??? Why should you care? 9/26/2016. Lee Anne Hellesto, NP Discover Health, LLC

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1 Lee Anne Hellesto, NP Discover Health, LLC Brings me back to my roots Framework to help patients/clients Tools in my toolbox It is the way of the future Why should you care???? 1

2 (IM) is a healing-oriented medicine that takes account of the whole person, including all aspects of lifestyle. It emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies. Arizona Center for Integrative Medicine, University of Arizona All nursing practice that has healing the whole person at its goal and honors relationship-centered care and the interconnectedness of self, others, nature and spirituality; focuses on protecting, promoting and optimizing health and wellness; incorporated integrative modalities/complementary and alternative modalities is appropriate (Dossey, Keegan, 2016, p. 3) Nursing training vs. Medical training Holistic vs. Disease management 2

3 Research is expensive Best Quality of Research aimed at greatest economic gain Little incentive at therapies that involving healing Better question to ask What is the cost? $$$$ Does the therapy match the patient and their culture? Use the least harmful, least invasive before more invasive It is really intimidating to listen to list of medication potential side effect Water Sleep Diet* My Framework Breath Exercis e Social Connection 3

4 45 YO FEMALE: constipated, fatigue, body aches, muscle cramps, stressed, frequent headaches. Labs are normal, all other tests are normal. Every Symptom went away with Water and eating Breakfast first thing in the morning Balancing Blood Glucose 4

5 Reduces stress Boost happy chemicals Improve self confidence Prevent brain decline Decrease anxiety Boost brain power Sharpen Memory Increase Relaxation Get more done Tap into creativity Let s try something new (Wikipedia, 2016) 5

6 What are your social connections like? Do the connections in your life feed you or take away your energy? Loneliness: Human Nature and the Need for Social Connection (Cacioppo, Patrick, 2008) Lots to choose from What are the tools? Nutrition Exercise/Movement Mind/Body Techniques Biochemical Biomechanical Bioenergetics Types of Whole Medicine Practice 6

7 Diet Exercise Stress management Smoking, alcohol and recreational drug Breathing exercises 6660 ear6 Down 65 lbs. in 1 year Feet are not a problem any more Exercise almost daily Triathlon number: 7! In 5 years She has her life back 7

8 Relaxation Therapy Biofeedback Hypnosis Guided Imagery Meditation Spirituality Religion Conventional Medicines Botanicals, Vitamins and Minerals What about Probiotics? What about Medical Foods? Strain-Counter Strain Acupuncture Massage Reflexology Chiropractic Physical Therapy 8

9 Spiritual practices Homeopathy Essential oil therapies Human Energetic Therapies Healing Touch Reiki Reflexology Complimentary or Alternative medicine (WHO, 2016) Ayurveda Traditional Chinese Medicine East Asian Medicine Native American Medicine Cross Pollination- this is our world today 9

10 Down 50 lbs. in 6 months -Exercising daily -Meditation daily -BP normal with Lisinopril 10 mg -Cholesterol normal -Blood glucose normal -Energy is back -No other medications Biggest change- now working as a life coach for a very large government company - We know our current medical model is failing; statistics are worsening IOM report 2001, the US health system was unfixable and needed complete overhaul (IOM, 2001) Changes proposed are in line with the integrative medicine model Integrative medicine is an approach to care that can be easily incorporated by all medical specialties and professional disciplines, and by all health care systems. (Bravewell Collaborative, 2009) 10

11 Integrative Medicine is the path to combine ALL of our training. Brings me back to my roots Framework to help patients/clients Tools in my toolbox It is the way of the future 11

12 Arizona Center for Integrative Medicine (2016). What is Integrative Medicine. Retrieved from Bravewell Collaborative: Summit on Integrative Medicine and the Health of the Public Institute of Medicine Washington, DC Casioppo, J. T., Patrick, W. (2008). Loneliness: Human Nature and the Need for Social Connection. New York, NY: W.W. Norton & Company. Dossey, B. M., Keegan, L. (2016). Holistic nursing: A handbook for practice. United States: Jones and Bartlett Publishers. Institute of Medicine, Committee on Quality of Health Care in America: Crossing the Quality Chasm: A New Health System for the 21st Century National Academy Press Washington, DC Wikipedia, The Effects of Sleep deprivation. Retrieved from Effects_of_sleep_deprivation.svg/1280px- Effects_of_sleep_deprivation.svg.png World Health Organization, Traditional Medicines: Definition. Retrieved from Lee Anne Hellesto, NP Discover Health, LLC leeanne@discoverhealth4you.com 12