Considerations to Implement Holistic Groups With the Elderly

The group modality is a viable holistic treatment consideration for the elderly, given the steady increase in the elderly population, the presence of various psychiatric and/or medical conditions in this cohort, and cost concerns. The holistic nurse and group leader share similar role definitions of being a facilitator in the healing process. They embrace the concept that the person and group are greater than the sum of the parts. Using a group modality can increase the number of people served by one nurse, thereby making it cost-effective. Incorporating the holistic mind–body–spirit approach addresses the Healthy People 2010 goal of increasing the quality of life. Tips on conducting groups with the elderly are reviewed, including types of groups, setting, goals, composition, duration, and frequency. Theme-centered groups are discussed from a holistic perspective. Yalom's 11 therapeutic factors that account for group functions are explained, along with other group concepts that reflect holistic nursing concepts.

[1]  Diana Hulse-killacky,et al.  Facilitating Reminiscence Groups: Perceptions of Group Leaders , 2006 .

[2]  G. Usdin Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 8th Edition , 2005 .

[3]  L. Viney,et al.  The effects of personal construct group therapy on breast cancer survivors. , 2005, Journal of consulting and clinical psychology.

[4]  J. Bostwick,et al.  Implantable cardioverter-defibrillators, induced anxiety, and quality of life. , 2005, Mayo Clinic proceedings.

[5]  M. Shively,et al.  Improving Quality of Life in Patients With Heart Failure: An Innovative Behavioral Intervention , 2005, The Journal of cardiovascular nursing.

[6]  H. Wahl,et al.  Development and pilot evaluation of a psychosocial intervention program for patients with age-related macular degeneration. , 2004, The Gerontologist.

[7]  J. Cummings,et al.  A counseling intervention for caregivers: effect on neuropsychiatric symptoms , 2004, International journal of geriatric psychiatry.

[8]  S. Cummings,et al.  Group Therapy for Depressed Elderly Women , 2004, International journal of group psychotherapy.

[9]  Stella M. Yu Healthy People 2010 , 1998, Maternal and Child Health Journal.

[10]  John Adams Reminiscence therapy for older women with depression: effects of nursing intervention classification in assisted-living long-term care. , 2003, Nursing older people.

[11]  E. D. L. Fuente,et al.  Pharmacologic and Nonpharmacologic Options for Anxiety and Depression in Late Life , 2001 .

[12]  S L Lusk,et al.  Healthy People 2010 , 2001, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[13]  N. Frisch Standards for holistic nursing practice: a way to think about our care that includes complementary and alternative modalities. , 2001, Online journal of issues in nursing.

[14]  Frisch Nc Standards for holistic nursing practice: a way to think about our care that includes complementary and alternative modalities. , 2001 .

[15]  S. Spitz,et al.  A pragmatic approach to group psychotherapy , 2013 .

[16]  M. Leszcz Introduction to special issue on group psychotherapy for the medically ill. , 1998, International journal of group psychotherapy.

[17]  Cynthia Harshbarger Group Work with Elderly Visually Impaired Persons , 1980 .

[18]  Harold I. Kaplan,et al.  Comprehensive textbook of psychiatry/III , 1980 .

[19]  I. Yalom,et al.  The Theory and Practice of Group Psychotherapy , 1971, British Journal of Psychiatry.

[20]  Teirich Hr Theory and practice of group psychotherapy , 1949 .