Considerations to Implement Holistic Groups With the Elderly

Abstract

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.

Understanding Content and Process: Guidelines for Group Leaders

“…While process refers to the interaction between group members, content is what is actually being said. Puskar, Brar, and Stark (2008) use a great analogy when describing content versus process, “Content is like the lyrics of a song . .…”

“…The leader will not only be able to appreciate the needs of the group members but also provide the appropriate therapeutic interventions. A good way to develop rapport with the group members is by recognizing what is not being said (Puskar et al., 2008). Puskar, McClure, and McGinnis (2007) discuss the importance of listening to others to help them achieve their maximum amount of wellness.…”

“…Puskar, McClure, and McGinnis (2007) discuss the importance of listening to others to help them achieve their maximum amount of wellness. By doing so, a trusting relationship between the members and the leader can develop (Puskar et al., 2008).…”

Managing parental groups during early childhood

“…The CHC nurse organizes parental group meetings eight to ten times during the child´s first year (Department of health, 1978, Department of health, 2009, Swedish children medical association , 2013. In accordance with theories about group leadership and group facilitation parental groups are closed groups with 6-8 couples in each group in order to facilitate a trusting climate (Elwyn at al., 2004, Puskar et al, 2008. The groups are meant to serve as a place where parents can meet and share experiences and extend their social network.…”

“…The nurse's role is to give information about the themes chosen and serve as a group facilitator. By observing the group dynamics and managing the group processes the nurses should work to obtain the best possible outcome in the group (Elwin et al, 2004, Puskar et al, 2008. There is no structured manual to follow for the meetings, but there are some recommended themes to be included, such as child development, nutrition and interaction between parent and child (Swedish children medical association, 2013).…”