Alyssa Osborne ISM- Fall 2017 Mrs. Click Disclaimer
Some of the information is from outside
sources What is ISM? Independent Study Mentorship (ISM), is designed for students wishing to mentor an adult professional in a chosen career. With the mentor and the teacher-facilitator, each student will create a unique plan of study and receive individual instruction. Students leave the high school campus and go to the mentors place of business to study with professionals. This course is ideal for the self-motivated student with a passion for a particular area of study. Students in this course must perform at a collegiate or professional level. ISM Requirement's 1. Complete an in-depth mentorship/study in an area of interest. 2. Document a minimum of 3 hours of mentorship each week. 3. Complete a Journal Entry each week documenting mentorship experiences. 4. Complete an ISM Professional Portfolio, showcasing assignments completed during the course and the final project. 5. Complete all of the required assignments. 6. Complete a Mid-Term Presentation. 7. Develop a final product and presentation at the collegiate/professional level that is presented to a panel of graders at the conclusion of the semester must include PowerPoint, visuals, completed product, portfolio and handouts. Meet My Mentor Mentor- Lori Douglas, BSN, RN Position- nurse coordinator/ Education Training partner Location- Texas Children's Hospital, 6621 Fannin St, Houston, TX 7703 Studied- SFASU (prerequisite), graduated from UTMB nursing school. Why Overcoming Depression in Pediatric Oncology Patients? For my project topic I chose overcoming depression in pediatric oncology patients because, I feel as though it is a big job to tackle especially with the patients being children. Texas Childrens Hospital was a great location to have my mentorship site at because it is one of the leading cancer centers in the US. What is Depression? Depression is a mood disorder that can be treated. Depression in patients may make it harder to cope with cancer treatments (Depression) and may not help them make well informed choices about their health. Symptoms of depression can range from mild to sever (Depression). Symptoms can start to appear right after being diagnosed or during the course of treatment. Some symptoms may include, but not limited to, distancing yourself from loved ones, loss of joy/ excitement for activities you once loved, crying a lot of the time, and not wanting to do basic daily activities. Some mood related symptoms maybe, feeling gloomy, sad, irritable, feeling as though there is no hope, and feeling worthless. Prevalence in Pediatric Oncology Patients 20.68% of kids in a cancer group are more likely to have depression (Arabiat). However the prevalence can vary depending on what procedures are done during their time of treatment, what type of cancer they have and stage they are in. Clinical Support There are 4 clinical supports available to use during the time of the patients battel with cancer. 1. Child life 2. Social work 3. Chaplain 4. Psychologist 5. Psychiatrist Child Life Child life specialist are people who work with the patient to help them cope with the diagnosis and help them while they are in or even out of the hospital. The most common way they help is play therapy. They do a lot of hands on activities to help the patient be at ease and more comfortable. Child Life The use of child life is the use of play therapy. One of the many things they use at Texas Childrens is the Port-A- Cat. The Port-A-Cat is a stuffed animal they use to show the children and also let them play with the central line. Child Life Another type of play therapy is the medical play therapy bag. It helps the kids get use to all of the medical equipment's the doctors and nurses will be using. Social Work The social workers help more with the patients family. It is not only hard on the patient when they first find out they are diagnosed, but it is also hard on the family. Many families go through the 5 Stages of Greif, and the social workers help them through each stage. 5 Stages of Greif There are 5 stages of grief, denial, anger, bargaining, depression, and acceptance. Different people grieve differently and some may not go in order but they will experience all 5 stages at one point. You can spend a different amount of time on stages, not all of them will be the exact same. Denial The first reaction to leaning about a terminal illness, loss or death of loved one is to deny the reality of the situation. (The 5 Stages of Greif & Loss, Pg. 1) A quick fix to not having to face your true emotions at that point, it is only temporary. Denial is when you dont want to face reality because the emotions are too much to cope with at the moment. Anger Anger occurs when your denial stage starts to wear off, you all of a sudden feel a sudden rush of anger at the world and the anger can last for however long. Your anger can be towards your loved one knowing they arent the one to blame for becoming sick or dying we may blame them for causing us pain. (The 5 Stages of Greif & Loss, Pg. 1) Bargaining
Take me instead of them can be used as a bargaining
phrase. You may try to make a deal with god as a chance or hope that they will keep them around for as long as possible or try to cure their illness. Depression There are 2 different types of depression in the grieving process and they are, reactions to practical implications relating to loss this may include sadness and regret. The second is more subtly and private they dont want to show they are hurting or they try to keep their pain to themselves. Acceptance Acceptance is knowing that the unexpectedness of the disease or illness is not theirs, yours, or anyone elses fault. Coping with a loss is never easy, it will always be different for everyone, and there is no short cut and not easy way. The best thing to do is to allow yourself to feel the grief as it comes over you. (The 5 Stages of Greif & Loss, Pg. 1) To gain a better understanding of what your loved one is going through, try to understand/ learn as much as you can about their illness. Beyond Diagnosis
