The International Psycho-Oncology Society (IPOS) - PowerPoint PPT Presentation

1 / 31
About This Presentation
Title:

The International Psycho-Oncology Society (IPOS)

Description:

New York, New York. To improve the 'human' side of cancer care on a ... Panama New Zealand. Portugal Norway. Spain Switzerland. Sweden. Tell to the Family: ... – PowerPoint PPT presentation

Number of Views:120
Avg rating:3.0/5.0
Slides: 32
Provided by: MSK6
Category:

less

Transcript and Presenter's Notes

Title: The International Psycho-Oncology Society (IPOS)


1
The International Psycho-Oncology Society(IPOS)
Jimmie C. Holland, M.D. Wayne E. Chapman Chair in
Psychiatric Oncology Memorial Sloan-Kettering
Cancer Center New York, New York
2
(No Transcript)
3
IPOS Founded 1984
  • To improve the human side of cancer care on
    a global basis

4
IPOS 1984
  • Foster international communication
  • Educate professionals in psychosocial care
    across countries
  • Advocate for making psychosocial an integral
    part of total cancer care
  • Examine social, cultural factors that impact
    quality of life and care

5
  • An International Survey of Physician Attitudes
    and Practice in Regard to Revealing the Diagnosis
    of Cancer
  • Jimmie C. Holland, M.D.,
  • Natalie Geary, B.A.,
  • Anthony Marchini, B.A., and
  • Susan Tross, Ph.D.
  • Psychiatry Service
  • Memorial Sloan-Kettering Cancer Center
  • New York, New York, 10021
  • Cancer Investigation, 5(2), 151-154 (1987)

6
Oncologists Estimated Percentage of Physicians in
Their Country Who Disclose Cancer Diagnosis
  • N 90 oncologists 20 countries
  • Tell to the Patient
  • LOW HIGH
  • Africa Austria
  • France Denmark
  • Hungary Finland
  • Iran Netherlands
  • Panama New Zealand
  • Portugal Norway
  • Spain Switzerland
  • Sweden
  • Tell to the Family
  • High estimated by majority of physicians

7
IPOS 2005
  • Education
  • Conducted 7 World Congresses 2006, Venice
  • gt 25 national psycho-oncology societies
  • International journal, 1992
  • Psycho-Oncology
  • Text books in English, Spanish, Italian, and
    Japanese

8
IPOS 2005
  • Education
  • 2004 Website www.ipos-society.org
  • Core curriculum online FREE
  • 4 lectures, with European School of Oncology in
  • Italian German
  • French Hungarian
  • Spanish English

9
IPOS 2005
  • Requested to become an NGO of World
    Health Organization
  • Rationale to add a psychological, social and
    behavorial dimension to WHO national cancer
    control programs

10
WHO Priority Action Plan forNational Cancer
Control Programs
Resources A B
C Low Medium High Prevention Early
diagnosis Screening/therapy Pain/palliative care
PSYCHOSOCIAL
11
WHO Cancer Prevention Program
  • Depends on changes in life style and exposures
    must alter BEHAVIOR
  • Psychological and social factors are critical
    considerations in prevention education which
    must be culture and language-sensitive
  • Behavioral scientists needed
  • (Tobacco Cessation)

12
WHO Cancer Control ProgramEarly Diagnosis
  • Fatalistic attitudes, fear of stigma of
    cancer, and ignorance are problems, especially
    in developing countries
  • Public education requires attention to
    psychological, social, cultural, and behavioral
    factors

13
WHO Cancer ControlScreening
  • Participation in screening require attention
    to local social attitudes, beliefs, trust in
    procedures/staff, and awareness of cultural
    factors
  • Requires knowledge of community, beliefs, and
    fears

14
WHO Priorities for National Cancer Control
Programs
  • Pain/Palliative Care

15
In Palliative Care
  • Pain is often the primary focus
  • Psychological issues are often not identified
    and treated as an equally important aspect of
    end-of-life care
  • Need for more participation of
    psycho- oncologists in end-of-life for clinical
    and research collaboration

