ALTERNATIVE MODALITIES OF CARE/COMPLEMENTARY MODALITIES OF CARE.pdf

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ADVANCED NURSING PRACTICE
UNIT – 9 & ALTERNATIVE MODALITIES OF CARE
PRESENTED BY – DOLISHA WARBI
1ST YEAR M.SC NURSING
UNDER THE GUIDANCE OF DR. VIJAMALAR
HOD OF COMMUNITY HEALTH NURSING

INDEX
SL.NO. CONTENT PAGE.NO.
1. INTRODUCTION 3
2. CONCEPTS 3 - 4
3. DEFINITION 5
4. REASONS TO USED ALTERNATIVE THERAPIES 6
5. COMPLEMENTARY AND ALTERNATIVE THERAPIES (CAT)
 Alternative medical system
 Mind body therapies
 Biologically based therapies
 Manipulative therapies
 Energy therapies
7 - 61
5. STRATEGIES FOR INTRODUCING CAT 62
6. NURSING MANAGEMENT 63
7. CONCLUSION 64
8. BIBLIOGRAPHY 65

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3
ALTERNATIVE MODALITIES OF CARE
INTRODUCTION:
Alternative medicine or complementary therapy are used to describe as many as
1800 other therapies practice all over the world.
In 2-million-year history people recover from many illnesses without the
intervention of high technology scientific medicine. A variety of healing practice
clearly existed long before the advance of modern medicine.
They are peace on the medical system of ancient people including: Egyptian,
Chinese, Asian, Indian and Greek and the Native Americans.
CONCEPTS:
The mind and body are indivisible, people have the power to solve their own problems, people
are responsible for the patterns of their lives, and wellbeing is a combination of personal
satisfaction and contribution to the larger community.
In terms of optimal wellness. The concept of balance consists of mental, physical, emotional,
spiritual and environmental components.

Cont..
.
Physical aspects
Emotional aspects
Mental aspects
Spiritual aspects
include optimal functioning of all body system.
include the ability to feel and express the
entire range of human emotions.
include feeling of self-worth.
moral values, a meaningful purpose in life.

DEFINITION:
Alternative or complementary modalities have been defined as ‘treatment
technique whose goal are to evoke healing, taking into account the body- mine –
spirit connection of every individual’ – (DOSSY, 1995).
It is a group of diverse medical and health care system practice therapies and
procedures that are not presently consider to be the part of conventional
medicine.
Then, alternative medicine means practice and healing techniques that are not
generally taught in the medical school, thus alternating with prevailing view.
The Technique that replaced the allopathic medical care.
The words ‘complementary’ gain popularity in the field conveying the idea that the
modalities or technique could be used to complements and enhance the
biomedical treatment system.

REASONS TO USE ALTERNATIVE THERAPIES:
 Poor prognosis.
 Focus of care is comfort not cure.
 Desire to be more active in one’s own health care.
 Reduce side effect of treatment.
 Reduce side effect of diseases.
 Desire to cover all the option.
 Suggestion by family, friend and society.
 Less expensive than conventional medicine.
 Dissatisfactions with or loss of trust in conventional medicine.
 Desire to treat the diseases in a natural way.
 Decrease the feeling of hopelessness and helplessness.
 Improve the immunity system.
 Improved the quality of life.

COMPLEMENTARY AND ALTERNATIVE THERAPIES (CAT):
• CATs are intervention for improving, maintaining and promoting health and
wellbeing, preventing diseases or treating illness that are not a part of the
standard North American systems of health care or diseases prevention.
• CLASSIFICATION OF CATs:
1) Alternative medical system.
2) Mind body therapies.
3) Biologically based therapies.
4) Manipulative therapies.
5) Energy therapies.

Cont..
1)Alternativ
e medical
system.
1)Mind body
therapies.
1)Biologicall
y based
therapies.
1)Manipulati
ve therapies.
1)Energy
therapies.

Cont..
1. ALTERNATIVE MEDICAL SYSTEM:
I. A common feature across the alternative medicine system is an emphasis on
working with internal natural forces to achieve a harmonic state of mind and
body which can promote a sense of wellbeing and comfort.
• Some types were;
a) AYURVEDIC MEDICINE
b) SIDDHA
c) UNANI & TIBBI
d) HOMEOPATHY
e) NATUROPATHIC MEDICINE

Cont..
a) AYURVEDIC MEDICINE –
• Ayurveda is a system of healing base on homeopathy and naturopathy, with an
extensive use of herb.
• Ayurveda comes from . It
considers the diseases resolved from the accumulation of toxin in the body
and an imbalance of emotion. It prescribed individualized diet, detoxification,
cleansing from orifice, medication and yoga.
• As per Indian Heritage and science “ayurveda” is an unpaved or annexure to
the four main Vedas (knowledge system).

