Clown Care, also known as hospital clowning, is a program in health care facilities involving visits from specially trained clowns. They are colloquially called "clown doctors" which is a trademarked name in several countries. These visits to hospitals have been shown to help in lifting patients' moods with the positive power of hope and humor. There is also an associated positive benefit to the staff and families of patients. [1]
Patch Adams, considered the first hospital clown, started being a hospital clown in the 1970s. He was portrayed in the 1998 film Patch Adams by Robin Williams, bringing attention to hospital clowning. [2]
Professional Clown Doctors began working in hospitals in 1986 under a program called the Big Apple Circus Clown Care Unit, which was started by Michael Christensen in New York City. Clown Doctor programs now operate in every state in Australia, New Zealand, [3] the United States, the United Kingdom, Canada, Israel, South Africa, Hong Kong, Brazil, Belarus, Taiwan [4] and all over Europe and in some parts of India. [2]
Clown Doctors attend specifically to the psycho-social needs of the hospitalized child but in some hospitals they also visit adults. [5] They parody the hospital routine to help children adapt to their surroundings, they also distract from and demystify painful or frightening procedures. [6] The atmosphere of fun and laughter can help children forget about the illness and the stress for a moment.
Clown Doctors use techniques such as magic, music, storytelling and other clowning skills to empower children with doses of fun that help them deal with the range of emotions they may experience while in hospital: fear, anxiety, [7] [8] loneliness, boredom.
According to Tan, Metsälä, and Hannula, [9] "Clown care creates a positive emotional state, promotes interaction between parents and child, and fosters affirmative environmental conditions."
Research on the physiological health benefits on laughter has been conducted for decades and continues to be carried out by medical physicians internationally. There is also a growing group of researchers that are exploring the psychological benefits of laughter, and specifically the work of Clown-Doctors. [10] [11] [12]
Humour or humor is the tendency of experiences to provoke laughter and provide amusement. The term derives from the humoral medicine of the ancient Greeks, which taught that the balance of fluids in the human body, known as humours, controlled human health and emotion.
Laughter is a pleasant physical reaction and emotion consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system. It is a response to certain external or internal stimuli. Laughter can rise from such activities as being tickled, or from humorous stories or thoughts. Most commonly, it is considered an auditory expression of a number of positive emotional states, such as joy, mirth, happiness, or relief. On some occasions, however, it may be caused by contrary emotional states such as embarrassment, surprise, or confusion such as nervous laughter or courtesy laugh. Age, gender, education, language, and culture are all indicators as to whether a person will experience laughter in a given situation. Other than humans, some other species of primate show laughter-like vocalizations in response to physical contact such as wrestling, play chasing or tickling.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
Health informatics is the field of science and engineering that aims at developing methods and technologies for the acquisition, processing, and study of patient data, which can come from different sources and modalities, such as electronic health records, diagnostic test results, medical scans. The health domain provides an extremely wide variety of problems that can be tackled using computational techniques.
Hunter Doherty "Patch" Adams is an American physician, comedian, social activist, clown, and author. He founded the Gesundheit! Institute in 1971. Each year he also organizes volunteers from around the world to travel to various countries where they dress as clowns to bring humor to orphans, patients, and other people.
Patch Adams is a 1998 American biographical comedy-drama film directed by Tom Shadyac and starring Robin Williams in the lead role, Monica Potter, Philip Seymour Hoffman, Bob Gunton, Daniel London, and Peter Coyote. Set in the late 1960s/early 1970s, it is loosely based on the life story of Dr. Hunter "Patch" Adams and the book Gesundheit: Good Health Is a Laughing Matter by Dr. Adams and Maureen Mylander. The film received generally unfavorable reviews from critics, with criticism for the sentimentality and direction, but was a box office success and grossed $202.3 million against a $50–90 million budget.
eHealth describes healthcare services which are supported by digital processes, communication or technology such as electronic prescribing, Telehealth, or Electronic Health Records (EHRs). The use of electronic processes in healthcare dated back to at least the 1990s. Usage of the term varies as it covers not just "Internet medicine" as it was conceived during that time, but also "virtually everything related to computers and medicine". A study in 2005 found 51 unique definitions. Some argue that it is interchangeable with health informatics with a broad definition covering electronic/digital processes in health while others use it in the narrower sense of healthcare practice using the Internet. It can also include health applications and links on mobile phones, referred to as mHealth or m-Health.
