- Email: [email protected]
D09-D Feasibility of a Model of Volunteer Navigation (NCARE) to Support Older Adults Living at Home with Advanced Chronic Illness
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Selected Abstracts
Results: Three key themes emerged from the data. Firstly, there was strong support for ongoing targeted community garden-based activities that provide lowkey support for people experiencing grief, or living with a life-limiting illness. Secondly, the project gave participants the confidence to support others in the community in similar situations. Thirdly, although the support offered is ‘informal’, it is important to incorporate ‘formal’ supports into the garden (access, referrals, information). Conclusions: This small research project indicates a number of potential under-explored areas for strengthening and expanding rural informal palliative supports. Community gardens may be suitable spaces for social supports, green-space therapy and opportunities for solace. The findings support the academic literature in this area, which points to a therapeutic nexus between gardens, grief and dying.
D09-D Feasibility of a Model of Volunteer Navigation (NCARE) to Support Older Adults Living at Home with Advanced Chronic Illness
Barbara Pesut1, Wendy Duggleby2, Grace Warner3, Konrad Fassbender2, Elisabeth Antifeau4, Lorraine Gerard5, Sharon Baxter6, Kathryn Downer7 1 University of British Columbia, Kelowna, BC, Canada 2 University of Alberta, Edmonton, AB, Canada 3 Dalhousie University, Halifax, NS, Canada 4 Interior Health, Kelowna, BC, Canada 5 BC Hospice Palliative Care Association, Vancouver, BC, Canada 6 Canadian Hospice Palliative Care Association, Ottawa, ON, Canada 7 Pallium Canada, Ottawa, ON, Canada There is an urgent need to find sustainable models of care for rural older adults living at home with advanced chronic illness. The objectives of this project were to: (1) test the feasibility and acceptability of a model of volunteer navigation, (2) develop and evaluate a curriculum for volunteer and healthcare provider navigators, and (3) trial and adapt the Consolidated Framework for Implementation Research (CFIR) to a rural, community-based research approach. Methods: Evidence-based curriculum in navigation was developed and provided to seven volunteers. Fourteen older adults were recruited and provided with volunteer navigation services for one year. Volunteers were supported by a nurse navigator coach.
Vol. 52 No. 6 December 2016
Results: Preliminary results suggest that the model is both feasible and acceptable. Older adults were satisfied and indicated that the service was very important to them. Benefits included having a knowledgeable individual who was easily accessible, learning about available resources, and benefiting from psychosocial support as they navigated the losses and challenges of advanced illness. Volunteers were also satisfied with the role and the education provided for that role. Through biweekly visits, volunteers fostered connections and access to resources, within the context of a supportive relationship. Although navigation was not well understood at the beginning of the project, primarily because of a perceived emphasis on ‘doing’ things for older adults, as volunteers worked with the role they developed sophisticated understandings of the relationship between supportive presence and older adult engagement. Mentorship by a nurse navigator was an important strategy for supporting volunteers through complex situations. Adaptations to the CFIR were successful in facilitating an understanding of the rural contextual factors that may influence model development. Conclusions: Volunteer navigation for this population is feasible and acceptable with mutual benefits for older adults and volunteers.
D11-A Impact de l’art-th erapie musicale chez les patients douloureux et chez les patients d ements
Claire Oppert1, Jean-Marie Gomas1, Patricia Cimerman2 1 Unite Douleur Chronique et Soins Palliatifs, H^o pital Sainte Perine, Paris, France 2 Centre National de Ressources de lutte contre la Douleur, Paris, France L’art vient toucher le noyau profond des personnes. Oriente dans une visee therapeutique, il peut stimuler de nouvelles dynamiques, tant sur le plan de la douleur que sur celui de la demence. Nous explorerons a la lumiere de deux types d’experience en art-therapie : - d’une part les possibilites de diminution de la douleur et de l’anxiete chez des patients en fin de vie hospitalises en USP ; - d’autre part la stimulation des capacit es residuelles de patients atteints de demence en Unite de Vie Protegee. Chez les patients en fin de vie : une recherche clinique creative de contre stimulation musicale pendant des soins douloureux (le « Pansement Schubert ») met en valeur le r^ ole benefique de la musique vivante
Selected Abstracts
Results: Three key themes emerged from the data. Firstly, there was strong support for ongoing targeted community garden-based activities that provide lowkey support for people experiencing grief, or living with a life-limiting illness. Secondly, the project gave participants the confidence to support others in the community in similar situations. Thirdly, although the support offered is ‘informal’, it is important to incorporate ‘formal’ supports into the garden (access, referrals, information). Conclusions: This small research project indicates a number of potential under-explored areas for strengthening and expanding rural informal palliative supports. Community gardens may be suitable spaces for social supports, green-space therapy and opportunities for solace. The findings support the academic literature in this area, which points to a therapeutic nexus between gardens, grief and dying.
