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CAM Premnath 29th june 2013



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CAM Premnath 29th june 2013

  2. 2. Definition: Complementary and alternative therapies (CAT) are interventions for improving, maintaining and promoting health and wellbeing, preventing disease or treating illness that are not a part of the standard North American System Of Health Care or Disease Prevention.
  3. 3. Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine.
  4. 4. Alternative therapies are therapies used in place of traditional allopathic therapies. Complementary therapies are therapies used in conjunction with traditional allopathic therapies.
  5. 5. CONCEPTS AND TERMINOLOGIES 1. Balance 2. Energy 3. Healing 4. Holism 5. Humanism 6. Spirituality
  6. 6. Balance : • A situation in which different things exist in equal, correct or good amount. • The concept of balance consists of mental physical emotional and environmental components. • Physical aspect includes optimal functioning of all body systems. • Emotional aspect include the ability to feel and express the entire range of human emotions .
  7. 7. Balance • Mental aspect include feeling of self-worth, a positive identity, a sense of self accomplishment and the ability to appreciate and create. • Spiritual aspects involve moral values, a meaningful purpose in life and a feeling of connectedness to others and a divine source. • Environmental aspects include physical biologic economic social and political conditions. • Being in balance is a learned skill and one that must be practiced regularly to engage in the process of healthful living.
  8. 8. Energy : The ability to put effort and enthusiasm into an activity, work etc. Energy is viewed as the force that integrates the body mind and spirit; it is that connects everything.
  9. 9. Healing The process of returning to normal function after a period of disease or injury.
  10. 10. Holism • The idea that the whole of the sick person, including their body, mind and the way of life, should be considered when treating them, and not just the symptom of the disease. • Combined mental emotional spiritual relationship and environmental components are referred to as holism, are considered to play crucial and equal roles in a person’s state of health. • Interventions are individualised within the entire context of the person’s life.
  11. 11. Humanism A system of thought that considers the solving of human problems with the help of religious beliefs. It emphasizes the fact that the basic nature of humans is good. • The humanist perspective includes the propositions: • Mind and body are indivisible • People have the power to solve their own problems • People are responsible the patters of their own lives. • Wellbeing is a combination of personal
  12. 12. Spirituality • Spirit is the liveliness, richness, and beauty of one’s life. • Spirituality includes the drive to become all that one can be and is bound to intuition, creativity, and motivation it is the dimensions that involves relationship with oneself, with others, and with a higher power.
  13. 13. BASIC PRINCIPLES • The body has the ability to heal itself. • Health and healing are related to harmony of mind, body and spirit • Basic good health practices build the foundation for healing. • Healing practices are individualized. • People are responsible for their own healing.
  14. 14. ETHICAL ISSUES • Issues of safety and effectiveness, as well as the expertise and qualifications of the practitioner. • Communication between the CAM therapist and the traditional health care providers. • Symptoms relieved by CAM therapies may mask signs of serious illness causing delays in conventional treatments. • Potential for drug interaction and possible side effects. • Lack of regulation of herbal products for purity and potency.
  15. 15. NCCAM's classification for alternative and complementary medicine • Alternative medical system • Mind body interventions • Biologically based therapies • Manipulative and body based methods • Energy therapies
  16. 16. ALTERNATIVE MEDICAL SYSTEMS • Ayurveda • Siddha • Homeopathy • Unani • Naturopathic medicine
  17. 17. AYURVEDIC MEDICINE Ayurveda or ayurvedic medicine is a system of traditional medicine native to the Indian subcontinent and a form of alternative medicine. The oldest known ayurvedic texts are the Suśruta Saṃhitā and the Charaka Saṃhitā. These Classical Sanskrit encyclopedias of medicine are among the foundational and formally compiled works of ayurveda.
  18. 18. "THE SCIENCE OF EIGHT COMPONENTS” IN AYURVEDA. • Kaya-chikitsa: "cure of diseases affecting the body" (general medicine) • Kaumara-bhṛtya "treatment of children" (paediatrics) • Shalya-chikitsa Surgery, "removal of any substance which has entered the body (as extraction of darts, of splinters, etc.)" • Salakya-tantra "cure of diseases of the eye or ear etc. by sharp instruments" (ophthalmology/ENT] • Bhuta-vidya "treatment of mental diseases supposed to be produced by demoniacal influence" (demonology / exorcism/psychiatry) • Agada-tantra "doctrine of antidotes" (toxicology) • Rasayana-tantra "doctrine of elixirs
  19. 19. • Ayurveda empowers the individual to take control of their own health and wellbeing. • For example terminalia arjuna is useful in alleviating pain of angina pectoris and treating heart failure and coronary artery diseases, hypercholesterolemia. • Black pepper and long pepper are combined with ginger to form the traditional trikadu mixture in Ayurveda. This mixture increases appetite, promotes the secretion of digestive juices, and cures certain gastric disorders particularly achlorhydria, and hypochlorhydria.
