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Integrative Therapy for Chronic Neutropenia: A Wellness Strategy

Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical Center. Integrative Therapy for Chronic Neutropenia: A Wellness Strategy. CAM. Complementary and alternative medicine (CAM)

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Integrative Therapy for Chronic Neutropenia: A Wellness Strategy

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  1. Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical Center Integrative Therapy for Chronic Neutropenia:A Wellness Strategy

  2. CAM • Complementary and alternative medicine (CAM) • Group of medical and health care practices, and products that are not presently considered to be a part of conventional medicine National Center Complementary and Alternative Medicine (nccam.nih.gov)

  3. CAM • In the US 36% of adults are using some form of CAM • Used for back, neck, head, or joint aches, or other painful conditions; colds; infertility; GI disorders; anxiety, depression or sleeping problems

  4. Integrative Therapy • Combines conventional medical therapy and CAM therapies that have some high quality scientific evidence of safety and efficacy • National Center for Complementary and Alternative Medicine (NCCAM, National Institutes of Health) • 5 disciplines: • biologically based practices, • manipulative and body based practices, • energy medicine, • mind-body medicine • whole-medical systems.

  5. I. Mind and Body Medicine • Focus on the interactions among the brain-mind, body, and behavior. • Interventions that promote healing • Aromatherapy • Meditation • Yoga • Visual imagery • Group support • Pet therapy • Prayer and spirituality

  6. Aromatherapy • Use of essential oils from plants to support & balance the mind, body,spirit. • Improves the quality of life by reducing stress & anxiety • Chemical receptors from the nose trigger nerve paths to the limbic system • Modulates emotion, arousal, memory

  7. Aromatherapy • Inhalation • Diffuser or placing drops of essential oil near patient • Topical • Mixing the oil into massage creams, lotions or bath water

  8. Common Essential Oils • Spearmint/Peppermint • nausea, appetite, fatigue • Lavender • insomnia, anxiety, skin disorders • Lemon/Citrus • fatigue, improves immune system, • Photosensitizer, avoid direct sun after applying • “ can increase WBC” • Orange • Anxiety, depression • Thieves • Cloves, Lemon, Cinnamon, Eucalyptus, & Rosemary blend • -anti-bacterial,-fungal, -viral • Samples available!

  9. Meditation • Self-regulation practices that focus on training and awareness to bring mental processes under voluntary control • Foster calm, clarity, and concentration • Many styles of practice

  10. Yoga • Art and science dedicated to creating union between body, mind and spirit • Pranayama:  control of breath • Asana:  Postures used in the “mastery of sitting still”, opens the physical body to energy pathways

  11. Manipulative and Body-Based Practice • Therapies that focus on the structures and systems of the body

  12. Massage Therapy • Manipulation of the muscles and soft tissues of the body • To relax and increase delivery of blood and oxygen to the massaged areas • Increasing warmth and decreasing pain

  13. Reflexology • Method of foot /hand massage in which pressure is applied to “reflex” zones mapped out on the feet (or hands).

  14. Reflexology

  15. III. Energy Medicine • Concept that diseases arise from imbalances in the vital energy fields of the body

  16. Reiki • Practitioner places his hands on or near the person receiving treatment, with the intent to transmit ki, (the life-force energy)

  17. Acupuncture • Sterile stainless steel needles, (0.22 to 0.25 mm) are inserted to stimulate the affected meridians • Used for nausea, pain, muscle spasm, headaches, constipation, insomnia

  18. Resources • National Center Complementary and Alternative Medicine (nccam.nih.gov) • Hospital-based programs • Yoga studios • Private Practioners • Local community • YMCA, Churches, non-profit organizations

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