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Integrative Healing Therapies in Health Care 5/9/2018 Integrative Healing Therapies in Health Care S A N D R A MCGURRAN MSW/ LISW HOME CARE SOCIAL WORK MANAGER, COORDINATOR OF INTEGRATIVE HEALIN G THERAPIES FAIRVIEW HOMECARE AND HOSPICE • Integrative/Complementary Therapies: “The goal of an integrative approach is to enhance overall health, prevent disease, and to alleviate debilitating symptoms such as pain and stress and anxiety management that often affects patients coping with complex and chronic disease, among others”. “using a non-mainstream approach together with conventional medicine” • Alternative Medicine “using a non-mainstream approach in place of conventional medicine” • December 2014: Name Change NCCIH National Center for Complementary and Integrative Health from NCCAM National Center for Complementary and Alternative Medicine ( est 1998) nccam.nih.gov/news/name-change-faq Andrew Weil-Principles of Integrative Medicine • Consideration of all factors that influence health, wellness and disease, including mind, spirit and community as well as body • A philosophy that neither rejects conventional medicine nor accepts integrative therapies uncritically • Recognition that good medicine should be based in good science, be inquiry driven, and be open to new paradigms • Use of natural, effective, less-invasive interventions whenever possible 1 5/9/2018 • Use of the broader concepts of promotion of health and the prevention of illness as well as the treatment of disease • Training of practitioners to be models of health and healing, committed to the process of self-exploration and self- development • Partnership between patient and practitioner in the healing process”. https://www.drweil.com/health-wellness/balanced-living/meet-dr-weil/what-is-integrative-medicine/ “Somewhere in the interaction of hope, optimism, nurturing care and full partnership with the empowered patient, a recipe for healing lies”. Lissa Rankin MD Mind Over Medicine Minnesota Statute 146A.o1 • CHAPTER 146A. COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTICES Definition Requires Consent Requires Patient Bill of Rights https://www.revisor.mn.gov/statutes/?id=146A.01 2 5/9/2018 Section of Statute • Subd. 4.Complementary and alternative health care practices. • (a) "Complementary and alternative health care practices" means the broad domain of complementary and alternative healing methods and treatments, including but not limited to: (1) acupressure; (2) anthroposophy; (3) aroma therapy; (4) ayurveda; (5) cranial sacral therapy; (6) culturally traditional healing practices; (7) detoxification practices and therapies; (8) energetic healing; (9) polarity therapy; (10) folk practices; (11) healing practices utilizing food, food supplements, nutrients, and the physical forces of heat, cold, water, touch, and light; (12) Gerson therapy and colostrum therapy; (13) healing touch; (14) herbology or herbalism; (15) homeopathy; (16) nondiagnostic iridology; (17) body work, massage, and massage therapy; (18) meditation; (19) mind-body healing practices; (20) naturopathy; (21) noninvasive instrumentalities; and (22) traditional Oriental practices, such as Qi Gong energy healing. The History of Medicine • 2000 BC Here eat this root • 1000 AD This root is heathen, here, say this prayer • 1850 AD The prayer is superstitious, here, drink this potion • 1940 AD That potion is snake oil, here, swallow this pill • 1985 AD That pill is ineffective, here, take this antibiotic • 2000 AD That antibiotic is artificial, here, eat this root, author unknown • Author unknown Today – integrating complementary therapies with conventional medicine $33.9 Billion 35% of the population in 2007 & 2009 studies 65% of people with cancer dx Natural Products: dietary supplements, vitamins Aromatherapy Mind and Body Medicine: meditation, yoga, prayer, Tai Chi Manipulative Body Practice Traditional Healers Energy Healing Traditional Chinese Medicine Homeopathy Naturopathy Spirituality National Center for Complementary Integrative Healing https://nccih.nih.gov/ 3 5/9/2018 Integrative Healing Therapies in Health Systems • Fairview/Ebenezer Health System • Fairview/Health East • Allina • HCMC • Mayo Health Systems • Park Nicollet Cancer Center • Regions • Primary and specialty clinics • Palliative, Hospice Care, ALFs, SNFs, Residential, Memory Care Fight or Flight Response “A quick and unconscious neurological response to a perceived threat that stimulates defensive behavior.