Complimentary and Alternative Medicine
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CAMExamplePPT.pptxComplementary Alternative Modalities
Nursing 382 - Holistic Nursing Assessment and Practice
Dr. Laura Schwarz, DNP, RN, CNE, AHN-BC
Student Name
March, 17th 2020
Complementary Alternative Modalities
Complementary Alternative Modalities (CAM) are holistic health promoting therapies used in conjunction with conventional medicine. (National Institutes of Health. 2013).
Conventional medicine consists of traditional, mainstream medical treatment such as surgeries, procedures or medications. (National Institutes of Health. 2013).
Holistic health embraces one’s spiritual, emotional, and psychological well-being.
Image Courtesy of Microsoft Office Clip Art.
Examples of Complementary Alternative Modalities:
Images Courtesy of Microsoft Office Clip Art.
Acupuncture
Guided Meditation
Yoga
Aromatherapy
Healing Touch
Music Therapy
Massage
Vitamins/Herbal Supplements
Holistic Nursing Practice
“Holistic nursing practice takes into account the interconnectedness of body, mind, emotion, spirit, social/cultural, relationship, context, and environment and its impact on health and healing”(Blais & Hayes, 2011, p. 364).
Patient Well-being
Spiritual
Emotional
Cultural
Environmental
Physical
Physiological
Therapies Personally Experienced
Aromatherapy
Hand Massage
Guided Meditation
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Aromatherapy
Stimulation of the basic sense of smell is used to promote feelings of well-being, relaxation, and connection.
(Liwidjaja-Kuntaraf et al.., 2011)
Figure 1: Photograph of Aromatherapy. Achieving Health. http://www.achievinghealth.com.au/change-mood-aromatherapy
Mechanisms of Action:
“Aromatherapy is the use of essential oils from plants for healing. In general, it seems to relieve pain, improve mood, and promote a sense of relaxation” (University of Maryland Medical Center, 2013).
“Aromas hit the nose and go directly to the most primitive parts of the brain, effecting our emotions and nervous system before our higher cortex is even aware of them” (Kemper, 2010).
“The scent of essential oils from flowers, herbs, and trees is inhaled to promote a sense of health and well-being” (Liwidjaja-Kuntaraf et al., 2011).
“A systematic review of the use of aromatherapy and massage for symptom relief in patients with cancer revealed some support for the relief of both physical and psychological symptoms” (Williams et al. 2009).
Essential Oils
Can be applied to skin or inhaled by diffuser.
Essential oils that help achieve a state of relaxation include:
Chamomile
Jasmine
Lavender
Rose
(University of Maryland Medical Center, 2013)
Essential Oil Contraindications
Contraindicated for patients with:
Asthma
Heart conditions
Hypertension
Epilepsy
Allergic reactions
Avoid using essential oils on anyone less than 5 years of age.
(University of Maryland Medical Center, 2013)
Why Aromatherapy?
I enjoy the scent of essential oils and feel they are complimentary to other CAM’s.
I have previously taken a day course on massage with essential oils called the Raindrop Technique by Young Living Essential Oils.
I wanted to find out if I could incorporate this therapy into my everyday routine to help balance stress and anxiety for both myself and my patients.
Need to include how/why these were chosen.
10
Aromatherapy Experience
Description
Using Young Living Essential oils nightly for one week, I diffused the scent of lavender to relax and unwind before I went to bed.
I also applied lavender infused lotion to my hands and feet before going to sleep.
Additionally, I included aromatherapy during my hand massage experience.
Thoughts
Many times after a long day of work, I find myself continually thinking about what I need to get done the next day.
After the first night of using aromatherapy, I found that I was able to clear my mind and relax before bed.
I also had an easier time falling asleep without my mind racing about my work.
Describe experience, including what I thought
11
Practice Implementation
Who would Benefit?
Nursing Application Strategies:
Offer lavender essential oil patches to patients who would benefit from this therapy.
Educate patients about the benefits of aromatherapy.
Take breaks in the staff renewal room.
Use the essential oil diffuser to create a sense of relaxation and well-being during my breaks.
What patient’s will benefit?? Use peer reviewed sources to back up information Include how nurses could incorporate this into practice
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Aromatherapy
Cancer Patients
Dementia Patients
Patients with insomnia
Patients with chronic illness
Nurses
Patients with Anxiety or Depression
Hand Massage
Light pressure on the soft tissues of the hands is used to promote relaxation, along with a sense of well-being and connection. Hand massage can also be used in conjunction with aromatherapy.
