Wellness-Survivorship Center Overview

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1 Linda B. and Robert B. Wiggins Wellness-Survivorship Center Shelley White, MSW, LCSW Manager

2 Defining Wellness 1.the quality or state of being healthy in body and mind, especially as the result of deliberate effort. 2.an approach to healthcare that emphasizes preventing illness and prolonging life, as opposed to emphasizing treating diseases. American Psychological Association (APA):wellness. (n.d.). Dictionary.com Unabridged. Retrieved June 08,, from Dictionary.com website: e/wellness

3 Wellness-Survivorship Center Overview Senior Director of Prevention and Outreach Randall Burt, MD Senior Director of Clinical Affairs John Sweetenham, MD Supportive Oncology and Survivorship Program Existing Proposing FY Future Proposal Wellness Center Programming Acupuncture Garden Club Laughter Therapy (Refer to Cancer Wellness House) Look Good Feel Better (Partnership with American Cancer Society) Bone Health Osteoporosis Exercise Program Physiatrist Exercise Specialist Weight Management Community- Based Fitness: Fly Fishing, Hiking, Road Biking, Rowing, Pilates, Snow Shoeing, Yoga, and Zumba Healing Arts Therapy Artist in Residence Program Dance Therapy Music Therapy Fertility (UUMC) Pet Therapy (Volunteer Services) Writing Arts: Creative Writing Poetry, Journaling Your Story Program Pediatric Cancer Late Effects Clinic Massage (add 1 FTE) Aromatherapy Ayurvedic Medicine Cranial Sacral Energy Medicine Jin Shin Jyutsu Qi Gong Tai-Chi Mind/Body Therapy Guided Imagery Hypnosis Meditation Sound Healing Nutrition Cooking Demonstration webcast & classes Naturopathic Consultant MD/ND (consider adding 1 FTE, consult with pharmacy & RD) Sexual Health (refer PFS & UMC) Therapy/ Counseling (billable 2 nd tier) Couples Individual Family Group

4 Wellness-Survivorship Center Overview The Wellness-Survivorship Center promotes physical and emotional well-being as well as a sense of balance for cancer patients and their loved ones. Existing integrative cancer treatment services include the following: Acupuncture Healing Arts: Artist in Residence, dance, YourStory Program, Creative Writing Exercise Program Nutrition Counseling Supportive Care and Stress Reduction

5 Acupuncture Adapted from traditional Chinese medicine Used as a complementary therapy to help ease symptoms of cancer treatment: o Nausea o Pain o Fatigue o Insomnia o Hot Flashes o Peripheral Neuropathy Annie Budhathoki, L.Ac., Acupuncturist

6 NEW in Acupuncture Acupuncture Clinical Trial S1200 Acupuncture Clinical Trial Randomized Blinded Sham and Waitlist- Controlled Trial of Acupuncture for Joint Symptoms Related to Aromatase Inhibitors in Women with Early Stage Breast Cancer. Developing research relationships and partnerships: Michael Spigarelli, MD, U of U Department of Pediatrics California Cancer Associates for Research and Excellence Team (ccare) 5+sites San Diego Cancer Research Institute (SDCRI) 1-2 sites

7 Healing Arts: Artist in Residence Aids self-expression and communication Provides relief from boredom, stress, fear, and pain Encourages all art forms: drawing, painting, sculpture, photography, video, and poetry Partnering with University of Utah Art Department; guest MFA students to teach workshops and share resources Planning art history movies in the Infusion Center Watch the video Jorge Rojas, Artist in Residence

8 Healing Arts: YourStory Program Patients and their families record stories of their lives Trained facilitator guides the process Participants receive a professional-quality CD First two hours of recording are free

9 NEW in Healing Arts: Creative Writing Partnering with the University of Utah Creative Writing Program and Patient and Family Support Co-taught by MFA student and Huntsman Cancer Institute s Geri Etringer, LCSW

10 NEW in Healing Arts: Music Therapy Looking for grants to fund this initiative Used in cancer treatment to help reduce pain, anxiety, and nausea caused by chemotherapy Evidence shows music therapy can reduce high blood pressure, rapid heart beat, depression, and sleeplessness May also relieve stress and provide an overall sense of well-being nativemedicine/mindbodyandspirit/music-therapy

11 Exercise Program (formerly known as the Fitness Program) Personalized exercise plans Individual and group fitness training Physical assessments Community-based activities such as road biking, hiking, and rowing Many classes for patients, caregivers, and staff

12 NEW in the Exercise Program Fee-based exercise training sessions $40 for 3 $60 for 6 $80 for 9 $100 for 12 Billable weight-reduction series Nutrition, exercise, and counseling

13 NEW in the Exercise Program University of Utah Exercise Sports Science Partnership Classes for patients, caregivers, and staff (addressing compassion fatigue) Rowing Partnership As our rowing activity grows, working on partnering with Salt Lake Rowing Society so we do not have to buy more boats Tai Chi Classes Volunteers interested completing training time and dates coming soon

14 Nutrition Counseling Guidelines for balanced nutrition and for specific cancers Nausea and vomiting management Weight management Diarrhea and constipation management Suggestions for improving appetite Nutrition for bone health Guidelines for nutrition supplements and antioxidant use during cancer treatment

15 NEW in Nutrition Cooking Demonstrations with a Cancer Survivor Survivor is a retired food stylist Planning to webcast cooking demonstrations soon Considering collaborations with Viking Cooking School and Harmon s to provide cooking demonstration classes (MD Anderson s most popular survivorship offering)

16 Supportive Care and Stress Reduction Guided imagery and visualization Breathing techniques Moment-to-moment awareness Meditation Online resources include web links, printable factsheets, and podcasts

17 Relaxation Response and Stress Reduction Studies show between 60% and 90% of all physician visits are for stress-related complaints. Herbert Benson, MD and his colleagues have proven the effectiveness of mind body medicine in helping thousands reduce the stress that can cause or exacerbate conditions such as heart disease, infertility, gastrointestinal disorders, chronic pain, and more.

18 NEW in Supportive Care and Stress Reduction Mind-Body Skills Group Mindfulness-Oriented Recovery Enhancement (MORE) Hypnosis for pain management and surgery MORE is a treatment approach to improve understanding of stress-related conditions, addiction, emotional issues, and chronic pain (has NIH funding for MORE clinical trials) Eric Garland, PhD, LCSW Paul Theilking, MD, PhD

19 NEW in Supportive Care and Stress Reduction offer by Patient & Family Support Pillars4Life Kris Nelson, MSW, LCSW

20 NEW in Supportive Care and Stress Reduction Massage Therapy Jin Shin Jyustu & Cranial Sacral Massage

21 NEW in Supportive Care and Stress Reduction Communication Skills Couples Workshop; partnering with Patient and Family Support team s Suzanne Pratt Gottman, Certified Therapist Fellowship Training Program; partnering with Westminster College Center for the Arts Director (former U of U Dean of Fine Arts) Gardening Club On-site 4 th floor patio and virtual webcast

22 NEW FORM: Gauging Patient Interest Assessing current offerings and future plans

23 The Value of Integrative Health and Wellness Services In 2007, U.S. adults spent $33.9 billion out-of-pocket on visits to CAM practitioners and purchases of CAM products, classes, and materials. Nahin RL, Barnes PM, Stussman BJ, and Bloom B. Costs of Complementary and Alternative Medicine (CAM) and Frequency of Visits to CAM Practitioners: United States, National health statistics reports; no 18. Hyattsville, MD: National Center for Health Statistics

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