PowerPoint Group Dynamics(5)

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Mapping the Body: Exploring HIV Through Art:

Mapping the Body: Exploring HIV Through Art For mothers with HIV

"Art is a wound turned into light" -Georges Braque Purpose of Group: For women with HIV to support each other's vision of personal wellness through the use of body maps and weekly discussion of relevant topics :

"Art is a wound turned into light" -Georges Braque Purpose of Group: For women with HIV to support each other's vision of personal wellness through the use of body maps and weekly discussion of relevant topics

Body Mapping:

Body Mapping art and narrative therapy initially used as an advocacy and educational tool to draw attention to HIV/AIDS in Africa story-telling is used to the put journey of HIV/AIDS into words and images "you put all your dirty stuff on that map and it comes out all washed away" VIDEO: http://www.youtube.com/watch?v=Wd3Ql-r6tBg

HIV in Women can lead to... :

HIV in Women can lead to... diminished activity tolerance neurologic and cognitive changes occupational and social role imbalance stigma and discrimination shame Pizzi, M. (1992). Women, HIV infection, and AIDS: tapestries of life, death, and empowerment. The American Journal of Occupational Therapy , 46 (11), 1021-1027.

Group Characteristics:

Group Characteristics Day program Cooperative group, supportive level Group size: 10 women Age range: 25-34 Inclusion Criteria: Mothers with HIV/AIDs Exclusion Criteria: Score of less than 5.6 on Allen Cognitive Scale Milestones at level 5.6: Driving, child care, anticipates safety and social bonding (http://www.allen-cognitive-levels.com/levels.htm) Restrictions: acute illness Pretest-Posttest using Perceived Stress Test

PowerPoint Presentation:

Description of activity: Women draw, paint, write (on their body map) for the first 20 minutes of the group based on their feeling surrounding the topic of the week First week: Trace selves and partners to create body map Subsequent weeks: Add to body map using different mediums Supplies and equipment needed: Big paper, paint, pastels, brushes, water cups, paper towels, pencils Total cost: $75

Goals of group:

Goals of group Coping with stress and emotions associated with dealing with a chronic illness as a caregiver and maintaining quality of life while living with the disease Coping and stress reduction Financial management Parenting skills Medication and symptom management Sexuality, safety and precautions

Breakdown of time:

Breakdown of time Intro: 5 min Body mapping: 20 min Discussion: 30 min Wrap-up: 5 min

Frames of Reference :

Frames of Reference Psychodynamic define occupational problems overcome internal barriers to engagement MOHO Occupation is interaction between environment and human (open system) Dysfunction in one subsystem leads to disruption of all Subsystems Volition- personal causation, values and interests Habituation- roles and habits Performance- skills Pizzi, M. (1990). The model of human occupation and adults with HIV infection and AIDS. The American Journal of Occupational Therapy , 44 (3), 257-264. Cole, M. (2012). Group Dynamics in Occupational Therapy.. Thorofare, NJ: SLACK publishing.

Week One: Coping and Stress Reduction:

Week One: Coping and Stress Reduction Many stressors associated with HIV (family, community, medication side effects, finances, etc.) Coping Strategies: MBSR- mindfulness-based stress reduction. Live in the present, focus on the problem with a thoughtful approach, without getting too caught up emotionally. Shown to help alleviate side effects of HIV, can help with other stressors as well. Yoga- study shows that yoga can lower blood pressure in people with HIV- has a focusing, calming effect that helps in short and long term. Duncan, L. G., Moskowitz, J. T., Neilands, T. B., Dilworth, S. E., Hecht, F. M., & Johnson, M. O. (2012). Mindfulness-based stress reduction for hiv treatment side effects: a randomized, wait-list controlled trial. J. Pain Symptom Manage , 43 (2), 161-171. doi: 10.1016/j.jpainsymman.2011.04.007 Yarasheski, K. (2010). Yoga for the management of hiv-metabolic syndromes. HIV Medicine , 11 , 379-388. doi: 10.1111/j.1468-1293.2009.00801.x (Yarasheski, 2010)

Week Two: Financial management and resources:

Week Two: Financial management and resources Discuss what kind of financial stressors they have. Government agencies most common source of financial assistance Federal-welfare program, food stamps, medicare, AIDS Drug Assistance Program Other financial assistance programs: housing, medication, food, agencies help find employment, utilities, daycare Budgeting - balance sheet, cash flow statement McCaffrey-Boss, R. (2011). Money and HIV. Positively Aware. http://www.positivelyaware.com/2011/11_07/financial.shtml

Week Three: Parenting Skills:

