holistic integrative therapies

8/7/2019 HOLISTIC INTEGRATIVE THERAPIES

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HOLISTICINTEGRATIVE

THERAPIES


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HOLISTIC INTEGRATIVE

THERAPIES

}Concept of Holism

}Holistic Healing

Modalities


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Holistic Healing Modalities

}Centering

} Relaxation} Imagery

}Meditation

} Sense therapies


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Holistic Healing Modalities

} Reminiscence and Life Review

} Journal writing} Touch

} Herbology

} Homeopathy


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Healing Journey at the End ofLife

Tasks of the Dying

}

Live fully} Plan to say goodbye

} Participate in emotional and spiritual tasks

} Rehearse the dying process


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Healing Journey at the End ofLife

Self-care of the Healer} Spiritual self-care

} Emotional self-care

} Physical self-care

} Mental self-care

} Relationships self-care


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OTHER ASPECTSOF PALLIATIVE

CARE


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OTHER ASPECTS OFPALLIATIVE CARE

}Psychosocial Care

}Spiritual care

}Cultural Care


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Psychosocial Care

Psychosocial Concerns

1. Grief

2. Anxiety

3.Depression


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GRIEF

Characteristics of grief

1. Grief is a process2. Grief includes a variety of emotions

3. Grief can result in a new level of

emotional organization

4. A new identity is often gained at the endof the grief process


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Anticipatory grief

refers grief experiences that take placeprior to but in connection with asignificant loss that is expected to takeplace but has not yet occurred


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} It can be accompanied by depressionand anxiety

Do people have different grief response?


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Complicated griefreaction

}When grief becomechronic, delayed,

exaggerated or masked


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Maintain open lines of

honest communication

Develop a trustingrelationship


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Interventions:

1. Organize the clients daily routine toinclude periods of uninterrupted time.

2. Plan discussions during times whenthe client has the highest energy level.

3. Ask the client if he/she needs timeto talk. Find out if he/she would like

other family members to be present.Then set a time when all of you can

attend


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Interventions:

4. Ask the client to keep a journalabout his/her experience of being ill.

5. Start a quality assurance project thatassesses institutional support for spendingquality time with clients


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ANXIETY

} Uncertain about the manner and time ofdeath

}Ask directly

} Indicators:

a. Muscle tension

b. Irritability

c. Obsessive statement or behaviors

d. Some are denials


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interventions

} Explore how clients have successfullycoped with stress in the past

} Reassure the client and family thatanxiety is common and manageable

} Reinforce the use of behavioral strategies

that the client has used in the past to

cope with anxiety


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} Suggest complementary therapies, suchas massage, meditation, or music.

} Engage the client in exercise if theclient is able to tolerate physical activity.

}When a clients anxiety is beyond the

level of self-management strategies, an

anxiolytic, usually benzodiazepine maybe helpful


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DEPRESSION

Reasons:

}advanced effects of illness,} poorly controlled pain,} adverse drug effects,}substance abuse, unresolvedpsychosocial issues, and afamily history of mental healthproblems


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DEPRESSION

Signs and symptoms:

}

Hopelessness}Despair

} Thoughts of suicide

} Lack of participation in daily routine

} Sleeplessness} Loss of appetite and weight


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Issues of the Dying Person

} Dying persons may choose to acknowledge

or not acknowledge their impending death

} Dying person can communicate about theirimpending death in different cultural ways

} Dying persons have the right to information ontheir changing physical status


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}Dying persons may be preoccupied withtheir impending death

}Dying persons can have a

deep-seated fear of

abandonment

}Many dying persons experience

multiple physical and psychological lossesbefore their death


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} Dying persons generally need to expressfeelings

}Dying persons communicate when theyfeel safe and secure.


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}Dying persons may find it helpful tocommunicate with others who are

terminally ill

}A dying persons concern about death

may be inhibited by a number of

psychosocial and culturally determinedexpectations


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}Dying persons have the right to beacknowledged as living human beings

until their death

}Dying persons psychological suffering

may be greater than their physical pain or

discomfort


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SPIRITUAL CARE

holistic integrative therapies

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