Nursing in Integrative Medicine and Nurses’ Engagement in Caring-Healing

2012 ◽  
pp. 235-239
Author(s):  
Chiyoko Inomata ◽  
Shin’ichi Nitta
Keyword(s):  
Music Therapy ◽  
Neurodegenerative Diseases ◽  
Integrative Medicine ◽  
Collaborative Work ◽  
Care Providers ◽  
Team Members ◽  
Healing Environment ◽  
Therapy Sessions

In 2008, the authors’ team started an ongoing project to administer music therapy sessions for patients with neurodegenerative diseases. Studies were made conducted from the “caring” perspective to evaluate the effects of music therapy on the mental health of the patients (Inomata, 2008a, Inomata 2008b) and on the role of nurses in integrative medicine (Inomata, 2008c). On the basis of the findings from these studies, music therapy programs were designed and conducted to meet the different needs of various neurodegenerative diseases. This project was the first ever reported music therapy initiative undertaken as a multi-disciplinary collaborative work and in partnership with a patients’ group (Saji, 2010). The findings from four years of running the project are summarized as follows: (1) Music therapy helped maintain/improve the QOL(Quality of Life) level of neurodegenerative disease patients, which would otherwise deteriorate with the progress of symptoms; (2) There was an improvement in the patients’ psychological and spiritual health as exemplified by the expansion of consciousness and rebuilding of relationships; (3) The project increased the feeling of partnership among the multi-disciplinary team members; (4) Care providers shared values such as self-belief and respect for both the self and others; (5) Caring for patients’ emotional side by being compassionate and staying with them and/or listening to them resulted in a stronger care provider-patient bond; (6) Nurses were engaged in the building a healing environment as “healers,” and the patients found more hope in everyday life.

scholarly journals Systematic Review of the Integrative Medicine Recommendations for Patients with Pancreatic Cancer

Surgeries ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 216-230
Author(s):  
Andrew A. Gumbs ◽  
Manana Gogol ◽  
Gaya Spolverato ◽  
Hebatallah Taher ◽  
Elie K. Chouillard
Keyword(s):  
Systematic Review ◽  
Pancreatic Cancer ◽  
Integrative Medicine ◽  
Lifestyle Changes ◽  
Randomized Controlled ◽  
Nutrition Supplementation ◽  
Traditional Therapies ◽  
Traditional Approaches

Introduction: Integrative medicine (IM) is a relatively new field where non-traditional therapies with peer-reviewed evidence are incorporated or integrated with more traditional approaches. Methods: A systematic review of the literature from the last 10 years was done by searching clinical trials and randomized-controlled trials on Pubmed that discuss nutrition, supplementation, and lifestyle changes associated with “Pancreatic Cancer.” Results: Only 50 articles ultimately met the inclusion criteria for this review. A total of 15 articles discussed the role of obesity and 10 discussed the influence of stress in increasing the risk of pancreatic cancer. Six discussed the potential beneficial role of Vitamins, 5 of cannabinoids, 4 an anti-inflammatory diet, 3 of nut consumption, 2 of green tea consumption, 2 of curcumin supplementation, 1 role of melatonin, and 1 of probiotics. One article each was found on the theoretical benefits of adhering to either a Mediterranean or ketogenic diet. Discussion: As more surgeons become interested in IM, it is hoped that more diseases where the curative treatment is mainly surgical can benefit from the all-encompassing principles of IM in an effort to improve quality of life and survival in patients with pancreatic cancer.

Is There a Role for Music Therapy in the Care of the Severely Mentally Ill?

2008 ◽  
Vol 16 (6) ◽  
pp. 442-445 ◽  
Author(s):  
Denise Grocke ◽  
Sidney Bloch ◽  
David Castle
Keyword(s):  
Music Therapy ◽  
Mentally Ill ◽  
Contemporary Music ◽  
Creative Arts ◽  
Recovery Model ◽  
Viable Option ◽  
Community Based ◽  
Severely Mentally Ill

Objective: The role of music therapy in psychiatric care in Australia is briefly traced from the early 1990s to the present. With the shift to community-based care, contemporary music therapy practice for the severely mentally ill is reappraised alongside the principles of the recovery model. Conclusions: Music therapy is a viable option within the creative arts therapies for enhancing quality of life in people with severe and enduring mental illness.

