Social Work Office-Family Counseling

Social Work Office-Family Counseling:
Social work:

Social work is a practice-based profession and an academic discipline that promotes social change and development, social cohesion, and the empowerment and liberation of people. Principles of social justice, human rights, collective responsibility and respect for diversities are central to social work.  Underpinned by theories of social work, social sciences, humanities and indigenous knowledges, social work engages people and structures to address life challenges and enhance wellbeing (IFSW, 2014).

Social Work and Infertility:

Infertility is a phenomenon that can make people vulnerable and represent a major crisis for the most couple lives.  Dealing with infertility as one of the most difficult life experiences may even disrupt the infertile person’s self-perception as a woman or a man.

Indeed, struggling with infertility and its treatment can cause various psychological- emotional consequences including turmoil, frustration, feeling of inadequacy and worthlessness in life and interpersonal problems and etc.

The Social work unit of Royan treatment center was established with the aim of helping to infertile couples. It will help to infertile couples understand psychosocial aspects of infertility. Indeed, Social work unit with individual consultation and training skills can helps to infertile couples for knowing of their abilities such as self-awareness, responsible behavior, effective communication, decision-making and problem solving. Finally, it can improve the compatibility level of life of the infertile couple with themselves, other people and the environmental conditions. As a result, treatment path will be easy for the infertile couple with relying on their own abilities.

Social Work Unit Services:
Psychosocial services in third party reproduction (egg donation, embryo donation, surrogate womb).
Providing specialized counseling practice to the client undergoing ART and third-party reproduction such as: information counseling, supportive counseling, giving bad news, acceptance, and decision-making.
Providing informed consent from gamete donors
Proportionate selection of donor and recipient in egg and embryo donation treatments.
Forming & facilitating
Holding educational workshops (life skills, help in infertility, etc.).

Immunology Consultation Clinic

Immunology Consultation Clinic

Today, the role of immunological factors in infertility and recurrent miscarriage is well known. It is shown that the cause of some cases of recurrent spontaneous miscarriage (RM) and some complications during pregnancy are due to immunological factors. The role of immunological factors on egg fertilization, embryo implantation and embryo development is indisputable. Some studies display the importance for the immune function in recurrent miscarriage and infertility.

Therefore, the evaluating the couples with recurrent spontaneous abortion (RSA) and couples with recurrent implantation failure (RIF) is of great importance to identify immunological factors influencing infertility and recurrent miscarriage. In Royan Immunology Counseling Clinic, after couple consultation, diagnostic evaluation and appropriate immunomodulation options is offered to infertile couples, particularly couples with recurrent pregnancy loss, recurrent implantation failure and women with premature ovarian failure (POF).

Blood and Hematology Counseling Clinic

Blood and Hematology Counseling Clinic:

Blood and Hematology Counseling Clinic of Rayan Institute is established to provide comprehensive cancer control program including prevention, early diagnosis, treatment, supportive care, development of cancer registration program, fundamental and basic clinical research. The most significant services provided in the clinic are social work, home care, specialty clinics for chemotherapy, pain, lymphedema control, ostomy care, nutrition, counseling, psychological, spiritual care, nursing, as well as educational activities.

They use the latest advances to provide personalized treatment plans.

In hematology clinic, the supportive and comforting care offered to reduce the physical and mental suffering of the patient caused by treatment of the disease and in order to increase life quality of the patient and his/her family. This caregiving approach aimed at relieving serious health-related suffering is known as palliative care. A wide array of professionals, including the palliative physician, nurse, social worker, and pharmacist collaborates in a palliative team to address the physical, psychosocial, and spiritual aspects of patients by employing multidisciplinary team approach.

Royan Institute hematologists treat patients with blood disorders related to maternal and fetal complications. Our hematologists team up with other clinic’s experts to examine and determine the cause of anemia and thrombophilia associated with pregnancy problems such as eclampsia, preeclampsia and recurrent miscarriages. The follow-up and check-up at hematology clinic of Royan Institute are made to patients with a history of Deep Vein Thrombosis (DVT) or rare bleeding disorders to make sure their health is on track.

The following services are provided in hematology clinic of Royan Institute:
Specialized visits and sub-specialized consultations (prevention, diagnosis, treatment, education, disease follow-up).
Consultation and subspecialized treatment in cancer patients such as fertility preservation in cancers cases (Onco-fertility).
Genetic counseling for blood and hereditary disease cases (prevention and treatment).
Screening for the blood diseases and cancer (especially in high-risk people, children, women, elderly)
Carrying out clinical and diagnostic genetic tests
Treatment of various bleeding and coagulation disorders like hemophilia, deficiency of coagulation factors and thrombosis.
Chemotherapy for all types of cancer
Education services for special patients and their families
Providing services of injecting blood factors and immunoglobulin
Intraspinal injections and bone marrow sampling
Diagnosis and treatment of various blood diseases like: anemia, anemia, reduction of blood platelets, leukemia, sickle cell anemia, immune system deficiency, thalassemia, congenital enzyme defects, and enlarged lymph nodes.
Nutrition counseling in patients with blood disorders, cancer and chemotherapy.
Transplantation and cell therapy clinic with an approach to NK and DS cell therapy and CAR T cell
Pain control clinic and pain operating room
Photopheresis clinic which will be very helpful in the treatment of cancer patients, transplant patients, rheumatology and gastrointestinal patients.
Personalized Medicine in Cancer clinic (clinical-laboratory).

