Reconnecting With Self

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Reconnecting With Self

  1. 1. Jo Robins, RN, PhD, ANP-BC, AHN-C, CHTP VCU School of Nursing
  2. 2.  A holistic and balanced exploration of illness and health  Both personal and professional
  3. 3.  The Placebo Response  Innate healing ability  Holism- Mind, Body, Spirit  Self-care  Personal/Professional  Treating/Curing/Healing Partnership  Integrative Practice
  4. 4.  nccam.nih.gov  1-888-644-6226  Outstanding resource  Currently sponsored clinical trials include the areas of acupuncture, herbs, dietary supplements, and massage in the areas of arthritis, neurological disorders, cardiovascular disease, and cancer
  5. 5. 1. Alternative Systems: TCM, Ayurvedic, Homeopathy 2. Biological: Diet, vitamins, supplements, herbs 3. Manipulative/Body based: Chiropractic, massage, Trager… 4. Energy: Healing Touch, Therapeutic Touch… 5. Mind-Body: Psychoneuroimmunology, Breath work, Guided imagery, meditation, tai chi, yoga, humor, .…
  6. 6.  Focus is on person as energetic entity, balance, breath, diet, exercise, mind-body techniques, yoga  Wisdom of Healing; Return to Wholeness by David Simon, MD
  7. 7.  http://doshaquiz.chopra.com/  http://www.whatsyourdosha.com/  Vata = Air  Pitta = Fire  Kapha = Water
  8. 8.  Ancient eastern system of medicine focusing on balance, energy flow  Meridians  Ying/Yang  5 elements: fire, water, air, wood, earth  Acupuncture, Massage (Tui Na) , Herbs, Nutrition, Qi Gong (vital energy)
  9. 9.  Yang is the “daylight”, the “active”, the “doing”, the “producing”.  Yin is the “nighttime”, the “stillness”, the “contemplative”, the “refilling”.
  10. 10.  The flame is the yang; the wax is the yin.  The battlefield is the yang; the fort is the yin.  Doing is the yang; being is the yin.
  11. 11.  Diet: Primary focus for maintaining, rebuilding health. Food is Information.  Some truths about Vitamins, Supplements, and Herbal therapies
  12. 12.  Herbal PDR  Commission E Monograph  Herb Contraindications and Drug Interactions by Brinker  Natural Medicines Database  South River Compounding Pharmacy
  13. 13.  Metagenics  Perque  Phytopharmica  Xymogen  New Chapter  Numerous others
  14. 14.  Massage: Effective for stress management, reducing and eliminating a variety of pain syndromes.  Trager-Effective in helping manage Parkinson’s disease.
  15. 15.  Fully developed framework  Era I, II, III Medicine  Healing Touch and Therapeutic Touch help decrease pain and anxiety; improve sleep quality, and well- being
  16. 16.  Functional Medicine Institute www.functionalmedicineinstitute.org  Biochemical individuality describes the importance of individual variations in metabolic function that derive from genetic and environmental differences among individuals.
  17. 17.  Patient-centered medicine emphasizes "patient care" rather than "disease care.”  Follows Sir William Osler’s admonition that “it is more important to know what patient has the disease than to know what disease the patient has."
  18. 18.  An abundance of research now supports the view that the human body functions as an orchestrated network of interconnected systems, rather than individual systems functioning autonomously and without effect on each other.
  19. 19.  1. Evaluate the therapy itself- can you assess whether the therapy is probably harmless, possibly dangerous, or potentially helpful in some significant way (ie, does it operate in a plausible way, is there scientific literature?).
  20. 20.  2. Evaluate the practitioner offering the therapy-training, reputation within professional networks (patients/colleagues), Do they have expertise treating your condition? Do they make any claims regarding outcomes? Can they integrate with your conventional therapy? Is the practitioner worthy of your trust?
  21. 21.  3. Evaluate the quality of the service including delivery, cost, and quality of service being rendered.
