. Residents were assessed using a 22-item pre–post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Older adult participants were surveyed for perceptions of residents’ sensitivity toward them. Seventy (70) PGY3 residents, for whom the program is a requirement, and 711 older adult participants, participated over 8 years.

Results: Older adult participants: Of 711 participants, 648 (91%) responded; 96% strongly agreed/agreed that the residents had demonstrated sensitivity toward them. Residents: Of 70 residents, 35 (50%) were assessed. Mean knowledge scores increased significantly (p≤0.001); five of nine attitude items (p≤0.05) and one of four anxiety items improved significantly (p≤0.001).

Conclusions: In addition to significant increase in knowledge scores, significant change was seen in residents’ attitudes and anxiety levels toward older adults, attributes that are usually deep seated and hard to change. Our program enables residents to learn and realistically practice universal underlying communication skills in order to maintain effective and sensitive communication with this vulnerable population. Further research is needed to evaluate if this training program is replicable to other specialty resident programs

Biography:

Linda Roberts received her Bachelor of Science degree from the University of Toronto and her Master’s degree from the Wurzweiler School of Social Work. She is the Assistant Manager of the Greenberg Academy for Successful Living, Hospital for Special Surgery. She has presented at national conventions as well as local organizations reaching a wide variety of professional and public audience.

Abstract:

Background: It is vital for physicians and surgeons to communicate successfully with older adults, who often perceive themselves as stigmatized and powerless in healthcare settings. Communication with older adults is complicated by age-related issues (such as cognitive decline) as well as negative stereotypes about older adults and aging, which are an occupational hazard for healthcare workers, who encounter the most vulnerable elderly. Successful patient communication leads to better recall of information, compliance, adherence to medications, satisfaction, and overall better outcomes.

Methodology: At Hospital for Special Surgery, in NYC, we developed a two-part training program (ongoing for 8 years) comprised of: 1) small-group interactive didactic sessions on aging issues; and 2) workshop demonstrations given by the residents to a group of older adults, followed by a question and answer session. Residents were assessed using a 22-item pre–post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Older adult participants were surveyed for perceptions of residents’ sensitivity toward them. Seventy (70) PGY3 residents, for whom the program is a requirement, and 711 older adult participants, participated over 8 years.

Results: Older adult participants: Of 711 participants, 648 (91%) responded; 96% strongly agreed/agreed that the residents had demonstrated sensitivity toward them. Residents: Of 70 residents, 35 (50%) were assessed. Mean knowledge scores increased significantly (p≤0.001); five of nine attitude items (p≤0.05) and one of four anxiety items improved significantly (p≤0.001).

Conclusions: In addition to significant increase in knowledge scores, significant change was seen in residents’ attitudes and anxiety levels toward older adults, attributes that are usually deep seated and hard to change. Our program enables residents to learn and realistically practice universal underlying communication skills in order to maintain effective and sensitive communication with this vulnerable population. Further research is needed to evaluate if this training program is replicable to other specialty resident programs

Background: It is vital for physicians and surgeons to communicate successfully with older adults, who often perceive themselves as stigmatized and powerless in healthcare settings. Communication with older adults is complicated by age-related issues (such as cognitive decline) as well as negative stereotypes about older adults and aging, which are an occupational hazard for healthcare workers, who encounter the most vulnerable elderly. Successful patient communication leads to better recall of information, compliance, adherence to medications, satisfaction, and overall better outcomes.

Methodology: At Hospital for Special Surgery, in NYC, we developed a two-part training program (ongoing for 8 years) comprised of: 1) small-group interactive didactic sessions on aging issues; and 2) workshop demonstrations given by the residents to a group of older adults, followed by a question and answer session. Residents were assessed using a 22-item pre–post questionnaire covering medical knowledge of aging, attitudes toward older adults, and personal anxiety about aging. Older adult participants were surveyed for perceptions of residents’ sensitivity toward them. Seventy (70) PGY3 residents, for whom the program is a requirement, and 711 older adult participants, participated over 8 years.

Results: Older adult participants: Of 711 participants, 648 (91%) responded; 96% strongly agreed/agreed that the residents had demonstrated sensitivity toward them. Residents: Of 70 residents, 35 (50%) were assessed. Mean knowledge scores increased significantly (p≤0.001); five of nine attitude items (p≤0.05) and one of four anxiety items improved significantly (p≤0.001).

Conclusions: In addition to significant increase in knowledge scores, significant change was seen in residents’ attitudes and anxiety levels toward older adults, attributes that are usually deep seated and hard to change. Our program enables residents to learn and realistically practice universal underlying communication skills in order to maintain effective and sensitive communication with this vulnerable population. Further research is needed to evaluate if this training program is replicable to other specialty resident programs

Biography:

Torill Landgraff Bratlie has an Advanced master’s Degree in education (Cand.Paed.) from University of Oslo, Norway. Her field is adult learning psychology in organizations and organizational culture development. She has later studied practical neuro scientific tools and hypnosis techniques, voice dialogue method, non-violent communication, yoga teaching, Buddhism and Tibetan meditation, all at private schools in Scandinavia. She has extensive experience within the field of organizational culture development and leadership development from her clients. She has worked for global companies like Coca-Cola, Tomra, BDO, Subsea7, and for national organizations at all sizes in both private and public sector in Norway.

