A Gentle Touch.. Therapeutic Touch Integrated into Hospice Palliative Care

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1 A Gentle Touch.. Therapeutic Touch Integrated into Hospice Palliative Care Nancy Hall RN, BScN, TTRP Bethell Hospice

2 Canadian Hospice Palliative Care Conference Faculty/Presenter Disclosure Presenter Name: Nancy Hall Relationships with commercial interests: None 2

3 TT treatment - chakra Dora does not advocate working directly on the chakras Always helpful to send energy to the solar plexus Kidney adrenal can always benefit from energy Heart chakra is a center for higher energies and integration it too is a center for integration Meditation or visualization combined with changes in behaviour changes chakra pattern

4 Alternative - Complementary Alternative Therapies : therapies used instead of conventional medical treatment. Complementary Therapies : interventions that are used to complement, to add on to conventional treatment Integrative Therapies: a blend of best practices from conventional and complementary therapies

5 Therapeutic Touch a gentle, energy-based technique that touches individuals at all levels of their experience: physical, emotional, intellectual and spiritual Practitioners of Therapeutic Touch use the hands as a focus to facilitate the healing process

6 Therapeutic Touch It utilizes near touch or light touch to support and stimulate the individual s own natural healing processes. It is equally effective with no touch the intention is to enable people to re-pattern their energy field toward wholeness and health thereby enhancing their own ability to self heal

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10 The Origin of Therapeutic Touch Dr. Dolores Krieger, PhD, RN Dora Kunz

11 Currently Taught throughout the world in colleges, universities, community venues Accepted practice in over 30 hospitals and LTC facilities; 20 community/residential hospices, as well as community agencies, churches, schools College of Nurses of On. and College of Physicians and Surgeons of On. have policies guiding the use of complementary/alternative therapies

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13 Research 1975 Effect of Therapeutic Touch on hemoglobin levels, The American Journal of Nursing 2003 Large CQI clinical study showed value of a therapeutic touch program comfort, calmness, well being 2007 Twenty years of Therapeutic Touch in a Canadian Cancer Agency. Support Care Cancer 2008 Therapeutic Touch Affects DNA Synthesis and Mineralization of Human Osteoblasts in Culture, Journal of Orthapaedic Research

14 Assumptions Everything in the universe is energy When we are healthy, the energy flows freely in through and out With illness or injury the energy field is changed The ability to heal is innate in all living things Therapeutic Touch enhances our natural healing ability

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16 Mickey Scenarios mother, grandmother, active volunteer At 70 lost her husband and then her kidney fn 16 year trajectory of health challenges Soloman Father, brother, spouse, Last hours at hospice, family all present Many intervention to manage pain, dyspnea Persistent restlessness,

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18 Scenarios Marie Helen 34, living with hsb, 2 young children Recent diagnosis of lymphoma Focusing on children, job, denial? Rosemary 61, living with hsb Chemo tx for breast cancer q 3 weeks End of every week 2 to hosp for antibiotics delays next tx

19 Demonstration

20 Effects of Therapeutic Touch Promotes a deep relaxation response Eases anxiety and stress Manages pain and other symptoms Improves sleep Fosters a sense of well-being Reduces the sense of isolation Supports self care and work life balance

21 Resources Therapeutic Touch Network of Ontario TTNO Therapeutic Network of Canada TTNC Therapeutic Touch Basics taught in Level 1,2,3 Recognized Practitioner Recognized Teacher Complementary Therapies Standards

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24 Hospice Palliative Care aims to: relieve suffering improve the quality of living and dying Address physical, psychological, social, spiritual, practical issues enhance personal, spiritual growth and selfactualization Therapeutic Touch: promotes relaxation and eases stress helps manage pain and other symptoms fosters sense of well-being focuses on restoring balance in all aspects of the human energy field: body, mind, emotions and spirit offers opportunities for self growth

25 CHPCA Conference September 2017 Presenter Name: Nancy Hall Relationships with commercial interests: NOT APPLICABLE