Decent Work Employment (NUR 112) P 1 Decent work └ └ It is an employment that respects the fundamental rights of the human person as well as the rights of workers in terms of conditions of work safety and renumeration, respect for the physical and mental integrity of the worker in the exercise of his/her employment Do employers give respect to the basic rights of the worker? Would the work place offer free PPEs to promote work safety? Renumeration- Salary and wages are extrinsic motivation to workers o Workers should be properly compensated Physical and mental- considers holistic being of the worker It involves opportunities for work that are productive and deliver a fair income, security in the workplace and social protection for families, better prospects for personal development and social integration, freedom for people to express their concerns, organize, and participate in the decisions that affect their lives and equality of opportunity and treatment for all women and men (International Labor Organization) A decent work should develop a person’s personality and the professional career (e. g. graduate studies scholarships for professional growth, in-service trainings and seminars) Four objectives of International Labor Organization’s decent work └ └ └ └ To create jobs Greater job opportunities For better sustainable development To boost the economy To provide guarantee in worker’s rights and rights at work Employees should be well recognized There should be no discrimination To extend social protection to workers of all categories Safety condition of all aspects Right to rest, day offs To help workers in resolutions in conflicts and promotion of social dialogue Conflicts will always arise in work environments but should be well managed Types of employment in the Philippines 1. Regular or permanent employment └ └ └ └ Will not be fired immediately, unless you violate rules They enjoy the benefit of security of tenure You will have the job, unless, you resign After retirement, there will be compensations Labor code of the Philippines, Article 281 └ The maximum length of probationary employment shall be six months, and is counted form the date an employee started working Six months only for probationary but if more than six months the person should be already a candidate for regularizations But for professors, three years is needed to be a candidate for regularization 2. Term or fixed employment └ └ └ └ It is when the employee renders service for a definite period of time and the employment contract must be terminated after such period expires Minimum time of service is six months Up to the employers if they would rehire the employee or not Also called contractual employment 3. Project employment └ └ An employee is hired for a specific project or undertaking and the employment duration is specified by the scope of work and/ or length of project E.g., architects, engineers, nurse researchers 4. Seasonal employment └ └ └ The work to be performed is only for a certain time or a season of the year and the employment is only for that duration E.g., board exam reviewers There is a peak season where employees are hired 5. Casual employment └ └ An employee performs work that is not usually necessary or primarily related to the employer’s business or trade Outside works are usually done Working conditions and rest periods, and hours or work └ └ Nurses should only work 8 hours/day, 40 hours per week (5 days) Some hospitals have 12 hours (4 days of duty only) of duty especially in special areas Article 83. normal hours of work └ The normal hours of work of any employee shall not exceed eight hours a day └ └ Article 85. meal periods └ It shall be the duty of every employer to give his employees not less than sixty minutes time-off for their regular meals Night differential └ └ Every employee shall be paid a night shift differential of not less than ten percent of their regular wage for each hour of work between 10 o’clock in the evening and six o’clock in the morning 10 pm-6 am duty or work Article 93. Compensation for rest day, Sunday, or holiday work └ └ An additional compensation equivalent to their regular wage plus at least 25% thereof Undertime not offset by overtime └ └ Undertime work on any particular day shall not be offset by overtime work on any other day Overtime does not fix undertime Emergency over time work └ └ └ └ └ When the country is at war When it is necessary to prevent loss of life or property (imminent danger to public safety) When there is urgent work to be performed When the work is necessary to prevent loss or damage to perishable goods Food delivery When the completion or continuation of work started before the eighth hour is necessary to prevent serious obstruction to the business Right to weekly rest day └ It shall be the duty of the employer, whether operating for profit or not, to provide each of his employees a rest period of not less than 24 consecutive hours after six consecutive normal working days Article 92. When employee may be required to work on a rest day └ └ └ In case of actual or impending emergencies caused by serious accidents: fire, flood, typhoons, earthquake, epidemic, or other disasters or calamity to prevent loss of life and property or imminent danger to the public safety In cases of urgent work to be performed on the machinery, equipment, or installation to avoid serious loss which the employer would otherwise suffer In the event of abnormal pressure of work due to special circumstances, where the employer cannot ordinarily be expected to resort to other measures When an employee is made or permitted to work on his scheduled rest day, he shall be paid an additional compensation of at least 30% of his regular wage Article 94. Right to holiday pay Overtime work └ To prevent loss or damage to perishable goods Where the nature of work requires continuous operations Even when the employee is on leave or on rest day they will be called to report to work The employer may require an employee to work on any holiday but such employee shall be paid a compensation equivalent to twice his regular rate The Basic Rights of Employees Equal Work Opportunities for all └ The state shall protect labor, promote full employment, provide equal work opportunity regardless of gender, race, or creed; regulate employee-employer relations Security of tenure └ └ Every employee shall be assured security of tenure No employee can be dismissed from work except for a just or authorized cause, and only after due process Dismissal is not permitted unless there are breach to code of ethics and rules Work days and work hours └ └ The normal hours of work in a day are eight hours An employee must be paid his or her wages for all hours worked Weekly rest day └ A day-off of 24 consecutive hours after six days of work should be scheduled by the employer upon consultation with the workers Wage and wage related benefits └ An employer cannot make any deduction from an employee’s wage except for insurance premiums with the consent of the employee Pag-ibig, SSS, Philheath Gross pay- total salary received before taxes are deducted Net pay- total wage when taxes are already deducted Premiums are deducted at the last salary of the month (30th) Payment of wages └ Employee’s compensation (EC) benefits for workrelated contingencies └ Wages shall be paid in cash, legal tender at or near the place of work. Wages shall be given not less than once every two weeks or twice within month at intervals no exceeding 16 days 15th and 30th day salary According to DOLE, salary should not be late but can be given early Employment of women └ Night work prohibition unless allowed by the rules In industrial undertakings from 10 pm to 6 am In commercial/non-industrial undertakings from 12 mn to 6 am o Industrial workers In agricultural undertakings, at night time unless given not less than nine consecutive hours of rest For pregnant women, a month before they should already file a maternity leave till 90 days └ Types of leaves Vacation leave └ Employment of children └ Minimum employable age is 15 years old. A worker below 15 years of age should be directly under the sole responsibility of parents or guardians; work does not interfere with the child’s schooling or normal development For emancipated minors, they are allowed to work since they are already living independently Safe working conditions └ Employers must provide workers with every kind of on-the-job protection against injury, sickness, or death through safe and healthful working conditions All aspects of the work should be secured of safety (holistic health, building structure, etc.) Protective equipment should be provided by the company or employer Right to self-organization and collective bargaining └ └ Right to self-organization Right of every worker to form or join any legitimate worker’s organization, association or union of his or her own choice Labor unions and organizations of employees They demand the rights of employees The employee’s compensation program is the tax-exempt compensation program for employees and their dependents Medical benefits for sickness or injuries o Health cards Disability benefits Rehabilitation benefits Death and funeral benefits Pension benefits o Government workers highly benefits this Usually, only the regular workers may experience these benefits All employees, with the exception of casual workers, are entitled of four weeks of vacation per year This type of leave is paid In some companies, if vacation leave is not used it may be converted to cash o Amount will be based on the salary Parental leave All employees are entitled to unpaid parental leave after working for 12 months Should be legal spouse Leave to attend school meetings of children is an example of unpaid parental leave └ Female employees are entitled to 90 calendar days of maternity leave with full pay └ Male employees shall be entitled to 10 working days of paternity leave with full pay during the period of maternity leave of their legal spouse Leave for personal └ If he/she is unfit for work due to personal illness or injury (Sick Leave) Medical certificate should be presented └ If a member of the employee’s immediate family suffers a serious injury or illness or dies (2 days paid care leave) Study leave └ └ └ Study leave shall be granted by the university only on the basis of the needs of the university and the interests of staff development Usually applicable to teachers and professors RA 9173 “the Philippine Nursing Law” └ Philippine nursing act of 2002 Sec. 32. Salary └ Clinical nursing The minimum base pay of nurses working in public health institution shall not be lower than salary grade 15 prescribed under