The random- Introduction to complementary medicine The process of healing attempts first to rid the body of harmful toxins in order to cleanse the system, which then facilitates a return to homeostasis. In this example, identifying the emotional stress warrants treatment with stress-reducing strategies to avoid the manifestation of physical symptoms. In the UK, legislation in the 1990s recognised osteopaths and chiropractors as separate professions. The focus is on the person to be healed, rather than on the healer. This chapter introduces the concept of complementary medicine and explores some of the theories that support it. Complementary medicine is concerned with identifying the causes of imbalance within the individual, and the therapeutic goal is to return the person to homeostatic equilibrium by whatever method is necessary. This is politically reinforced by the provision of education on some of these subjects for general practitioners, dentists, anaesthetists and other medical specialists. We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. Sceptics also suggest that belief in the therapy has a positive effect on subjective improvement, implying conversely that no relief will occur if the client is unconvinced. These remedies are intended for absorption into the body, either through gastrointestinal or respiratory tract administration, dermally or via the mucous membranes such as, is seen as “fixing” the person, with little explicit awareness of associated emotional, social or spiritual issues. 40. Clinical assessment involves a consideration not only of why the person is unwell but of how to facilitate the body to repair itself. The reasons for the increasing use of complementary therapies and natural remedies in pregnancy and childbirth are explored, together with the growing interest in its use amongst midwives and other maternity professionals. Complementary therapies and natural remedies are very powerful therapeutic entities which, when used appropriately, have the power to improve health and wellbeing. 0000013122 00000 n Unfortunately, these methods of diagnosis and treatment are viewed with scepticism because they do not fit with the contemporary biomedical model. Chapter 32: Complementary and Alternative Therapies Test Bank MULTIPLE CHOICE 1. One only has to think of a dying person, who waits for a relative to travel halfway round the world to see them one last time before expiring, to appreciate this dynamic balance. startxref Their needs and wishes may even be disregarded, particularly when financial factors predominate, as can be seen when new but extremely expensive cancer drugs come on to the market but are offered to only a few in a sort of “postcode lottery”. Figure 1.1 provides a model for practice that incorporates the multiple aspects inherent in a holistic approach to care. For example, a woman in late pregnancy reporting a headache following treatment could be experiencing a normal healing reaction, a side effect of therapy overdose, a relatively normal stress or tiredness headache, or she could be developing pre-eclampsia. 0000003425 00000 n The classification of “natural remedies” applies to substances derived from plants and other naturally available elements. The reasons for the increasing use of complementary therapies and natural remedies in pregnancy and childbirth are explored, together with the growing interest in its use amongst midwives and other maternity professionals. Figure 1.1 The holistic model for practice H��TM��0��W�� ���|8aOHH�+��Nch��q��3Τ�~�+���3~o��s�M-�R�r�2` $(��Tɼ�� B�f��D�)�E��,�R�%P��J�E�V� 0000037539 00000 n We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. Complementary and Alternative Medicine. 2014 [Epub ahead of print.] Complementary therapies are defined by the US National Center for Complementary and Integrative Health (NCCIH) as 'a group of diverse medical and health care systems, practices, and products that are not generally considered to be part of conventional medicine. Further, this medicalisation of preventative biomedicine means that the responsibility of individual “patients” is effectively disengaged, tacitly permitting them to engage in risky behaviours, for example smoking, in the unconscious belief that medicine will resolve any adverse effects. After-care advice for self-care following treatments: Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on Introduction to Complementary Therapies in Maternity Care. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary … Optimum health and wellbeing requires the person to work in partnership with the complementary health professional, who employs gentle methods of alleviating symptoms, usually with fewer side effects than orthodox medicine, and who focuses on prevention rather than the curing of disease. 