  22. 22.  American Holistic Nurses Association (www.ahna.org)  American Holistic Medical Association (www.ahma.org)  American Association of Integrative Medicine (www.aaimedicine.com)
  23. 23.  Journal of Holistic Nursing  Holistic Nursing Practice  Journal of Complementary and Integrative Medicine
  24. 24.  Evidence Based Complementary and Alternative Medicine  Alternative Therapies in Health and Medicine  Journal of Alternative and Complementary Medicine
  25. 25.  Overused, non-specific  Typically viewed as negative  Promotes adaptation, growth, learning
  26. 26.  Brain integrates and coordinates behavioral and neuroendocrine responses to “stress” and normal diurnal rhythms.  Remarkable individual differences in coping related to genetics, early development, behaviors, experience….  Neuroendocrine and behavioral responses programmed to adapt for homeostasis, allostasis. Must efficiently turn on and off.
  27. 27.  CV-catecholamines (CAT) increase HR, BP, Vasoconstriction to be upright, active  Brain-Adrenal hormones (AH), CAT increase awareness, memory retention  Immune- AH & CAT promote cell trafficking; modulate cyto-,chemokines
  28. 28. Stressor Factors Social- Environmental Factors Person Factors Proopiomelanocortin: b-endorphin, ACTH, Adren al Corte x Adrenal Medulla Enkephali ns Thymus Lymph oid Tissue NKC Mn/M N T B Spleen ANS b-EndorphinInterferons TNFa , IL-1, IL-6 ACTH IL-2 Met-enkephalin CRF STRESSOR a-melanocyte stimulating hormone DHE A IMMUNE SYSTEM Norepinephrine Epinephrine Cortisol Pituitary Hypothalamus PVN Limbic System Cerebral Cortex CRF IL-1 IL-6 IL-2 IL-3 TNFa STRESSOR Locus Ceruleus CRF
  29. 29.  CV- prolonged BP elevations accelerate atherosclerosis and with metabolic hormones lead to Type II DM  Brain- HPA overactivity, excitatory neurotransmitters reduce neuronal excitability and atrophy, hippocampal brain cell death  Immune-Immunosuppression and immune overactivity (autoimmune, inflammation)
  30. 30.  “Hidden cost of chronic stress to the body over long time periods, which act as a predisposing factor for the effects of acute, stressful life events.” “Wear and Tear”  “Presents a model showing how individual differences in the susceptibility to stress are tied to individual behavioral responses to environmental challenges that are coupled to physiologic and pathophysiologic responses.” (p. 2093)  Cumulative result of allostasis, allostatic state
  31. 31.  1. Repeated events over a long period of time (sustained economic hardship)  2. Failure to adapt to a repeated stressor (never adapting to flying or public speaking)  3. Failure to shut off hormonal stress response or return to normal trough (sleep deprivation)  4. Inadequate hormonal stress response allowing other systems to be overactive (autoimmune)
  32. 32.  Daily diurnal patterns (sleep-wake, cardiovascular changes to stand)  Genetic predisposition  LBW  Early development- bonding, abuse  Perceived loss of control  Learned helplessness  Learned behaviors/ lifestyle choices- exercise, diet, smoking, alcohol consumption, mind- body fitness, spirituality  Health Disparities
  33. 33.  Adrenal steroids  Catechoamines  DHEA  Prolactin  Pitocin  Growth hormone  Sex hormones  Cytokines  Once hormones are released there are immediate and long term effects on cellular function.
  34. 34.  Negative Affect or Loss of Personal Control.
  35. 35.  Positive Affect; Sense of Personal Control
  36. 36.  Learning to be, be with without doing is the path of the feminine  Breath=Spirit  Begin by observing breathing patterns  Three deep breath upon arising and before sleep  Promotes relaxation-de-activates SNS (impacts neuroendocrine, cardiovascular, and immune systems  Dr. Andrew Weil audiobook “Breathing”
  37. 37.  From a feminine perspective, it is about process instead of outcome  It is a process-the beauty and glory are in the process of growing and evolving, not necessarily the “getting there”
  38. 38. Own and honor therapeutic presence

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