RA 6758 otherwise known as “Compensation and Classification Act of 1989” SG15 = Php 32,000.00 Government: Entry level is nurse I until nurse V and salary is also increasing Not applicable to private hospitals Sec. 33. Incentives and benefits └ The BON in coordination with the DOH and other concerned agencies, association of hospitals and the accredited professional organization shall establish an incentive and benefit system in the form of: Free hospital care for nurses and their dependents Scholarship grants Other non-cash benefits PNA is the accredited professional organization of nursing Job Search in Nursing Different fields in nursing Clinical nursing Community nursing Refers to the practice of nursing in the local, national, and city health departments which include health centers and public schools └ Focus: Families and Whole Community └ Roles: Vaccinations Assessments of Children and Pregnant Women Implementation of DOH programs School health nursing └ Responsible for the school’s activities in the areas of health service, health education and environment health and safety └ Focus: Students, Teachers, and Personnel └ Roles: Health education Attend to the complaints of Students, Teachers, and Personnel Industrial/ occupational nursing └ └ └ └ Work alone in situations where they may have to give immediate care to patients with serious injuries, they need to be fully informed about their legal responsibilities Companies may have their own nurses Emergency situations in the workplace, especially needed when toxic or hazardous products are handled in the company HOSPITAL/ INSTITUTIONAL NURSING └ Nursing in the hospitals and related health facilities such as extended care facilities, nursing homes, and neighborhood clinics, comprises all of the basic components of comprehensive patient care and family health └ Roles: o OR/ ER/ DR o Infection control o Hemodialysis/ Renal o ICU/ PICU/ NICU o Pediatric o Psychiatric Nursing o Geriatric o Nurse Midwife o Nurse Anesthetist └ Acute care settings Clinic nursing └ └ Acts as the receptionist, answers phone, does the billing, take x-ray and ECGs, changes dressings, give injections (BCG, DPT, measles), and assist in Physical examinations Attends the needs of the patients in the clinic Nursing informatics └ └ └ Is a field of nursing that incorporates Documentation of e-health records, information science There is a levelling- beginning, advanced, and expert levels Forensic nursing └ └ └ Registered Registered nurses who received specialized education and training to provide care to patients who experienced victimized or violence Needs specialization before you can enter this field Medico-legal cases Private duty nursing └ └ └ Is a registered nurse who undertakes to give comprehensive nursing care to a client on a one-to-one ratio In any setting, ration is 1:1 Usually for long-term care and chronic patients e.g., patients with TPN, NGT Military nursing └ └ └ └ Provides comprehensive and quality nursing care to all military personnel and their dependents and authorized relatives Army reserved personnel Has to complete a general military course In military hospitals, in order to become a chief nurse, s/he should have a Colonel Ranking Nursing education └ └ Nurse who likes to consider teaching as their field of expertise According to RA 9173, for a nurse to become a faculty in the CON a nurse should have: At least 1 year of nursing experience in the hospital A registered nurse with a master’s degree Member of the PNA With good moral character └ Business should still be related to the medical field i.e., Review Center, Derma Clinic, Med tools └ └ └ Flight nursing Responsible for patients, military or otherwise, who have been evaluated from battle areas to the nearest installation for treatment └ First aid management while transporting the patient from one place to another Independent nursing practice └ └ └ └ └ └ The nurse is self-employed and provides professional nursing services to the clients/patients and their families Nurse may take different certifications to have specializations then put-up business that is inclined with to specialization Considered as clinicians Practiced more often in other countries Nurse anesthetists Family members are not used Interview preparation Attire should be business attire Resume └ └ Nurse entrepreneur └ └ It is a formal document that provides an overview of your professional qualifications, including your relevant work experience, skills, education, and notable accomplishments For fresh graduates and newly board passers, related nursing experiences may be placed Provides the professional portfolio Goal: to convince employers that you are worth interviewing Your resume is a valuable tool you can use to highlight your experience to prospective employers Any relevant trainings and experiences may be highlighted here First part of the resume should show your strong points Section └ └ └ └ └ └ Contact details Career objective Education Elementary and high school may not be included College and post grad studies may be included Experience Skills Character references Section 1: contact details Resume └ A resume will get you through the door, but the interview is what will get you hired Job search tools └ └ └ Strong resume Strong cover letter or application letter Always name the addressee of the letter First paragraph- place your intention why you want to apply, where did you heart that they are hiring, why did you choose the certain institution Last paragraph- summary of your profile, experiences 3-4 professional references Recommendations from previous employers, former professors, dean, faculty But make sure they are informed that they will be character references, because the company will be calling them └ └ └ └ First and last name Titles should be placed Permanent address Phone number Email address Section 2: career objective └ Change career objective with every job you apply Base it on the field you are applying on Know the job description to base the career objective there Also place what you can offer Summary profile may also be placed Section 3: education └ └ └ └ └ └ └ └ └ Only include college and post grad studies School names Address of the school should be placed Place the date of when you graduated Highest degree earned, majors and minors Course GWA may be placed Honor and accomplishments Positions held may also be placed Section 4: experience └ └ └ └ List any relevant work experience you have If fresh grad, related nursing experiences may be placed Where you did your RLE duties Include your title, the company you worked for, years worked, and a bulleted list of your key responsibilities and notable successes Seminars and trainings may be placed here └ └ Pointers in preparing for an interview └ └ └ Section 5: skills Include any resume skills you possess that are relevant to the position └ Communication skills, leadership skills └ Be sure to use a strong mix of hard skills and soft skills to demonstrate that you are wellrounded candidate Guidelines in making a resume └ └ └ └ └ └ └ └ └ └ No more than 2 pages Should be stapled The second page should have a name in the footer No grammatical errors and typographical errors Update resume at least annually Include the seminars and trainings attended Make sure to keep in mid things like the type of font, the consistency of margins, and the styles of borders Font recommendations: Arial or Times New Roman; 10-12 Using resume template is discourage Do not include personal information such as birthrate, marital status, social security or in good health Exclude hobbies, interests and religion/ethnic backgroundUnless necessary Make sure your resume is readable Maker sure the important facts are easy to spot GWA, achievements, positions are usually in bold Use of headers Do a spelling and grammar check Do not include pictures, fancy binders, or personal references Do not include salary information or hobbies (unless they have contributed to your work experience) Do not include personal information such as marital status such as weight, marital status and number of children Do not repeat yourself just to make the resume longer. A good resume is lean and to the point and focuses on your strengths and accomplishments Only the strong points should be placed └ └ └ └ └ └ └ Make an appointment either by mail or telephone Date, time, and place of appointment will be sent by the employer Always keep your lines open Be at the place at the appointed time Never be late! This will mark as a first impression Know something about the institution where you will apply so that you can answer intelligently Know the vision and mission of the organization Organization chart, who are the administrators (top-level managers) Be at your best Not only your best attire but also the best momentum (mood, psyche) Knock before you enter As a sign of respect Bring credentials such as registration card, residence certificate tax account number Certificate of registration for nurses as proof that you have already passed the board exam PRC ID Board rating certificate Resume Photocopy of certificates for seminars A portfolio of credentials Ask questions about the job There are some employers who ask for an expected salary, if they ask, give your answer Thank the interviewer for giving you some of his or her time Sign of sincerity or respect Give yourself time to think about the position If the prospective employer does not answer, you may write a follow-up letter stating your interest in the position Following up in the status of application └ └ └ └ └ └ └ Beyond a week, you can write a follow-up letter because 3-5 days they already respond Do not begin with questions about vacations, benefits, or sick time. This would leave the impression that these are the most important part of the job to you and not the work itself Knowing what to contribute, job functions and responsibilities should be asked first to show your interest Do begin with questions about the employer’s expectation of you. This will leave the impression that you want to know how you can contribute to the organization Be sure you know enough about the position to make a reasonable decision about accepting an offer if one is made Know the scope of responsibility Do ask questions about the organization as a whole. This information is useful to you and demonstrates that you are able to see the big picture Philosophy, core values, management Do bring a list of important points to discuss to help you if you are nervous Phrase your questions appropriately and use appropriate grammar and diction. Words like “yeah”, “uh-huh”, “you know”, or “like” are too casual for an interview During the interview, use the