  20. 20. SIDDHA MEDICINE It is assumed that when the normal equilibrium of three humors (vata, pitha, and kapha) is disturbed, disease is caused. • The factors, which assumed to affect this equilibrium are environment, climatic conditions, diet, physical activities, and stress. • According to siddha medicine system, diet and lifestyle play a major role not only n health but also in curing diseases.
  21. 21. • Treatment is classified into three categories: 1. devamaruthuvum (Divine method) 2. manuda maruthuvum (rational method) 3. asura maruthuvum (surgical method).
  22. 22. • In Divine method, medicines like parpam, chendooram, guru, kuligai made of mercury, sulfur and pashanams are used. • In the rational method, medicines made of herbs like churanam, kudineer, or vadagam are used. • In surgical method, incision, excision, heat application, blood letting, or leech application are used.
  23. 23. According to therapies the treatments of siddha medicines could be further categorized into • purgative therapy • emetic therapy • fasting therapy • steam therapy • oleation therapy • physical therapy • solar therapy • blood-letting therapy • yoga therapy etc.
  24. 24. HOMEOPATHY • According to homeopathy, a substance that causes the symptoms of a disease in healthy people will cure similar symptoms in sick people.
  25. 25. • Underlying causes of disease were phenomena that he termedmiasms • The remedies are prepared by repeatedly diluting a chosen substance in alcohol or distilled water, followed by forceful striking on an elastic body, called succussion. • Homeopaths select remedies by consulting reference books known as repertories.
  26. 26. UNANI- TIBB MEDICINE This system observes the influence of surroundings and ecological conditions such as air, food, drinks, body movement and repose, psychic movement and repose, sleep and wakefulness and excretion and retention on the state of health. • Unani believes that it is this dominance which gives a man his individual habit and complexion. • Unani practitioners not only cure bodily diseases but also act as an ethical instructor.
  27. 27. Treatment in unani medicine are, • Regimental therapy – It includes venesection, cupping, diaphoresis, dieresis, Turkish bath, massage, cauterization, purging, emesis, exercise and leeching. • Dietotherapy – It deals with certain aiments by administration of specific diets or by regulating the quantity and quality of food. • Pharmacotherapy – It deals with the use of naturally occurring drugs mostly herbal drugs of animal and mineral origin.
  28. 28. NATUROPATHY It is a system of therapy based on preventive care, and on the use of heat, water, light, air, and massage as primary therapies for disease.
  29. 29. Therapies considered to be of primary importance in the naturopathy are, • Nutrition and dietetic • Fasting • Structural adjustment • Hydrotherapy • Healthy lifestyle • education
  30. 30. MIND BODY THERAPIES Mind-body techniques are based on the theory that mental and emotional factors can influence physical health. Behavioral, psychologic, social, and spiritual methods are used to preserve health and prevent or cure disease.
  31. 31. MIND BODY THERAPIES • Meditation • Hypnotherapy (hypnosis) • Biofeedback • Relaxation techniques • Guided imagery
  32. 32. Meditation • In meditation, people regulate their attention or systematically focus on particular aspects of inner or outer experience. • Meditation usually involves sitting or resting quietly, often with the eyes closed. Sometimes it involves the repetitive sounding of a phrase (a mantra) meant to help the person focus.
  33. 33. Guidelines for meditation – Create a special time and place for meditation. – Sit either cross –legged on the floor or upright in a straight backed chair, keeping the spine straight and body relaxed. – Support the palms on the thighs and close the eyes. – Follow deep breathing or progressive relaxation exercise – Focus attention completely on either breathing or a chosen mental image. If using a mantra, repeat the word or phrase either aloud or silently while exhaling. – Practice this procedure daily for 10-20 minute periods.
  34. 34. Relaxation Techniques Relaxation techniques are practices specifically designed to relieve tension and strain. The specific technique may be aimed at reducing activity of the nerves that control the stress response (sympathetic nervous system), lowering blood pressure, easing muscle tension, slowing metabolic processes, or altering brain wave activity.
  36. 36. GUIDED IMAGERY Guided imagery involves the use of mental images to promote relaxation and wellness, reduce pain, or facilitate healing of a particular ailment, such as cancer or psychological trauma.
  38. 38. HYPNOTHERAPY In hypnotherapy (hypnosis), people are guided into an advanced state of relaxation and heightened attention. Hypnotized people become absorbed in the images suggested by the hypnotherapist and are able to suspend disbelief.