Week Three: Parenting Skills Discuss early on who will take care of the children when the mother is sick or after she passes away Parenting despite feeling tired and having other drug complications Telling children about HIV — if you should and how to do it Dealing with discrimination towards the children VIDEO: http://www.theleafchronicle.com/VideoNetwork/1436452214001/Nashville-mother-on-living-with-HIV Being a mother with HIV/AIDS (2011) Retrieved from http://womenshealth.gov/hiv-aids/living-with-hiv-aids/parenting-a-child-with-hiv.cfm

Week Four: Medication and Symptom Management:

Week Four: Medication and Symptom Management Symptoms common: Anxiety/fear, neuropathy, nausea/vomiting, depression, fatigue treatment: walking, taking hot baths, aromatherapy, massage, talking to others Medication management 1/3 do not adhere fully to medication regimen self-efficacy important in medication adherence goal to increase perceived ability to carry out behavior Bunch, E. H. (2004). Symptom management for HIV positive persons in Norway. International Nursing Review, 51 , 167-175. Wolf, M., Davis, T., Osborn, C., Skripkauskas, S., Bennet, C., & Makoul, G. (2007). Literacy, self-efficacy, and HIV medication adherence. Patient Education and Counseling, 65, 253-260.

Week Five: Sexuality: safety and precautions:

Week Five: Sexuality: safety and precautions Discussion: Sexual intimacy is essential to well being. All human beings need to touch and be touched. Fear of loss of physical contact, nurturance and sense of intimacy due to shame, pain or fear of HIV transmission Communication skills: having honest, informed and safe discussions about desire, HIV, and transmission are keys to fulfilling sexual intimacy Educational Resources for the women: World Health Organization: Sexual and Reproductive health of women living with HIV/AIDS Center for Disease Control http://www.thebody.com/content/art5148.html Pizzi, M. (1992). Women, HIV infection, and AIDS: tapestries of life, death, and empowerment. The American Journal of Occupational Therapy , 46 (11), 1021-1027.

Sharing:

Sharing 1. If you could pick one emotion, what does your drawing express? 2. Can you tell us about the colors you chose? Do the colors you chose have a significance? 3. Is there an event in your life that influenced your drawing that you would like to share with the group? 4. Do you feel positive or negative events from this past week are influencing your mood? 5. Is there a drawing or image from another member that spoke to you?

Generalizing:

Generalizing 1. What are some common difficulties that the group is encountering? 2. What are some common elements of the drawings? 3. On a scale of 1-10, what is our stress level this week? 4. What differences did we see today in comparison to last week's meeting? 5. What were some commonalities (such as emotion, themes) between the members?

Application:

Application 1. Check in with your body, do a body scan and identify if there is a place in your body where you are holding tension. 2. What supports do you feel you need today? 3. What are two strategies that you can take from today to create/seek support? 4. What are ways we can maintain or enhance the positive aspects we discussed earlier? 5. What is one person (write down their name and phone number) whom you can call when you need support?

Points for Summary:

Points for Summary Would someone like to share what our activity and discussion was focused on today? What did you learn that you can take home with you? Reiterate goals, content, process, summarize activities Discuss overall mood and emotional content Thank everyone for participating

References:

References Being a mother with HIV/AIDS (2011) Retrieved from http://womenshealth.gov/hiv-aids/living-with-hiv-aids/parenting-a-child-with-hiv.cfm Bunch, E. H. (2004). Symptom management for HIV positive persons in Norway. International Nursing Review, 51 , 167-175. Cole, M. (2012). Group Dynamics in Occupational Therapy.. Thorofare, NJ: SLACK publishing. Duncan, L. G., Moskowitz, J. T., Neilands, T. B., Dilworth, S. E., Hecht, F. M., & Johnson, M. O. (2012). Mindfulness-based stress reduction for hiv treatment side effects: a randomized, wait-list controlled trial. J. Pain Symptom Manage , 43 (2), 161-171. doi: 10.1016/j.jpainsymman.2011.04.007 McCaffrey-Boss, R. (2011). Money and HIV. Positively Aware. http://www.positivelyaware.com/2011/11_07/financial.shtml Pizzi, M. (1990). The model of human occupation and adults with HIV infection and AIDS. The American Journal of Occupational Therapy , 44 (3), 257-264. Pizzi, M. (1992). Women, HIV infection, and AIDS: tapestries of life, death, and empowerment. The American Journal of Occupational Therapy , 46 (11), 1021-1027. Wolf, M., Davis, T., Osborn, C., Skripkauskas, S., Bennet, C., & Makoul, G. (2007). Literacy, self-efficacy, and HIV medication adherence. Patient Education and Counseling, 65, 253-260. Yarasheski, K. (2010). Yoga for the management of hiv-metabolic syndromes. HIV Medicine , 11 , 379-388. doi: 10.1111/j.1468-1293.2009.00801.x (Yarasheski, 2010)

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