interviewer’s title and last name as you speak. Never use the interviewer’s first name unless specifically requested to do so Additional tips └ └ └ └ └ └ Bring only essential items to the interview (resume, references, portfolio, datebook, Know location of office and how to get there. Make a trial trip getting to the interview To prevent from getting lost and predict the time you can arrive to the are Arrive 15 minutes early for the actual interview As much as possible, arrive their 30 minutes early Shows diligence and punctuality Also sets the mood Be pleasant, polite, and friendly but business-like to everyone you meet, including office staff Check your appearance before going in Language used is in accordance to the language of question asked Professional dressing └ For women Wear a suit and tailored jacket, dress with sleeves, or dress with jacket in conservative style, color and fabric. Be feminine, but business-like. Do not └ dress sensually unless sex appeal is part of the job Hair is conservative style; nails manicured, short to mid length, clear or light color polish Keep make-up and accessories to minimum; less is more For men Wear a suit, blue or gray, in conservative style. Blazer, slack and shirt with collar but w/o tie are acceptable in few instances. Freshly pressed Shirts solid color; ties conservative Eliminate earrings, flashy jewelry, or strong after-shave Conservative style hair, beard Dress style shoes, polished and repaired Shoes should match color with the belt Non-verbal └ └ └ └ └ Always offer your hand; use a firm but not crushing handshake Use eye contact without starring; avoiding contact is a sign of deception, disinterest, or lack of confidence If a place of sitting is not indicated, choose a chair closest to the interviewer Sit relaxed, but not slouch. Leaning lightly forward shows interest but do not lean on desk or knees Use hands naturally to emphasize a point; do not cover mouth, hold your head or twist hands Hand gestures Summary of deadly interview mistakes └ └ └ └ └ └ └ └ └ └ └ └ └ └ Arrives late for the interview Indicates he is late because the directions he was given were not good Looks disheveled and inappropriately dressed Slouches in his seat Does not maintain good eye contact with interviewer Assumes he will find out about the company in the interview. Ask interviewer, “What do you do here?” Does not link what he can do with the needs of the employer Brags about how great he is, but cites no evidence Responses have no clear focus, seems disorganized and rambling Is low-key; does not provide enthusiasm nor appear to want the job; what are you going to do for me attitude Answers most questions with short “yes” or “no” Always provide explanations Appears desperate for a job-- any job Call the interviewer by his first name repeatedly or uses the wrong name Badmouths his former boss and the company └ └ Gives memorized responses and forgets parts Asks “how am I doing? Are you going to hire me?” After the interview └ └ └ Review and analyze Send a thank you note Make a return visit or telephone call two or three days after your interview Common questions └ └ └ └ Review and analyze your performance. Take notes, modify any items to improve your next interview Send a thank you note to the manager immediately after the interview. Don’t put this off Make a return visit or a telephone call two or three days after your interview Reintroduce yourself and remind which job you interviewed for Add any additional thoughts you may not have covered when interviewed Emphasize your strengths for the job Find out if a hiring decision has been made. If decision and you’re not it, ask for suggestions for creating a better impression. Thank the interviewer for speaking to you and for their time If you are asked give me one good reason to not hire you Answer it by saying a negative trait that could be turned to positive E.g., micromanaging, does not stop until something is finished Common questions and answers └ Tell me about yourself Highlight your background as it relates to particular job └ In what ways will your education or training help you in this position? Demonstrates your capacity to make practical application of formal knowledge and training └ Why did you specialize in your particular field? Solicits about basic value system └ What do know about our company? Use company research └ Why are you interested in working for this company? Relate your skills to what you know about the company └ How does this position fit into future plans? └ Where do you see yourself in three years? Demonstrate ambition, potential and flexibility └ In a job, what interests you the most/least? Relate to the position └ Describe your best/worst boss Keep it positive └ How others do describe you? Personal traits and characteristics, adjectives └ └ └ └ └ └ └ └ └ └ What do you consider your single most noteworthy accomplishment in your job? Give me one good reason I should hire you. Give me one good reason I shouldn’t hire you. What qualifications do you have for this job? If you were hired, what ideas/ talents could you contribute to this position? What do you consider your most outstanding quality? What evidence can you cite that demonstrates your job effectiveness? What would you most like to improve about yourself? What could you have done better on your last job? What can you tell me that best illustrates your personal drive and motivation? Questions an interviewee may ask └ Were there any questions i didn’t provide an adequate answer? └ Is this new or replacement job? └ As you think about this position, what aspects of this job could be performed better? └ What do you visualize as the major opportunity areas for this position? └ To whom does this report? └ What is the background of my potential boss? └ What qualifications does your ideal candidate need? └ What are the opportunities for personal growth? └ If you were to offer me this job, where could i expect to be in 5 years? Compensation issues └ Never ask about salary. The company will discuss salary when appropriate Usually reserved for the second interview or when there is a firm offer When the offer is made, ask: is there a signon bonus or commission in addition to salary? How often are the reviews? └ Benefits questions. Company benefits are offer worth 25%-50% or more of cash salary offered. Ask: when am I eligible for the plan? Do I have a choice of benefits available? └ Negotiations. Everything can be negotiated after you have received an offer. Know the market and request consideration in terms of salary; benefits and perks Legal questions P 2 └ Transcultural Nursing └ Madeleine Leininger- proponent of transcultural nursing theory Provides culturally-congruent care Care that fits or is sensitive to the culture If it is sensitive to the culture, people tend to adapt and respond to it Highest and most universal care construct is trust and should be achieved when caring └ Cultural transmission └ └ Culture └ └ └ └ Attitude of people who are geographically grouped Beliefs and behaviors What do they believe in, in certain practices Customs A concept that encompasses beliefs and behaviors that are learned by a group of people └ └ └ └ └ Culture can be learned Shared to a certain group of people or community Cumulative Can be passed from one generation to another Diverse Cultures differ from place to place Naturally diverse in nature Dynamic Culture changes with time What are the components of culture? └ └ └ └ Communication- transfer of information from one person to another Uses nonverbal and verbal communications Take note of the verbal, most especially, the nonverbal communication of a certain culture Cognitive- composed of ideas and knowledge Materials Behaviors- there are acceptable behaviors and standards in a certain community (norms) Types of norms └ └ └ Acceptable behavior of a society Mores- moral values E.g., pagmamano, the use of po and opo Even if you do not follow more, sanctions are not done Laws- among all types, this is the most formal If you do not follow laws, you may be sanctioned Enculturation- transmission of culture within/ inside the group (families) E.g., if one parent is a nurse, an offspring will also be a nurse Acculturation- transmission of culture to another group When a person moves to another country, a person may acquire beliefs of the country Assimilation- Removal or forgetting previous culture Immersion- acquiring culture when immersed to a group of people Cultural relativity └ Characteristics of culture └ └ Folkways- repetitive behavior of a certain group of people E.g., the way Igorots dress, the way Aetas eat Rituals- ceremonies E.g., weddings, burials, baptisms └ └ You cannot relate your culture to the culture of others Because cultures are different and diverse Ethnocentrism- feeling of superiority White supremacists Xenocentrism- feeling of inferiority Biases of culture └ └ └ Prejudice- negative feelings Stereotype- negative opinions Generalizing a certain group with a negative opinion Discrimination- negative actions Types of prejudice └ └ └ └ └ └ └ Racism Sexism Heterosexism- discrimination of the third sex Classicism- discrimination depending on social status Linguicism- discrimination based on language Ageism- discrimination of the older age Lookism- discrimination based on physical appearance Dietary practices of certain religions Buddhists └ └ └ Natural foods of the earth are considered most pure They refrain from eating meat and a vegetarian diet is desirable Monks avoid all solid food on afternoon Hindus └ Beef, other meats, and fish are restricted or avoided └ └ Cow is sacred and cannot be eaten, but products of the “sacred” cow are pure and desirable Alcohol is avoided Islam └ └ └ └ └ └ └ └ Halal- means “permitted” Haram- means “forbidden” Alcohol and all alcohol-containing foods are haram Coffee, tea, stimulants are haram Pork and carnivorous/omnivorous meats are haram Animal blood, meat that has already been dead are haram Animal meats that have been properly slaughtered with their blood drained are halal Ramadan- fasting during the day time Mormons └ └ └ Alcohol and beverages containing caffeine prohibited Caffeins is addictive and leads to poor physical and emotional health Fasting is the discipline of self-control and honoring to God Seventh-day Adventists └ └ └ Pork prohibited, and meat and fish avoided Alcohol, coffee, and tea prohibited Vegetarian diet is encouraged Born again Christians └ └ Balut is restricted Fasts from the new year to the mid-year Jehovah’s witnesses └ └ Any foods to which blood has been added are prohibited (also INC) Can consume animal flesh that has been drained (no blood) Judaism └ └ └ └ └ Meats allowed include