Figure 2: Photograph of Hand Massage. Tips for Massage. http://www.tipsformassage.com/hand-and-arm-massage-techniques/
(Liwidjaja-Kuntaraf et al. 2011)
Mechanisms of Action:
“Massage therapy encompasses many techniques, using oil or lotion to reduce friction on the skin while the therapist presses, rubs, and otherwise manipulates the muscles and other soft tissue of the body” (Liwidjaja-Kuntaraf et al. 2011).
Hand Massage helps relieve muscle tension, reduce stress, and evoke feelings of calmness. (University of Maryland Medical Center, 2013)
“Hand massage helped to reduce stress and anxiety in terminally ill patients, based on psychological and endocrinological measurements”(Osaka et al., 2009).
Massage Contraindications Include:
Inflammation
Bruising
Skin conditions
Burns
Cancer
Blood clots
Image Courtesy of Microsoft Office Clip Art.
(University of Maryland Medical Center, 2013)
Why Hand Massage?
Massage is one of the most easily applied CAM therapy for nursing.
To assess a simple massage type’s effectiveness on reducing stress.
I am uncomfortable getting a massage at a spa; with hand massage I could test the benefits of this therapy without feeling self-conscious.
Hand Massage Experience
Description
Through our spiritual care department I trialed hand massage and aromatherapy from the healing services menu.
This menu is offered to patients and staff from 8am to 8pm Monday – Friday.
I made two 15 minute appointments with a therapist to receive hand massage supplemented by aromatherapy.
Thoughts
I was much less apprehensive and self-conscious with hand massage and felt able to relax.
During the massage I felt calm and with less tension.
The addition of the essential oil tangerine helped stimulate my senses and reduce my nervousness.
Describe experience, including what I thought
17
Practice Implementation
Who would Benefit?
Offer hand massage to hospitalized patients in pain or feeling anxious.
Review the benefits of massage with patients and help them develop additional coping skills to decrease stress and anxiety outside of the hospital.
Utilize our healing services menu offered through our spiritual care team.
Nursing Application Strategies:
Hand Massage
Pregnant Women
Patients with Anxiety or Depression
Hospice Patients
Elderly
Patients with Chronic Pain
Nurses
Guided Meditation
Relaxation of the mind and body through focused concentration to promote mental, emotional, and physical healing in addition to stress relief.
Figure 3: Photograph of Meditation. Corporate Wellness Magazine. http://www.corporatewellnessmagazine.com/article-detail.php?issue=issue-15&article=focus-on-fascia-
(University of Maryland Medical Center, 2013)
Mechanisms of Action:
“The goal of mind-body techniques is to get the body and mind to relax and to reduce the levels of stress hormones in the body, so that your immune system is better able to fight off illness”(University of Maryland Medical Center, 2013).
“Meditation is a method of relaxation that has been associated with a number of positive effects and shown to decrease pain and other symptoms such as anxiety and pain” (Williams et al., 2009).
“It is designed to guide patients toward a relaxed state of mind and to promote gentle, hypnotic-like suggestions to bring the resources of the relaxed mind back to daily life” (Toth et al., 2007, p.197).
Why Guided Meditation?
I can remember being a child and my mother using this to help me fall asleep. With her voice she would soothingly stimulate my imagination by saying “pretend that you are on a soft cloud, floating high up in the air”. I remember feeling so comforted, peaceful, and able to relax my mind.
I wanted to try this therapy with the help of a trained coach.
The goals of this trial were to assess it’s effectiveness on stress reduction and the efficacy of using this in nursing practice.
Need to include how/why these were chosen.
21
Guided Meditation Experience
Description:
Every Tuesday and Thursday spiritual services offers guided meditation from 12:00 to 12:15.
I attended both days during one week in our hospital chapel.
During this session, you are guided through your imagination to places of tranquility and relaxation.
Thoughts:
Both times I left feeling relaxed, centered, and less anxious.
I was able to return to work feeling less emotionally fatigued and more mentally focused.
This experience was very helpful to reduce stress through meditation.
Describe experience, including what I thought
22
Practice Implementation
Who would Benefit?
Educate patients on the benefits of guided meditation and services offered while in the hospital.
Utilize guided meditation for patients in pain or having anxiety.
