Complimentary Alternative Modalities Presentation

CAM Abstract Instructions Virtual Nursing Symposium (VNS) Abstracts should be 300 words or less, use Times New Roman 12-point font, be doublespaced, and written in past tense(see examples in content area of D2L) Format and content for the abstracts is as follows: Author and Presentation Information (first page) • Title of Presentation • Date • Name and credentials of author • Course and faculty Body of Abstract (second page) • Description of the project or study. Include a statement of the problem and the population addressed • Method(s) used (literature review, model/theory, practice change/improvement) • Evidence to support project or summary of results • Implications for practice and future recommendations. • Objectives: list 2-3 measurable learning objectives for the audience of your PowerPoint presentation, e.g. “learners will…” or “attendees will…” Please check out this resource for measurable verbs you may use in your objectives (as well as verbs to avoid) https://www.csun.edu/sites/default/files/Bloom%27s%20verbs%20for%20CT_0.pdf. Note: some verbs such as “understand” are not measurable. You will be responsible for posting the PowerPoint presentation and Abstract inthe Virtual Nursing Symposium found in the N382 Courseroom in the discussion areaby the due datelisted in the course calendar. Ask at least four of your peers a profound question about their chosen CAMs the first day the symposium is scheduled (see calendar). The presenteris responsible for checking into their presentation thread once daily both days of the symposium to answer any questions posted by attendees. Abstract Rubric Element  Description of the project or study.  Includes a statement of the problem and the population addressed (.5 point)  Discussion of the method(s) used (study method, literature review, model/theory, practice change/improvement) (.5 point)  Analysis of evidence to support project or summary of results (1 point)  Discussion of implications for practice and recommendations. (1 point)  Objectives: lists 2-3 measurable learning objectives for the audience (1.5 point) Title page &abstract format according to guidelines, Properspelling & grammar Total Points Fully Addressed Partially Addressed Insufficient or Not Addressed Pts Poss .5 5 Pts Earned 1 Aromatherapy, Hand Massage, and Guided Meditation for Stress Reduction Student name, RN Mary.Student@mnsu.edu Nursing 382 Holistic Nursing Assessment and Practice Dr. Laura Schwarz, DNP, RN, CNE, AHN-BC 2 Abstract Hospitalized patients along with nurses providing their care are subject to increased stress as a result of managing and treating acute illness. Therefore, aromatherapy, hand massage, and guided meditation therapies were examined for their effectiveness on stress reduction inthese individuals. A critical review of literature together witha personal trial of these therapies were used to evaluate their definition, mechanism of action, practice implementation practicality, and effectiveness. Individuals who benefit from receiving these therapies were also recognized. The literature and personal assessment of these therapies provides robust evidence to support the effectiveness and use of these therapies for stress reduction.The type of evidence obtained included qualitative and quantitative research studies. Additional benefits demonstrated by these therapies were alsoidentified. Recommendations for nursing practice implementation include education of therapy methods and effectiveness on stress reduction in combination with nursing practice integration strategies. Patient recommendations include teaching complementary therapy benefits and efficacy to reduce stress through relaxation. Objectives: After participating in this presentation, the learner will be able to: 1. describe complementary therapy methods,mechanisms of action, effectiveness, and individual benefits. 2. apply complementary alternative modality practice integration strategies to promote stress reduction. 3. educate patients on the benefits and effectiveness of complementary therapy. Complimentary Alternative Modalities Presentation

Instructions/Rubric for CAM PowerPoint  Then choose two Complimentary and/or Alternative Modalities.  Next, experience both of your chosen CAMs, the experiences must be: o completed during the term, not be experiences you have had in the past o completed at least a week before the CAM PowerPoint is due (see calendar for due date) o done for or on yourself and for your benefit-these cannot be modalities you have simply observed on patients or others  Finally, Create a PowerPoint presentation to address each of the content areas listed in the below rubric. Include at least three peer-reviewed sources of literature for each modality(Total of at least six peer-reviewed sources). Element Element Fully Addressed Element Partially Addressed Element Insufficiently Addressed Pts Poss  Introductory slide-provides an overview (1 pt) 32  Provide a definition and description of each chosen CAM (3 pts)  Includes at least three peer-reviewed sources for each therapy (6 pts)  Include why you chose to experience each particular modality (3 pts)  Describe*each of your actual CAM experiences (what did you do/experience for each?) *Note: provide enough detail that the PPT viewers could visualize/replicate the experiences (6 pts)  Describe what you thought of each of your experiences (positives, negatives, would you experience again? (3 pts)  Describes what type of patients might benefit by each therapy (use peer reviewed sources to back up) (3 pts)  Describe benefits as well as any limitations to therapies such as: contraindications, risks, adverse/side effects, financial limitations, allergies, time constraints (e.g. heat/ ice should have a time limit), etc.  (use peer reviewed sources to back up) (3 pts)  Describes hownurses might incorporate each modality into nursing care (3 pts)  Conclusion reviews major points (1 pts) 3 Format  APA including citations and reference list  Free of spelling, typographical, and grammatical errors. Complimentary Alternative Modalities Presentation