animals that are vegetable eaters (cows) and animals that are ritually slaughtered Fish that have scales and fins are not allowed Any combination of meat and milk is prohibited Yom Kippur- similar to Ramadan Fasting for 24 hours (1 day) Pregnant women and those who are seriously ill are exempted from fasting During their pass over, the only thing they can eat is the unleavened bread (no yeast) Roman Catholicism └ └ Avoid meat on Ash Wednesday and good Friday but fasting is optional During lent, discourage eating of meat on Friday Dietary preferences of different races Africans └ └ └ Fried foods Pork, greens, rice Some pregnant Africans engage in pica Asians └ └ └ Rice Soy sauce Raw fish- Japanese Europeans └ └ Carbohydrates Red meat Hispanic Americans └ └ └ └ └ Beans Fried foods Spicy foods Tortillas Carbonated beverages American Indians └ └ └ Blue cornmeal Fish Fruits and berries End-of-life issues of different religions Roman Catholicism └ └ A priest anoints the sick Other sacraments before death include reconciliation and holy communion Confessions Protestant └ └ No last rites Prayers are given to offer comfort and support Mormons └ └ May administer a sacrament if the client requests They discourage cremation Jehovah’s witness └ └ └ Blood transfusion and organ donations are prohibited Do not believe in sacraments Will be excommunicated if they receive blood transfusions Islam └ Second-degree male relatives such as cousins or uncles should be the contact person and determine whether the client and/or family should be given information about the client If no second-degree families or no family members at all are available the doctors may decide └ └ └ └ └ └ └ Client may choose to face Mecca West or southwest direction The head should be elevated above the body Discussions about death are usually not welcomed Stopping medical treatment is against Allah’s will DNR/ advanced directives are not allowed Grief may be expressed through slapping or hitting the body If possible, same-sex Muslim should handle the body after death (or same sex if no Muslim) Gloves are worn if the nurse handling the patient is not a Muslim Embalming is not done and should be immediately buried Judaism └ └ └ └ Prolongation of life is important Life-support must remain so until death A dying person should not be left alone Ravi (priest) is required Autopsy and cremation are forbidden └ └ └ Africans └ └ └ └ └ └ └ Rituals include tying a thread around the neck or wrist of the dying person, sprinkling the person with special water, or placing a leaf of basil on their tongue After death, the sacred threads are not removed and the body is not washed They prefer cremation and ashes are cast in the holy river Buddhism └ └ └ └ A shrine to buddha may be placed in the client’s room Time for meditation at the shrine is important and should be respected Clients may refuse medications that may alter their awareness Opioids Anesthesia After death, a monk may recite prayers for one hour End-of-life issues of different races Hispanic and Latin groups └ The family generally makes decisions and may request to withhold the diagnosis or prognosis from the client Several family members should be at bedside of the dying person Even the extended family members should be included in the end-of-life care Pregnant women are prohibited to attend funerals and take care of dying persons Members discuss issues with the spouse or older family member The elderly is treated with high respect they usually make the decision for the client’s care Family is highly valued and is central to the care of the terminally ill Open displays of emotion are common and accepted Organ and blood donation usually are not allowed Members prefer to die at home Chinese └ Hinduism └ Vocal expression of grief and mourning is acceptable and expected Members refuse procedures that can alter the body such as organ donation or autopsy Members prefer to die at home If they know that their family member will die, they will prefer to take the family member home └ Family members may make decisions about care and often do not tell the client the diagnosis or prognosis Because they believe that this can aggravate the condition of the patient Dying at home may be considered bad luck Native Americans └ └ Family meetings may be held to make decisions about end-of-life and type of treatments that should be pursued Some tribes avoid contact with the dying Additional notes: └ For races and religions who do not encourage cremation, if the patient turns out CoVid positive the patient may still be cremated d/t exception to the general rule Cultural Practices of Different Races ASIANS └ Body built is petite, thin Communication └ └ └ Languages include Chinese, Japanese, Korean, Vietnamese, and English Silence is valued Especially the Chinese Eye contact may be considered inappropriate or disrespectful Koreans and majority of the Asians practice this └ └ └ This means that when you look at their eyes you are at their level Criticisms or disagreements are not exposed verbally Head nodding does not necessarily mean agreement The word “no” may be interpreted as disrespect for others └ └ └ └ Interventions └ Time orientation and personal space └ └ └ └ Time orientation reflects respect for the past but includes emphasis on the present and the future Asian’s respect and value time When you say that you will be going back at a specific time, go back to that time Usually, members do not touch others during conversations Touching is unacceptable with members of the opposite sex Male nurses are assigned to male patients and female nurses are assigned to female patients The head is considered to be sacred When you touch someone’s head it means disrespectful Social roles └ └ └ └ └ └ Large extended family networks are common Family-oriented people They honor loyalty to immediate and extended family Family unit is structured and hierarchical Most Asians practice patriarchal families Men have the power and authority They are the breadwinners, makes decisions for the family Women are expected to be obedient to men Education is viewed as important Religions include Taoism (Buddhism), Islam, and Christianity Social organizations are strong within the community Health and illness └ └ └ └ Health is a state of physical and spiritual harmony with nature and balance between positive and energy forces Chinese- yin (femaleness, darkness) and yang (light, maleness) A healthy body is viewed as a gift from the ancestors Yin foods are cold and yang foods are hot Illness to attributed to prolonged sitting, lying, or to over exertion Moderate work is the standard Health risks └ Hypertension Asians like meat and salty foods Heart diseases Cancer Lactose intolerance Blood disorders- thalassemia └ └ └ └ └ └ Avoid physical closeness and excessive touching Unless necessary e.g., performing procedures But inform the client that you will be touching a body part Limit eye contact Avoid gesturing with hands If possible, a female client prefers a female health care provide and male nurse to a male client Be flexible in scheduling care They do not want rigidity when scheduling care (Asians do not like structure) Alternative modes of healing may include herbs, acupuncture, restoration of balance with foods, massage, and offering of prayers and incense Encourage family involvement in the care of the patient AFRICANS Communication └ └ └ └ └ Members are competent in standard English Head nodding does not necessarily mean agreement Direct eye contact may be interpreted as rudeness or aggressive behavior Be observant when it comes to their nonverbal cues Nonverbal cues are important because they are not totally expressive Personal questions asked on initial contact with a person may be viewed as intrusive Explain well the importance of health history taking and why certain information is asked Time orientation and personal space └ └ Members may be late for an appointment because relationships and event may be deemed more important than being on time Members are comfortable with close personal space when interacting with family and friends Social roles └ └ └ Large extended family networks are important Many households are headed by singleparent women Religious beliefs and church affiliations are sources of strength Health and illness └ └ Religious beliefs profoundly affect ideas about health and illness Members believe illness can be prevented by nutritious meals, rest, and cleanliness └ └ Health risks └ └ └ └ └ └ └ Hypertension Heart disease Stroke Sickle-cell anemia (crescent-shaped RBCs) Cancers except skin cancer Lactose intolerance Diabetes mellitus Interventions └ └ └ └ └ └ Recognize the presence of many individual subgroup variations Build a relationship based on trust Clarify the meaning of client’s verbal and nonverbal behavior They do not like rigid scheduling of care, be flexible in scheduling Encourage family involvement in care Alternative modes of healing may include herbs, prayers, and laying of hands EUROPEANS └ Body built is large and broad └ Health risks └ └ └ └ └ └ Languages include national languages and English Silence can be used to show respect or disrespect for another, depending on the situation Eye contact is viewed as indicating trustworthiness Time orientation and personal space └ └ └ └ Members are future-oriented Time is valued Always on time Gets impatient when a person is not on time Members may be aloof and tend to avoid physical contact When a patient requests to be alone, respect the decision Handshakes may be used for formal greetings └ └ └ └ └ The nuclear family is the basic unit Elderly is placed in nursing homes The man is the dominant figure But it depends in the variation of culture Religion includes Judeo-Christian beliefs Community social organizations are important Monitor and assess client’s body language They do not express if they feel pain Respect client’s personal space Europeans are usually aloof HISPANIC AMERICANS Communications └ └ └ └ └ Languages include Spanish and Portuguese Members tend to be verbally expressive Avoiding eye contact with a person in authority indicates respect and attentiveness Direct confrontation is disrespectful and the expression of negative feelings is impolite Dramatic body language is used to express emotion or pain Gestures, facial expressions are used to express emotions and pain Time orientation and personal space └ └ └ └ └ └ Members are oriented more to the present Members may be late for an appointment because relationships and events are valued more than being on time Members are comfortable with close proximity with family and friends Members are very tactile and use embraces and handshakes Value physical presence