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Explore the holistic approach to health defined by WHO and Ayurveda. Learn about holistic management and its significance in human consciousness. Discover the challenges faced by physicians in the 21st century and the ethical dilemmas they encounter. Gain insights into spiritual and cultural issues in healthcare management.
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Holistic Approach To Health Dr. PRANAV PANDYA Director , Brahamvarchas Research Institute All World Gayatri Pariwar, Shantikunj, Haridwar, Himalayas email : shail@del2.vsnl.net.in CHANCELLOR DEV SANSKRITI VISHWAVIDYALAYA
Holistic Approach To Health HEALTH AS DEFINED BY WHO------
Holistic Approach To Health AYURVED DEFINES ------
Holistic Approach To Health Holistic (holism) implies an approach or process, which enables integration of multiple streams.
Holistic Management Human beings are like a Flute or Vina, Parmatman being a master player. Holistic management explains how to play skillfully through these instruments – “Holism of Human Consciousness”.
Holistic Management “I have just passed through one of the greatest moments of my life. I have found the oneness between the macrocosm and microcosm. I have seen the whole universe within one atom.” - Swami Vivekananda (During travel in Himalayas – Almora, 1891)
Holistic Management Holism, thus is an awareness state which realizes and feels that the whole, the One is the origin, the source, while parts and streams are all only its numerous manifestations or derivations. Ekam Sad Vipra Bahoona Vadanti Jivo Brahmaiva Na Parah
Holistic Management • Today human psychology is propelled by the twin drives of greed and speed. • Spirituality in day to day life helps us in controlling these drives.
Holistic Management Gigantism is re-emerging in the name of Globalism. Indian executive is often chastised for his resistance to modernization, to fitting himself into the mould of today’s cyber culture.
Holistic Man Management for Doctors as Leaders of Society Doctor community has a special role to play, as they are dealing with Human being as a Patient as a whole – a summum bonum of material and Conscious.
The Challenges of 21’st century In new Millennium 01)Crisis of Energy 02)Eco-Devastation 03)Terrorism 04)Drug Trading 05)Epidemics
Few Dilemmas & Chaos for Treating Physicians • Physician is God for relations of patients under palliative care. • Too many expectations. • Physician’s own stresses. • Inability to manage time, Timewasters playing major role.
Few Dilemmas & Chaos for Treating Physicians • Ethical, Cultural and spiritual issues involved. • Financial constraints. • Political interferences.
Holistic Management • Holistic / Holism is the state of profound emotional unity, purity and harmony between individual and universal.
Holistic Management • Sadhak of Holistic consciousness breaks the rigid mould of cognitive frame work built up by formal education.
Holistic Management • Holism is a state of consciousness, chetna or anubhuti – not merely an intellectual thesis or dogma. • In this perspective we should try to visualize modern management .
To the Western Management : The worker is all, MAN stands no where, Worker is a hired commodity. This is SOULLESS Management Disregard of human approach, Loss of Human Values and erosion of human touch in Organizational Hierarchy are the results.
Yoga approach to Management Entire Cosmos is an intricate web of interpenetrating things and events. The bootstrap image of reality put forward by Geoffrey Chew shows that Boot straps cannot be loosened any where without so loosening it every where and it cannot be tightened up at every other point as well. So complete and uncompromising is the UNITY and INTERDEPENDENCE.
The Cardinal assumptions of Spiritual approach are • Harmony • Interdependence • Unity • Creativity • Evolutionary possibilities
Holistic Management • Our Rishis conceived Indian culture in Tapovans – Womb of forest , of prayers where tapasya was performed. They were known as Aranyaks.
Holistic Management • The Universal bond between man and universal one has been sublimely captured by Vedic seer as GayatriMahamantra.
Gayatri Mantra • Om Bhurbhuvah Swah Tatsaviturvarenyam Bhargo Devasa Dheemahi Dhiyo Yo Nah Prachodayat. Om : Symbolizes wholeness – Completeness
The Meaning of Gayatri Mantra Bhuh – Embodiment of vital spiritual energy, (Pran) Bhuvah – Destroyer of sufferings Svah – Embodiment of happiness Tat – That Savituh – Bright, luminous like the Sun Varenyam – Best, most exalted Contd ..
The Meaning of Gayatri Mantra Bhargo – Destroyer of sins Devasya – Divine Dhimahi – May imbibe Dhiyo – intellect Yo – Who Nah – Our Prachodayat – May inspire Contd ..
Definition of Ethics Ethics is the systematic study of voluntary actions which make up everyday conduct and behaviors of Human Beings.It can be descriptive or normative. Contd ..
Thomas Vicary • Chief Surgeon to Henry VIII in 1548 • Wrote first English Text book of human anatomy • “A profitable Treatise of the anatomie of Body of man.” • * The first chapter was Medical ethics
Hippocrates, Oath • Greek Physician Hippocrates of Cos (460-377 BC) gave first written statement. This oath was a unique and comprehensive statement of Medical ethics.
Medical practice and ethics • * In the care of sufferings, Physician needs technical skill, scientific knowledge and human understanding. • * Tact, sympathy and understanding are expected of physician, for the patient is not mere collection of symptoms, signs, disordered functions, damaged organs and disturbed emotions.
Medical practice and ethics • * Physicians has to understand that patient is human, fearful and hopeful, seeking relief, help and reassurance.