PowerPoint Design 5  Professional, attractive, interesting, appropriate font size & amount on slides  Uses images, photos, diagrams, graphs, etc. to help add interest/explanation *See notes below regarding Total Points 40 *Images you use in your presentation must beCreative Commons (CC)or Copyright free and must begiven proper attribution (citation). Follow these steps to ensure that you have both of these requirements: 1. Find your images at sites that have CC licensing or are open sources/copyright free: • https://search.creativecommons.org/ • https://support.google.com/websearch/answer/29508?hl=en • https://www.flickr.com/creativecommons/ Pts Earned • https://www.bing.com/discover/creative-commons 2. Provide proper attribution for your images-a must: • How to give attribution • Best practices for attribution • If image is not a CC image, must state “courtesy of” and source COMPLIMENTARY ALTERNATIVE MODALITIES NURSING 382 HOLISTIC NURSING ASSESSMENT AND PRACTICE DR. LAURA SCHWARZ, DNP, RN, CNE, AHN -BC MAVIS MAVERIC MONTH, DATE, YEAR WHAT IS CAM THERAPY?  A comprehensive approach used to address health care needs to include the physical, emotional, psychological & spiritual aspects of a person ( Blais & Hayes, 2011)  Practices or products used in addition to, or as an alternative to, traditional Western medicine. Not widely taught in medical schools or readily available in heath care settings (Dossey et al., 2015)  Becoming more popular, patients are more aware Photo courtesy of Microsoft Office PPT EXAMPLES OF CAM ▪ Biological-Based Therapies – Herbals medicine – Vitamin supplements – ▪ Manipulative Body Therapies – Cranial-sacral therapy – Massage therapy – Osteopathic manipulation – Chiropractic therapy ▪ Energy Therapies – Magnet therapy – Therapeutic / healing touch – Reiki – ▪ Mind-based Therapies Whole, organic foods Qi Gong – Prayer – Guided self-healing – Meditation – Art, music and dance (Blais & Hayes, 2011 , p. 370) THREE THERAPIES EXPERIENCED  Aromatherapy Photo courtesy of Microsoft Office PPT  Massage Therapy Photo courtesy of Microsoft Office PPT  Yoga / Meditation Photo courtesy of Microsoft Office PPT AROMATHERAPY – WHAT IS IT?  The use of essential oils, derived from plants, thought to work at the psychological, physiological and cellular levels in the body  Stimulants travel through the nose and nerve impulses, to the limbic system of brain, evoking an emotional response  May also be absorbed through the skin & into blood stream through massage oils bath salts Photo courtesy of Microsoft Office PPT  One of the oldest forms of CAM, dating back 6000 years (Novey, 2000) AROMATHERAPY – MY EXPERIENCE WHY:  I chose aromatherapy because we have started to use on my Mother Baby unit (nasal inhalers, oils & bath salts). Complimentary Alternative Modalities Presentation