2014 ; Vol. Complementary and Alternative Therapies . However, unlike many of the “quick fixes” of conventional treatment, such as cutting out a diseased organ, healing the whole person takes time. �v4I"� ����,�`����9>�*? 0000000016 00000 n For these reasons alone, complementary therapies fit well with women wanting as natural a pregnancy and birth as possible, without unnecessary intervention, enabling them to remain in control and to have a satisfying psycho-social, physical and spiritual experience. 0000007217 00000 n 0000011764 00000 n Table 1.1 summarises the healing reaction. In the 1980s these therapies were considered “alternative”, “non-conventional” or “unorthodox” because they were little understood and segregated from conventional healthcare. Contemporary adherence to local, national and international guidelines and the use of routine procedures or investigations detracts from the ability of healthcare practitioners to reflect on individuals and may actually increase the chance that the clinical relevance of anomalous features is missed. b. using imagery along with pain medication to increase comfort. Whereas proposals (not yet implemented) to establish a Complementary and Alternative Medicine Council in the UK to regulate Improved monitoring of conventional healthcare in the 21st century has gone some way towards achieving these aims, although many therapies remain poorly regulated and the amount and calibre of research and preparatory education varies according to the precise discipline. It is interesting to note the current attention being given by pharmaceutical companies to plants traditionally used by indigenous populations for their apparent therapeutic properties (Drobnik and Drobnik 2016; Rivera et al. There is a complex interaction between the body, mind and spirit in which the individual can influence one part of this trilogy with another. Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. This “healing reaction”, common to all therapies, is an alien concept to many medical practitioners, who may seek to disparage complementary medicine because it “makes the condition worse”. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey. �8��B�Bn�W�7ct%�����p�ܤ���'�k���{�ۇ�]^A#;6%�ED~у$��[ǻ@w�a[��%K�`IV�1�AUI�,�85�+M��_��.�x��SƘ�$�"nd���}'2�Lz�pQ�D��8i�� ���!a"��o|֔�=��n�敊{��+W�����c*��ܞ����^�-�@I$A�Ad䑘�����k{p_��*����x�:~&Wq"���9WF��r�� #�|� Complementary healthcare tends to focus on facilitating the self-protective abilities of the individual, regaining, maintaining and strengthening them to prevent future ill health. endstream endobj 110 0 obj<> endobj 112 0 obj[113 0 R] endobj 113 0 obj<>>> endobj 114 0 obj<> endobj 115 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState 136 0 R>>/B[118 0 R 119 0 R 135 0 R 134 0 R 133 0 R 132 0 R 131 0 R 130 0 R 129 0 R]/LastModified(D:20061107103100+05'30')>> endobj 116 0 obj<>>> endobj 117 0 obj<> endobj 118 0 obj<> endobj 119 0 obj<> endobj 120 0 obj<> endobj 121 0 obj<> endobj 122 0 obj<> endobj 123 0 obj<> endobj 124 0 obj<> endobj 125 0 obj<> endobj 126 0 obj<> endobj 127 0 obj<> endobj 128 0 obj<> endobj 129 0 obj<> endobj 130 0 obj<> endobj 131 0 obj<> endobj 132 0 obj<> endobj 133 0 obj<> endobj 134 0 obj<> endobj 135 0 obj<> endobj 136 0 obj<> endobj 137 0 obj/Default endobj 138 0 obj/Default endobj 139 0 obj/Default endobj 140 0 obj<> endobj 141 0 obj<> endobj 142 0 obj<> endobj 143 0 obj/Default endobj 144 0 obj/Default endobj 145 0 obj/DeviceGray endobj 146 0 obj/Default endobj 147 0 obj<> endobj 148 0 obj<> endobj 149 0 obj<>stream 0000003815 00000 n Whole person healing occurs in response to one or more strategies facilitated by the complementary practitioner. BJOG 2014;121:1015–9. There is a dependence on materialistic interpretation of physical clinical signs with costly, highly technological and invasive methods of treatment (surgery, radiotherapy, etc.). For example, a woman in late pregnancy reporting a headache following treatment could be experiencing a normal healing reaction, a side effect of therapy overdose, a relatively normal stress or tiredness headache, or she could be developing pre-eclampsia. For these reasons alone, complementary therapies fit well with women wanting as natural a pregnancy and birth as possible, without unnecessary intervention, enabling them to remain in control and to have a satisfying psycho-social, physical and spiritual experience. Unfortunately, conventional medicine often seeks to suppress these symptoms