Proceedings of the International Workshop on Holistic Approach of Yoga Therapy in Health and Disease

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Proceedings of the International Workshop on Holistic Approach of Yoga Therapy in Health and Disease organised by CYTERas part of the International Health Research Convention at Sri Balaji Vidyapeeth, Pondicherry, India from 19 to 21 July 2019.

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This e-book authored by Yogacharya Dr Ananda Balayogi Bhavanani, Yogasadhaki Malini and Yogacharini Padma provides a road map towards manifesting culturally appropriate yoga in modern times. Yoga without its cultural context, is no longer yoga and hence we must be mindful of the necessity to retain the content for yoga to be alive through us. This e-book is endorsed by the Indian Yoga Association – A self-regulatory body of Yoga Organizations. IYA is a maiden attempt to unite all yoga paramparas in a common cause. Indian Yoga Association is committed to promotion and advancement of Yoga and its applications around the world and industry-cum-self-regulatory body to facilitate activities of member institutions. To know more about the IYA visit http://www.yogaiya.in/about/ To know more about Dr Ananda and the ICYER at Ananda Ashram, please visit www.rishiculture.in

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Yogacharya Dr. ANANDA BALAYOGI BHAVANANI MBBS, ADY, DPC, DSM, PGDFH, PGDY, FIAY, MD (Alt.Med), C-IAYT, DSc (Yoga) Yogacharya Dr. Ananda Balayogi Bhavanani is Director of the Centre for Yoga Therapy Education and Research (CYTER), and Professor of Yoga Therapy at the Sri Balaji Vidyapeeth, Pondicherry (www.sbvu.ac.in). He is also Chairman of the International Centre for Yoga Education and Research at Ananda Ashram, Pondicherry, India (www.icyer.com) and Yoganjali Natyalayam, the premier institute of Yoga and Carnatic Music and Bharatanatyam in Pondicherry (www.rishiculture.in). He is son and successor of the internationally acclaimed Yoga team of Yogamaharishi Dr. Swami Gitananda Giri Guru Maharaj and Yogacharini Kalaimamani Ammaji, Smt Meenakshi Devi Bhavanani. A recipient of the prestigious DSc (Yoga) from SVYASA Yoga University in January 2019, he is a Gold Medallist in Medical Studies (MBBS) with postgraduate diplomas in both Family Health (PGDFH) as well as Yoga (PGDY) and the Advanced Diploma in Yoga under his illustrious parents in 1991-93. A Fellow of the Indian Academy of Yoga, he has authored 19 DVDs and 26 books on Yoga as well as published nearly 300 papers, compilations and abstracts on Yoga and Yoga research in National and International Journals. His literary works have more than 2650 Citations, with an h-Index of 25 and an i10-Index of 50. In addition, he is a Classical Indian Vocalist, Percussionist, Music Composer and Choreographer of Indian Classical Dance. In recent years he has travelled abroad 20 times and conducted invited talks, public events, workshops and retreats and been major presenter at Yoga conferences in the UK, USA, Italy, Czech Republic, South Africa, Germany, Switzerland, Malaysia, Canada, Australia and New Zealand. He is an Honorary Advisor to International Association of Yoga Therapists (www.iayt.org), Australasian Association of Yoga Therapists (www.yogatherapy.org.au), World Yoga Foundation (www.worldyogafoundation.in) and Gitananda Yoga Associations worldwide (www.rishiculture.in). A recognized PhD guide for Yoga Therapy he was recognized as an IAYT Certified Yoga Therapist (C-IAYT) by the International Association of Yoga Therapists, USA in 2016. It is notable that he is the first Indian to receive this honour. He is currently member of numerous expert committees of the Ministry of AYUSH including its National Board for Promotion of Yoga and Naturopathy, Scientific Advisory Committee & Standing Finance Committees of CCRYN, Technical Committee of the Yoga Certification Board, Expert Committees for Celebration of International Yoga Day and the National Yoga & Diabetes program. He is Consultant Resource Person for the WHO and its Collaborative Centre in Traditional Medicine (Yoga) at MDNIY, New Delhi. He is also EC member and Director Publications of the Indian Yoga Association (www.yogaiya.in).

