scientific program • symposia - American Society for Reproductive ...
scientific program • symposia - American Society for Reproductive ...
scientific program • symposia - American Society for Reproductive ...
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SCIENTIFIC PROGRAM <strong>•</strong> SYMPOSIA<br />
Tuesday, October 18, 2011 11:15 am – 1:00 pm<br />
Symposium<br />
Room 224 A/B<br />
DOUBLE JEOPARDY, INFERTILITY AND PRENANCY LOSS:<br />
HELPING PATIENTS AND STAFF COPE<br />
A Joint Session presented by the Mental Health Professional Group and the<br />
Nurses’ Professional Group<br />
Joann Paley Galst, Ph.D. (Chair)<br />
Private Practice<br />
Jeanette Rodriguez, M.S., R.N.C.<br />
Cornell University<br />
Owen K. Davis, M.D.<br />
Cornell University<br />
Needs Assessment and Description<br />
Superimposing pregnancy loss and repeated IVF failure<br />
upon the experience of infertility can stretch both patients<br />
and professionals to the limits of their grief tolerance.<br />
Patients often feel disconnected from their IVF medical<br />
personnel after learning of either an IVF failure or a<br />
subsequent pregnancy loss. Both physician and nurse<br />
communication can play a pivotal role in assisting patients<br />
in coping with their multiple losses.<br />
How do interdisciplinary members of the IVF staff perceive<br />
and experience patients’ losses and grief? Little research<br />
exists on the emotional strain to which the IVF professional<br />
staff may be subjected. The results of an interdisciplinary<br />
survey of IVF professionals will be presented to clarify this.<br />
In<strong>for</strong>mation regarding patient reactions to loss and<br />
how the professional can differentiate between<br />
normal and complicated grief will be presented, as will<br />
recommendations that staff can implement, both <strong>for</strong><br />
their patients and <strong>for</strong> themselves, to help cope with the<br />
abundance of loss encountered when working with an<br />
infertile population.<br />
71<br />
Learning Objectives<br />
At the conclusion of this session, participants should be able<br />
to:<br />
1. Recognize how the definition of pregnancy loss has<br />
expanded as a result of assisted reproductive<br />
technologies.<br />
2. Acknowledge the impact of pregnancy loss and IVF<br />
failure on the patient, the physician, and the nurse in an<br />
IVF practice.<br />
3. Differentiate between normal and complicated grief.<br />
4. Consider the need <strong>for</strong> IVF nurses and reproductive<br />
endocrinologists to recognize their own feelings of loss<br />
in order to come to a healthy resolution regarding the IVF<br />
failures and pregnancy losses of their patients, both to<br />
avoid burnout and to be able to maintain a therapeutic<br />
presence <strong>for</strong> their patients.<br />
5. Recognize that the IVF staff needs to maintain<br />
communication with patients after an IVF failure or<br />
pregnancy loss and how therapeutic communication with<br />
patients can be effectively implemented.<br />
ACGME COMPETENCY<br />
Patient Care<br />
Interpersonal and Communication Skills<br />
TEST QUESTIONS:<br />
After participating in this session, on my practice I will:<br />
A. Address the medical needs of my patients and assume<br />
that the emotional needs of my patients experiencing IVF<br />
failure and pregnancy loss will be taken care of by others.<br />
B. Recognize my own and my staff’s emotional needs in<br />
coping with the frequency of patient losses experienced<br />
in an IVF practice, but have no system built into our<br />
practice to address these needs.<br />
C. Contact my patients after learning of their IVF failure or<br />
pregnancy loss to express my sympathy and indicate my<br />
availability to answer any questions that they may have,<br />
as well as encourage emotional support between the<br />
interdisciplinary members of our IVF team to address my<br />
staff’s own emotional needs in coping with the<br />
frequency of patient losses experienced in an IVF<br />
practice.<br />
D. Not applicable to my area of practice.