The beyond diagnosis book is available to
the parents that talks about educational materials and information about support organizations. It also helps you understand your child's diagnosis better and the different procedures they will be going through. Book for Siblings This book is for the siblings of the patient. It is hard for them to understand what is happening to their brother or sister, like why they arent always happy, or why they are always sleeping, or why they are always at the hospital. Book for Sibling Chaplain A Chaplin is someone who makes a plan and assesses the case and leads the patient and family through spiritual needs through their diagnosis and treatment or through end of life care. They help family friends and loved ones find peace/ comfort. Patients are not required to have a Chaplin. If they do want one, then they can choose at any time that they would no longer have the need of one. Chaplin A Chaplins job when helping with the family is to be an active listener to the family as they maybe angry. When the family is angry it help that the Chaplin is there because they need the spiritual guidance because they might blame their spiritual figure. It will help them understand the illness. Chaplains also give care to caregivers. Caregivers spend a lot of time with the ill patient and begin to come attach to them so it is best to help give them some guidance too. Hospice Chaplain Hospice Chaplin is a very important to people nearing end of life because they seek spiritual guidance for comfort. They want to make sure that no one dies alone. They also help instill peace with the patient and their disease or illness then they can help find rituals, spiritual practices. Chapel The chapel at Texas Childrens is a place where parents, family, friends and staff can go to pray, attend religious services or even to be alone with their thoughts. The shape of the chapel represents the infinite love for god, eternity and the never ending love. The ceiling creates an illusion of the sky and changes from dawn to midday to the twinkling night sky all in 12 minutes. Texas Childrens Chapel Psychologist The psychologist at Texas Childrens specialize in treatment for patient with chronic medical illness and those with out chronic disease just those needing outpatient assistants. Many patients are referred by their medical team because they feel as though the help of a psychologist will help with their treatment or recovery. Psychologist do a lot of talk therapy and a lot of hands on activities such as art therapies. Beads of Courage Beads of courage is a organization that partners with hospitals to help children with illnesses help record their story and show everything they have been through by the beads they have. Beads of Courage is an art therapy used by the psychologist. Beads of Courage Drawing Art Therapy Book Art Creation by Patient Psychiatrist Psychiatrist do more of a medical support. They can prescribe what they feel will help or tell you things you can do that will help more through out your course of treatment. They also have patients keep journals to keep up with their health or mental state. Counseling for Oncology Handout Diary/ Journals Video Product https://www.youtube.com/watch?v=YExEhmA0LV4&feature=youtu.be Current Event Parents of 10-year-old boy who died of cancer claims hes watching over the Astros This article is about a young boy who passed away from liver cancer just last year. The little boy, Joseph, was a big baseball fan. His first stay at the hospital 2 Houston Astros players came to visit him, Jose Altuve and Lance McCulllers. McCullers and Joseph had a special bond and kept in touch. It was on game 5 of the World Series between to Astros and the Dodgers that the price family attended that they knew their little boy Joseph was watching over them. The night was significant because it was #21 who scored the winning run on the early morning of October the 30th. The reason #21 is so significant is because that was josephs baseball number. That morning McCullers texted Mrs. Price and said An Angel in MMP. Current event continued This connects to my project topic, overcoming depression in pediatric oncology patients, because it is dealing with a little boy who had cancer and how the hospital used the Astro players to help keep him happy. Joseph, 10-years-old had liver cancer and passed away last year from it. With him being diagnosed you could imagine that it would be hard on such a little boy. So on his first day at the hospital he was surprised with a guest visit from his favorite baseball teams players. You can bet that put a smile on his face for a long while. Having them come really helped with him overcoming depression because he did just get put into the hospital and it can be hard on such a young kid. Especially with McCullers keeping in touch it helped him keep strong and want to fight. With McCullers staying in touch it not only helped the kid but the family too because they see that their child is happy so it makes them happy too. Conclusion In conclusion over the few weeks of my mentorship I have learned several ways to help overcome depression. There are many tools and organizations used to help prevent depression during their course of treatment. Many are ways to help the child keep up beat, and help them maintain some type of normalcy in their life. Different Organizations Used by TCH Different Organizations Used by TCH Thank you! I would like to say a big thank you to my mentor Mrs. Lori for being the absolute best mentor I could possible have. I would also like to thank my parents for allowing me to travel to Texas Childrens Hospital to receive such a great education. I would also like to thank Mrs. Click for the opportunity of being in ISM. Lastly, I would like to thank my evaluators and Kayla for taking the time out to come watch and grade my final presentation. Visit my Weebly account! https://alyssaosborneismportfolio.weebly.com/ Works Cited Foundation, Crossroads Hospice Charitable. What Is a Hospice Chaplain? Crossroads Hospice Charitable