Week 8 Concept Of Healing Fall 2024 Student Version-b PDF

THE CONCEPT OF HEALING NURS 1100 FALL 2024 WEEK 8  GETTING SITUATED Last week: Community Health This week: Personal approaches to healing  LAND ACKNOWLEDGEMENT Ontario Tech University acknowledges the lands and people of the Mississaugas of Scugo...

THE CONCEPT OF HEALING NURS 1100 FALL 2024 WEEK 8  GETTING SITUATED Last week: Community Health This week: Personal approaches to healing  LAND ACKNOWLEDGEMENT Ontario Tech University acknowledges the lands and people of the Mississaugas of Scugog Island First Nation. We are thankful to be welcomed on these lands in friendship. The lands we are situated on are covered under the Williams Treaties and the traditional territory of the Mississaugas, a branch of the greater Anishinaabeg Nation, including Algonquin, Ojibway, Odawa and Pottawatomi. These lands remain home to a number of Indigenous nations and people. This history is something we are all affected by as we are all treaty people in Canada. We all have a shared history to reflect on, and each of us is affected by this history in different ways. Indigenous people are actively contributing to making the world a better place and we are grateful to have the opportunity to share this land with them. Our past defines our present, but if we move forward as friends and allies, then it does not have to define our future.  AGENDA Healing Spiritual Health Complementary Therapies Nurse’s Role in Healing  LEARNING OUTCOMES Develop an initial understanding of the concept of healing. Consider personal, family, and cultural health practices and the factors that influence these practices. Introduce complementary therapies and healing practices THE CONCEPT OF HEALING INTRODUCTION TO HEALTH AND HEALING NURS 1100 THE CONCEPT OF HEALING Section 1  WHAT IS MEANT BY “HEALING”? Health vs. healing…is there a difference? What are your fundamental values in defining healing? Is healing part of the nursing role?  HEALING DEFINED An inner process by which the person becomes whole. Lerner, M. (1994). Choice in healing. Cambridge, MA: MIT Press. Occurs within the person and external interventions mobilize the client’s inner healing resources. Micozzi, M.S. (Ed.). (1996). Fundamentals of complimentary and alternative medicine. New York: Churchill Livingstone. HEALING PRACTICES ACTIVITY Divide into groups, share personal healing practices and those from your family/culture. What factors influence healing practices?  EXAMPLES OF TYPES OF HEALING Faith Healing based on prayer and religious faith (e.g. charismatics) Mind cures based on changing mental states (e.g. scientology) Metaphysical healing based on the non-reality of matter (e.g. Christian science) Spiritualism based on intervention by spirits of the dead (e.g. Shamanism) EXAMPLES OF TYPES OF HEALING (CONT’D) Energy medicine based on unblocking energy fields (e.g. Chinese medicine, reflexology, acupuncture, homeopathy, ayurvedic medicine) Hypnotism based on power of suggestion (behaviour modification) Germ theory based on invading pathogenic organisms (scientific medicine)  APPROACHES TO HEALING Bio-medicine Holistic Healing Spiritual Complementary Therapies (# than alternative Therapies / Approaches)  HOLISTIC HEALING The division of the whole person into the three domains of body, mind and spirit is an old paradigm illusion Body, mind and spirit are interconnected Spiritual health is necessary for physical, mental and emotional wellbeing. (Leddy & Pepper, 2003)  HOLISTIC HEALING FROM A HUMAN SCIENCE PERSPECTIVE Jean Watson’s theory as an exemplar patients as a “unitary whole” This perspective instills “intentionality” into care as we help patients make decisions for themselves not make decisions for the patients HOLISTIC HEALING: SPIRITUAL HEALTH Section 2  SPIRITUALITY & RELIGION: KEY CONCEPTS Religion Not the same as spirituality Religion is…. An organized system of beliefs concerning the cause, nature, and purpose of the universe, especially the belief in or the worship of God or gods (Andrew & Boyle as cited in Potter & Perry, 2018, p. 496).  SPIRITUALITY: CHALLENGES There are times in life when spirituality is challenged….  SPIRITUAL HEALTH Nurses must assess and be aware of the Patient’s: Faith/beliefs Ritual & Practice Life & self- Vocation responsibility Client Expectations Life satisfaction Hope/hopelessness Fellowship & Community Trust  SPIRITUAL HEALING INVOLVES… Collaborating with the client/family Consulting with spiritual leaders Incorporating appropriate practices and rituals Mobilizing hope, developing trust  SPIRITUAL HEALING INVOLVES… Being aware of the effect of stress and illness on the client’s resources Reviewing the client’s self perceptions regarding spiritual health, spiritual needs, purpose in life Discussing with family and significant others the client’s connectedness Asking if patient’s expectations are being met  SPIRITUAL ASSESSMENT FICA Spiritual Assessment Tool F: faith and belief I: importance and influence C: community A: address Puchalski, C. (2000). Taking a spirituality history allows clinicians to understand patients more fully. Journal of Palliative Medicine, 3(1), 129- 137.  