Bridging the Gap: Objectives. Holistic. Holism in Practice. Diet Exercise Lifestyle Environment. Body Mind Emotions 4/3/2018

Transcription

1 Bridging the Gap: Holism in Practice Lisa Andersson, MSN,APN BC, AHN BC Objectives Compare holistic to traditional medical approach Discuss differences between US and Sweden Facts on clinical aromatherapy Define Biopuncture Holistic Body Mind Emotions Diet Exercise Lifestyle Environment 1

2 Myth busters Yoga=pretzel, hari krishna Holistic= voodoo, quackery Homeopathy= worthless, plant based? Herbs vs plants vs pharm (evidence) PRACTICE MODELS TRADITIONAL CARE GIVER THEORY: FIX PROBLEM PROVIDER FOCUSED FIXED ENVIRONMENT CAFETERIA FOOD FIXING PRACTICE HOLISTIC SELF CARE THEORY:MIND/BODY/SPIRIT PATIENT FOCUSED ENERGY FOOD AS MEDICINE HEALING LEADERSHIP COUNTRY COMPARISON SWEDEN UNIVERSAL CARE LIMITED MEDS/TESTS NO MIDLEVELS DEVELOPING EMPHASIS ON RESEARCH NOT IMPLEMENTED NO LAWSUITS DECREASED TIME(ROLE) PRIMARY CARE TURNOVER RESISTANCE TO HOLISTIC CARE US INSURANCE/PHARM DRIVEN MIDLEVEL ROLE DIFFERENCE(LOCATION) EVIDENCE BASED? FEAR BASED NO TIME PRIMARY CARE LACK OF COMMUNICATION OPEN, WANT EVIDENCE 2

3 Clinical Aromatherapy The use of essential oils by a specially trained and licensed health care provider to assist with encouraging healing, promoting relaxation and fighting infection and chronic illness Herbalists plants with synergy and as adaptogenic properties Chemists chemistry determines therapeutic properties Safety Know what you are buying Skin testing before delivery Training/ experience of provider More is not better Case Study Hypothesis: Patients receiving aromatherapy at night will have decreased anxiety and/or improvement in sleep quality/insomnia Patients in a private room will receive either lavender angustifolia or Roman Chamomile via inhalation through a diffuser overnight. The treatment with be delivered nightly x 2 weeks. There will be given a GAD 7 survey prior and after the treatment as well as questions regarding quality of sleep. Vital signs will be taken in the evening and the following morning. All patients will be recruited and will sign consent forms. Exclusion criteria includes use of anxiolytic agent or allergy to the essential oil. 3

4 STUDIES Effectiveness of nurse delivered aromatherapy in acute setting( Complementary Therapies in Medicine, 2015) Essential oils yield clinical improvements Sweet marjoram reduced pain Lavender & sweet marjoram decreased anxiety Ginger decreased nausea(sample size 10,000+) CONT D Systemic review of aromatherapy (International Journal of Neuroscience, 2007) 18 studies in analysis Physiological mechanisms: odors directly affect CNS/ANS & endocrine system independent of conscious evaluation Psychological mechanism: odor elicits responses based on perception, emotions,learned associations and expectations (flaws in study method) CONT D 5 studies with evidence aromatherapy reduces anxiety 6 studies with evidence aromatherapy fails to reduce anxiety Case study in Stroke Rehabilitation Unit (not peer reviewed) Author reports improvement No standardized measurements reported 4

5 CURRENT USE Albany Medical Center Healing Arts Program Sharon Wheeler MT, Diane Stredney RN Healing Touch, Reiki, Therapeutic Touch, Music Therapy, Clinical aromatherapy St. Peter s Hospital Alicia Recore, PhD, MBA Therapeutic massage, Reiki, reflexology, mind body relaxation techniques for self practice Biopuncture A bioregulatory therapy method in which specific biotherapeutics are injected in specific zones or points on the basis of conventional and functional diagnosis. What to inject Where to inject How to inject What to inject Ultra low doses Dextrose 5% (Prolotherapy) Autologous blood (PRP) Lidocaine 0.1% 0.25% (Trigger points) 5

6 Where to inject Local injections Pain zone Reflex Distant injections Origin points Trigger points How to inject 4 layers 1. Subcutaneous 2. Intramuscular 3. Soft tissues( fascia, bursa, tendon/sheath) 4. Hard tissues (ligament, enthesis, periost) usually 7 10 injections/session What can be treated? Strains/sprains Carpel tunnel syndrome Achilles tendinopathy Joint pain Muscular pain Bursitis Ligament injury Neck pain Back pain Sciatic pain 6

7 Contraindications Anticoagulation therapy Allergy to products Pregnancy Cancer Scar tissue at site New Developments Sleep Mood Organ regulation References Buckle, Jane. Clinical Aromatherapy: Essential Oils in Practice. Churchill Livingston/Elsevier: New York, New York, Kersschot, Jan. The Clinical Guide to Biopuncture: The Use of Biotherapeutic Injections in Everyday Practice. Aartselaar, Belgium, Schaubelt, Kurt. The Healing Intelligence of Essential Oils: the Science of Advanced Aromatherapy. Healing Arts Press: Rochester, Vermont,

8 References Schnaubelt, Kurt. Advanced Aromatherapy: The Science of Essential Oil Therapy. Healing Arts Press: Rochester,Vermont, Smit, Atta; Obyrne,Arturo et al. Introduction to Bioregulatory Medicine. Thieme: New York, New York, Tisserant, Robert and Young, Robert. Essential Oil Safety. Churchill Livingstone/Elsevier: New York, New York, Aromatherapy studies S apy/aromatherapy used on a strokerehabilitation unit CONT D

9 CONT D Contact information Lisa Andersson, ANP BC,AHN BC Website: harmonyhealthnp.com Address: 410 Rowland Street Ballston Spa,NY