16
IPOS Goals in Palliative Care
  • Encourage recognition, diagnosis and treatment
    of psychosocial and psychiatric problems
  • Develop standards and clinical practice
    guidelines for psychological care

17
National Programs
  • Standards and Guidelines
  • Australia United Kingdom Canada United States

18
US Example 1999
  • A Multidisciplinary Panel (NCCN)
  • Chose DISTRESS as an encompassing word to
    cover psychosocial/ psychiatric and spiritual
  • A rapid one-item screening question
  • Standards care and Clinical Practice
    Guidelines for mental health, social work,
    clergy

19
DISTRESS CONTINUUM
  • NormalDistress
  • Fears
  • Worries
  • Sadness

SevereDistress Depression, Anxiety Family Spir
itual
20
STANDARDS OF CARE FOR MANAGEMENT OF DISTRESS - 1
  • Distress should be recognized, monitored,
    documented and treated promptly at all stages of
    disease
  • All patients should be screened for distress at
    their initial visit and as clinically indicated
  • Screening should identify the level and nature of
    the distress
  • Distress should be assessed and managed by
    evidence or consensus-based clinical practice
    guidelines
  • Adapted, NCCN

21
BRIEF SCREENING TOOL AND PROBLEM LIST
Please indicate your level of distress on the
thermometer and check the causes of your distress.
During the past week, how distressed have you
been?
  • Practical problems
  • __ Housing
  • __ Insurance
  • __ Work/school
  • __ Transportation
  • __ Child care
  • Family problems
  • __ Partner
  • __ Children
  • Emotional problems
  • __ Worry
  • __ Sadness
  • __ Depression
  • __ Nervousness
  • Spiritual/religious concerns
  • __ Relating to God

Physical problems __ Pain __ Nausea __ Fatigue __
Sleep __ Getting around __ Bathing/dressing __
Breathing __ Mouth sores __ Eating __
Indigestion __ Constipation/diarrhea __ Bowel
changes __ Changes in urination __ Fevers __ Skin
dry/itchy __ Nose dry/congested __ Tingling in
hands/feet __ Feeling swollen __ Sexual problems
ExtremeDistress
NoDistress
22
(No Transcript)
23
DISTRESS LADDERMANAGEMENT BY STANDARDS
PRACTICE GUIDELINES
5
DISTRESSScale (010)
lt 5
Adapted from WHO Analgesic Ladder
24
Canada
  • June, 2004 The National Cancer Council
  • Distress added as the 6th vital sign
    (temperature, pulse, respiration, blood
    pressure, pain, distress)
  • To be asked about routinely at patient visits

25
Major Barriers in Every Country
  • Poor to absent funding
  • Absence of oversight and accountability
    (changing in Australia, Canada, UK)
  • Awareness of the importance to patients and
    families (especially in palliative care)
  • Mehnert and Koch, 2003

26
Action Item - 1
  • IPOS, with WHO, seeks to bring the psychosocial
    domain into global cancer control programs
  • IPOS advocates for national standards and
    clinical practice guidelines

27
Action Item - 2
  • IPOS provides oversight of global efforts
  • Collate international data for cross- cultural
    studies
  • Promotes multidisciplinary multi-national
    research

28
Action Item - 3
  • Establish WHO-supported international standards
    and guidelines
  • For use by national societies to impact
    policies on service delivery
  • To provide professional training standards
  • To influence national funding priorities
  • To impact governmental agencies via WHO,
    UICC, IARC
  • To foster research for evidence-based care

29
  • What we value can be seen in what we
    measure.
  • Dr. Robert McMurtry
  • Public Policy, Human Consequences The
    Gap Between Biomedicine and Psychosocial
    Reality
  • Canada Oncology Exchange, 2003

30
PAIN
DISTRESS
31
8th WORLD CONGRESS PSYCHO-ONCOLOGY
"Multidisciplinary Psychosocial Oncology
Dialogue and Interaction"
18 - 21 October 2006 Palazzo del Cinema Venice,
Italy
Details will continue to be posted on the
conference website at www.ipos2006.it
Write a Comment
User Comments (0)
About PowerShow.com