Monday, July 3, 2017

INCORPORATING ALTERNATIVE THERAPIES IN DAILY CARE ROUTINES:


Medicine is traditionally considered a healing profession, and modern medicine claims legitimacy to heal through its scientific approach to medicine.1 

The marriage of science and medicine has empowered physicians to intervene actively in the course of disease, to affect cures, to prevent illness, and to eradicate disease.2 In the wake of such success, physicians, trained as biomedical scientists, have focused on the diagnosis, treatment, and prevention of disease.3 In the process, cure, not care, became the primary purpose of medicine, and the physician’s role became “curer of disease” rather than “healer of the sick.”4,5 

The medical definition of ALTERNATIVE MEDICINE is : any of various systems of healing or treating disease (as homeopathy, chiropractic, naturopathy, Ayurveda, or faith healing) that are not included in the traditional curricula taught in medical schools of the United States and Britain.

There is an enormity of evidence that Alternative Therapies are becoming the norm rather than the rarity.[1] Physicians across the globe are now integrating alternative / complementary therapies into their practices as pharmaceuticals become more dangerous to use lessening the effect of traditional / conventional treatments.

When Alternative Therapies are used in combination with traditional medical practices, it is called INTEGRATIVE MEDICINE. Many Americans have never heard of Integrative Medicine, but this current movement has left its imprint on many of the nation's hospitals, universities, and medical schools in recent years yet has been common practice in many European countries.

The Duke University Center for Integrative Medicine is a classic model of integrative care. It combines conventional Western medicine with alternative or complementary therapies, such as herbal medicine, acupuncture, massage, biofeedback, yoga, and stress reduction techniques -- all in the effort to treat the whole person. Proponents prefer the term "complementary or alternative" to emphasize that such therapies are used to complement mainstream medicine, and not used as replacements for standardized medical treatments.

With progressively degenerative disorders, such as Parkinson’s, LBD or Alzheimer’s, the treatment goals are to alleviate pain, decrease stress and improving quality of life. Due to the serious issues with many of the drugs when normally used to meet these goals, traditional medicine has been only minimally effective.

Alternative therapies are often welcome additions to the traditional treatment regimen. These less conventional modes of treatment have the advantage of being much safer than traditional drug treatment while often being even more helpful. Caregivers can also benefit from incorporating these therapies into their daily care regimes.

Integrative medicine got a boost of greater public awareness and funding after a landmark 1993[1] study. This study showed that one in three Americans had used an alternative therapy.

In the past decade, integrative medicine centers have opened across the country. According to the American Hospital Association, the percentage of U.S. hospitals that offer complementary / alternative therapies has more than doubled in less than a decade, from 8.6% in 1998 to almost 20% in 2004. Another 24% of hospitals said they planned to add complementary / alternative therapies in the future. [1] [2]

TREATING THE WHOLE PERSON:
The term “Holistic” means to treat the whole person rather than just a part or symptom. The term “dis-ease” is in relation to the affected individual being ill at ease or dis-eased.
Both doctors and patients alike are bonding with the philosophy of integrative medicine and its whole-person approach - designed to treat the person, not just the symptoms or the dis-ease.

One of the most important things I could ever say to you is this: Integrative medicine starts with and depends upon a partnership between the patient, caregiver and the doctor, where the goal is to treat the mind, body, and spirit [3], all at the same time. If you are reliant on your physician for traditional care, please talk with him / her about incorporating Alternative Therapies into a daily care regime before starting something. 

While some of the therapies used may be non-conventional, a guiding principle within integrative medicine is to use therapies that have some high-quality evidence to support them.

PROVIDING OPTIONS:
There are high levels of public interest in the various complementary and alternative therapies available today. Many people with dementia, and those who care for them, are interested in using these therapies as additions to their conventional treatments, often due to the benefits that they may bring and the image of being 'safe' and 'natural'.

This following explains what complementary and alternative therapies are, and outlines several therapies for which there is evidence of their effectiveness.

Keep in mind, therapies that are considered 'complementary' or 'alternative' in one country may be considered conventional in another. In recent years, the WHO (World Health Organization) has brought researchers together from around the world to work together to find cures and / or therapies for a host of dis-eases. This has opened the minds of physicians worldwide and is reasonable for the blending of modern medicine and alternative therapies becoming more popular in countries where medicine is highly regulated.