of others Politeness and modesty are essential Social roles └ Social roles └ Diabetes mellitus (they are fond of carbohydrates) Cancer Heart disease Injury Interventions Communication └ Health is usually viewed as an absence of disease of illness (clinical model) Members have a tendency to be stoical when expressing physical concerns Does not show or express emotions and physical pains Members primarily rely on modern western health care delivery system └ └ └ Health and illness └ The nuclear family is the basic unit But still takes regard of the extended family Needs of the family take precedence over individual family members’ needs Men are the decision makers They are the breadwinners Women are homemakers and caretakers Religions include Catholicism, evangelicalism, Jehovah’s witness, and Mormons Social organizations and church affiliations are strong within the community Health and illness └ └ └ └ Health may be a reward from God Health is also a sign of good luck Health results from a state of balance between “hot and cold” forces and “we and dry” forces Illness may be viewed as a result of God’s punishment for sins Members may adhere to folk medicine traditions Social roles └ └ └ └ Health risks └ └ └ └ └ Lactose intolerance Diabetes mellitus Parasites (diet is usually raw foods) Hypertension Heart disease Interventions └ └ └ └ └ └ Allow time for the client to discuss treatment options with family members Protect privacy Offer to call clergy because of the significance of religious practices related to illness Ask if it would be all right to touch a child before examining him or her Be flexible in scheduling care Herbs, consultation with lay healers (alternative modes of healing) Diet between hot and cold foods should be balanced NATIVE AMERICANS Communications └ └ └ └ └ Languages include English, Navajo, and other tribal languages Silence indicates respect for the speaker When another person speaks, the person listening should be quiet Members speak in a low tone of voice and expect others to be attentive They value listening and attentiveness Eye contact is viewed as a sign of disrespect They are still listening even if they are not looking at your eyes Body language is important └ └ Health and illness └ └ └ └ └ Oriented more to present Personal space is important Members will lightly touch another person’s hands during greetings Massage is used for the newborn infant to promote bonding between infant and mother Some tribes may prohibit touching of a dead body Unless there is permission from family members Health is a state of harmony between person, family and environment If you have conflict with family, neighbor, community you are considered unhealthy Illness is caused by supernatural forces and disequilibrium, between person and environment Traditional health and illness beliefs may continue to be observed, including natural and religious folk medicine tradition Health risks └ └ └ └ └ └ └ └ └ Alcohol abuse Injury (physical; may be d/t nature of work) Heart disease Diabetes mellitus (too much carbohydrates) Tuberculosis Arthritis Lactose intolerance Gall bladder disease Some American Eskimos are susceptible to glaucoma Interventions └ └ └ Time orientation and personal space └ └ └ Members are family oriented Basic family unit is the extended family Elders are honored Children are taught to respect this tradition Involved in decision-making about care The father does all the work outside the home and the mother assumes responsibility for domestic duties The mother is the caretaker of the family Sacred myths and legends provide spiritual guidance Community social organizations are very important └ └ Clarify communication Understand that the client may be attentive even when eye contact is absent Obtain input from members of the extended family Include them in decision-making Encourage client to personalize space in which health care is delivered Allow them to include his/her personal items Alternative modes healing includes herbs, restoration of balance between the person and the universe, and consultation with traditional healers Complementary and Alternative Therapies Therapies are used in addition to conventional treatment to provide healing resources and focus on the mind-body connection └ Included are high-risk (invasive) therapies and low-risk (non-invasive) therapies E.g., Low-risk therapy: Meditation, Music therapy, Massage, Aromatic therapy, Humor Therapy, Relaxation techniques (deep breathing exercises) CATEGORIES OF COMPLEMENTARY AND ALTERNATIVE THERAPIES 1. Alternative Medical Systems 2. Mind Body Interventions 3. Biological-based interventions 4. Manipulative and body-based interventions 5. Energy therapies └ ALTERNATIVE MEDICAL SYSTEMS ENVIRONMENTAL MEDICINE Focuses on preventing the harmful effects of the environmental toxins focuses on the use of environmentally safe products a multidisciplinary field involving medicine, environmental science, chemistry and others, overlapping with environmental pathology Environmental Medicine focuses on the causes of disease in an environmental context i.e. health teaching, therapeutic diet, detoxification, immunotheraphy, counseling, use of environmentally safe products HISTORY OF ENVIRONMENTAL MEDICINE The modern field of environmental medicine originated sometime around the mid-20th century, when possible links between environmental factors and human disease gained increased recognition. Environmental Health (1950's) - emerged after WW II as a public health discipline to study the control of environmental factors harmful to human health, focus on sanitation and control of communicable disease. Environmental Science (1960's)- Pollution in air, water and soil did not emerge as a discipline until 1960's Environmental Medicine (1970's) - Focus on how pollution enter the body and cause harm FACTORS OF ENVIRONMENTAL MEDICINE Biological Factors - bacteria, virus, molds, candida, parasites, food, animal hair, dust and pollen from the trees. Chemical factors - Formaldehyde, phenol, solvents, petroleum products, pesticides and herbicides Physical Factor - Hot, cold, air cycle, noise, electromagnetic radiation found on mobile phones, nuclear explosion and exposure to random gas. Psychosocial Factors - Prolonged psychological stress due to work or personal relationships ex. death of a close relative and lost of job. HOW ALTERNATIVE MEDICINE WORKS Environmental medicine patients are told that the world has made them sick. o They blame their symptoms on everything from cell phones to the very walls of their houses, from air pollution to food additives. The theory is that while one chemical might not be a problem, many different chemicals and substances overwhelm their ability to cope. Most Treatment plans for alternative medicine include: avoidance, immunotherapy, nutritional supplements, detoxification, restricted diets, and drugs. TRADITIONAL CHINESE MEDICINE focuses on restoring and maintaining a balanced flow of vital energy A branch of traditional medicine in china. Traditional Chinese medicine or TCM for short has evolved over thousands of years, with TCM practitioners using various psychological and/or physical approaches as well as herbal products to address health problems. Traditional Chinese medicine is founded on the concept that an energy called qi (pronounced "chee") runs through the body along paths called meridians i.e. acupressure, accupuncture, meditation, tai chi, herbal medicines ETYMOLOGY Era of the Shang dynasty period which was from 1766-1122 BC. Shang Di believes that "illness was caused either by upsetting an ancestor and consequently being cursed or that a demon or evil entered the body and caused illness" TYPES OF TRADITIONAL CHINESE MEDICINE 1. Acupuncture Procedure used in or adapted from Chinese medical practice in which specific body areas are pierced with fine needles for therapeutic purposes or to relieve pain or produce regional anesthesia. The focus is the imbalance in the patient, and the causality is always multifactorial function of the points is described in terms of TCM diagnosis According to WHO, acupuncture is effective in: o colds and flu o bronchitis and asthma o hay fever and sinusitis o high blood pressure diabetes and hypoglycemia o constipation and hemorrhoids o ulcers and colon infections o indigestion and diarrhea 2. Diet Therapy Strict dietary discipline remains an important aspect of treatment in all branches of traditional Chinese therapy. TCM emphasizes that it is necessary for people to keep a regular diet habit and arrange a balanced diet according to one's age, gender and constitution. The most basic principle of proper food combining is to avoid conflicts of yin and yang in the stomach. Examples of yin and yang food are: o Yin = raw foods, fruits and vegetables, alcohol, sugar o Yang = meat, cooked food, chicken and eggs, salt. 3. Herbal Medicine Chinese medical herbs are classified according to their basic yinyang nature (warming, cooling, or neutral), their Five Elemental Energy identities as reflected in the Five Flavors (pungent, sweet, sour, bitter, or salty), and their primary therapeutic properties (tonifying, purging, concentrating, or dispersing) The method of preparation used for each remedy depends on several factors, including the nature of the herb(s), the type of condition to be treated, and the therapeutic effects to be achieved: o Raw o Decoction (broth) o Paste (gao) o Pill (wan) o Liquor (yao jiou) o Ointment (yio) 4. Qi Gong exercise that focuses on breathing, visualization and movement Which uses movement, breathing techniques, and meditation Is believed to treat a variety of health conditions, including high blood pressure, heart disease, diabetes, chronic fatigue, insomnia, and leg and back pain, among others The concept of the “five elements” (wood, fire, earth, metal and water) as energetic archetypes whose cycles affect the flow of energy in our bodies is central to ancient Chinese medicine and to its qigong health exercises. 