rather than to determine the underlying aetiology. However, this author believes that, in pregnancy, the woman should be informed of the possibility of a healing reaction since lack of knowledge may lead her, in such an event, to report to the maternity unit with symptoms for which no ostensible cause can be found and which may be misinterpreted by colleagues as an obstetric complication. The word “therapies” is often used to define manual strategies such as massage, reflexology, shiatsu and other touch techniques such as reiki or the “laying on of hands”. In practice, most women are, by this time, so desperate to feel better that they are prepared to do anything which may help, and the thought of another 24 hours of symptoms somewhat pales into insignificance against the hope that the treatment may improve the condition. Complementary therapies are used together with conventional medicine while alternative therapies are used instead of conventional medicine, although they are sometimes used at the same time as, but not in deliberate concert with, conventional medicine. The scientific community opines that complementary practitioners lack the training and expertise to diagnose “correctly” – that is, in terms of a medical label – and many doctors believe that this leads to missed or inaccurate diagnoses and, by inference, inappropriate or inadequate treatment. Some people with cancer may consider using complementary therapy in addition to standard cancer treatment. Regulations apply either to the practice of a single therapy or recognise a diverse range of therapies. Achieving health may be a means to an end or part of an ongoing process. 0000004520 00000 n / Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland : a prospective questionnaire survey. Many pregnant women will report changes in their sleep patterns following treatment, either sleeping better than normally, or experiencing difficulty in getting to sleep, with frequent waking and vivid dreams. Table 1.1 summarises the healing reaction. 0000007026 00000 n It should not be confused with the adverse reactions which constitute overdose or side effects that may occur from inappropriate use of natural remedies such as aromatherapy oils or herbal medicines. This, then, is not curing but healing – and healing the whole person. H�|T�n�F}�W���t.��(yij�u�܀(p�$(���Z��1$��}ɡ�NQ��\�<�����?M�\9X�w�1.��ބy 䶐���sX�.0�Vd0�]������T�qV�x���? 0000015326 00000 n Ongoing treatment is designed to maintain homeostatic balance throughout the body, mind and spirit. Healthcare professional views and experiences of complementary and alternative therapies in obstetric practice in North East Scotland: a prospective questionnaire survey. w]�5,�uNiؙ�K��ų����o�a���\�8��aؠ�4����:����ɱ��( �]���е��#��#U8M5�������!�M�#� Bach or Bush). Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay JS. Introduction to Complementary Therapies in Maternity Care. [� �ކ�i�; �` L/��``m�ꨉtt�ܰ�傔b)���2bs��p*��rd>���8'59C��!����6BQ�w|��>����g� C�؂�Y,gP�����4 ,��.f�����H��)��ˁ43' 4�r Complementary Therapies in Clinical Practice Journal. “Whole person” healing: holism and individuality. The therapeutic relationship and the placebo effect. 0000038611 00000 n When asked to give an example of complementary therapies, the nurse gives: a. eating a macrobiotic diet to treat cancer instead of having surgery. 8. pp. In the 1990s a government working party was set up to examine the issues surrounding complementary medicine, concluding that there was a need for greater regulation, more research, better education of practitioners and more integration into the National Health Service (NHS) (British Medical Association 1993). c. practicing naturopathic medicine, a natural means of promoting health. Whole person healing occurs in response to one or more strategies facilitated by the complementary practitioner. 0000016650 00000 n endstream endobj 157 0 obj<> endobj 158 0 obj<> endobj 159 0 obj<>stream An example of this is the routine postnatal examination of a mother, which focuses on the completion of “tick charts” in assessing her for pathological complications such as retained products of conception, breast abscesses or perineal infection. endstream endobj 150 0 obj<> endobj 151 0 obj<> endobj 152 0 obj<>stream Given that most licensed drugs originate from various plant products, this is perhaps not surprising, but unfortunately, the isolation of identified active constituents when produced synthetically for commercial medicines produces side effects that are not normally apparent in the plants (see Chapter 2, Herbal medicine). CHAPTER 1    After-care advice for self-care following treatments: drink plenty of water; avoid stimulants, e.g. Often the client will experience an exacerbation of the presenting symptoms, or the development of new ones as the body rids itself of the toxins, or even the resurgence of old clinical problems such as pain at a previous surgical or fracture site. Statutory regulation, in 1993 and 1994 respectively, has now given osteopathy and chiropractic the status of “professions supplementary to medicine”. 