WHAT ARE COMPLEMENTARY AND ALTERNATIVE THERAPIES?
The term 'complementary and alternative' covers many diverse forms of therapies.
Complementary and alternative therapies are a broad range of treatments that are outside of conventional medicine and are an alternative approach to promote health and well being while enhancing or complementing any conventional treatment. Many countries such as Canada, view alternative therapies as “preventative” and are often incorporated into daily lifestyles.

The area of complementary and alternative therapies is controversial and changes regularly. Therapies that are currently considered alternative may become more main-stream over time, as researchers discover their effectiveness and they become integrated into mainstream health care practice. Examples of alternative therapies are: aromatherapy and the use of essential oils, bio-feedback, massage therapy, music - sound therapy also referred to as binaural beat technology and sonic entrainment, meditation, art therapy, puzzle / game therapy, chiropractic, kinesiology, nutrition therapy and acupuncture. 

HOW ALTERNATIVE THERAPIES WORK WITH CONVENTIONAL MEDICINE IN RELATION TO NEUROLOGICAL DISORDERS:

Conventional Medicine
In the US, conventional medicine is based on a biomedical model, where the focus is on treating the disease rather than the whole person. Drugs (Pharmaceuticals) are the most common method of treatment, and often the first order of defense. Invasive medicine, especially surgery, is also common.
There are several problems with this model of treatment for people with neurological disorders (NDs).
  • Drug sensitivity. The drugs may cause more problems than they fix. Anyone with, or at risk for, a Lewy body disorder is also at risk for severe drug sensitivity to many of the drugs used with these disorders. (This also includes anyone with any other dementia diagnosis since dementias are usually mixed.) Inhaled drugs used with surgery can also be problematic.
  • Age. Most people with NDs are elderly. The elderly in general respond poorly to many of the drugs used to treat dementia symptoms such as anxiety and depression. If the person is younger, the ND weakens the body so that it reacts as though it were elderly.

  •         Response to surgery in the elderly. The inhaled drugs used in surgery can cause anyone to have symptoms of dementia for up to six months after the surgery. The drugs, along with the stress of surgery, may speed the process of any ND and may also cause a dormant ND to become active.
  • The quick fix. As patients, we often want a quick fix and we use a pill instead of changing our diet or lifestyle. We choose surgery instead of learning to live with the problem. Medical professionals hand out tranquilizers and pain pills instead of teaching people how to manage these problems.
  • Disease focus. When physicians focus on fixing the disease, they miss needs the person may have that are unrelated to the disease but may be affected by medical treatment. Often, issues that may affect the treatment they prescribe are overlooked. This focus can also result in a patient feeling as though they are less important to their doctor than the disease is resulting in a slower healing progress.
  • Specialization. Physicians are often so specialized that a patient finds themselves going to many different doctors for problems that are really inter-related.
  • Treatment decisions. With traditional medicine, the physician makes the treatment decisions. That’s what we pay them for. They have the education and training and so this often works well. However, with NDs, so much is unknown and so much is hands on. Caregivers usually know more about how their loved one reacts to specific treatments than the doctor does. They also often know more about the disorder involved. Caregivers need to be more directly involved in treatment decisions.


Commonalities in Complementary and / or Alternative Therapies
When ill, positive attitude and thought processes [6] have been found to have a tremendous impact on the expediency of healing. Many people refer to this as instilling Hope. Some may think this may border on the spiritual side of things. No matter where your belief regarding Hope lays, it is one of the most beneficial healing tools innate in all of us.

In dealing with dementia, the same applies. It is important that during times of lucidity, the caregiver stay in “positive mode.” Many of the alternative therapies will help in achieving this.

Most alternative therapies have the following in common:
  • The treatments are safer and often more effective than many conventional drugs prescribed for the same problems.
  • Therapies are person centered, with more attention and time spent with patients, caregivers and families.
  • The goal is to help the patient be more comfortable and to decrease stress and pain rather than to treat a disease.
  • The focus is on treating the whole person—the mind, body and spirit all at once.
  • Most therapies are non-invasive. With the exception of acupuncture, where small needles are inserted into the top surface of the skin, the skin is never broken.
  • Anything ingested will be “natural” rather than chemical.
  • Patients and caregivers are a vital part of the treatment team and both realize the effects and benefits.