Few ethical issues which need attention • Amniocentesis or Ultra sound for gender discrimination • MTP, Abortions • Assisted suicide and active Euthanasia • Elderly patients and their care
Few ethical issues which need attention • 5. Financial incentives • 6. Lack of malpractice insurance in India • 7. Luring by pharmaceutical companies • 8. HIV infection and occupational risk
Challenging Issues • * Increasing no. of elderly • persons all over • * Care of dying patients • * Organ Transplants • * Stem cell revolution • * Genome and Cloning – Technological wonders
Challenging Issues • * Health system getting bankrupt and costs high • * Complimentary and alternative medicine emerging fast. • * Impaired Physicians • * Pain Management and reassurance • * Depression as the topmost killer by 2015
Brahmavarchas Research Institute A center for research and training on art of living and CAM
Yogah Karmasu Kaushalam(Gita) What is Kaushalam It is a very different order of “skill” that Sri Krishna has in mind, as may be seen here – “ the liberated who has united his reason and will with divine rises to a higher law beyond good and evil” Action done in yoga is not only highest but also wisest, the most potent and efficient even for the affairs of world. “
Stress Is a menace today Leading to erosion of human potential and lot of illnesses Main Back Quit Next
Stress In fact is A non-specific response of the body to any demand made upon it or to an external stimuli. Main Back Quit Next
Eustress ( CONSTRUCTIVE STRESS ) RHYTHMIC CYCLE OF ACTIVITY & TENSION STRESS EXPERIENCED AND COPED ACTIVITY ENERGY TIME TENSION Main Back Quit Next
DISSTRESS ( DESTRUCTIVE STRESS ) IMPROPERLY COPED STRESS LEADING TO ATASTROPHIES TOO MUCH ACTIVITY TENSION DEPLETION OF ENERGY HIGH ACTIVITY TIME ENERGY TENSION LOW ACTIVITY TOO LITTLE ACTIVITY TENSION DEPLETION OF ENERGY Main Back Quit Next
BURN OUT STRESS SYNDROME ( BOSS ) A DEBILITATING PSYCHOLOGICAL CONDITION BROUGHT ABOUT BY UNRELIEVED WORK STRESS FIVE STAGES OF BOSS (1) HONEYMOON (2) FUEL SHORTAGE (3) CHRONIC SYMPTOMS (4) CRISIS (5) LOSING THE MARATHON Main Back Quit Next
BURN OUT STRESS SYNDROME ( BOSS ) FIVE STAGES OF BOSS 1 HONEYMOON: INITIAL EUPHORIA,HABITS ARE SPOILED. 2 FUEL SHORTAGE:DEPLETION OF ENERGY. FATIGUE,INSOMNIA,ESCAPE ACTIVITIES. 3 CHRONIC SYMPTOMS: MORE FATIGUE, AILMENTS LIKE IHD, IRRITABLE BOWEL, MYALGIA, BRONCHIAL ASTHMA, PEPTIC ULCER & DEPRESSION. Main Back Quit Next
BURN OUT STRESS SYNDROME ( BOSS ) FIVE STAGES OF BOSS 4 CRISIS: PESSIMISTIC OUTLOOK, ENHANCED ANXIETY, DOUBTS ABOUT OWN CAPABILITIES, ESCAPE MENTALITY - TENSION HEADACHE, CHRONIC BACKACHE, HYPERTENSION, SLEEP DISTURBANCES. 5 HITTING THE WALL: LOSING THE MARATHON. COLLAPSE. Main Back Quit Next
BITING NAILS, CLENCHING FISTS, CLENCHING JAWS DRUMMING FINGERS GRINDING TEETH HUNCHING SHOULDERS PICKING AT FACIAL SKIN TAPPING FEET TWO JOBS AT A TIME TOUCHING HAIR OFTEN TOO HURRIED OR LOUD TALKING TOO CONSCIOUS ABOUT BEING ON TIME SIGNALS OF STRESS Main Back Quit Next
SIGNALS OF STRESS MOOD SIGNALS ANXIETY , DEPRESSION ,FRUSTRATION, HABITUAL ANGER OR HOSTILITY, HELPLESSENSS, HOPELESSNESS, IRRITABILITY, RESTLESSNESS Main Back Quit Next
SIGNALS OF STRESS BEHAVIOURAL SIGNS AGGRESSION , DISTURBED SLEEP EMOTIONAL OUT BURSTS ,LEAVING JOBS UNDONE ,OVER REACTIVE Main Back Quit Next
RUST OUT STRESS SYNDROME (ROSS) JUST REVERSE TO BOSS PERSON HAS STRESSUNDERLOAD HOW TO GET RID FROM ROSS 1 STAY ALERT 2 TAKE RISK 3 AVOID ISOLATION 4 STRETCH FOR SUCCESS 5 OVERCOME OBSOLESCENCE Main Back Quit Next
Common disorders produced due to stress * Sinus Tachycardia * HighBlood Pressure * Ischaemic Heart - Disease * Diabetes Mellitus * Hyper Acidity, PU syndrome * Ulcerative Colitis * Migraine, tension headache, Chronic backache * Allergies, Asthma * Thyrotoxicosis *Auto immune disorders *Menstrual Disorders * Anxiety Neurosis, Obsessions
HEADACHE TRIGGERING STRESSES (SPECIALLY IN INDIA) • Heat and harsh sunlight. • Humidity • Missing meals (skipping breakfasts) • Hormonal factors • Stress related to heavy studying (class x,xii and above students) • Travel stress (crowded suburban trains/buses etc.) • Obnoxious odors, perfumes, agarbattis • Noises.
WHO WARNING Depression will be world’s most debilitating disease by 2005 after heart ailments. By 2015, it may be first. Psychology is going to be the subject of future for students.
Stress Management STRESS IS NOT-- Merely nervous tension. IT IS * Always the non-specific result of damage * Something to be avoided COMPLETE FREEDOM FROM STRESS IS DEATH Main Back Quit Next