0000003503 00000 n Resolving the predominating symptoms or condition is seen as “fixing” the person, with little explicit awareness of associated emotional, social or spiritual issues. An overview of systematic reviews. Obviously, in maternity work, it is essential that the practitioner can differentiate between a normal healing reaction, an adverse reaction (side effect) to the therapy through inappropriate or incorrect use, or the onset of a pathological complication of pregnancy. Common reactions that are experienced in response to many therapies include headache, nausea, lethargy, general aches and pains, skin reactions, congestion, mood swings and emotional effects, or worsening of the presenting symptoms. 0000004361 00000 n 0000038387 00000 n !������ Latest Articles. 0000007001 00000 n 0000002479 00000 n On the other hand, the word “therapies” implies practices that are more supportive and tends to include those commonly used by midwives, nurses and physiotherapists and by practitioners of therapies that require less rigorous preparation for practice, such as aromatherapy, massage and reflexology. On the other hand, it is important to be cautious in dismissing those that have not yet been scientifically tested, since this does not mean that they are universally ineffective or harmful. H���An�0������'���:���ԐiF���H��ؖ��!$X�c[���C�Or�����x=� �W�� �����o�g{��eb����:Id�Y��I"b ���DXA*-R'�%�GRIL�Ψ�Q�����H�$b��B�"���h7�$��Q���:Id����D8��-R'��AW{I�$��Po��&9���N߮�ޑ&I� �I]$���f�$5X�C�IY Complementary therapies and natural remedies are very powerful therapeutic entities which, when used appropriately, have the power to improve health and wellbeing. 0000004759 00000 n Further, they believe that, whilst complementary therapies may alleviate subjective symptoms, they cannot cure the condition. Symptoms of a healing reaction usually occur during the treatment session or within the first 24 to 48 hours afterwards, and are generally worst following the first treatment (Gunnarsdottir and Jonsdottir 2010). There is, however, a necessary distinction to be made between centuries-old practices that have a well-developed body of clinical “wisdom” embedded in the belief system of a particular society, versus practices introduced in recent years by a few well-meaning but unscientific practitioners working in isolation from their peers and without any rigorous testing. Complementary therapies can feel like a more natural approach. Conversely, over-stimulation of one element can trigger disharmony in the other aspects, such as the impact of emotional stress or distress on the physical body, a feature very common to complementary diagnosis and treatment. Stewart D, Pallivalappila AR, Shetty A, Pande B, McLay JS. The same symptoms in two different people may have vastly different causes and effects. Remember that natural doesn’t always mean harmless, though. 0000003043 00000 n This includes numerous therapies claiming (illegally in the UK) to “cure cancer” but which are embraced by desperate people. Complementary therapies may take a more holistic approach, which means they focus on treating your whole body rather than part of it. • the use of complementary therapies and natural remedies in pregnancy and childbirth This includes numerous therapies claiming (illegally in the UK) to “cure cancer” but which are embraced by desperate people. It was established in 1995 as Complementary Therapies in Nursing and Midwifery, obtaining its current name in 2005. In practice, most women are, by this time, so desperate to feel better that they are prepared to do anything which may help, and the thought of another 24 hours of symptoms somewhat pales into insignificance against the hope that the treatment may improve the condition. <<3347e33cff4d98428dd94da3b1bf7b2b>]>> 0000042233 00000 n There is little attention to preventative medicine, possibly because health education requires a long-term strategy that is certainly longer than the duration of office of any one political party. The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. However, the placebo response is somewhat different, being seen by some as unpredictable, unreliable and impacted by non-specific mechanisms that are usually dismissed as immeasurable and irrelevant. 