Call a “Code Lavender” for patients or family in emotion or spiritual distress.
Nursing Application Strategies:
Guided Meditation
Nurses
Patients with Anxiety or Depression
Pregnant Women
Patients with Chronic Conditions
Patient with Insomnia
Patients Experiencing Pain
Calling a “Code Lavender”
Courtesy of Park Nicollet Spiritual Care Services, 2013.
Conclusion
CAM therapies are beneficial for both nurses and patients in any stage of health promotion.
Teaching patients about CAM therapy provides additional coping mechanisms to help support primary health promotion.
“With proper advice and an open approach towards its usage, CAM can safely and effectively complement conventional medicine” (Buchan et al. 2012, p.675).
Review’s major points
25
Conclusion
My research findings have shown me that holistic patient care involves treating patients entire state of well-being.
Implementing CAM therapy into nursing practice promotes holistic nursing care.
CAM therapies together with Traditional Medicine form a holistic treatment plan for patients.
Conclusion
I truly enjoyed my experience with these CAM therapies and found that I felt less stress and anxiety.
I plan to incorporate CAM therapies into my current nursing practice by learning more about hand massage techniques and providing patients with the spiritual care healing services menu.
I also plan to make time to utilize our Staff Renewal Rooms and educate other staff members on the benefits to CAM therapy.
In the future, I would personally like to try other CAM therapies such as Yoga or Acupuncture.
References
Blais, K. & Hayes, J.K. (2015). In Pearson (Ed.), Professional nursing practice: Concepts and perspectives (7th Edition ed.). New Jersey: Prentice Hall, Inc.
Blythman, R., & Vialls, K. (2012). Relaxation and conventional medicine go hand-in-hand. Australian Nursing Journal, 19(8), 44-45.
Buchan, S., Shakeel, M., Trinidade, A., Buchan, D., & Ah-See, K. (2012). The use of complementary and alternative medicine by nurses. British Journal of Nursing, 21(11), 672-675.
Corporate Wellness Magazine. (2010). [Photograph of Meditation]. Retrieved from http :// www.corporatewellnessmagazine.com/article-detail.php?issue=issue15&article=focus-on- fascia-
Cleveland Clinic. (2014, January). Health Hub. Retrieved from Cleveland Clinic: http :// my.clevelandclinic.org/wellness/integrative-medicine
References
Kemper, K. J. (2010). How aromatherapy works. Nutrition Health Review: The Consumer's Medical Journal, (102), 3-3.
Liwidjaja-Kuntaraf, K., Handysides, A., & Landless, P. (2011). Your guide to complementary alternative medicine. Vibrant Life, 27(5), 30-35.
National Institutes of Health. (2013, May). Retrieved from National Center for Complementary and Alternative Medicines: http://nccam.nih.gov/health/whatiscam
Osaka, I., Kurihara, Y., Tanaka, K., Nishizaki, H., Aoki, S., & Adachi, I. (2009). Endocrinological evaluations of brief hand massages in palliative care. Journal of Alternative & Complementary Medicine, 15(9), 981-985. https://doi.org/10.1089/acm.2008.0241
Schwantes, M. (2011). DETOX your mind. Vibrant Life, 27(5), 16-19.
Toth, M., Wolsko, P. M., Foreman, J., Davis, R. B., Delbanco, T., Phillips, R. S., & Huddleston, P. (2007). A pilot study for a randomized, controlled trial on the effect of guided imagery in hospitalized medical patients. Journal of Alternative & Complementary Medicine, 13(2), 194-197. https://doi.org/10.1089/acm.2006.6117
Williams, A. M., Davies, A., & Griffiths, G. (2009). Facilitating comfort for hospitalized patients using non- pharmacological measures: Preliminary development of clinical practice guidelines. International Journal of Nursing Practice, 15(3), 145-155. https://doi.org/10.1111/j.1440-172X.2009.01739.x
University of Maryland Medical Center. (2013, May). Medical Reference Guide. http :// umm.edu/health/medical/altmed/treatment/aromatherapy
University of Maryland Medical Center. (2013, May). Medical Reference Guide. http:// umm.edu/health/medical/altmed/treatment/mindbody-medicine#ixzz2vntOlNK9
University of Maryland Medical Center. (2013, May). Medical Reference Guide. http://umm.edu/health/medical/altmed/treatment/massage
References