I wanted to see if it would help me manage my stress, relax & sleep HOW:  I used a lavender oil inhaler stick every day before bed (for 15 min) & used lavender bath salts 2 times a week for 2 weeks RESULTS:  My tension, anxiety, stress level decreased & I was able to fall asleep faster. I was able to focus on my breathing, clear my mind and relax. AROMATHERAPY – WHO WOULD BENEFIT?  Patients experiencing pain, stress, anxiety, depression, insomnia, cancer treatment or in critical care  “Patients in the lavender group had less postoperative pain” after cesarean section ( Olapour et al., 2013, p. 203)  “Aromatherapy in cancer patients suggests a short -term benefit to reduce anxiety and depression, improve sleep and increase overall wellbeing” (Boehm et al., 2012, p. 508)  Aromatherapy reduced anxiety, improved sleep, and stabilized the blood pressures of p atients in the ICU (Cho et al., 2013) Photo courtesy of Microsoft Office PPT AROMATHERAPY – HOW NURSES COULD INCORPORATE?  We recently started using aromatherapy on our unit. I will now of fer this to every patient by sharing what is available, how it works & how they could benefit. However, I will respect those who chose not to use it  Share research that post -op pain scores decreased for cesarean section patients who used aromatherapy, in addition to standard meds  Communicate how easy, cost ef fective, and empowering aromatherapy can be for use in the hospital or at home  A significant and increasing number of pregnant women use CAM, as if of fers them greater control and choice in their holistic care (Hall et al., 2011) MASSAGE THERAPY – WHAT IS IT?  A systematic form of touch and pressure that manipulates soft tissues of the body to promote comfort and healing  Stimulates the circulation of blood & lymph, to help remove metabolic wastes and promote relaxation ▪ Often used with aromatherapy, oils, and music ▪ Widely available, many different types, prices vary (Novey, 2000) Photo courtesy of Microsoft Office PPT MASSAGE THERAPY– MY EXPERIENCE WHY:  I often have tight muscles, especially in my back and hamstrings. With work, exercise and a busy lifestyle, I often feel stressed. My doctor and others have recommended massages to me. I have had had one years ago, but can be expensive. HOW:  I had a deep tissue (myofascial release) massage. The room was dimly lit, with soft music. I was on a comfortable table, with a sheet covering me, face down in a “donut”. The therapist used oil, heat packs and deep stroking pressure for 60 min. RESULT:  After my session, my tension, knots, stress and muscle aches were relieved. The area under my eyes were swollen and I was very thirsty. I was told to drink lots of water. I felt absolutely fabulous. I vowed to schedule monthly appointments! MASSAGE THERAPY – WOULD WOULD BENEFIT? Patients experiencing pain, stress, anxiety, depression, pregnancy or chronic illness  For low back pain, “although traditional therapy showed slightly greater pain relief, the decline in pain using massage therapy was significant” (Melancon & Miller, 2005, p. 120)  “Back massage significantly reduced anxiety” in CHF patients (Chenet al., 2013, p. 464)  Massage therapy with pregnant women lowered anxiety and depression and women were less likely to deliver prematurely (Field et al., 2012)  Positive effects are seen on full term and preterm infants experiencing massage therapy (Abdallah et al., 2013). Complimentary Alternative Modalities Presentation

MASSAGE THERAPY– HOW NURSES COULD INCORPORATE?  Our hospital has an “Integrative Medicine” group that we can put a “consult” in for them to see our patient. Most patients do not stay long enough to have an IM massage, except for antepartum (bed rest) patients.  Encourage patients to utilize if they have an extended stay.  Give hand, foot or neck massages to patients or show their caregiver. Of fer aromatherapy oils to use  Encourage people to use at home, in Photo courtesy of Microsoft Office PPT addition to traditional medication, heat and ice.  Practice what I preach and make appointments for monthly massages! Already found “ Groupons” for cheaper options. YOGA / MEDITATION – WHAT IS IT?  Consciously controlling breathing, while moving through a series of postures or asanas (Dossey et al., 2005)  “Control of the body through correct posture and breathing, control of the emotions and mind, and meditation and contemplation” (Novey, 2000, p. 141)  Involves mind, body and spirit in a relaxation response mechanism, by increasing blood flow and oxygen use, while reducing carbon dioxide and respiration rate (Novey, 2000)  Popular activity, especially among women  Widely available, prices vary  Various types & levels of fered, something for everyone Photo courtesy of Microsoft Office PPT YOGA – MY EXPEREINCE WHY:  I already run and strength train, but have never done yoga consistently or tried dif ferent types. My doctor & other s have encouraged yoga to increase my flexibility, promote relaxation and manage my stress. HOW:  Par ticipated in five Bikram and five Hatha yoga sessions since Januar y.  Bikram yoga is done in a 105 deg F room with 40% humidity. The 26 poses were ver y intense and invigorating. I felt detoxified due to the exorbitant amount of sweating. Sessions are 90 min and I need shower af ter. I had mild headache af ter one (perhaps dehydration?).  Hatha yoga was done in a dimly lit room, with sof t music. The session was 60 min, with simple poses, done in a relaxing, calming manner. I did at night, then went straight to bed. RESULT:  I enjoyed both, but liked to alternate depending upon my time & mood. Both of fered the oppor tunity to “stretch, relieve stress, open the lungs, relax the hear t, and clear the mind” ( Novey, 2000, p. 146). YOGA – WOULD WOULD BENEFIT? Patients experiencing pain, anxiety, stress, pregnancy, cancer treatment or chronic illness. Check with your doctor, as not all yoga is safe for everyone (i.e. Bikram)  Prenatal yoga provided optimism, power and well -being, while helping to relieve musculoskeletal issues during pregnancy (Reis & Alligood, 2014)  Systematic reviews show yoga to be beneficial for reducing fatigue in cancer patients (Sadja & Mills, 2013)  “Eight weeks of Bikram yoga improved mindfulness, perceived stress, cardiorespiratory endurance, flexibility and balance” (Hewlett al., 2011 , p. 87)  Regular daily yoga improved sleep and quality of life in the elderly (Bankar et al., 2013) YOGA – HOW NURSES COULD INCORPORATE?  Encourage patients to do yoga, of fer resources, classes in area, as there are many of ferings, including at our hospital  Share research that indicates yoga may help patients with relaxation, flexibility and stress relief.  Share my experiences and answer patient questions (i.e. many post partum patients ask about mom baby yoga classes )  I will continue to do yoga at least once a week, and vary the type of yoga, depending upon my time and mood Photo courtesy of Microsoft Office PPT CONCLUSION  CAM is becoming more mainstream – patients are more aware and asking about  Nurses need to be educated regarding options, benefits and be able to answer patient questions Complimentary Alternative Modalities Presentation

