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Innovative Patient Care, Presentation by Cindy Mason for American Stroke Association meeting held at Kaiser Permanente Hospital. Slide content summarizes latest brain studies and the clinical ...

Innovative Patient Care, Presentation by Cindy Mason for American Stroke Association meeting held at Kaiser Permanente Hospital. Slide content summarizes latest brain studies and the clinical experience with remarkable reduction in recovery time and meds/suffering with Stanford bone marrow transplant/ critical care patients using psychophysiophilosophy. Psychophysiophilosophy is accessible and requires no pharmaceuticals and is considered by many to be a part of growing new area in future medicine regarding self help. Slides include instruction for self help and discussion of online instruction in Spanish, Portuguese, English, Thai and Bahasia Indonesia.

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Kaiser va-presentation Presentation Transcript

  • 1. There are no rules here -- we're trying to accomplish something. - Thomas A. Edison
  • 2. Happiness and Brain Plasticity Cindy Mason,CMT, Ph.D. State Certified Chinese Acupressure Health Occupation, Health Education Certified Psychophysiology Affiliated with Future Health Technology Institute www.21stcenturymed.org
  • 3. Decade of the Brain Research • 1990-2000 was the Decade of the Brain research, funded by U.S. government • Designed to advance understanding of the brain and enhance public awareness of brain research • Created new ways of imaging the brain
  • 4. Functional MRI A Giant Leap -Magnetic resonance imaging maps changes in brain blood that correspond to mental operations -Observe both the structures and the structures that participate in specific functions -Non-invasive assessment of neuronal activity -Acutely sensitive to blood flow -Assess neurological status, advance understanding of brain organization, new ability to directly and observe brain function
  • 5. Emotion and Brain Activity • Work by Ken LaBar at Duke University’s Brain Imaging and Analysis Center showed Emotions and Focus of Attention compete, take parallel paths in the brain, joining at the anterior cingulate, • The Anterior Cingulate is thought to perform many functions including bridging left and right hemispheres, command center for other functions, long term memory storage, vision tasks, movement. • Ever notice how well you can concentrate when you are happy? (or vice versa)
  • 6. Brain Plasticity • Brain reacts and adapts in response to challenge. • Recent brain imaging technologies show as we receive input through our senses with frequency, intensity and duration, the brain physically changes its structure. • New connections and neurons sprout. • Once structure changes, function can change.
  • 7. How? One theory is that the brain is sensitive to conflict, so to strengthen our brains, we want to reach the “challenge” point, where a task is too difficult to perform.
  • 8. Intention Can Create change • Challenges to the brain create change throughout our lifetime. • Intention can change our brain. • Intention to move the eyes has an effect even if you cannot move the eyes, fMRI study by Joshua Brown, Washington University • How? A thought initiates action.. so you want to reach the “challenge” point, where a task is too difficult to perform, whether physical or mentally…
  • 9. Body Talk • fMRI studies show gestures and speech spring from the same part of the brain during communication • Language, Cognition, and Movement work together • The body “speaks” - whether we are sitting, standing, talking or just listening • Source: David McNeill, Psycholinguist, U. Chicago • Movement plays a role in speech and vice versa - This has implications in recovery.
  • 10. Body Talk • Brain’s Action Center is “All Talk” • When you HEAR the word “GRASP” the fMRI shows the brain acts the same way as if you SEE a GRASP Source: Reported Sept. 19, 2006 in Current Biology, Lisa Aziz-Zadeh, Brain and Creativity Institute, USC
  • 11. Exercise and Fun Increase Brain Function • Exercise Instruction helps and encourages us to move physically and mentally as we respond to physical instruction. • A good class will be open to student jokes, banter, and be accepting of all levels of movement, be non-competitive. • Finding this, being able to afford it, having the time, being healthy enough to go, being inclined to go…
  • 12. Physical Touch Brings Healing • When we’re sick, we can’t exercise. Sometimes when we’re well, we don’t. There are things that can help, regardless if we exercise or not. • Elizabeth Blackwell, the first female physican, knew positive gentle touch had a very healing effect, regardless of how big or how small the health project. • Touch Research Institute has a growing number of clinical studies on the effects of massage on a large variety of health projects from asthma, depression, pain, stress, auto-immune disorders, anxiety, etc. See www6.miami.edu/touch-research/ • We have been using acupressure at Stanford Hospital with difficult health projects and encounter positive results.
  • 13. Anatomy of Touch First A Quick Review of The Human Nervous System • Central and Peripheral nervous systems • Central is the brain, spine - receives and sends signals with Peripheral • Peripheral nervous system runs the body - peripheral nerves can be found permeating every organ, gland, brain and tissue, over the entire length and breadth of the body • The number of sensory fibers from the skin entering the spinal cord by the posterior roots is well over half a million