“ Dr. Walter Bradford Cannon, Harvard Medical School, 1910 Increased heart rate Increased blood pressure Increased respiratory rate Higher pulse rate Increased oxygen consumption Increased blood lactate Increased muscle tension Rapid production of cortisol Production of noradrenaline http://www.relaxationresponse.org/FightOrFlight.htm • 43% percent of all adults suffer adverse health effects from stress. • 75% to 90% of all doctor's office visits are for stress-related ailments and complaints. • Stress can play a part in problems such as headaches, high blood pressure, heart problems, diabetes, skin conditions, asthma, arthritis, depression (17%), and anxiety • Fear, loss, grief, financial, relationships, pain…. http://www.webmd.com/balance/stress-management/effects-of-stress-on-your-body 4 5/9/2018 Relaxation Response "The relaxation response is a physical state of deep rest that changes the physical and emotional responses to stress." Dr. Herbert Benson – Harvard Medical School , 1970 Decreased heart rate Decreased blood pressure Diminished respiratory rate Lower pulse rate Decreased oxygen consumption Decreased blood lactate Decreased muscle tension Reduction of cortisol Reduction of noradrenaline http://www.relaxationresponse.org/FightOrFlight.htm The American Heart Association American Heart Association Four Ways to Deal with Stress • Positive Self Talk • Emergency Stress Stoppers Breathe Walk Meditation Aromatherapy • Finding Pleasure Do one thing you enjoy every day even if for 15 minutes Be with a friend, read a book • Daily Relaxation Meditation Yoga Tai chi Breathe for 10 minutes or more http://www.heart.org/HEARTORG/GettingHealthy/StressManagement/FourWaystoDealWithStress/Four-Ways-to-Deal-with- Stress_UCM_307996_Article.jsp#relaxation The American Cancer Society ▪ Aromatherapy ▪ Art Therapy ▪ Ayurveda, ancient Indian method of healing ▪ Biofeedback ▪ Dance Therapy ▪ Holistic Medicine ▪ Humor Therapy ▪ Hypnosis ▪ Imagery ▪ Meditation ▪ Music Therapy ▪ Native American Healing ▪ Naturopathic Medicine ▪ Psychotherapy ▪ Spirituality and Prayer ▪ Support Groups ▪ Yoga ▪ http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternative medicine/index 5 5/9/2018 Alzheimer’s Association • Aromatherapy • Art • Botanicals • Dance • Dolls • Exercise • Herbal • Music • Pet • Yoga http://www.alz.org/library/downloads/alttherapies_rl2013.pdf The Power of Breath Breathing One Minute Meditations: OMM • Inhale like you are smelling a flower • Exhale like you are blowing out a candle • Set the timer for one minute or more 6 5/9/2018 • Clinician walked patient through a breathing exercise. Patient stated that she felt relaxed like she was sitting on the dock at her cabin. Blood pressure pre-meditation: 158/110 Blood pressure post-meditation: 136/90 Meditation Everyone should meditate for 10 minutes every day Unless You don’t have time then you should meditate for 20 minutes Meditation made easy: Set your timer for 10 minutes Sit comfortably Inhale, exhale – counting to number of choice Invite thoughts to leave like balloons to the sky Add music, candles, essential oils, mantra per personal choice Recommendation: Apps Breathe Head Space Stop, Breath & Think Calm Insights 7 5/9/2018 History of Aromatherapy • Plant oils have been used for the purpose of healing for thousands of years. • 5000 BC EOs used in Mesopotamia • 2000 BC EOs in Egypt ,China and India • The Bible mentions the uses of essential oils: Frankincense and Myrrh • EOs used in WWI & WWII to help treat burns and skin infections/pre-anti-biotic era. • First published book: Gattefosse’s Aromatherapy, 1937. What is Clinical Aromatherapy? Aromatherapy is the use of essential oils taken from flowers, roots, fruits, leaves, or plant stems to promote a therapeutic response. Essential Oil Properties • Antiseptic (acne) • Antibacterial (infection) • Antifungal (mold) • Anti-histamine (allergies and rash) • Anti-inflammatory (swelling & pain) • Antiviral (flu and colds) • Anti-spasmodic (muscle cramps) • Digestive stimulant (nausea) • Sedative (calming to circulatory and nervous systems) 8 5/9/2018 TITLE & CONTENT Essential Oils and Purpose at FHCH • Calming: anxiety, relaxation, pain, sleep • Soothing: nausea • Energizing: focus, attention, alertness • Uplifting: mood booster TITLE & CONTENT Inhalation of Essential Oils EOs are volatile and comprised of small molecules, they evaporate easily and are absorbed into the limbic system which controls: heart rate, blood pressure, breathing, memory, stress, emotion TITLE & CONTENT Aromatherapy Clinical Studies http://www.healthandhealingny.org/research/aroma_clinical.asp 9 5/9/2018 Providing, Buying & Caring for Essential Oils • Work with a certified clinical aromatherapist • Where to Purchase Pharmacies Co-ops Through vendor/on-line • Therapeutic Grade • Non-fragrance/perfume • Storing Avoid extreme cold and heat Avoid direct sun exposure EOS best used within 1 year Initiating an Aromatherapy Program • Don’t reinvent the wheel • Form a committee • Work with a clinical certified aromatherapist Direction re: essential
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