Psychiatric Clinic and Family Counseling

Psychiatric Clinic and Family Counseling:

Infertility can cause psychologically, emotionally stress and financial difficulties for both partners. Psychologists help couples understand the emotional, psychological and physical issues of infertility treatment. In Psychology Clinic of Royan Institute with two decades of experience, the necessary counseling and treatments are provided for couples and patients with major depressive disorders and couples experiencing psychological symptoms prior to and during cycles in infertility treatment. Additionally, various sexual health counseling is offered to couples to provide and meet their needs.

Psychiatry and counseling clinic are ready to provide the following services:
Treatment of disorders such as anxiety, depression and obsession
Treatment of sexual and marital problems
Treatment and counseling of couple problems (couple therapy)
Counseling and treatment for quitting smoking and drugs
Help to decide on other methods of having children, such as receiving a donation or adopting a child
It is necessary to visit this clinic if the couple has one of the following conditions:
Stress and anxiety for infertility treatment
Medical history for take psychiatric medicine
Marital conflict
Psychiatric disease in couple
Sexual disorders
Inability to make appropriate decisions to continue infertility treatment

Genetic Counseling Clinic

Genetic Counseling Clinic

The hope of eternal life is a human yearning that is closely bound up with the healthy life. So, removing the obstacles to achieve this great wish forms the basis of health science. Genetic disorders are considered to be one of the most common and important obstacles that cause disability and death. Considerable efforts have been devoted to identify the causes of its occurrence and how it is inherited and how to prevent its transmission from one generation to the next.  Genetic counseling is a way for people to understand how genetic illnesses can affect them and their family.

Genetic counseling is defined as a process that examines the patients or relatives at risk of developing a genetic disorder. The counseling provides the patient with information concerning genetic diseases, the origins, different diagnosis ways, inheritance patterns, disease prevention, and treatments to palliative the symptoms of the disease or rehabilitate it.

To achieve the final diagnosis, it is necessary for genetic counselor to study the following:

• Clinical information and medical records
• Genetic or non-genetic tests
• The specialized tests
• Previous patient consultations
• Various sources of medical genetics, such as sites, software’s, and authentic scientific articles.

Our counselors in the Clinical Genetic Counseling Clinic of the Royan Institute provide a wide variety of services for families who need guidance. They draw a genetic family history and consider documents of clinical examinations in order to help patients to raise the success of pregnancy, reduce the incidence of miscarriage, and finally have a healthy child. Patients may be referred for a genetic evaluation by a physician because of the following reasons:

• Recurrent pregnancy loss
• Unexplained infertility in males or females
• History of multiple abnormalities or known genetic and chromosomal disorders in their children or relatives such as mental retardation, hearing loss, thalassemia, metabolic diseases, hemophilia, severe physical growth disorders
• Consanguineous marriage
• History of cancer in family or relatives
• Several unsuccessful assisted reproductive procedures
• Sex selection

Additionally, Genetic Counseling Clinic of Royan Institute in collaboration with other specialized departments of Royan Institute takes the following measures to eventually lead the couple to reach the final goal of having a healthy child:

• Detecting the genetic disorders,
• Chromosomal abnormalities in embryos before transferring into the uterus (PGT),
• Examining the health condition of the embryos during pregnancy (PND)

The Clinical Genetic Counseling Clinic of the Royan Institute is ready to provide services in the pre-marriage, pre-fertility, and during fertility stages, as well as specialized genetic services for various genetic and chromosomal disorders and syndromes.

Endocrinology and Metabolism Counseling Department

Endocrinology and Metabolism Counseling Department:

The endocrine system is a network of glands producing hormones and affecting almost every organ and cell in the body. The major glands of the endocrine system include the pineal gland, hypothalamus, pituitary gland, thyroid gland, parathyroid gland, pancreas, adrenal glands, ovaries, testis. Endocrinology counseling clinic of Royan Institute provides expert counseling to patients diagnosed with various complex and rare endocrine disorders and their families. The most appropriate treatment plan will be selected after cooperation and consultation with other specialist teams in Royan Institute.

The most common endocrine disease that they are related to fertility and pregnancy are includes:

Diabetes (type one or two) before pregnancy
Gestational diabetes
Prolactinoma
Obesity and blood lipid disorders
Thyroid diseases (Hashimoto thyroiditis. Hyperthyroidism/hypothyroidism and thyroid nodules)
Polycystic ovary syndrome (PCOS)
Premature ovarian failure (POF)
Diseases of the pituitary gland

In this clinic patients we will teach about types of insulin, insulin injection and how to measure blood sugar at home. In this clinic, it is possible to visit the patient Online.

In the presence of any of the above disorders, patients are referred to male and female infertility for controlling disease. After controlling of endocrine disorders, for continue fertility procedures men and women should referred to the infertility section. Also, patients will be visited at regular intervals during treatment, pregnancy and breastfeeding. If needed, patients will be referred to the nutrition clinic.