Abstract:

Biography:

Sharon Stecher is a Board Certified Advanced Practice Nurse since 1989. Her work spans a variety of settings with numerous populations. She also taught Nursing for 15 yrs. Her work experience covers hospital, outpatient, office and clinical settings. She diagnoses and treats patients over 16 years of age covering the spectrum of Psychiatric Disorders. She works in collaboration with a doctor in a very busy Psychiatric practice, although much of her work is solo with a doctor for collaboration and post review of records. She is a Member of the ANA, MONA, and Sigma Theta Tau. She holds BSN and MSN(R) degrees from St. Louis University

Abstract:

Disorders of mood generally effect particular aspects of an individual’s mood. The person experiencing a disorder of thought, such as schizophrenia, becomes more isolated and has problems to communicating with the outside world. They are unable to discern reality from fantasy. People with mood disorders have better relationship skills. People with disorders of thought have very poor interpersonal skills and have an extremely poor support system. We will discuss the bipolar spectrum. People experiencing these disorders frequently have comorbid diseases. Other problems such as PTSD, addictions, ADHD, chronic medical illnesses, TBI, etc, lead to a more complex and integrated treatment approach. Other issues, such as denial of disease and medication non-compliance lead to frequent relapses of not just the bipolar, but all their comorbid diseases. Bipolar I disorder is perhaps the best known and frequently discussed. PT’s in the acute state usually require in-PT stays. Bipolar II disorder is much less known and often misdiagnosed for many years. Some of these PT’s also require in-PT stays. Mixed episodes: these are the least understood of the mood disorders. They are frequently misdiagnosed or missed altogether. Genetics and family history will be discussed in relationship to the disease along with research that has been completed demonstrating brain inflammation and decrease in brain volume with psychotic episodes. Current research also demonstrates that the brain also has some ability to heal itself. Other applicable research findings will be presented. Current treatment modalities and medications to treat the complex issues these patients suffer will also be discussed. Short and long term treatment strategies will be addressed. Life path for recovering patients will be discussed if time allowed. Patients are never cured of these diseases; they can become much better at managing their symptoms and be proactive in their treatment.

Biography:

Zidan Khalaf Murad has completed his MSc from University of Duhok. Currently, he is working as Assistant Lecturer at College of Nursing-University of Duhok.

Abstract:

Post-traumatic stress disorder is a psychiatric disorder that happens after an individual witnessed or experienced traumatic or terrifying event such as killing, threatening, kidnapping, and sexual or physical abuse, etc., that induce a serious danger to someone’s life. The present study was established in order to assess the prevalence of post-traumatic stress disorder among Shengalian internally displaced persons. A descriptive, retrospective study design was conducted from the period of 1^st of November, 2015 through 12^th of May, 2017 in order to collect data related to assessing post-traumatic stress disorder among Shengalian internally displaced persons. A cluster-simple random sampling approach was used to recruit 400 subjects. A questionnaire was developed as a tool of data collection for the purpose of the study. Data were collected through using PTSD Checklist Civilian Version and adopting direct interview technique. Pilot study carried out to determine the content validity through the panel of (7) experts, and the reliability of the study’s instrument was determined through application of test-retest reliability. Analysis of data was performed through the use of Descriptive and Inferential Statistical methods. The findings of the study showed that the prevalence of PTSD among Shengalian IDPs in this study is 14.5%. The study concluded that post-traumatic stress disorder is more prevalent among female than male.

Biography:

Dr. Beverly Dexter, a US Navy Commander (Retired) with over 35 years of military experience, served on 4 shipboard tours, and tours with US Marines and Special Forces stateside, and Joint Service with US Marines and US Army in Iraq. A leader in the treatment and prevention of trauma, she founded  Military Special Interest Groups for the International Society for Traumatic Stress Studies, and the EMDR International Assoication. In continuing humanitarian work, she also has provided Planned Dream Intervention training at no cost, to groups in England, India, Israel, Zimbabwe, Australia, Canada and across the US.

Abstract:

Planned Dream Intervention (PDI) is a highly effective, rapidly learned skill that teaches the dreaming brain how to sleep through nightmares.  Developed by Dr. Beverly Dexter in 2001 and taught to thousands of clients (including in an active combat zone),  health care providers and educators around the world. PDI is dramatically different from previous therapies that require multiple sessions, an established therapy relationship, continued follow up if more disturbing events occur, and is much more acceptable to the large percentage of nightmare sufferers who would never pursue traditional therapy or who might not have in-person access to therapy.  Briefly, the successful PDI is: 1) an intuitive emotion-gut creation; 2) may not necessarily be the first thing the individual thinks of; 3) the ‘emotional volume’ of the effective PDI matches that of the dream at the point where the dreamer woke up; 4) the successful PDI is not re-writing the dream—it kick-starts the person back into the dream with a sense of mastery; 5) if the dream is about a real life event, the PDI that will work may not necessarily appear to be related to what the dreamer would like to have happen in real life;  and 6) effective dream interventions can be created from physical sensations or emotions, even when the individual does not remember actual dream content.  PDI training creates a mastery experience allowing the dreamer to sleep through any dream without waking or acting out dream content, now and in the future.