Feeling the Healing with Complementary and Alternative Modalities

1. Feeling the Healing with Complementary and Alternative Modalities Jeanie Hubert Patricia Muessen

2. Introduction “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

3. Some Statistics 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.1In 2005, 133 million Americans – almost 1 out of every 2 adults2 had at least one chronic illness.21 in every 3 adults is obese3and almost 1 in 5 youth between the ages of 6 and 19 is obese (BMI ≥ 95th percentile of the CDC growth chart).4About one-fourth of people with chronic conditions have one or more daily activity limitations.5Diabetes continues to be the leading cause of kidney failure, non-traumatic lower-extremity amputations, and blindness among adults, aged 20-74 (CDC, 2012).

4. For this discussion, we will focus on Type II Diabetes Heart disease and stroke Hypertension Blindness and eye problems Kidney disease Nervous system disease Amputations Dental disease Pregnancy complications Susceptibility to many other illnesses as well as life-threatening biochemical imbalances (CDC, 2012)

5. AssessmentAssessment 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.

6. Assessment cont’d • 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.

7. Did you know that there is a specialty called Holistic Nursing? “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)

8. Diagnosis 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

9. 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.

10. 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

11. Reiki and Therapeutic Touch Reikiis 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

12. Hunterdon Medical Center Reiki is performed and managed daily by Volunteer Resources at HMC. So… what do patients say about Reiki?

13. 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

14. Reiki Volunteers at HMC

15. 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

16. 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.

17. 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.

18. 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

19. Implementation: Our Presenation April 19th, 2013: “Feeling the Healing” Presented to the public of Somerset County at the Somerset County Library in Bridgewater, NJ.

20. 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.

21. 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.

22. 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.

23. 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.

24. Thank You! Jeanie Hubert Patricia Muessen

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