  • 14. The Anatomy of Touch • Touch creates chemical and electrical signals that travel the branches and pathways of nerves starting from the surface of the body to many locations, including the brain, organs, glands, etc. • Many of the electrical and chemical mechanisms have been identified. Dozens of large molecules convey information from cell to cell and within cells. Proteins created from touch guide nerves to make connections with other nerves. • A square inch of skin has 21,000 nerves that communicate with our body.
  • 15. Acupressure - Ancient Touch • Based on oriental medical therapies similar to acupuncture • Here we discuss a form that has been very popular among hospital patients in the U.S. and around the world originating in India and China thousands of years ago. • This acupressure works with attitudes, emotions as they appear on the physical level. • Practitioners work on themselves to create purified mental states during training, often have strong meditation practices and engage in many behaviors that encourage positive mental state. • Mental state of the practitioner is considered essential, as well as the language, attitudes and intentions toward healing.
  • 16. Philosophy of Practitioner Training and Awareness • How we see ourselves and others, our attitudes and self-talk, matter greatly in our ability to create a positive influence on body processes. • Psychophysiophilosophy is a collection of tools both physical and mental that positively influence attitude, dialogue, vision of our experience of our body and our experience of our self. • There is a relationship between physical and emotional well-being. • Western terms for aspects of these practices include: physio- philosophy, psycho-physio-philosophy, physio-psychology, etc. • A small book written by a Japanese acupressurist named Mary Burmeister carries the heart of these ideas… its called “What Mary Says”. Its unpretentious but very powerful. The following are examples are from this book.
  • 17. Physio-Philosophy • Look to this breath only. • The breath we receive is the only reality. • I can stop and exhale all trivialities. • I am my own destiny. • I am my best friend. • See the fun in every situation.
  • 18. Physio-Psychology • How you fill your mind is what it will be. • Love is understanding. • Thoughts are things. • A breakthrough is to go beyond limits. Limits are imposed by ourselves. • What if yesterday was difficult; let it go and get rid of garbage bags. • Make a choice to change your focus. • In the pursuit of happiness it is sometimes good to be happy.
  • 19. Physio-Physiology • Body follows the mental mind • Whoever controls their tongue controls the whole body • Be patient towards all that is unsolved in your heart • The greatest gift of all riches is that of not desiring them • Laughter is like jogging on the inside. • Against the assault of laughter, nothing can stand.
  • 20. Acupressure Results #1 Outcomes in Multiple Myeloma • Treatment was given intermittently during 4 months before diagnosis, each day of hospitalization at diagnosis, for side effects that occurred during bone marrow transplant and during the 12-day hospitalization with BMT. – Complete recovery of renal function – Relief from side effects of stem cell BMT – Rapid healing of mucositis – Minimal nausea and intestinal cramping – Relief from abnormal blood pressure – Incipient fevers broken • Published in Sept/Oct 2002, Alternative Therapies, Vol. 8, No. 5
  • 21. Acupressure Results #2 Perceived Stress in Nurses • 34 nurses received 6 treatments over an 8 week period • All groups in the study receiving treatments reported significant reduction in perceived and somatic stress using Wilcoxan matched- pairs signed rank test. No differences were detected in the control group • Subjective response to treatment included 62% felt more relaxed, 53% felt more centered, calmer or integrated, 41% reported improved coping, 38% reported decreased pain or tension
  • 22. Acupressure Results #3 Recovery from Cardiac Procedure - Morristown Memorial Hospital • Evaluated acceptance by patience and staff, ease of delivery, potential adverse outcomes • Nurses identified patients on a daily basis who might benefit, in the Step-Down Unit - 120 patients total, 168 treatments given • Patients asked to fill out survey on discharge regarding the session • 78% said it was helpful, 82% said they felt different after the treatment, 32% would pay for treatment, 85% would refer the treatment to others, 43% would like to learn self help acupressure
  • 23. Self Help Acupressure • Average client for acupressure is either wealthy and educated, or sick and desperate • In the Stanford area treatments are expensive, between $90 - $120/hour out of pocket • Self-help instruction, in private sessions, by a class, or by a DVD, teach individual tools that can be used on an as-needed basis • Self Help Acupressure used on a daily basis is an intervention tool for prevention in chronic conditions and many other health projects
  • 24. Self Help Acupressure - Gentle Touch • Directly affect nerves, body function, attitude, create emotional harmony and relaxation • Can be done “on the go”, in bed, while commuting, in waiting rooms, offices, hospitals, anywhere • Physical methods are simple but have effects on attitudes, body functions, mental state, and spirit
  • 25. Try these simple Self -Help TOOLS Five ways to create tranquility in mental state, so easy, so nice, and now you can do them anytime you want, anywhere you find yourself
  • 26. Contact Details www dot 21stcenturymed dot org cindymason@media.mit.edu