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Yogacharya Dr Ananda Balayogi Bhavanani's talk for the World Yoga Festival 2020 Sunday afternoon sessions held on 19 July 2020 . Yoga is the original mind body medicine and is one of the greatest treasures of the unique Indian cultural heritage. As both an art and science it has a lot to offer humankind in terms of an understanding of both the human mind as well as all aspects of our multilayered existence. Yogic lifestyle, Yogic diet, Yogic attitudes and various Yogic practices help man to strengthen himself and develop positive health thus enabling him to withstand stress better. This Yogic “health insurance” is achieved by normalizing the perception of stress, optimizing the reaction to it and by releasing it effectively through various practices. Yoga is truly a wholesome and integral science of life that deals with multidimensional aspects of health in both the individual and society. Yoga helps us to take the appropriate attitude towards our challenges and thus tackle them effectively and efficiently. “To have the will (iccha shakti) to change (kriya shakti) that which can be changed, the strength to accept that which cannot be changed, and the wisdom (jnana shakti) to know the difference” is the attitude that needs to the cultivated. An attitude of letting go of the worries, the problems and a greater understanding of our mental process helps to create a harmony in our body, and mind whose disharmony is the main cause of ‘aadi – vyadhi’ or psychosomatic disorders. “Health and happiness are your birthright, claim them and develop them to your maximum potential” (Giri, 1995). This message of Swamiji Gitananda Giri Guru Maharaj is a firm reminder that the goal of human existence is not health and happiness but is moksha (liberation). Most people today are so busy trying to find health and happiness that they forget why they are here in the first place. Yoga is the best way for us to regain our birthrights and attain the goal of our human existence.

MENTAL HEALTH AND WELLBEING THROUGH YOGA

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Yogacharya Dr. ANANDA BALAYOGI BHAVANANI MBBS, ADY, DPC, DSM, PGDFH, PGDY, FIAY, MD (Alt.Med), C-IAYT, DSc (Yoga) Yogacharya Dr. Ananda Balayogi Bhavanani is Director of the Centre for Yoga Therapy Education and Research (CYTER), and Professor of Yoga Therapy at the Sri Balaji Vidyapeeth, Pondicherry (www.sbvu.ac.in). He is also Chairman of the International Centre for Yoga Education and Research at Ananda Ashram, Pondicherry, India (www.icyer.com) and Yoganjali Natyalayam, the premier institute of Yoga and Carnatic Music and Bharatanatyam in Pondicherry (www.rishiculture.in). He is son and successor of the internationally acclaimed Yoga team of Yogamaharishi Dr. Swami Gitananda Giri Guru Maharaj and Yogacharini Kalaimamani Ammaji, Smt Meenakshi Devi Bhavanani. A recipient of the prestigious DSc (Yoga) from SVYASA Yoga University in January 2019, he is a Gold Medallist in Medical Studies (MBBS) with postgraduate diplomas in both Family Health (PGDFH) as well as Yoga (PGDY) and the Advanced Diploma in Yoga under his illustrious parents in 1991-93. A Fellow of the Indian Academy of Yoga, he has authored 19 DVDs and 25 books on Yoga as well as published nearly 300 papers, compilations and abstracts on Yoga and Yoga research in National and International Journals. His literary works have more than 2300 Citations, with an h-Index of 23 and an i10-Index of 45. In addition, he is a Classical Indian Vocalist, Percussionist, Music Composer and Choreographer of Indian Classical Dance. In recent years he has travelled abroad 20 times and conducted invited talks, public events, workshops and retreats and been major presenter at Yoga conferences in the UK, USA, Italy, Czech Republic, South Africa, Germany, Switzerland, Malaysia, Canada, Australia and New Zealand. He is an Honorary Advisor to International Association of Yoga Therapists (www.iayt.org), Australasian Association of Yoga Therapists (www.yogatherapy.org.au), World Yoga Foundation (www.worldyogafoundation.in) and Gitananda Yoga Associations worldwide (www.rishiculture.in). A recognized PhD guide for Yoga Therapy he was recognized as an IAYT Certified Yoga Therapist (C-IAYT) by the International Association of Yoga Therapists, USA in 2016. It is notable that he is the first Indian to receive this honour. He is currently member of numerous expert committees of the Ministry of AYUSH including its National Board for Promotion of Yoga and Naturopathy, Scientific Advisory Committee & Standing Finance Committees of CCRYN, Technical Committee of the Yoga Certification Board, Expert Committees for Celebration of International Yoga Day and the Yoga & Diabetes program. He is Consultant Resource Person for the WHO Collaborative Centre in Traditional Medicine (Yoga) at MDNIY, New Delhi. He is also EC member and Director Publications of the Indian Yoga Association (www.yogaiya.in).

