Transcript Holistic Nursing

Chill OUT!!!!!!
Keeping healthy with Integrative Therapies
Learning ways to de-Stress in this crazy world!
Holistic Nursing is for you and your patients!!!
Holistic Nursing
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Conventional Western medicine focuses mainly on the physical person with
tests, procedures, medications, medical equipment, etc., and seeks to heal
the body.
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However, a person is made up of more than just the physical body. We each
are comprised of several aspects and they are all inextricably connected.
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Holistic nursing provides care for each aspect of the person, the whole
person, realizing this inter-connectedness:
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Physical
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Mental/Psychological
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Emotional
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Spiritual
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Relational
Holistic Nursing
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Holistic nursing focuses, “on all nursing practice that has healing the whole
person as its goal,” (AHNA 1998 & ANA, 2013, p.1) and incorporates
complementary and integrative therapies into clinical practice.
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What are complementary and integrative therapies?
Subtle energy healing ( Healing Touch, Therapeutic Touch, Reiki, etc.)
Reflexology
Guided imagery
Cognitive Therapy
Biofeedback
Lifestyle Counselling
Aromatherapy
Breathing and Relaxation Techniques
Massage
Music and Sound Therapy
Acupressure
Nutritional Counselling
Incorporating IT with Conventional
Western Medicine
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Conventional western medicine is the starting point. Integrative Therapy (IT) is
then incorporated as an adjunct in the care and treatment of the person to
achieve whole-person healing.
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IT is used in the inpatient settings, outpatient clinics, universities and colleges,
independent private practices, hospices and home care.
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More and more hospitals are developing IT programs (both inpatient and
outpatient) because of patient demand, clinical success, financial savings, and
accrediting agency requirements.(3)
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Due to federal monitoring of opioid use, hospitals are being forced to utilize nonpharmacological interventions in pain management. (8)
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Time is set aside and dedicated to the completion of one or more of the IT
modalities.
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Bedside sessions by nursing staff
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In-house IT program (inpatient and outpatient)
Statistics
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According to an American Hospital Association survey – in 2007, 280 hospitals
had IT Programs
2005 - 26.5%
2007 - 37%
2011 - 42%
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85% of hospitals stated patient demand as primary reason for offering these
services, and 70% of those stated clinical effectiveness as their top reason
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86% of hospitals assessed the success of their IT programs by patient
satisfaction reports
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All 18 of the top American hospitals (voted by U.S. News and Report) have
some form of Integrative Therapies.
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Services included Healing Touch, energy modalities, massage, aromatherapy,
diet and lifestyle changes
Statistics
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Patients are demanding IT because it is clinically effective
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Globally, $6.5 trillion is spent on healthcare. 75% of prescriptions are from the
United States, although we only make up 5% of the world’s population.
Healthcare today is based on medication and the fastest and biggest growing
part of Americans’ drug problems are from prescription drug use.
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The number of overdose deaths from pain killers more than tripled from 1999
to 2006.
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Nurses have an important role to educate patients about their options for
pain medication and/or non-pharmacologic pain management options. (4)
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With US consumers spending almost $33.9 billion out-of-pocket for this care,
hospitals clearly are motivated to look for ways to tap into this market while
meeting their consumers needs and differentiating themselves in the
marketplace. (1)
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629 million visits to alternative practitioners exceeded visits to all US primary
care physicians. (2)
SO WHAT?!
Research
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Because Holistic Nursing and Integrative Therapies WORK!!!
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Adult Emergency Department at Vanderbilt University Medical Center
conducted a study which demonstrated: (5)
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41% staff felt work related stress very often prior to the study. At the conclusion,
work related stress dropped to 3%.
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Feelings of being overwhelmed dropped from 25% to 2%.
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Perceptions of staff optimal energy rose from 33% to 77%.
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Following this initiative, 84% of the staff strongly agreed, and 10% agreed, that
diffusing essential oils contributed to a more positive work environment.
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They have been diffusing the oils for more than 2 years with no adverse reactions.
Integrative Medicine research shows that therapeutic-grade essential oils
have chemical properties that can reduce pain, nausea, and anxiety, and
improve sleep when provided as an adjunct to standard medical care (6).
Research
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In this study published in April, 2016, by Penny George Institute For Health
and Healing (through Allina Health), data was collected from 7,939
aromatherapy sessions (77.6% inhalation, 19% topical, 3.3% combination of
inhalation and topical) in the inpatient setting. (6)
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The outcomes of interest were pain, anxiety, and nausea.
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The oils used in the study included ginger, lavender, mandarin, and sweet
marjoram.
Research
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Results:
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Pain: sweet marjoram resulted in the largest single-oil pain change at -3.31 units,
on a 0–10 scale. Lavender reduced pain by -3.22.
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Anxiety: lavender and sweet marjoram had an average change of -2.73 units.
Ginger, the only oil not indicated to address anxiety, had the lowest change,
at -1.81, which was still significantly different from 0.
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Nausea: the single oil reported having the largest change was ginger, at -2.02
units.
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Conclusion: this study provided a unique opportunity to evaluate the effectiveness
of nurse-delivered aromatherapy to hospitalized patients across a large health
system. Their research suggests that patients who received aromatherapy in
conjunction to standard medical care report, on average, statistically significant
decreases in pain, anxiety, and nausea.
Research
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HT studies
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HeartMath studies
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VA studies (Veterans studies)
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Studies currently ongoing utilizing Healing Touch with PTSD, HeartMath, various
psychotherapies (Mindfulness-based therapies), biofeedback, guided imagery, etc.