The Effects of Music Therapy on Oncological Patients

2016 ◽  
Vol 27 (1) ◽  
pp. 14-26
Author(s):  
Akvilė Virbalienė ◽  
Skaidrė Račkauskienė ◽  
Jolanta Kasnauskienė ◽  
Aldona Šumskienė
Keyword(s):  
Music Therapy ◽  
Psychological Trauma ◽  
Active Role ◽  
Treatment Change ◽  
Extreme Stress ◽  
Self Confidence ◽  
Oncological Patients ◽  
Reaction To Diagnosis ◽  
Therapy Sessions

Abstract The research shows the effects of music therapy on oncological patients. Music therapy is one of the tools that help patients to cope with the stress and improves self-confidence, encourages them to live valuable life. It also has a dramatic effect on quality of life as patients who participate in music therapy sessions start to express their feelings in a more active way and also start to solve their own problems. Moreover, music therapy reduces the level of stress and anxiety in the minds and body, promotes calm state, regulates sleep, stimulates body, improves memory and consciousness. It creates an opportunity for oncological patients to release hidden emotions, express the feelings that are related to the disease, encourages to take an active role in cancer pathway and search for other support sources. The content of this research includes the following problematic question: how has the state of oncological patients changed after participating in music therapy sessions? Research object was the effects of music therapy on oncological patients.The aim of this research was to identify the effects of music therapy on oncological patients. The research has shown that people after hearing cancer diagnosis usually become anti-social - often separate themselves from society, become desolate, move away from favorite activities, also their emotions may become very feeble. The reaction to diagnosis is caused by a very strong psychological trauma that is explained as extreme stress. The fair of death destroys usual, during a lifetime gained stereotypes and changes the system of life values. Also the researched has proved that the patients as a result of music therapy during and after treatment change attitude towards the disease and start to live a meaningful life in a new high quality way that is based on the strengthened faith in God and appreciation of current moment.

Use of pharmacist integration in oncology clinics to identify and resolve moderate to major drug-drug interactions.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 71-71
Author(s):  
Jack Toshimine Seki ◽  
Matthew Hughsam ◽  
Monika Krzyzanowska ◽  
Aaron Lo ◽  
Pamela Ng ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Drug Effects ◽  
Medical Problem ◽  
Care Providers ◽  
Level Of Evidence ◽  
Wrong Drug ◽  
Survey Results ◽  
Major Drug

71 Background: Medication reconciliation (MR) in outpatient clinics has been under-evaluated. We postulated that cancer patients would benefit from MR done by a pharmacist as these patients have many care providers, many medications, and are at high risk of drug-drug interactions (DDIs). Hence, we conducted a quality initiative evaluating the role of a pharmacist in the ambulatory clinics. Methods: One pharmacist prospectively rotated amongst four oncology clinics four days a week from June 3 to September 18, 2008. The pharmacist performed MR, and as a consultant developed therapeutic plans related to drug therapeutic problems (DTPs) including adverse reactions and DDIs. Patient medication lists were retrospectively analyzed using Micromedex and DDIs were categorized by frequency, severity and evidence level. A monthly survey (Likert scale) evaluating pharmacist contributions to each clinic team was completed by physicians and nurses. Results: A total of 158 patients were seen in 227 patient visits. The pharmacist identified 141 DTPs in 60 patients across 74 visits. The most frequently observed were no drug for a medical problem (51.1%), dose too low (12.8%), wrong drug (9.9%), and adverse drug reactions (9.2%). In response, 174 therapeutic plans were made. The most frequently recommended actions were drug added (40.8%), dose changed (13.2%), drug discontinued (9.2%), and interval/duration changed (7.5%). A total of 414 DDIs were identified in 110 patients, across 149 patient visits. On average, 2.62 DDIs were reported per patient, and 1.82 DDIs per visit. By severity, 139 (33.6%) major, 258 (62.3%) moderate, 16 (3.9%) minor and 1 (0.2%) contraindicated DDIs were documented. By level of evidence, 46 (11.1%) DDIs were excellent, and 236 (57%) were good. Survey results showed that doctors and nurses agreed/strongly agreed that pharmacist presence was valuable. The most useful contributions identified were consultation regarding DDIs, adverse drug effects, and medication efficacy decisions. Conclusions: DDI rates are high and most are moderate or major in severity. There is a clear benefit from the integration of a pharmacist to the clinics with an improvement in patient safety and quality of care.

scholarly journals The Effect of Music Therapy on Self-Reported Affect in Hospitalised Paediatric Patients

2021 ◽  
Author(s):  
◽  
Ruth Elizabeth Armstrong
Keyword(s):  
Music Therapy ◽  
Hospital Environment ◽  
Future Research ◽  
Psychosocial Needs ◽  
Clinical Notes ◽  
Significant Difference ◽  
Before And After ◽  
The Impact ◽  
Therapy Sessions

<p>The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients' psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist's clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children's mood from the beginning and end of sessions, using McGrath's (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between 'before' and 'after' measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients' responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.</p>

scholarly journals The Effect of Music Therapy on Self-Reported Affect in Hospitalised Paediatric Patients