5. Taichi Is often described as "meditation in motion," but it might well be called "medication in motion." There is growing evidence that this mindbody practice, which originated in China as a martial art, has value in treating or preventing many health problems. Because tai chi integrates low physical impact body movements with deep breathing and mental concentration, relaxation is possible, thus making it an alternative option to conventional anxiety treatments. AYURVEDA Ayurveda, or ayurvedic medicine, is an alternative medicine system promoting a healthy-lifestyle system that people in India focuses on the balance of mind, body and spirit Emphasizes good health and prevention and treatment of illness through lifestyle practices Ayurvedic medicine is holistic Goal of treatment is to cleanse your body Panchakarma = Cleansing process o designed to reduce your symptoms and restore harmony and balance o To achieve this, an Ayurvedic practitioner might rely on blood purification, massage, medical oils, herbs, and enemas or laxatives Ayurveda came from the Sanskrit words: o "Ayur" meaning "Life" o "Veda" meaning "Sacred" o Ayurveda thus means Sacred Life i.e. yoga, breathing exercises PRINCIPLES OF AYUVERDA Five basic elements found in the universe: Space Air Fire Water Earth These combine in the human body to form three life forces or energies, called doshas. VATTA DOSHA Combination of Air and Space Most powerful Dosha Vatta controls: o muscle and joint movement o breathing and heartbeat o anxiety and fear o pain o other functions of the nervous system Things that can disrupt it include eating again too soon after a meal, fear, grief, and staying up too late If vata dosha is your main life force, you’re thought to be more likely to develop conditions o Anxiety o Asthma o heart disease o skin problems o rheumatoid arthritis PITTA DOSHA Combination of Fire and Water Pitta controls: o digestion o metabolism o intelligence o skin color Pitta governs the emotions of anger, hate, and jealousy. Things that can disrupt it are eating sour or spicy foods and spending too much time in the sun. If it’s your main life force, you’re thought to be more likely to develop conditions o Crohn’s disease o heart disease o high blood pressure o infections KAPHA DOSHA Combination of Earth and Water Kapha controls o immune system o muscle growth o body strength and stability o weight Kapha includes calmness, forgiveness, love, and greed. You can disrupt it by sleeping during the day, eating too many sweet foods, and eating or drinking things that contain too much salt or water. If it’s your main life energy, practitioners believe you may develop o asthma and other breathing disorders o cancer o diabetes o nausea after eating o obesity USES OF AYUVERDA People use ayurvedic practices to maintain health, reduce stress, and improve flexibility, strength, and stamina. Practices like yoga and meditation can be helpful for people with diseases such as asthma, high blood pressure, and arthritis. Ayurveda stresses proper diet for maintaining good health and treating disease. Herbal medicines are prescribed based on the person's dosha type IS IT SAFE TO USE AYVERDA Ayurvedic practices such as yoga and meditation can be safe ways to promote health. If you have a long-term illness, you may be able to combine ayurveda with conventional medical treatment. Ayurvedic herbal medicines, like conventional medicines, may cause side effects, trigger allergic reactions, or interact with other medicines or herbs you are taking. Some ayurvedic medicines may contain high levels of heavy metals, which may be harmful to your body. Not all countries allow the entry/ practice of Ayurveda HOMEOPATHY uses of plants and mineral extracts the body can cure itself use tiny amounts of natural substances, like plants and minerals developed in the late 1700s in Germany common in many European countries, not popular in the United States Origin of Homeopathy > Greek Words : o "Omoios" meaning "SIMILAR" o "Pathos" meaning "Suffering" i.e. Hydrotherapy TWO THEORIES OF HOMEOPATHY 1. LIKE CURES LIKE Large amount of substance that causes an illness to a healthy person, can cure illness in a very small dose to a sick person stimulates a person's self healing capabilities 2. LAW OF MINIMUM DOSE Serial dilution The more dilution occur, the more potent remedy will be the outcome HOW DOES HOMEOPATHY WORK come from plants (red onion, arnica [mountain herb], poison ivy, belladonna [deadly nightshade], and stinging nettle), minerals (white arsenic), or animals (crushed whole bees) often made as sugar pellets to be placed under the tongue; such as ointments, gels, drops, creams, and tablets Homeopathic doctors weaken these ingredients by adding water or alcohol “potentization.” transfers the healing essence believe that the lower the dose, the more powerful the medicine CONDITIONS HOMEOPATHY TREAT Allergies Migraines Chronic fatigue syndrome Rheumatoid arthritis Irritable bowel syndrome bruises, scrapes headaches, nausea coughs, and colds IS HOMEOPATHY SAFE There are currently no homeopathic products approved by FDA as of NOVEMBER 01,2021 NATUROPATHY Naturopathic medicine is a holistic approach to treating illness & disorders of all kinds, by stimulating a body’s self-healing mechanism It is a combination of multiple therapies including acupuncture, herbs, massage, physical manipulations, homeopathy, hydrotherapy, nutritional counseling & much more following the Naturopathic principles Naturopaths claim the ancient Greek "Father of Medicine", Hippocrates, as the first advocate of naturopathic medicine, before the term existed “Natura", Latin root for "Birth”" “Pathos" Greek root for "Suffering", which suggest Natural Healing Naturopathic treatment plans focus on Education and Prevention o emphasize diet, exercise, and stress management The practice of neuropathy is based on a belief in the body’s ability to heal itself through a special vital energy or force guiding bodily processes internally PRINCIPLES AND BELIEFS 1. Use the most natural, least invasive and least toxic therapies. 2. Look beyond the symptoms to the underlying cause. 3. View the body as an integrated whole in all its physical and spiritual dimensions. 4. Trust in the body's inherent wisdom to heal itself. 5. Educate patients about the steps to achieving and maintaining health. 6. Focus on overall health, wellness and disease prevention. NATUROPATHIC CARE Naturopathic physicians use a blend of traditional treatment methods (such as ordering labs or x-rays) and holistic therapies (such as leveraging botanical medicine) to manage a broad range of health conditions. HYPNOTHERAPY involves attention and focused concentration with a relative suspension of peripheral awareness verbal repetition and mental images effective method for coping with stress, anxiety and PTSD 3 Aspects: Absorption, Dissociation and Suggestibility HYPNOTIC INDUCTION Relaxation technique Handshake Technique Eye Cues BENEFITS OF NATUROPATHY 1. Disease Prevention 2. Treatment of disorders 3. Sleeping aid 4. Alternative therapies 5. Increases self-awareness 6. Changes the way one think 7. Safe & effective treatment MIND-BODY INTERVENTIONS focus on controlling physical functions through positive mental processes Mind-body medicine focuses on the communication between mind and body and the powerful ways in which emotional, mental, social, and spiritual factors can directly affect health. Mind-body interventions utilize the mind’s capacity to affect the body and its physiological responses. They thereby influence health. include biofeedback, hypnosis, relaxation therapy, meditation, music or art therapy, qigong, prayer and mental healing BIOFEEDBACK non-drug treatment in which patients learn to control bodily processes that are normally involuntary, such as muscle tension, blood pressure, or heart rate the therapy is used to help prevent or treat conditions, including migraine headaches, chronic pain, incontinence, and high blood pressure Biofeedback has been Scientifically Proven to help with: o Reduce the intensity and/or patterns of mental health issues like drug and alcohol addiction, depression and eating disorders. o Improve sleep quality by reducing hyperarousal and insomnia. RELAXATION THERAPY Relaxation technique is any method or process that produces a relaxing effect to the body lessening pain, stress, anxiety or anger. The stress response is a good example of how systems cooperate to protect an individual from harm through this it also triggers the sympathetic response of our body. o Where our muscles are tightened, increase heart rate, in other words, our body is in a fight or flight state o relaxation response is indeed needed to reduce the neural impulses to the brain o It helps individuals to develop cognitive skills to reduce negative ways in which they respond within their environment. o Relaxation enables individuals to exert control over their lives. o The long-term goal of relaxation therapy is for people to know the indicators of tension and release the tension in various body parts. According to Potter and Perry (2017) research shows that relaxation in combination with imagery, yoga, and music reduces anxiety and pain while improving well-being. It includes slow deep abdominal breathing. Research shows that relaxation effectively triggers the parasympathetic response, lowering blood pressure, heart rate, decreasing muscle tension, and improving well-being. It can help improve one’s satisfaction in work and relationships with others. MEDITATION A practice that connects the mind and the body which can produce a deep state of relaxation and a tranquil mind to enhance physical and emotional well-being 2 Main Types o Concentrative Meditation o Mindfulness Meditation MUSIC THERAPY A therapeutic approach that uses the naturally mood-lifting properties of music to help people improve their mental health and overall wellbeing can be an active or passive beneficial for expressing feelings, reducing stress and anxiety, enhancing relaxation and a distraction to aid in pain management Examples o Analytical Music Therapy o o o o o o Benenzon Music Therapy Cognitive Behavioral Music Therapy (CBMT) Community Music Therapy Nordoff-Robbins Music Therapy The Bonny Method of Guided Imagery and Music (GIM) Vocal Psychotherapy ART THERAPY A technique rooted in the idea that creative expression can foster healing and mental wellbeing. The goal of art therapy is to utilize the creative process to help people explore self-expression, develop self-awareness, cope with stress, boost self-esteem, and work on social skills. It is helpful when the person has difficulty expressing feelings verbally. Examples o Collage o Coloring o Doodling and scribbling o Drawing o Finger painting o Painting o Photography o Sculpting o Working with clay QI GONG A form of exercise (stimulation therapy) Improves health by redirecting mental focus, controlling breathing, improving coordination, and promoting relaxation. Activates the natural currents that flow along the body's meridians to rebalance the body's own healing ability. PRAYER PRAYER is one of the most ancient expressions of religion. IN HINDUISM o dhyana (“meditation”) and the stotra (“praise”) IN BUDDHISM o muyou (“monastic prayer”) IN ISLAM o five daily prayers include: Fajr (sunrise prayer), Dhuhr (noon prayer), Asr (afternoon prayer), Maghrib (sunset prayer), Isha (night prayer) IN CHRISTIANITY o worship, thanksgiving, rosary, fasting, during meals MENTAL HEALING process of alleviating or attempting to alleviate mental or physical illness through the power of the mind BIOLOGICAL-BASED THERAPIES therapies includes natural and biologicalderived products, interventions, and practices include aromatherapy, herbal therapies, macrobiotic diet, and orthomolecular therapy AROMATHERAPY According to the National Association for Holistic Aromatherapy (NAHA) aromatherapy is the therapeutic application or the medicinal use of aromatic substances like essential oils for holistic healing. This Aromatherapy is just a complementary therapy does not provide a cure for diseases, rashes or illnesses, but it can be supportive treatment for various conditions It provides respiratory disinfection, decongestant, and psychological benefits. HOW IS THIS AROMATHERAPY APPLIED It can be through inhalation or as a topical application. For inhalation: the oils evaporate into the air using a diffuser or in a steamed bath For topical applications: the massage oils are absorbed through the skin. These essential oils are readily available from the market be aware of fake oils because this can lead to irritations and may possibly cause you death once you inhale it According to the one of the best selling essential oil brands in the Philippines, there are 5 most popular essentials oils and their superpowers: o Lavender - promotes feelings of calmness and fights nervous tension o Peppermint - cools fatigued muscles after physical activity o Lemon - promotes healthy immune system o o Frankincense - promotes relaxation and tranquility Thieves - promotes healthy immune system HERBAL THERAPIES herbal medicines are products made from botanical or plants and also involving the use of natural and biologically based practices and interventions (Complementary and Alternative Medicine (CAM) Committee of Craig Hospital, 2021) these are made through extraction from plants, herbs or flower The extracted plant part will be used for its scent, flavor, or therapeutic properties. according to The World Health Organization, an estimate of 80% of the world’s population, or about 4 billion people, currently use herbal medicine for some of their health care. PURPOSE: o treats wounds o enhances general health and wellbeing o improves energy o aids relaxation and sleep o can even makes the mixture taste better DIFFERENT FORMS OF HERBAL MEDICINE: o liquid herb extracts o skin creams o teas o herb o powders o capsules o tablets 10 APPROVED MEDICINAL PLANTS IN THE PH: There are ten (10) Philippine medicinal plant species approved for therapeutic uses by the Food and Drug Administration (FDA) under the Department of Health (DOH): o Lagundi (Vitexnegundo) – Cough and asthma o Sambong (Blumeabalsamifera L.) – Anti-urolithiasis (kidney stones) o Ampalaya (Momordicacharantia L.) – can Lowering of blood sugar and antidiabetes o Garlic (Allium sativum) – Anticholesterol o Guava (Psidium Guajava) – Oral/skin antiseptic o Tsaang-gubat (Carmona cetusa) – Mouthwash o Yerba-Buena (Mentha Arvensis) – Analgesic or antipyretic o Niyog-niyogan (Quisaualisindica) – Anti-helminthic o Acapulco (Cassia alata) – Antifungal BENEFITS: o more affordable and accessible than conventional medicines o many people prefer using them because they align with their personal health ideologies MACROBIOTIC DIET first developed by a Japanese philosopher named George Ohsawa he believed in a holistic approach to health incorporating many lifestyle aspects, from diet and exercise to meditation and even the ‘yin and yang’ energy of particular foods macrobiotic diet is divided as follows: o Around 40-60% of your food contains whole grains such as brown rice, barley, oats, buckwheat o Around 20-30% contains fruits and vegetables such as pickles, which are one of the things that are believed to have a balancing effect o Around 10% – 25% contains bean and bean products such as tofu, miso as well as seaweeds o BENEFITS By adopting a macrobiotic way of eating you are likely to lose weight, but be careful that you don’t replace protein-rich foods with too many carbs o Starchy carbs like grains and rice are easy to overeat. o Research suggests that it has a positive effect on heart health reporting lower blood lipids and cholesterol plus benefits in the management of blood pressure. o plant-based, low-fat, high-fibre nature of the regime may be useful for women because it moderately reduces the level of circulating estrogens in the body, which possibly helps reduce the risk of having breast cancer o This effect is due to the diet being rich in whole grains which may also benefit post-menopausal women. o Wholegrain foods supply a bounty of helpful compounds, specifically phytoestrogens, including lignans, which may help maintain insulin sensitivity and weight management after the menopause There are some prime causes of concern which are associated with minimal nutritional inadequacies including calcium, iron, vitamins B12 and D as well as protein, social limitation due to the strict nature of the plan as well as possible delay in pursuing more conventional medical treatments. Eating more fruit and vegetables and lowering your salt, sugar and fat intake can have a positive effect. chewing your food thoroughly and breathing deeply are also important elements of this lifestyle ORTHOMOLECULAR THERAPY The term orthomolecular therapy or also known as "orthomolecular medicine" coined in around 1968 by a famous chemist and biochemist named Dr. Linus Pauling o best known for his work on the nature of chemical bonds and the structure of molecules PURPOSE OF ORTHOMOLECULAR THERAPY a form of alternative medicine aims to maintain human health through nutritional supplementation The concept builds on the idea of an optimal nutritional environment in the body and suggests that diseases reflect deficiencies in this environment. The treatment for disease, according to this view, involves attempts to correct "imbalances or deficiencies based on our individual biochemistry" by use of substances such as vitamins, minerals, amino acids, trace elements and fatty acids. TYPES OF CONDITIONS FOR WHICH ORTHOMOLECULAR PRACTITIONERS HAVE CLAIMED SOME EFFICACY Acne Alcoholism Allergies Arthritis Autism bee stings bipolar disorder burns cancer common cold depression drug addiction epilepsy heart diseases hypertension EXAMPLES Vitamin E o even large doses of vitamin E pose no risk to health and are useful for the treatment and prevention of a broad list of conditions, including heart and circulatory diseases, diabetes and nephritis o The usefulness of vitamin E in orthomolecular medicine was based on epidemiological studies suggesting that people who consumed more vitamin E had lower risks of chronic disease, such as coronary heart disease. CHELATION Chelation therapy is an IV therapy that removes heavy metals from the body. heavy metals accumulate in the body through many of our daily activities, most commonly through certain foods, people who smoke, dental procedures, seafood are all possible sources of heavy metals and we are exposed to these if not every day Heavy metals can cause inflammation and can be catalysts to disease processes. PROCESS The process of chelation therapy is an IV solution based in saline including vitamin C and B vitamin that includes EDTA. o ethylenediaminetetraacetic acid a synthetic amino acid that grabs onto heavy metals When EDTA is filtered through the kidneys, the EDTA and the heavy metals get filtered out and come out in the urine. What Chelation therapy basically does to our body is to detox the body from heavy metals. CONDITIONS DOES CHELATION THERAPY TREAT It is both a preventive measure and a treatment for heavy metal toxicity. The most common form of heavy metal toxicity is from the most poisonous form of metals which are lead and mercury and these are in our environment. o There are lead based gasolines o mercury is in dental amalgams o mercury is in some curtains seafood o both of these chemicals can cause chronic issues and acute poisoning if the levels are high enough If you feel to have been exposed to heavy metals you can be checked through blood tests and urine tests and even hair samples. MANIPULATIVE AND BODY-BASED INTERVENTIONS involve manipulation and movement of the body by a therapist interventions include acupressure, movement reeducation techniques, chiropractic therapy and therapeutic massage CHIROPRACTIC THERAPY A system of diagnosis and treatment based on the concept that the nervous system coordinates all of the body's functions, and that disease results from a lack of normal nerve function Spinal manipulation is not recommended for people who have any of the following: o Osteoporosis o Symptoms of nerve damage or malfunction o Previous spinal surgery o Stroke o Blood vessel disorders There is no evidence that chiropractic manipulation is effective for conditions not directly related to the musculoskeletal system. ACUPRESSURE Ancient form of massage used in Traditional Chinese Medicine Restore health balance by regulating the positive and negative forces of the body BENEFITS o It relieves: Stress Pain Anxiety Muscle tension o Improves circulation o People can try doing acupressure on themselves or use the services of a licensed practitioner who has studied pressure points HOW TO DO IT o Use deep, firm pressure to massage and stimulate each point o While applying acupressure, close your eyes, and breathe deeply. o Use your thumb to massage point in a circular or up and down motion. Massage point for 1-2 minutes. o Repeat acupressure as often as you would like. CUPPING THERAPY Also known as Ventosa or Ventosa therapy It is an ancient form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. Many Taoists believe that cupping helps balance yin and yang, or the negative and positive, within the body People get it for many purposes, including to help with pain, inflammation, blood flow, relaxation and well-being, and as a type of deep-tissue massage. The heated cup is immediately inverted and placed on the skin. o The resulting vacuum sucks the skin partway into the cup, which may be left in place for several minutes. MOXIBUSTION a manipulative and body-based practice a therapy within traditional Chinese medicine Dried moxa herb (a mugwort) is burned usually just above but sometimes directly on the skin over acupuncture points The herb may be in the form of incense sticks or wool BENEFITS o Expelling cold and dampness o Relieves back pain and pain from arthritis and menstrual camping o Improving female health issues o Relieving male health problems o Increasing resistance to cold and flu o Stimulating the immune system to fight more serious illnesses o Regulating the digestive system to relieve constipation and chronic diarrhea o Reducing numbness in the fingers and toes o Reducing the risk of developing blood clots o Easing anxiety disorders and certain symptoms of depression o Eliminate general fatigue THERAPEUTIC MASSAGE Massage is the practice of rubbing and kneading the body using the hands. During a massage, a massage therapist will apply gentle or strong pressure to the muscles and joints of the body to ease pain and tension. A massage therapist is a person trained in giving massages. 