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Integrative Healthcare & Nursing

Talk given to undergraduate nursing students
by

Pamela Potter

on 21 January 2016

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Transcript of Integrative Healthcare & Nursing

Integrative Healthcare & Nursing
IH Approaches
to
Medicine
David Mercier (2013)
IH and CAM
While IH care is not just conventional medicine with some complementary and alternative medicine (CAM) thrown in….CAM can be a part of IH care

Consortium of Academic Health Centers in Complementary Integrative Medicine
(CAHCCIM)
Integrative Medicine is the practice of medicine that reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and healing.


What IS
Integrative Health?
Is it Holistic? Is it Alternative? Is it Complementary? Is it CAM? Is it in lieu of Conventional?
Control
Methods used by a health professional to take command of a medical condition that is dangerous, chaotic, and unlikely to correct itself.
Substitute
Using substitutes for what the
body might do for itself.
Complementary
Catalyze
Developed and Adopted by The Consortium, May 2004 Edited May 2005, May 2009 and November 2009
For example: insulin, hormones, decongestants, anti-inflammatories, & anti-hypertensives
Type of clinical action that catalyzes inherent healing potential
Alternative
Conventional
CAM
Holistic
Alternative Medical Systems
Complete systems of theory & practice
Often evolved apart from and earlier than our (conventional western) medical approach

Includes:
Traditional Chinese Medicine
Ayurveda
Homeopathic Medicine
Naturopathic Medicine
Native American Medicine

Mind-Body Interventions
Techniques designed to enhance the mind's capacity to affect bodily function and symptoms.

From NCCAM definition
Some seem mainstream now
Patient support groups
Biofeedback
Others are still considered complementary
Meditation, yoga, Tai Chi
Art, music, or dance therapy
Prayer

Manipulative Body-Based Methods
Based on movement and/or manipulation of
one or more parts of the body

Chiropractic or osteopathic manipulation
Massage (many subtypes)
Swedish, deep tissue, shiatsu, Rolfing

Energy Therapies
Biofield Therapies-
Affect energy that is thought to surround and penetrate the body
Some forms work by placing the hands in, or through, these fields.
Ex. Reiki, Therapeutic Touch, Qi gong

Bioelectromagnetic-based therapies
Unconventional use of electromagnetic fields
Pulsed fields, magnetic fields, alternating or direct current fields

Biologically Based Therapies
Use substances found in nature, such as herbs, foods, and vitamins
Varying amounts of evidence

Popular examples:
Echinacea
Vitamin C
Garlic


refers to restoring balance and harmony among all aspects of the person (body/mind/spirit) within the environment.
approaches are those chosen in lieu of what is conventionally practiced. Which may be as simple as choosing herbs for addressing cold symptoms or as complex as choosing an unproven cancer regimen when an known regimen has demonstrated efficacy.
approaches are those chosen to complement the conventional, like choosing acupuncture to remediate chemotherapy associated side effects or Reiki to address associated anxiety and distress.
(Complementary/Alternative Medicine) acknowledges the potential validity of both complementary and alternative approaches.
Conventional western medicine is the predominant system of medicine, mainstream medicine; it uses medication, surgery, radiation and physical therapy to treat disease.
May include modalities thought of as CAM: acupuncture, energy therapies, massage,yoga, homeopathy, herbal remedies, natural supplements,...as well as conventionally endorse approaches like exercise & Lifestyle changes.
UP Nursing Perspective
Integrative health care refocuses care on health and healing; we believe that healing is possible even when it is not possible to cure. Integrative health care insists patients be treated as whole persons—minds and spirits, as well as physical bodies—who participate actively in their own healthcare. Communication and relationship are central to its implementation
(Maizes, V., Koffler, K., & Fleishman, S., 2002).

Integrative Health is a philosophy of healing-oriented nursing/ medicine
that takes into account the whole person (body, mind, spirit, emotions and community) and includes all aspects of lifestyle.

Integrative Health emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and complementary/alternative.


From our website:
UPSNA Opportunity
Learn about IH
A student voice for IH
Form an IH Special Interest Group (SIG)
Pamela Potter, DNSc, RN, CNS
University of Portland
School of Nursing
potter@up.edu

Visit my WordPress Site
Integrative Health Conversations
http://wordpress.up.edu/integrativehealth/

Principles of Integrative Nursing
1. Human beings are whole systems, inseparable from their environments.
2. Human beings have the innate capacity for health and wellbeing.
3. Nature has healing and restorative properties that contribute to health and wellbeing.
4. Integrative nursing is
person-centered and
relationship-based.
5. Integrative nursing practice is informed by evidence and uses the full range of therapeutic modalities to support/augment the healing process, moving from least intensive/invasive to more, depending on need and context.
6. Integrative Nursing focuses on the health and wellbeing of caregivers as well as those they serve.
Kreitzer & Koithan, 2014)
Whole Systems
Innate Capacity
Nature Is Restorative
Person/Relationship
Evidence Informed Practice
Focus Includes YOU!
Full transcript