0000008383 00000 n 0000004599 00000 n In fact, all of these aspects may contribute to the overall positive response – indeed, the placebo response is in itself a powerful entity – but this is not the only mechanism of action. In complementary medicine, achieving wellbeing involves facilitating the inner resources of the individual as an active participant in her own health. 0000042988 00000 n On the other hand, it is important to be cautious in dismissing those that have not yet been scientifically tested, since this does not mean that they are universally ineffective or harmful. 0000004123 00000 n Conventional medicine categorises people, diseases or symptoms, enabling practitioners to apportion a label, using a common language that is understood by the whole medical community. Introduction to Complementary Therapies in Maternity Care Many pregnant women will report changes in their sleep patterns following treatment, either sleeping better than normally, or experiencing difficulty in getting to sleep, with frequent waking and vivid dreams. 0000017798 00000 n Plants have always had an important part to play in human health and wellbeing, providing not only the oxygen we breathe, but also energy from the food we eat and phytomedicines (plant remedies), the value of which is only now being recognised. The former is usually applied to modalities used by medical practitioners or by complementary professionals practising more mainstream disciplines such as acupuncture, medical herbalism, homeopathy, nutrition, hypnotherapy or osteopathy. We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. Further, this medicalisation of preventative biomedicine means that the responsibility of individual “patients” is effectively disengaged, tacitly permitting them to engage in risky behaviours, for example smoking, in the unconscious belief that medicine will resolve any adverse effects. There is, in fact, no standard by which “normality” can be assessed, nor is there a single treatment for a common set of symptoms. �j-�\��F�DxV0P��J���J2��|l6��S2ɚ~�ƞ2;���3��96����bU^ It is worth debating here whether or not women should be warned about a possible healing reaction prior to starting complementary treatment for a specific condition. 0000037644 00000 n 109 72 0000011123 00000 n One, an obstetrician, would not refer to anyone, but would “deal with” the woman himself. 0000003893 00000 n These therapies are often viewed as merely relaxing, without the capability to “cure” disease, although they are extremely popular with the general public. 0 The former is usually applied to modalities used by medical practitioners or by complementary professionals practising more mainstream disciplines such as acupuncture, medical herbalism, homeopathy, nutrition, hypnotherapy or osteopathy. An example of this is the routine postnatal examination of a mother, which focuses on the completion of “tick charts” in assessing her for pathological complications such as retained products of conception, breast abscesses or perineal infection. %PDF-1.4 %���� Also, since many pregnant women only seek complementary treatment for specific problems when their symptoms become intolerable, a warning that the presenting problem could potentially become temporarily worse gives her the opportunity to decline treatment if she feels she could not cope. 0000024013 00000 n There is a subtle difference between the terms “complementary medicine” and “complementary therapies”. In complementary medicine, achieving wellbeing involves facilitating the inner resources of the individual as an active participant in her own health. There have always been traditional systems of medicine across the world, but the advent of biomedicine relinquished these systems to a place in which they were viewed as inferior to western medicine, the prerogative of tribal cultures, to be derided as being of no value. In the event of skin irritation, this could be due to the normal detoxification process of the therapy, a side effect of a natural remedy (such as aromatherapy oils, herbal medicines or energy-based homeopathic or Bach flower remedies), or it could be physiological pruritus or emerging pathological obstetric cholestasis. 0000004939 00000 n 2016). 0000004202 00000 n • conclusion. endstream endobj 160 0 obj<> endobj 161 0 obj<> endobj 162 0 obj<> endobj 163 0 obj<> endobj 164 0 obj<> endobj 165 0 obj<>stream Complementary medicine has previously been marginalised as being primitive, ineffective and, without any real evidence to the contrary, unsafe. 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