 Aromatherapy is a safe, ef fective addition to traditional medication for pain control, relaxation and sleep  Massage promotes relaxation, stress reduction and muscle tension relief  Yoga can help improve meditative breathing, flexibility and overall well -being. Photo courtesy of Microsoft Office PPT  All are cost ef fective, empowering and easy to of fer patients REFERENCES Abdallah, B., Badr, L. K., & Hawwari, M. (2013). The ef ficacy of massage on short and long term outcomes in preterm infants. Infant Behavior and Development , 36(4), 662-669. Bankar, M., Chaudhari, S., & Chaudhari, K. (2013). Impact of long term Yoga practice on sleep quality and quality of life in the elderly. Journal of Ayur veda and Integrative Medicine, 4(1), 28. Blais, K., & Hayes, J. S. ( 2015). Professional nursing practice: concepts and perspectives (7th ed.). Pearson. Boehm, K., Bussing, A ., & Ostermann, T. (2012). Aromatherapy as an Adjuvant Treatment in Cancer Care – A Descriptive Systematic Review. African Journal of Traditional , Complementar y and Alternative Medicines, 9(4), 503-518. REFERENCES Chen, W., Liu, G., Yeh, S., Chiang, M., Fu, M., & Hsieh, Y. (2013). Effect of Back Massage Intervention on Anxiety, Comfort, and Physiologic Responses in Patients with Congestive Heart Failure. The Journal of Alternative and Complementar y Medicine, 19(5), 464-470. Cho, M., Min, E. S., Hur, M., & Lee, M. S. (2013). Effects of Aromatherapy on the Anxiety, Vital Signs, and Sleep Quality of Percutaneous Coronary Intervention Patients in Intensive Care Units. Evidence-based Complementar y and Alternative Medicine, 2013, 1-6. Dossey, B. M., Keegan, L., & Guzzetta, C. E. (2005). Holistic nursing a handbook for practice (4th ed.). Jones and Bartlett. Field, T., Diego, M., Hernandez-Reif, M., Medina, L., Delgado, J., & Hernandez, A. (2012). Yoga and massage therapy reduce prenatal depression and prematurity. Journal of Bodywork and Movement Therapies , 16(2), 204-209 . REFERENCES Hall, H. G., Griffiths, D. L., & McKenna, L. G. (2011). The use of complementary and alternative medicine by pregnant women: A literature review. Midwifer y, 27(6), 817-824. Hewett, Z. L., Ransdell, L. B., Gao, Y., Petlichkoff, L. M., & Lucas, S. (2011). An Examination of the Effectiveness of an 8 -week Bikram Yoga Program on Mindfulness , Perceived Stress, and Physical Fitness. Journal of Exercise Science & Fitness, 9(2), 87-92. Melancon, B., & Miller, L. H. (2005). Massage Therapy Versus Traditional Therapy for Low Back Pain Relief. Complimentary Alternative Modalities Presentation

Holistic Nursing Practice, 19(3), 116-121 . Novey, D. (2000). Clinician’s complete reference to complementar y & alternative medicine. St. Louis: Mosby. REFERENCES Olapour, A ., Behaeen, K., Akhondzadeh, R., Soltani, F., Razavi, F.A ., & Bekhradi, R. (2013). The Ef fect of Inhalation of Aromatherapy Blend containing Lavender Essential Oil on Cesarean Postoperative Pain. Anesthesiology and Pain Medicine, 3(1), 203-7. Reis, P. J., & Alligood, M. R. (2014). Prenatal Yoga in Late Pregnancy and Optimism, Power, and Well-Being. Nursing Science Quar terly, 27(1), 30-36. Sadja, J., & Mills, P. J. (2013). Ef fects of Yoga Interventions on Fatigue in Cancer Patients and Survivors: A Systematic Review of Randomized Controlled Trials. EXPLORE: The Journal of Science and Healing , 9(4), 232-243. … Complimentary Alternative Modalities Presentation