D09-D Feasibility of a Model of Volunteer Navigation (NCARE) to Support Older Adults Living at Home with Advanced Chronic Illness
Barbara Pesut1, Wendy Duggleby2, Grace Warner3, Konrad Fassbender2, Elisabeth Antifeau4, Lorraine Gerard5, Sharon Baxter6, Kathryn Downer7 1 University of British Columbia, Kelowna, BC, Canada 2 University of Alberta, Edmonton, AB, Canada 3 Dalhousie University, Halifax, NS, Canada 4 Interior Health, Kelowna, BC, Canada 5 BC Hospice Palliative Care Association, Vancouver, BC, Canada 6 Canadian Hospice Palliative Care Association, Ottawa, ON, Canada 7 Pallium Canada, Ottawa, ON, Canada There is an urgent need to find sustainable models of care for rural older adults living at home with advanced chronic illness. The objectives of this project were to: (1) test the feasibility and acceptability of a model of volunteer navigation, (2) develop and evaluate a curriculum for volunteer and healthcare provider navigators, and (3) trial and adapt the Consolidated Framework for Implementation Research (CFIR) to a rural, community-based research approach. Methods: Evidence-based curriculum in navigation was developed and provided to seven volunteers. Fourteen older adults were recruited and provided with volunteer navigation services for one year. Volunteers were supported by a nurse navigator coach.
Vol. 52 No. 6 December 2016
Results: Preliminary results suggest that the model is both feasible and acceptable. Older adults were satisfied and indicated that the service was very important to them. Benefits included having a knowledgeable individual who was easily accessible, learning about available resources, and benefiting from psychosocial support as they navigated the losses and challenges of advanced illness. Volunteers were also satisfied with the role and the education provided for that role. Through biweekly visits, volunteers fostered connections and access to resources, within the context of a supportive relationship. Although navigation was not well understood at the beginning of the project, primarily because of a perceived emphasis on ‘doing’ things for older adults, as volunteers worked with the role they developed sophisticated understandings of the relationship between supportive presence and older adult engagement. Mentorship by a nurse navigator was an important strategy for supporting volunteers through complex situations. Adaptations to the CFIR were successful in facilitating an understanding of the rural contextual factors that may influence model development. Conclusions: Volunteer navigation for this population is feasible and acceptable with mutual benefits for older adults and volunteers.
D11-A Impact de l’art-th erapie musicale chez les patients douloureux et chez les patients d ements
Claire Oppert1, Jean-Marie Gomas1, Patricia Cimerman2 1 Unite Douleur Chronique et Soins Palliatifs, H^o pital Sainte Perine, Paris, France 2 Centre National de Ressources de lutte contre la Douleur, Paris, France L’art vient toucher le noyau profond des personnes. Oriente dans une visee therapeutique, il peut stimuler de nouvelles dynamiques, tant sur le plan de la douleur que sur celui de la demence. Nous explorerons a la lumiere de deux types d’experience en art-therapie : - d’une part les possibilites de diminution de la douleur et de l’anxiete chez des patients en fin de vie hospitalises en USP ; - d’autre part la stimulation des capacit es residuelles de patients atteints de demence en Unite de Vie Protegee. Chez les patients en fin de vie : une recherche clinique creative de contre stimulation musicale pendant des soins douloureux (le « Pansement Schubert ») met en valeur le r^ ole benefique de la musique vivante