SCIENTIFIC EVIDENCE OF THE MIND, BODY, SPIRIT CONNECTION & YOUR HEALTH:
Research over the last several decades demonstrates the fact that you cannot separate the mind, body and spirit in health and healing.

Dr. Trupti Gokani, M.D. wrote: "Research over the last several decades demonstrates the fact that you cannot separate the mind, body and spirit in health and healing." She adds, "The truth is your body was designed to be healthy. True health means that you are healthy physically, emotionally, and spiritually.

Studies in the field of psychoneuroimmunology [4] are demonstrating the effects of the mind and spirit in healing the body.[5] Dr. Bruce Lipton, internationally recognized biologist and author of  "The Biology of Belief ", is a leader in teaching about the science of Epigenetics[4]. His scientific experiments prove that your perception or beliefs, affect your health. His studies show that even if you have a gene for a certain disease, it is your beliefs that can turn that genetic issue off or on.
In the acclaimed paper The Placebo Effect [5] you will see documentation regarding the placebo effect specific to Parkinson's patient’s motor control.

Dr. H. Steven Greer conducted several studies, including a study with a 15-year follow up on women with breast cancer, and found evidence that attitude is linked to duration and survival of cancer.[6][ 7] 

Dr. Greer’s study was specific to cancer patients however; his belief extends to the effectiveness of treatment of any disease.

Dr. Trupti Gokani, M.D. continues, “When all 3 parts (Mind, Body and Spirit) are equal and balanced you not only feel good but your life is happier and more complete! Most healing programs work at the level of the body, forgetting the importance of your mind and spirit. This is why you may find yourself searching out multiple practitioners to support your journey to well-being."

It is my sincerest hope you have found this article educational, insightful and empowering when it comes to considering integrating alternative therapies into your care plan. As a caregiver, you can learn how to integrate and apply many of these Alternative Therapies into your daily care regime. Your charges response to them will quickly tell you if there is an opportunity to continue with beneficial results.

In these articles, I will offer suggested uses and evidence based protocols that may help your patient or loved one. Additionally, hands on classes are being formed that will afford you the opportunity to learn specific techniques associated with that particular therapy.

My next article will discuss the beneficial use of Essential Oils used in Aromatherapy, Touch and Massage Therapy and Nutrition Therapy. I believe this to be a core component in positive health care and maintenance for both patient and caregiver. In addition, hands on classes relating to these topics will be scheduled in the Phoenix area. If you are a professional care giver in a clinic or group home environment, we may be able to arrange classes at your facility for the entire staff. If interested and you would like to be notified of the class schedule, please fill in the form at: http://www.lbdtools.com/contact2.php

RELATED RESEARCH, ARTICLES AND PAPERS:
·        [1] Integrative Medicine at Academic Health Centers: A Survey of Clinicians’ Educational Backgrounds and Practices Gillian Ehrlich, DNP; Travis Callender, ARNP; Barak Gaster, MD
  • [2] Statistics on Complementary and Alternative Medicine National Health Interview Survey - http://nccam.nih.gov/news/camstats/NHIS.htm
  • [3] Kulreet Chaudhary, MD / 10/10/2013 at 5:30 AM / doctoroz.com / The Mind - Body - Soul Connection
  • [4] Epigenetics BRUCE LIPTON, PHD - Author of “The Biology of Belief: Unleashing the Power of Consciousness, Matter, and Miracles”
  • [5] The Journal of Neuroscience, November 9, 2005 • 25(45):10390 –10402 Symposium-Neurobiological Mechanisms of the Placebo Effect - Fabrizio Benedetti, 1 Helen S. Mayberg, 2 Tor D. Wager, 3 Christian S. Stohler, 4 and Jon-Kar Zubieta 5: 1 Department of Neuroscience, University of Turin Medical School, 10125 Turin, Italy, 2 Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia 30322, 3 Department of Psychology, Columbia University, New York, New York 10027, 4  School of Dentistry, University of Maryland, Baltimore, Maryland 21201, and 5 Department of Psychiatry and Molecular and Behavioral Neuroscience Institute, The University of Michigan, Ann Arbor, Michigan 48109
·        [6] Psychological Medicine / Volume 21 / Issue 01 / February 1991, pp 51-57 Copyright © Cambridge University Press 1991 DOI: http://dx.doi.org/10.1017/S0033291700014641  (About DOI), Published online: 09 July 2009 Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients: Maggie Watson, Steven Greer, Linda Rowden, Christine Gorman, Bernadette Robertson, Judith M. Bliss and Robert Tunmore Cancer Research Campaign Psychological Medicine Research Group and the Section of Epidemiology, Institute of Cancer Research and the Royal Marsden Hospital, Sutton, Surrey

[7] P. Crichton In conversation with H. Steven Greer Published by The Royal College of Psychiatrists http://pb.rcpsych.org/ on February 17, 2014 Psychiatric Bulletin 2000, 24:189-192. http://pb.rcpsych.org/  

To contact Regina with your questions or requests, please click the link below and fill in the form.


