Feeling the Healing with Complementary and Alternative Modalities

Jeanie HubertPatricia Muessen

Introduction2

“Chronic diseases – such as heart disease, stroke, cancer, diabetes, and arthritis – are among the most common, costly, and preventable of all health problems in the U.S.” (CDC, 2012)

Complications lead to more interventions, leading to more complications. . . and more interventions

Some Statistics

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7 out of 10 deaths among Americans each year are from chronic diseases. Heart disease, cancer and stroke account for more than 50% of all deaths each year.1

In 2005, 133 million Americans – almost 1 out of every 2 adults2 had at least one chronic illness.2

1 in every 3 adults is obese3 and almost 1 in 5 youth between the ages of 6 and 19 is obese (BMI ≥ 95th percentile of the CDC growth chart).4

About one-fourth of people with chronic conditions have one or more daily activity limitations.5

Diabetes continues to be the leading cause of kidney failure, non-traumatic lower-extremity amputations, and blindness among adults, aged 20-74 (CDC, 2012).

For this discussion, we will focus on Type II Diabetes

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Heart disease and strokeHypertensionBlindness and eye problemsKidney diseaseNervous system diseaseAmputationsDental diseasePregnancy complicationsSusceptibility to many other illnesses as well as

life-threatening biochemical imbalances (CDC, 2012)

AssessmentAssessment

5

There is a lack of knowledge in the community about some of the gentler methods of treatment available to people as an adjunct to medical care.

Assessment cont’d6

Our group contacted Lynne Danik, Head of Volunteer Services at Hunterdon Medical Center Lynne identified a need for increased awareness

among patients, and healthcare professionals, regarding the practice of Complementary and Alternative Modalities to help treat the patient population of Hunterdon County.

Did you know that there is a specialty called Holistic Nursing?

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“Holistic nurses may integrate complementary/alternative modalities (CAM) into clinical practice to treat people’s physiological, psychological, and spiritual needs. Doing so does not negate the validity of conventional medical therapies, but serves to complement, broaden, and enrich the scope of nursing practice and to help individuals access their greatest healing potential. ” (ahna.org)

Diagnosis8

Ineffective Knowledge related to Complementary and Alternative Modalities

Readiness for enhanced learning of Complementary and Alternative therapies

Pain related to diabetic neuropathy, poor wound healing

Planning

Educate the diabetic population about Complementary and Alternative Modalities (CAM) of diabetes management.

Presentation at Somerset County Library Distributed brochures at Avalon Assisted

Living in Bridgewater, NJ and Bridgeway Care Center, also located in Bridgewater, NJ.

Implementation: Types of CAM

Herbal and Nutritional Supplements are beyond the scope of this presentation; they should

not be approached without consulting your doctor as there are risks

“Mind and Body” Modalities common – prayer, yoga, and massage less known – Reiki, Therapeutic Touch, and Guided

Imagery

Reiki and Therapeutic Touch

Reiki is a Japanese technique for stress

reduction and relaxation that also promotes

healing

Therapeutic Touch is an energy therapy

which promotes healing and reduces pain and

anxiety

Hunterdon Medical Center

Reiki is performed and managed daily by Volunteer Resources at HMC.

So… what do patients say about Reiki?

2012 Patient Satisfaction Survey of Reiki

20 post-op, medical surgical patients were given a survey to evaluate the effects that Reiki therapy had on them during their hospital stay.

Patients were questioned in three areas integral to medical-surgical patient care: Pain Nausea Stress & Anxiety

Reiki Volunteers at HMC

Survey says…

Overall, the patients at Hunterdon Medical Center reported: 71% reduction of stress 65% reduction in anxiety 54% reduction in nausea 47% reduction in pain

How Long is a Reiki Session?

A Reiki session is catered to the needs of the patient; it can be as short or as long as needed.

On average, a typical session of Reiki lasts 45-75 minutes.

Implementation: Combining Reiki Therapy with Diabetes Management

A scientific study, titled National Patterns and Correlates of Complementary and Alternative Medicine Use in Adults with Diabetes (Garrow, D., Egede, L.E., 2006) discovered that: Diabetes is not a predictor of overall use of CAM However, persons with diabetes were:

• More likely to use prayer• Less likely to use herbs, yoga, and vitamins then persons

without diabetes.

Reiki and Diabetes Mgmt. (Cont’d)

Conclusions There has been a dramatic increase in overall use of

CAM in adults with diabetes; diabetes was not an independent predictor of overall use of CAM; and people with diabetes were more likely to use prayer, but less likely to use herbs, yoga, or vitamins compared to persons without diabetes

Implementation: Our Presenation

April 19th, 2013: “Feeling the Healing”Presented to the public of Somerset County

at the Somerset County Library in Bridgewater, NJ.

