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The Diabetes Educator

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Journal of Holistic Nursing
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Considerations to Implement Holistic Groups With the Elderly

Kathryn R. Puskar, DrPH, FAAN

University of Pittsburgh School of Nursing

Laurie Brar, MSN, PPCNP, CRNP

Western Psychiatric Institute and Clinic

Kirsti Hetager Stark, MSN, APRN, BC

University of Pittsburgh School of Nursing, kms87{at}pitt.edu

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.

Key Words: elderly • holistic nursing • group modality

This version was published on September 1, 2008

Journal of Holistic Nursing, Vol. 26, No. 3, 212-218 (2008)
DOI: 10.1177/0898010108315183
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