2021 ◽  
Author(s):  
◽  
Ruth Elizabeth Armstrong
Keyword(s):  
Music Therapy ◽  
Hospital Environment ◽  
Future Research ◽  
Psychosocial Needs ◽  
Clinical Notes ◽  
Significant Difference ◽  
Before And After ◽  
The Impact ◽  
Therapy Sessions

<p>The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients' psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist's clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children's mood from the beginning and end of sessions, using McGrath's (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between 'before' and 'after' measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients' responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.</p>

scholarly journals Palliative Care and Advance Care Planning in Pulmonary Hypertension

2018 ◽  
Vol 17 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Charles L. Rhee ◽  
Michael Cuttica
Keyword(s):  
Palliative Care ◽  
Pulmonary Hypertension ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Progressive Disease ◽  
Care Planning ◽  
Care Providers ◽  
Advance Care

Pulmonary hypertension (PH) is a progressive disease with high associated morbidity and mortality despite the development of novel therapies. Palliative care is a multidisciplinary field focused on optimization of quality of life and overall supportive care for patients and their families in the setting of life-limiting illness. Although the benefits of palliative care in oncology are well described, there are few studies regarding the timing and involvement of palliative care in PH patients. In this paper, we describe the importance of longitudinal advance care planning, including suggestions for addressing difficult topics such as end-of-life care, and the role of palliative care providers in helping guide these discussions throughout the course of the illness.

scholarly journals An Investigation of Music Therapists' Experiences of Verbal Dialogue in Music Therapy Sessions

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Siobhán Nelligan ◽  
Tríona McCaffrey
Keyword(s):  
Clinical Practice ◽  
Music Therapy ◽  
Dyadic Relationship ◽  
Music Therapists ◽  
Professional Discourse ◽  
Individual Interviews ◽  
Irish Music ◽  
And Function ◽  
Therapy Sessions

This study presents a preliminary exploration of music therapists’ first-hand experiences of engaging in verbal dialogue with clients in their clinical practice. To the authors’ knowledge no previous studies have examined the role of verbal dialogue from the first-hand perspectives of experienced professionals working in the field.  Three individual interviews were conducted with three accredited Irish music therapists. Four central themes emerged as a result of thematic content analysis: content and function of verbal dialogue, the use of verbal dialogue may contribute to professional ambiguity, returning to the music, and the dyadic relationship between musical and verbal exchange. The findings revealed verbal dialogue to be a topic of interest for the participants in this study, one which stimulated meaningful reflections about clinical practice. The implications for professional identity and clinical practice which arose distinguished verbal dialogue as a potential area for further research and professional discourse within the wider music therapy community. Suggestions were made for additional areas of learning that may assist in preparing trainee and newly-qualified music therapists for potentially challenging verbal encounters with clients.

scholarly journals Detrimental Collaborations in Creative Work: Evidence from Economics

2021 ◽  
Author(s):  
Keyvan Vakili ◽  
Florenta Teodoridis ◽  
Michaël Bikard
Keyword(s):  
Collaborative Work ◽  
Creative Work ◽  
Output Quality ◽  
Creative Workers

Prior research on collaboration and creativity often assumes that individuals choose to collaborate to improve the quality of their output. Given the growing role of collaboration and autonomous teams in creative work, the validity of this assumption has important implications for organizations. We argue that in the presence of a collaboration credit premium—when the sum of fractional credit allocated to each collaborator exceeds 100%—individuals may choose to work together even when the project output is of low quality or when its prospects are diminished by collaborating. We test our argument on a sample of economists in academia using the norm of alphabetical ordering of authors’ surnames on academic articles as an instrument for selection into collaboration. This norm means that economists whose family name begins with a letter from the beginning of the alphabet receive systematically more credit for collaborative work than economists whose family name begins with a letter from the end of the alphabet. We show that, in the presence of a credit premium, individuals may choose to collaborate, even if this choice decreases output quality. Thus, collaboration can create a misalignment between the incentives of creative workers and the prospects of the project.

Empowerment of Patients in the Process of Rehabilitation

2007 ◽  
Vol 27 (2_suppl) ◽  
pp. 32-34
Author(s):  
Lan Wang ◽  
Jie Dong ◽  
Hong-Bin Gan ◽  
Tao Wang
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Patient Empowerment ◽  
Self Management ◽  
Self Awareness ◽  
Care Providers ◽  
Current Health ◽  
Appropriate Treatment

The management and appropriate treatment of peritoneal dialysis (PD) patients is an ongoing challenge in current health care. We believe that health education—consisting of knowledge, skills, and self-awareness—is a useful mechanism for patient empowerment. Patients should have an awareness of their disease, and as health care providers, PD nurses have the role of focusing their patients on preventive care, rather than of simply training patients. An empowerment program is a valuable intervention for improving the self-management of patients. It can both improve quality of life and assist in rehabilitation.

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