Healing Touch
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Practitioners consciously use their hands to support and facilitate physical,
emotional, mental, and spiritual health and healing
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Uses light touch on or near the body to manipulate the bioelectromagnetic
field to support and facilitate the body`s natural self-healing process
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Can be administered at the patient`s bedside or in a chair
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There are no known contraindications or risks (9)
Benefits of Healing Touch
For Patients
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Offers quality, patient – centered care
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Creates a parasympathetic nervous system response that induces relaxation
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Increases comfort
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Decreases pain, nausea, and anxiety
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Facilitates wound healing
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Eases effects of trauma and PTSD
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Enhances patient experience
Benefits of Healing Touch
For Staff
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Promotes personal learning and growth
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Staff who receive HT notice an increase in relaxation and energy level and a
noticeable decrease in anxiety and pain
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Increases job satisfaction
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Supports and supplements self care
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Staff often report finding it easier to care for patients receiving HT since
patients tend to have decreased anxiety and pain
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A healthier workforce improves morale, decreases sick time, and reduces
costs
Healing Touch
Healing Touch Program
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Biofield Therapy, also called Vibrational Medicine, Energy Medicine
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The healing power of touch goes back to Hippocrates, the father of modern
medicine.
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First energy medicine accredited by the American Nurses Credentialing Center
(ANCC) in January, 2014.
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Endorsed by AHNA, AMHA, BBB
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Started in the 1980`s by Janet Mentgen, a holistic nurse.
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Used by Stanford, Scripps, and over 100 hospitals in the US.
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Used in over 34 countries
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Benefits: wound healing, decreases anxiety, nausea, and pain, PTSD, Pre-op,
Post-op.
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No contraindications
Endorsements and Accreditations
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AHNA/CHNA (American Holistic Nurses Association/Canada Holistic Nurses
Association)
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NCBTMB (National Certification Board for Therapeutic Massage and Body
Work)
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ANCC (American Nurses Credentialing Center`s Commission on Accreditation)
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BBB (Better Business Bureau)
Aromatherapy
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Aromatherapy is the use of essential oils, obtained from aromatic plants, for
therapeutic properties.
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An essential oil contains the “essence of” the plants fragrance - the characteristic
fragrance of the plant from which it is derived. It is a concentrated hydrophobic liquid
containing volatile aroma compounds from plants. It is generally extracted by distillation.
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Clinical aromatherapy is the controlled and therapeutic use of essential oils in
the clinical setting for specific outcomes that are measurable. (7)
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Aromatherapy is recognized as part of Holistic nursing by the American
Holistic Nurses Association and by most state boards of nursing.
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Essential oils can be inhaled, administered topically, or ingested.
Professional Support
The American Nurses Association (ANA) officially recognized holistic nursing
as a nursing specialty in 2006
American Holistic Nurses Association (AHNA)
Founded in 1981
A non-profit membership association for nurses and other holistic health
care professionals serving more than 4600 members across the U.S.
Promotes the education of nurses, healthcare professionals, and the
public in all aspects of caring and healing, serving as a bridge between
conventional medicine and complementary and integrative therapy
practices.
Endorses the Healing Touch Program
National Association for Holistic Aromatherapy (NAHA)
Founded in 1990
A non-profit association devoted to the holistic integration and education
of aromatherapy into a wide range of complementary health care
practices, including self-care and home pharmacy.
Incorporating IT Into Self-Care
The importance of self-care, especially in nursing, has been a priority of the
ANA.
This is because nursing is an especially stressful and demanding profession and
when you are depleted and exhausted, you create an unhealthy environment
both within and outside yourself.
Taking good care of yourself is a prerequisite to providing holistic care that is
healing.
As Jean Watson says, “We must learn to treat ourselves with love and respect
before we are able to treat others that way.” (Watson, 1998).
In other words, you have to be on a solid foundation yourself before you can help
someone else to his/her feet.
Incorporating IT Into Your Self Care and
Practice
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Incorporating IT is the easy and effective use of breath work (4-7-8),
aromatherapy, Healing Touch, and any of the other IT modalities on yourself
to accomplish the same benefits as you would provide for your patients.
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Make and take time for yourself!
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It’s the smallest changes that often have the biggest effects!
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The wonderful thing about this is that since every aspect of who you are is
interrelated, when you create health in one area of your life, the positive
effects spill into all other areas of your life! (Thornton, 2006)
Bibliography
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1. Complementary and Alternative Medicine Use Among Adults and Children: United States,
2007, National Health Statistics Report, Number 12, December 10, 2008.
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2. Eisenberg, D. M., Davis, R.B., Ettner, S.L., et al. Trends in alternative medicine use in the
united states, 1990-1997: Results of a follow up national survey. Journal of the American
Medical Association, 280 (18), 1569-1575.
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3. http://www.jointcommission.org/topics/pain.management.aspx
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4. Gatlin CG, Schulmeister L. When medication is not enough; non-pharmacologic
management of pain. Clin J Oncol Nurs. 2007; 11 (5): 699-704.
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5. https://usingessentialoils.com/wp-content/uploads/2014/06/Vanderbilt-Study-ArticleWinter-2013.pdf
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6. Johnson JR, Rivard RL, et al. The effectiveness of nurse-delivered aromatherapy in an
acute care setting Complement Ther in Med 25(2016) 164-169
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7. Buckle J. The role of aromatherapy in nursing care. Nurs Clin North Am. 2001; 36 (1): 5772.
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8. Centers for Disease C. Prevention: vital signs: overdoses of prescription pain relieversUnited States, 1999 – 2008. MMWR Morb Mortal Wkly Rep. 2011; 60 (43): 487-1492.
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9. http://www.healingtouchprogram.com.