SPIRITUAL ASSESSMENT Cues to Spiritual Preferences (Kozier, 2014) Environmental Behaviour Verbalization Affect & Attitude Relationships  HOLISTIC HEALING: COMPLEMENTARY THERAPIES Section 3  LEGALLY RECOGNIZED WORLDWIDE  COMPLEMENTARY THERAPIES “Complementary therapies are those that are not part of conventional Western biomedicine. They are therapies that may be used in conjunction with, rather than a replacement for conventional medical treatment. Complementary therapies can also be used alone when they are used to promote health and well being i.e. massage and relaxation techniques.” (Health Canada, 2001).  COMPLEMENTARY THERAPIES USED IN CANADA Herbal medicine Feldenkrais method Traditional healing Alexander technique practices Homeopathy Acupuncture Naturopathy Reflexology Chiropractic Massage WHO 2019. https://www.who.int/publications/i/item/978924151536  THE CNO AND COMPLEMENTARY THERAPIES In 2018 the CNO replaced a number of standards and guidelines – including the Complementary Therapies Guideline Content already addressed in other areas (professional standards, ethics, consent) URL: https://www.cno.org/en/learn- about-standards-guidelines/educationa l-tools/ask-practice/complementary- therapies/  BREAK! Please come back in 15 minutes NURSE’S ROLE IN HEALING Section 4  NURSES ROLE IN HEALING To facilitate another person’s growth and life processes toward wholeness To assist with recovery from illness or with peaceful transition towards death.  FOUR FUNDAMENTAL ELEMENTS OF A HEALING ENCOUNTER Nurse and Client interact within a given context. The encounter is in response to a health experience. The nurse works in a pattern of mutuality with the client. Healing is facilitated in response to a client’s elicitation of nursing involvement and expertise (Kritek,1997)  GUIDING PRINCIPLES OF HEALING Health is a process that may contain disease One’s attitudes and beliefs in life are a major factor in health and disease Any modality or health system that supports healing should be valued Each health system should be respected for its resources and the tools it offers while being challenged to prove it’s credibility  An RN works in a long-term care setting where some residents are prescribed herbal remedies by a physician who practices Chinese medicine. COMPLEMENTARY THERAPIES What are the RN’s accountabilities when administering these substances? ACTIVITY 1: CASE STUDY (CNO, 2018)  CASE STUDY ASK YOURSELF…. What What do What don’t would YOU you know you know do?  WHEN DECIDING WHAT TO DO… Is this an appropriate intervention for this patient? Is this intervention included as part of the recognized care plan? Have I consulted with the broader health care team about this intervention? Have I reviewed organizational policies about using complementary therapies? Do I have the authority to perform this therapy? Am I competent to provide this therapy safely and effectively? Do I understand, and can I manage the possible outcomes of this therapy? (CNO, 2018)  WHAT TO CONSIDER – RESPONSIBILITIES… To assess risks and benefits Be INFORMED Obtain Consent – is the patient informed? DOCUMENT (CNO, 2018)  CONSENT TO TREATMENT According to the CNO (2017) Practice Standard: Consent… Required for any treatment except in certain emergency situations. Consent MUST: Relate to treatment being provided Be informed Be voluntary Not be obtained through misrepresentation or fraud  WHAT IS INFORMED CONSENT? Information includes: Nature of treatment Expected benefits Material risks / side effects Alternative courses of action Likely consequences of NOT having the treatment  COMPLEMENTARY THERAPIES - ACTIVITY Define the therapy that you have been given below Identify what type of approach it falls under Whole medical system Biologically based approach Nutrition as medicine Manipulative and body-based approaches Mind-body interventions Energy medicine  ETHICAL CONSIDERATIONS 1. When a nurse is asked by a patient to perform a complementary therapy (CT) 2. Some complementary therapies do not have a scientific foundation 3. Some complementary therapies may pose risk 4. Patients may not disclose their use of CT to caregivers  Return to your group and discuss the scenario you have been CNO provided with. SCENARIOS - Contemplate a nurse’s role in ACTIVITY healing and a nurse’s scope of practice when developing your answers.  MORE RESOURCES College of Nurses of Ontario (2017). Practice guideline: Consent. http://cno.org/globalassets/docs/policy/41020_consent.pdf College of Nurses of Ontario (2018). Complementary Therapies. http://www.cno.org/en/learn-about-standards-guidelines/edu cational-tools/ask-practice/complementary-therapies/ Public Health Agency of Canada. http://www.phac-aspc.gc.ca/chn-rcs/cah-acps-eng.php RNAO-CTNIG: Complementary Therapies Nurses Interest Group http://rnao.ca/connect/interest-groups/ctnig  Healing is a concept separate from cure Many types of healing therapies exist These are valued by clients SUMMARY Nurses can support traditional, complementary and integrative healing practices Knowledge, informed consent, ethics, documentation is required  NEXT WEEK… Focus on Indigenous Health and Healing Prep work: Complete the ‘Four Seasons of Reconciliation’ online learning module – we will be discussing it in class