Cont..
In the Ayurvedic System the prevention of all types of diseases has a prominent
place in treatment including restructurings a patient lifestyle to align with the
causes of natural and the four season to guarantee a complete wellness.
The aim is to remove the causes of disorder, prevent illness and harmonize
body, mind and consciousness. Ayurveda aids in maintaining good health,
increasing longevity and overall quality of life.

Cont.…
b)SIDDHA:
The Siddha Medicine is a form of South Indian Tamil’s traditional medicine and
part of the trio Indian Medicine, Ayurveda, Siddha and Unani.
This system work of Medicine was popular in ancient India, due to the antiquity
of the medical system, the siddha system of Medicine is believed to be the
oldest medical system in the noon universe.

Cont..
Siddha were of the concept that a healthy soul can only be developed through a
healthy body. so they develop method and medication that are believed to
strengthen their physical body and thereby their souls.
Men and women practice intense yogic practice including years of fasting and
medication unbelieved to have achieved supernatural power and gain the supreme
wisdom and overall immortality.
According to the Siddha Medicine system diet and lifestyle play a major role not
only in hell but also in curing diseases.
c)UNANI & TIBBI
Unani-tibbi denotes Arabic or Islamic medicine, also known as prophetic medicine.
As an alternative form of Medicine, Unani was found favor in Asia, especially India.
Elements in unani is considered to be fire, water, earth and air in the human body.
These elements are present in different fluids and their balance leads to health
and their imbalance leads to illness.
All these elaboration the theory postulate the present in the human body of blood
phlegm, yellow bile and black bile.

Cont..
Each person’s unique mixture of this substances determines his temperament:
A Predominance of blood give a sanguine temperaments; a predominance of
phlegm makes one phlegmatic; yellow bile, bilious (or choleric); and black Bile,
melancholic. As long as this humor are imbalance, the human system is healthy,
it’s imbalance can result in diseases.

Cont..
d)HOMEOPATHY:
It is a system of therapy based on the concept that diseases can be treated with
drugs (in minute dose) which are capable of producing the same symptoms in
healthy people as the diseases itself.

Cont..
Hemopathy was developed in Germany in the late 1700s, hemopathy is based on
the principle that like cures like, a set of symptoms is believed to cure the same
symptoms when it is given in minute doses.
A hemopathy medicine are taking original substances from plants, animals and
minerals and highly diluting them. It is believed that body’s own healing ability is
stimulated by these medicine. They are sold over the counter without prescription.
They are so light that they are consider to have very less side effect.

Cont..
e) NATUROPATHIC MEDICINE:
It is a system of therapy based on preventative care I am on the use of heat water
light air and massage as primary therapist for diseases.
This therapy began as a formal health care system in US during the early nineteen
thousands. Found it on feeling of measure emphasize prevention and treatment of
diseases through a healthy lifestyle, treatment of the whole patient I am use of
body natural healing abilities.
This system also focus on finding the causes of diseases rather than merely
treating symptoms.

Cont..
1. It cures the disease by harnessing the body owns natural healing
power.
2. Synthetic drugs and invasive procedure, it stresses the restorative
power of nature. It takes serious the motto first do not harm it relies
on natural healing approaches such as Herb Nutrition and movements
and manipulations of the body.
It attempts to eliminate the fundamental causes of illness, not simply to
remove symptoms.

MIND – BODY & SPIRITUAL THERAPY:
It involves psychologic social and spiritual approach.
HYPNOSIS:
Hypnosis, also called hypnotherapy, is a state of deep relaxation and focused concentration.

Used…
It is a state of attentive, focused, concentration with suspension of some peripheral
awareness. It has 4 components;
1) Absorption or deep contemplation of a theme or focus.
2) Control alteration of attention.
3) Dissociation compartmentalization of one own’s experience.
4) Suggestibility or capacity for heightened responsiveness to instruction.
Hypnotherapy can be used to treat or help treat purely psychological symptoms. It
includes;
i. Phobias.
ii. Certain pain syndrome.
iii. Conversion disorder.
iv. Irritable bowel syndrome.
v. Headache.