  40. 40. BIOFEEDBACK Biofeedback is a method of bringing unconscious biologic processes under conscious control. Biofeedback involves the use of electronic devices to measure and report back to the conscious mind information such as heart rate, blood pressure, muscle tension, and brain surface electrical activity.
  41. 41. PILATES It is a method of physical movement and exercise designed to stretch, strengthen, and balance the body, in particular the core centre including the abdominal region. It is based on the principle of yoga and meditation.
  42. 42. BIOLOGICALLY BASED TREATMENTS • Herbal Medicine • Nutritional Therapy
  43. 43. MANIPULATIVE THERAPIES • Yoga • Chiropractice • Tai chi & Qi-gong
  44. 44. YOGA THERAPY Yoga is one of the most helpful and healthy forms of experience to manage the influence of thinking by turning psychological and physical force into spiritual energy. Its daily practice is often seen as a way of gaining control over your health.
  45. 45. CHIROPRACTICE In chiropractice, the relationship between the structure of the spine and function of the nervous system is thought to be the key in maintaining or restoring health. The main method for achieving balance is spinal manipulation.
  46. 46. TAI CHI & QIGONG
  47. 47. TAI CHI & QIGONG It has recently been considered as an alternative method for lowering the blood pressure levels. • This discovery has big implications for patients who are suffering from chronic hypertension. • Knowing this makes it possible for such people to avoid negative effects of continuous intake of prescribed anti-hypertension drugs.
  48. 48. ENERGY THERAPIES • Massage therapy • Acupuncture • Reflexology • Hand mediated bio field therapies
  49. 49. Massage therapy Body tissues are manipulated to promote wellness and reduce pain and stress. The therapeutic value of massage for many musculoskeletal symptoms and stress is widely accepted.
  50. 50. ACUPUNCTURE Specific points on the body are stimulated, usually by inserting thin needles into the skin and underlying tissues. Sometimes additional stimulation is added by using a very low voltage electrical current, by twisting the needle, or by warming the needle.
  51. 51. REFLEXOLOGY A variant of massage therapy, relies on manual pressure applied to specific areas of the foot; these areas are believed to correspond to different organs or body systems via meridians.
  52. 52. HAND MEDIATED BIO-FIELD THERAPIES Therapeutic touch (TT) is a mostly secular variant of faith healing, started by Dolores Krieger in the early 1970s. The TT practitioner moves his hands over the patient’s body, specifically the affected area, without actually touching the patient. TT adherents claim that this directs the flow of chi so that the patient can heal.
  53. 53. OTHER THERAPIES • Traditional Chinese Medicine • Curanderismo • Aroma Therapy • Spiritual Therapy • Faith and prayer • Music therapy • Humour and laughter • Bio electromagnetic therapy • Photoenergy therapy
  54. 54. OTHER THERAPIES • Detoxification therapy • Astrology • Alexander Technique • Autogenic_Training • Auto-Urine Therapy • Holotropic Breath work • Bach Flower Remedies • Cellular Therapy
  55. 55. OTHER THERAPIES • Chromotherapy (Colour Therapy) • Colon Therapy • Chelation Therapy • Cupping • Craniosacral Therapy • Dance/Movement Therapies • Dentistry, • Holistic • Ear Candling • Electropathy • Fasting Therapy • Feng Shui • Flower Essences
  56. 56. OTHER THERAPIES  GemTherapy  Heliotherapy  Holistic Medicine  Hydrotherapy  Iridology  Kinesiology  Lymph Drainage Therapy  Midwifery/Childbirth Support
  57. 57. OTHER THERAPIES • Natural Products • Ohashiatsu • Oriental Diagnosis • Osteopathic Medicine • Physiotherapy • Radionics • Reconstructive Therapy/Prolotherapy • Reiki • Rolfing • Shiatsu • Sound Therapy
  58. 58. OTHER THERAPIES • Vision Therapies • Wellness Restoration • Feldenkrais Method • Flower Essences • Tibetan Medicine • Animal Assisted Therapy • Horticultural therapy
  59. 59. NURSING MANAGEMENT • Nurse must be aware of & sensitive to patients interpretation about health , illness, promotion & prevention aspects. • Unique health practices &beliefs must be identified & respected. • Nurses needs to knowledgeable about cultural beliefs & alternative practices. • Deliver effective individualized holistic care. • Nurses need to be knowledgeably about CATs & their complication ,contraindications ,potential benefit & adverse effects
  60. 60.  Use of special prayers, special foods are integrated into the plan of care whenever possible.  Success may be small(cultural food ,relaxation exercise) but their cumulative effect can be powerful.  Suggest to the patients to keep a daily log of therapy used and document symptom improvement & side effects.  Help patients explore CAT therapies that are suitable for them.  It is important for patients to know how to access & evaluate safe & competent practitioners.
  61. 61. THANK YOU