Backround.-Although therapeutic arts are used in the palliative care setting, little has been described about what happens during the artist-patient encounter and how these interactions can complement and integrate into the interdisciplinary model of palliative care. The objective of this study is to describe the artist-patient encounter and how artists can function in the palliative interdisciplinary model of care. Methods.-Authors reviewed 229 reports written by artists about encounters with palliative patients, and performed thematic analysis on 95. Results.-Artists describe physical, emotional, and spiritual responses by patients including relaxation, invigoration, and accessing spirituality, some of which were unique to the artist-patient interaction. Artists also described personal reactions including themes of professional fulfillment, kinship and empathy with patient suffering. Themes surrounding the artist-patient bond and trust also emerged. Conclusions.-The artist-patient encounter has an effect on both patients and artists, and can create a therapeutic relationship between them. Artists provide unique perspectives and care paradigms to the palliative team.
BACKGROUND: There has been an insufficient amount of studies that examine how academic working life of researchers can be supported. OBJECTIVE: We examine the use of a nature and art-related activity retreat designed for researchers. The purpose was to evaluate if and how researchers perceived different workshop experiences set in nature as meaningful and important with regards to their self-care. METHODS: A mixed group of six researchers from Sweden, Finland, and the United States met for a three-day retreat consisting of self-selected nature and art-related activities. From data constituted from participant reflections, a focus group interview, a three months follow-up questionnaire, and an analysis of the workshops undertaken, three major themes were identified: “Sharing and connection”, “Embodiment” and “Nature”. RESULTS: Analysis of the workshop-style exercises did not show significant variance in reported meaningfulness and usefulness related to the activity itself. However, there was a strong correlation between perceived value and shared experience where the sharing of the natural space was felt to put humanity into perspective. CONCLUSION: Organizing and systematizing health preventive retreats for researchers in academia may be an important part of the sustainabile academic community in which the researcher needs to be better taken care of in a more embodied way. Although this study was conducted prior to COVID-19, such retreats and potentially also online versions, could be useful for managing the pandemic and afterwards, in our new “normal”.
Results. There were 1428 initial consults and 2636 follow-up visits during the ''mandatory period'' and 576 and 1340 during the ''optional period.'' Documentation rates were 100% when mandatory. During the optional period, the documentation rates were: dyspnea screen, 82%; nausea screen, 73%; offers of spiritual support, 80%; and surrogate name and phone documentation 89% and 80%, respectively. Opioid use was documented in 59% of initial consults when optional; clinicians reported positive opioid use in 45% of consults when mandatory but only 29% when optional. Dyspnea and nausea were ''unable to be assessed'' in w30% of mandatory versus w20% of optional consults. 5% of mandatory phone numbers were invalid entries just done to complete the note. Conclusion. Although the note was built with multidisciplinary clinician input to optimize workflow, some objected to the additional mandatory fields. Making these optional reduced documentation by w10-30%.
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