Implementation

Through our presentation, our group: Increased knowledge of CAM therapies to the public

population who were or were not suffering from diabetes mellitus.

Demonstrated the uses of therapeutic touch through Richard, a licensed practitioner in therapeutic touch.

Evaluated increased knowledge of CAM therapy via feedback received after our presentation by the audience.

Overall, the audience had been extremely interactive with the presentation and reported a significant increase in their knowledge of CAM therapies.

Evaluation

A dramatic increase in the use of CAM therapy has increased among the diabetic population in the United States.

There is a recognized, documented need for healthcare providers to become familiar with CAM therapies that their patients utilize.

Evaluation

The trend is use of complementary and alternative medicine with traditional medicine. The RN, Social Worker, and Primary Practitioner need to work together to solve the problem in a unified fashion.

Patients need more education on the psychological affects of a chronic disease like diabetes. Referrals and resources can be provided to patients with existing or new diagnoses.

Evaluation cont’d

CAMs provide additional options for dealing with disease.

The solution is not just a script for Metformin and a low carb diet. Traditional medicine is part of the solution and Complimentary and Alternative Medicine can also help control blood sugar.

When coping skills improve, risks of complications decrease. Both mind and body need support to control or curb this disease.

Thank You!

Jeanie HubertPatricia Muessen

References

AARP, & NCCAM. (2012). Complementary and alternative medicine: What people aged 50 and older discuss with their healthcare providers. Consumer Survey Report.

Budge, P. (2010). Management of diabetes in patients at the end of life. Nursing Standard (Royal College Of Nursing (Great Britain): 1987), 25(6), 42–46. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=21133213&site=eds-live

Centers for Disease Control and Prevention. (2011a). National diabetes fact sheet: diagnosed and undiagnosed diabetes in the United States, all ages, 2010. Centers for Disease Control and Prevention. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/diabetes/pubs/estimates11.htm#13

References

Centers for Disease Control and Prevention. (2011b). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

Centers for Disease Control and Prevention. (2012). Chronic diseases and health promotion (Vol. 14). Atlanta, GA. Retrieved from http://www.cdc.gov/chronicdisease/overview/index.htm

Chang, H., Wallis, M., & Tiralongo, E. (2007). Use of complementary and alternative medicine among people living with diabetes: Literature review. Journal of Advanced Nursing, 58(4), 307–19. doi:10.1111/j.1365-2648.2007.04291.x

References

Clark, C. E., Smith, L. F. P., Taylor, R. S., & Campbell, J. L. (2011). Nurse-led interventions used to improve control of high blood pressure in people with diabetes: A systematic review and meta-analysis. Diabetic Medicine a Journal of the British Diabetic Association, 28(3), 250–261. doi:10.1111/j.1464-5491.2010.03204.x

Cox, T. (2003). A nurse-statistician reanalyzes data from the Rosa therapeutic touch study. Alternative Therapies in Health and Medicine, 9(1), 58–64.

Garrow, D., & Egede, L. E. (2006). National patterns and correlates of complementary and alternative medicine use in adults with diabetes. Journal of Complementary and Alternative Medicine, 9(12), 895–902. doi:10.1089/acm.2006.12.895

References

Harkness, E., Macdonald, W., Valderas, J., Coventry, P., Gask, L., & Bower, P. (2010). Identifying psychosocial interventions that improve both physical and mental health in patients with diabetes. Diabetes Care, 33(4), 926–930. Retrieved from http://www.pubmedcentral.nih.gov

Harris, S. T., & Pokorny, M. E. (2012). Living with diabetes: What patients are saying. Care Management Journals, 13(2), 46–50.

Hunterdon Medical Center therapists lend their hands to help patients heal. (2012, October 8).Hunterdon County Democrat. Retrieved from http://www.nj.com/hunterdon-county-democrat/index.ssf/2012/10/hunterdon_medical_center_thera.html

Kilbourne, B., Cummings, S. M., & Levine, R. S. (2009). The influence of religiosity on depression among low-income people with diabetes. Health & Social Work, 34(2), 137.

References

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References

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NCCAM. (2008b). Time to talk: Tell your health care providers about your use of complementary and alternative medicine.

NCCAM. (2010). Chronic pain and CAM : At a glance. National Center for Complementary and Alternative. Retrieved from http://nccam.nih.gov/health/pain/chronic.htm?nav=gsa

References

NCCAM. (2012). What is complementary and alternative medicine. National Center for Complementary and Alternative. Retrieved from http://nccam.nih.gov/health/whatiscam

Pan, S. Y., Gao, S. H., Zhou, S. F., Tang, M. . ., Yu, Z. . ., & Ko, K. M. (2012). New perspectives on complementary and alternative medicine: An overview and alternative therapy. Alternative Therapies in Health and Medicine, 18(4), 20–36.

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References

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