Monday, June 5, 2017

AN INTRODUCTION TO ALTERNATIVE THERAPIES FOR DEMENTIA CARE


I preface this and other articles on Alternative Therapies with this statement:

We are not advocating the use of alternative therapies as your soul source of treatment. We are here to inform, educate and empower you and your charges. Alternative therapies can work in conjunction with pharmacology to enhance treatment while providing positive and beneficial results. On their own, they have been shown to alleviate, and in many cases, eliminate a multitude of symptoms. Rest assured, unlike most pharmaceuticals, alternative therapies do no harm. Side effects, if any, are negligible and all provide benefit to both patient and caregiver.

We do suggest working with your physician to incorporate alternative therapies into your care plan. Many physicians find value and embrace their use while others are strictly by the book. While many alternative therapies have been the choice of medical treatment for centuries, it has only been since the dawning of the 3rd millennium that the medical community has begun to incorporate them. Physicians around the globe as well as hospitals, hospice and dementia care facilities are relying more and more on the use of a non-pharmacological approach.

If you haven't already, I highly suggest taking a look at www.lbdtools.com . Authors, Jim and Helen Whitworth created LBDTools.com to help caregivers better understand the various diseases and disorders and focus on how to provide appropriate care for their patients and loved ones.  Their Award Winning books, “A Caregivers Guide to Lewy Body Dementia,” and “Managing Cognitive Issues in Parkinson’s and Lewy Body Dementia” were born out of their personal experiences as caregivers to their loved ones and the frustrations experienced over the limited knowledge surrounding LBD. Both books have been lauded as incredible resources for caregivers and must reads.

The Whitworth’s will tell you, care giving isn’t a job, it’s a labor of love, personal sacrifice and commitment that can take its toll on your physical, mental and emotional well being well beyond what you can imagine. Their books take you deep into the role of caregiver to better help prepare you and fully understand the importance of caring for yourself too.

This is another positive side to incorporating Alternative Therapies into your care giving routines. While these therapies can have a positive impact on your charge, they can also have as positive an impact on the caregiver. Many of these therapies require physical contact, others, a connection on the spiritual and/or emotional level. As a caregiver, this contact with the therapies may provide you with the same or similar positive experience your charge will have.

While there are a multitude of therapies, we will cover those therapies that:
1.      Are evidence based in nature and have been shown to have great impact on the health and well being of the dementia patient as well as their caregivers

2.      Are a range of affordable services provided by licensed, trained therapist with a history and extensive experience working with dementia patients

3.     Are therapies (most) that can be taught to caregivers who desire to implement them in the care of their patients or loved ones

4.     We have researched for higher than average results with recommendations for specific products that meet the highest standards in the industry

5.     Have been found to have a significant impact on behavioral and physical problems found in patients suffering from dementia.

Please join us at http://alternativetherapiesfordementia.blogspot.com/ for upcoming weekly articles covering: 
·        Incorporating Alternative Therapies

·        Essential Oils and their role in dementia care:
o   Essential Oils for Nutrition Therapy
o   Essential Oils and Massage Therapy
o   Essential Oils and Touch Therapy
o   Essential Oils for Aroma Therapy - Stress Reduction, Improved Sleep, Memory and Cognition
·        Music Therapy
o   Healing Frequencies, Tones and Vibration – Impacting the body on a Cellular Level
o   Music and Memory
·        Art Therapy
o   Memory and Motor Function
o   Color and How it Relates to Dementia
o   Fractal Therapy
·        Meditation and Stretch Yoga

·        Nutrition Therapy – Dealing with Toxicity

·        CBD Oil – Researching the Best, Purest, Cleanest and Organically Grown Product and the Positive Impact on Dementia and Overall Health.

To reach Regina with your questions or feedback, please, click the link below and fill in the form.