5 BASIC MASSAGE STROKES EFFLEURAGE- is more on long, sliding, gliding, and sweeping strokes, usually used for spreading massage oil. In effleurage, movement is usually repeated several times to induce relaxation of muscle. PETRISSAGE- ‘petri’ means ‘to knead’. This technique is like kneading a dough. The kneading, rolling, and squeezing strokes stimulates the nerve endings, getting rid of impure substance in the muscle, and increases circulation which then will promote cell repair VIBRATION- It is a fine, gentle, trembling movement performed with hands or fingers. Vibrations can be used to stimulate soft tissues in the body. Vibration movements can help stimulate nerves, relieve muscular tension and decrease stress. FRICTION- This technique can be done by rubbing back and forth. The movement creates heat, warming up muscles in the body to be treated for deep massage technique. TAPOTEMENT- This is a rhythmic tapping, pounding, and patting movement. The motion is like drumming with your hands by cupping, hacking and chopping. This technique is usually used as the last technique in a massage session. REFLEXOLOGY “Zone Therapy” It is a low-cost therapy, that can be applied easily It is performed on the reflection points on soles and palms in order to create biophysiological changes in the body. Similar with acupressure TAI CHI AND QI GONG Tai chi and qi gong are centuries-old, related mind and body practices TAI CHI o a practice that has grown from the Qigong tradition o more complex, including foot movements, thus it is excellent for brain plasticity maximization o involve certain postures and gentle movements with mental focus, breathing, and relaxation o movements can be adapted or practiced while walking, standing, or sitting QI GONG o movements associated with the practice, was designed solely as a meditative and healing practice movements developed as a part of the Tai Chi tradition can be used as a martial art or applied to self- defense o Qigong can be very easy, thus it soothes the nervous system Qi gong, tai chi movements, if practiced quickly, can be a form of combat or selfdefense. Exercise programs, including tai chi, may reduce falling and the fear of falling in older people. Tai chi also may be more effective than other forms of exercise for improving balance and stability in people with Parkinson’s disease. o ENERGY THERAPIES focus on energy originating within the body or on energy from other sources include therapeutic touch and magnetic therapy Energy therapy is based on the belief that the body has an invisible energy field, and that when this energy flow is blocked or unbalanced, you can become sick. Unblocking this energy can help promote healing and wellbeing. The purpose of energy therapies can be broadly defined as "The healing of mental or physical disorders by rebalancing the energy fields in the human body or by drawing upon spiritual energies or forces for such healing". o Some energy therapies include internal detoxification or release of traumarelated memories as additional purposes. energy therapies consist of interventions that are designed to interact with the biofield of a person The concept of the biofield is based on the assumption that all living things have a natural flow of energy that is integral to their basic composition. The concept of energy flowing through and around the physical body has a long-standing history and is the basis for various ancient healing practices and many complementary and alternative therapies. BENEFITS There is no scientific evidence of an energy field or that energy therapies have any benefits. Energy therapies are very gentle and do not require the therapist to make any heavy physical adjustments. They are used to help people feel relaxed and less anxious, and to improve overall wellbeing SIDE EFFECTS As energy therapies are not invasive, they are considered to be safe. THERAPEUTIC TOUCH The placement of hands in specific sequences above or on the body to assess and determine areas of energy imbalance, which are generally, experienced as temperature, texture or vibration changes. Therapeutic touch uses a practice called "laying on of hands" to correct or balance energy fields. Despite the use of the word "touch," the hands usually hover over the body and do not physically touch it. The goal of the technique is to help people relax, relieve their pain, and help them heal faster. Therapeutic touch is thought to promote healing through restoring harmony to a person's energy fields. "Some people use therapeutic touch to reduce pain, ease tense muscles, speed healing, and improve sleep. It is sometimes used to help people who have pain or discomfort from cancer or other diseases" Why use it? o Healing touch works with your personal energy field to support the body’s own natural ability to heal What to expect? o Therapeutic touch can be practiced while you are sitting, standing or lying down. o Before beginning, the therapist may perform a meditation and then assess your energy field by observation and movements of the hands over the body. REIKI Reiki is an energy healing technique that promotes relaxation, reduces stress and anxiety through gentle touch. Reiki practitioners use their hands to deliver energy to your body, improving the flow and balance of your energy to support healing. Reiki is an ancient form of Japanese healing that is practiced by many practitioners around the world o there is an omnipotent energy that gives life to every living thing, and the Japanese call this “Ki” o It is also known as Chi by the Chinese, Prana by a number of Asian cultures, and most of the western world refers to it as the Holy Spirit. “Because it works on the entire self – mind, body and emotions – and because it is universal life force energy, reiki may be successful in all types of physical, emotional, mental and spiritual healing” How does Reiki work? o Reiki practitioners act as a conduit between you and the source of the universal life force energy. o The energy flows through the practitioner’s hands to you. o The term reiki is a Japanese word meaning universal life energy. o It is a form of gentle hands-on therapy using energy fields within and around the body. Why use it? o People use reiki to improve physical, emotional and spiritual wellbeing, on or slightly above your body. o The aim is to use their own healing energy to identify energy imbalances and promote health. o This may generate a feeling of warmth. What to expect? o During a reiki session a client sits or lies down fully clothed. The therapist places their hands in a series of positions. o Reiki treatments typically last about 50 minutes. o During a session, you’ll lie on a massage table fully clothed, as your reiki practitioner gently places their hands, palms down, on or just above your body in specific energy locations. o They use a series of 12 to 15 different hand positions. Evidence o Anecdotal evidence suggests that reiki is calming and relaxing, often helping to relieve pain and anxiety, reduce stiffness and improve posture. What does Reiki feel like? o “You may experience the energy in the form of sensations like heat, tingling or pulsing where the Reiki practitioner has placed their hands” o By placing the hands over the corresponding seven major chakra centers that are experiencing any of the imbalances mentioned and performing Reiki, these centers can be rebalanced leading to better health. o strong enough to make a difference remains to be shown. TYPES OF MAGNETIC THERAPY 1. Pulsed Electromagnetic Field Therapy Effects: o Increasing blood flow o Stimulating cell metabolism and healing o Rehabilitating unhealthy tissue In orthopedic cases, it was used to promote bone healing after surgical procedures In plastic surgeries, it was used to decrease swelling, promote faster wound healing, and minimize scarring 2. Combined Electromagnetic Field Therapy 3. Focused Electromagnetic Field Therapy UNIPOLAR MAGNETS Magnets that have north on one side and south on the other. MAGNETIC THERAPY The term magnet therapy usually refers to the use of static magnets placed directly on the body, generally over regions of pain. An umbrella term for various advancements in the principle that high frequency electromagnetic currents could have therapeutic effects. Utilizes specifically calibrated electromagnetic fields to induce biochemical changes at the cellular level, stimulating multiple natural healing mechanisms. Static magnets (Permanent Magnets) are either attached to the body by tape or encapsulated in specially designed products such as belts, wraps, or mattress pads. There are also therapeutic magnets used that is either unipolar or bipolar. How does it work? o A commonly held misconception is that magnets attract the iron in blood cells, thus moving the blood and stimulating circulation. o However, the iron in the blood is not in a magnetic form. o Static magnets could affect charged particles in the blood, nerves, and cell membranes or subtly alter biochemical reactions, although whether the effect is NORTH POLE CHARACTERISTICS Sedating, Cooling Negative: Yin Low back pain Arthritis Inflammation Acute headaches Sharp pain SOUTH POLE CHARACTERISTICS Stimulating, Heating Positive: Yang Tingling Numbness Weak muscles Paralysis Scars BIPOLAR OR ALTERNATINGPOLE MAGNETS These are made from a sheet of magnetic material with north and south magnets arranged in an alternating pattern, so that both north and south face the skin. This type of magnet exerts a weaker magnetic field because the alternating magnets tend to oppose each other. o Fractures o Chronic pain The type of ailment determines the type and power of the biomagnet to be used, the length of time the patient has had the problem, its severity, if the ailment is superficial or deep, the area of the body to be treated, and the patient's sensitivity. Side Effects o Lightheadedness o Headache o Sleepiness o Itching Precautions: Should not be used during pregnancy, patient with a pacemaker or who have metal implants that could be dislodged by magnet use