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Damage to the spinal cord above the sacral region causes reflex incontinence. This condition causes loss of voluntary control of urination; but the micturition reflex pathway often remains intact, allowing urination to occur without sensation of the need to void Overflow incontinence occurs when a bladder is overly full and bladder pressure exceeds sphincter pressure, resulting in involuntary leakage of urine. Causes often include head injury; spinal injury; multiple sclerosis; diabetes; trauma to the urinary system; and postanesthesia sedatives/hypnotics, tricyclics, and analgesia Hyperreflexia, a life-threatening problem affecting heart rate and blood pressure, is caused by an overly full bladder. It is usually neurogenic in nature; however, it can be caused functionally by blockage Diseases that cause irreversible damage to kidney tissue result in end-stage renal disease (ESRD). uremic syndrome- An increase in nitrogenous wastes in the blood, marked fluid and electrolyte abnormalities, nausea, vomiting, headache, coma, and convulsions characterize this syndrome. As the uremic symptoms worsen, aggressive treatment is indicated for survival Nocturia - awakening to void one or more times at night An excessive output of urine is polyuria. . A urine output that is decreased despite normal intake is called oliguria. increased urine formation (diuresis) a stoma (artificial opening) Urinary Retention. Urinary retention is an accumulation of urine resulting from an inability of the bladder to empty properly. URINE OVERFLOW- The sphincter temporarily opens to allow a small volume of urine (25 to 60 mL) to escape. With retention a patient may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine. pain or burning during urination (dysuria) as urine flows over inflamed tissues blood-tinged urine (hematuria) Urinary incontinence is the involuntary leakage of urine that is sufficient to be a problem. It can be either temporary or permanent, continuous or intermittentUrinary elimination depends on the function of the kidneys, ureters, bladder, and urethra. Kidneys remove wastes from the blood to form urine. Ureters transport urine from the kidneys to the bladder. The bladder holds urine until the urge to urinate develops. Urine leaves the body through the urethra. All organs of the urinary system must be intact and functional for successful removal of urinary wastes. Intact efferent and afferent nerves from the bladder to the spinal cord and brain must be present INTAKE AND OUTPUT OF URINE Assess the patient’s average daily fluid intake. at home, ask him or her to estimate his or her intake by showing a measurement on a commonly used glass or cup Special receptacles (urimeters) that attach between indwelling catheters and drainage bags are a convenient means of accurately measuring urine volume. A urimeter holds 100 to 200 mL of urine. After measuring urine from a urimeter, drain the cylinder

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Male patients confined to bed usually prefer to use the urinal for voiding. The use of a urinal in the standing position facilitates emptying of the bladder If the patient is unable to stand, the urinal may be used in bed. Patients may also use a urinal in the bathroom to facilitate measurement of urinary output. Provide skin care and perineal hygiene after urinal use and maintain a professional manner EQUIPMENT Urinal with end cover (usually attached) Toilet tissue Clean gloves Additional PPE, as indicated ASSESSMENT Assess the patient’s normal elimination habits. Determine why the patient needs to use a urinal, such as a physician’s order for strict bed rest or immobilization. Assess the patient’s degree of limitation and ability to help with activity Assess for activity limitations, such as hip surgery or spinal injury, which would contraindicate certain actions by the patient. Check for the presence of drains, dressings, intravenous fluid infusion sites/equipment, traction, or any other devices that could interfere with the patient’s ability to help with the procedure or that could become dislodged. Assess the characteristics of the urine and the patient’s skin. Document the patient’s tolerance of the activity. Record the amount of urine voided on the intake and output record, if appropriate. Document any other assessments, such as unusual urine characteristics or alterations in the patient’s skin. SPECIAL CONSIDERATION Urinal should not be left in place for extended periods because pressure and irritation to the patient’s skin can result. If patient is unable to use alone or with assistance, consider other interventions, such as commode or external condom catheter. It may be necessary to assist patients who have difficulty holding the urinal in place, such as those with limited upper extremity movement or alteration in mentation, to prevent spillage of urine. The urinal may also be used standing or sitting at the bedside or in the patient’s bathroom, if patient is able to do so.

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