Cyberchondria, otherwise known as compucondria, is the unfounded escalation of concerns about common symptomology based on review of search results and literature online. Articles in popular media position cyberchondria anywhere from temporary neurotic excess to adjunct hypochondria. Cyberchondria is a growing concern among many healthcare practitioners as patients can now research any and all symptoms of a rare disease, illness or condition, and manifest a state of medical anxiety.
Screening, in medicine, is a strategy used to look for as-yet-unrecognised conditions or risk markers. This testing can be applied to individuals or to a whole population. The people tested may not exhibit any signs or symptoms of a disease, or they might exhibit only one or two symptoms, which by themselves do not indicate a definitive diagnosis.
Immigrant health care in the United States refers to the collective systems in the United States that deliver health care services to immigrants. The term "immigrant" is often used to encompass non-citizens of varying status; this includes permanent legal residents, refugees, and undocumented residents.
Silliness is defined as engaging in "a ludicrous folly", showing a "lack of good sense or judgment", or "the condition of being frivolous, trivial, or superficial". In television, film, and the circus, portrayals of silliness such as exaggerated, funny behaviour are used to amuse audiences. Portrayals of silliness, provided by clowns and jesters, are also used to lift the spirits of people in hospitals.
Healthcare in Taiwan is administered by the Ministry of Health and Welfare of the Executive Yuan. As with other developed economies, Taiwanese people are well-nourished but face such health problems as chronic obesity and heart disease. In 2002 Taiwan had nearly 1.6 physicians and 5.9 hospital beds per 1,000 population. In 2002, there were 36 hospitals and 2,601 clinics in the country. Per capita health expenditures totaled US$752 in 2000. Health expenditures constituted 5.8 percent of the gross domestic product (GDP) in 2001 ; 64.9 percent of the expenditures were from public funds. Overall life expectancy in 2019 was averaged at 81 years.
Most people have a fear of medical procedures at some point in their lifetime, which can include the fear of surgery, dental work, doctors, or needles. These fears are seldom diagnosed or treated, as they are often extinguished into adulthood and do not often develop into phobias preventing individuals from seeking medical attention. Formally, medical fear is defined as "any experience that involves medical personnel or procedures involved in the process of evaluating or modifying health status in traditional health care settings."
Preoperational anxiety, or preoperative anxiety, is a common reaction experienced by patients who are admitted to a hospital for surgery. It can be described as an unpleasant state of tension or uneasiness that results from a patient's doubts or fears before an operation.
Nicklaus Children's Hospital formerly known as Miami Children's Hospital is a hospital for children in South Florida. The hospital has 289 beds. It is affiliated with the FIU Herbert Wertheim College of Medicine, Nova Southeastern University, and St. George's University and is a member of Nicklaus Children's Health System. The hospital provides comprehensive pediatric specialties and subspecialties to pediatric patients aged 0–21 throughout South Florida. Nicklaus Children's Hospital features the only Level 1 pediatric trauma center in the region, and 1 of 3 in the state. It has 650 attending physicians and over 130 pediatric sub-specialists. Nicklaus Children's Hospital was one of the largest employers in Miami-Dade County in 2014 with over 3,500 employees.
Remote patient monitoring (RPM) is a technology to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs. RPM involves the constant remote care of patients by their physicians, often to track physical symptoms, chronic conditions, or post-hospitalization rehab.
Vladimir Olshansky is a performing artist, director, composer, sculptor, graduate of the Moscow State Circus School, together with clown Slava Polunin, he is the founder of the clown theatre company Litsedei (Лицедеи). He creates numerous one man shows and performs at the Leningrad's State Variety Theatre, In parallel he studies directing at the Leningrad's State Theatre and Cinema Institute (ЛГИТМИК)
Preoperative care refers to health care provided before a surgical operation. The aim of preoperative care is to do whatever is right to increase the success of the surgery.
Sad clown paradox is the contradictory association between comedy and mental disorders such as depression and anxiety. These comedic performers are characterised by feelings of deprivation and isolation in their early lives, where comedy evolves as a release for tension, removing feelings of suppressed physical rage through a verbal outlet.
The impact of the COVID-19 pandemic on hospitals became severe for some hospital systems of the United States in the spring of 2020, a few months after the COVID-19 pandemic began. Some had started to run out of beds, along with having shortages of nurses and doctors. By November 2020, with 13 million cases so far, hospitals throughout the country had been overwhelmed with record numbers of COVID-19 patients. Nursing students had to fill in on an emergency basis, and field hospitals were set up to handle the overflow.
Media related to Clown care at Wikimedia Commons
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