Cont..
vi. Asthma.
vii. Some skin disorders (warts & psoriasis).
viii. High blood pressure.
ix. Nausea and vomiting caused by chemotherapy.
x. Anxiety and diminished quality of life in people who have cancer.
IMAGERY:
It involves mental processes that encourage attitude, behavior or physiologic
reactions.
It attempts to cause an internal representation of even that involves senses.
It believe to be the natural language of the unconscious mind and involves
thinking with 1 senses.
It communicates information between mind, senses and emotion so that
psychologic insists or bodily responses can become agent of therapeutic change.

USES..
• More in control of one’s health or recovery process.
• To treat anxiety.
• Enhanced immune response.
• Helps children’s to cope with the stress of illness.
• Health conservation cope with pain.
• Support the dying process.
• Provide support during stressful procedures in conjunctions with music healing.
• Support coping.
• Promote relaxation.
• Enhance post operative recovery.

GUIDED IMAGERY
Guided Imagery involves the use of mental image to promote relaxation and wellness,
reduce pain, or facilitate healing of a particular element such as cancer or
psychological trauma.
The image can involve any of the senses and maybe itself directed or guided by the
practitioner sometime in a group settings.
For examples; A person with cancer might be told to imagine an army of white blood
cells fighting against the cancer cell guided imagery have not been thoroughly
scientifically studied, but many people claim to have had success with it.

SPIRITUALITY:
Spirituality is once inward sense of something greater than the individual self, a
personal awareness of dimension of existence that extends beyond the physical
domain.
Spiritual understanding depend on a basic faith and it has no tangible or physical
benefit or value.
The healing components of spirituality involves the intentional influence of one or
more persons on a living system without using known physical means of
interaction.

PRAYER
It is a conscious relationship with the force of the universe or God.
• FORMS – prayer, confessions, gratitude or silence communion.
• It involves no direct physical contact, no attempt to do anything or give anything. The only
goal is to become one with the person and his God.
The words use in prayer may take the form of intercession, a hymn, incantation, words of
gratitude or a spontaneous utterance in the person praying words. Praying can be done in
public, as a group, or in private.

MEDITATION
Meditation is a practice in which an individual uses a technique – such
as mindfulness, or focuses the mind on a particular object, thought, or activity –
to train attention and awareness, and achieve a mentally clear and emotionally
calm and stable state.

Cont..
Meditation creates a state of deep quiet contemplation that filters out
distractions and seek to refine consciousness so that thought and being are in
tune with the universal plan.
It redirect energy for healing, decrease stress, decrease oxygen consumption,
cardiac and respiratory rates, Contraindication - schizophrenia or psychosis (20
minutes). It also reduce pain, and enhance peace, perception, self-concept,
and well-being.

YOGA
Yoga is a philosophy that integrate the spiritual, mental, emotional and physical
aspect of life
The words yoga mean the union of different aspects of the individual.
YOGA therapy eases oneself from the cramped tension. Concentration is enhanced by
yoga. It cures all diseases and control the aging process. Its daily practice is often
seen as a way of gaining control over our health.
Yoga therapies consists of 3 basic part of which body work together:
PHYSICAL POSTURE
BREATHING
TECHNIQUE
RELAXATION
TECHNIQUE

Cont..
PHYSICAL POSTURE:
BREATHING TECHNIQUE:
RELAXATION TECHNIQUE:
Mainly help to recharge an ease-tension.
It helps to stretch and strengthen our muscles. It also improves our mobility,
flexibility and balance. The proper posture enhances the body’s natural function of
circulation elimination, respiration, and digestion.
It mainly focuses on awareness of breath and help promote calm, focus the mind
and relieve stress and fatigue.

BENEFIT:
vIt shows positive result in treating depression.
vDeep breeding associated with yoga is beneficial in controlling premature
ventricular complexes.
vYoga therapy is benefited in push treating strategy, breast cancer and order
survivor.
vBenefit involves emotional function, fitness variations and psychological
benefits. It show variation in tension, mood disturbance, cognitive function
and gastrointestinal disturbance.
vRegular exercise increase bodies ability in using antioxidant. This is
beneficial in the prevention of cancer.
vYoga improves nerves function and lower blood sugar in diabetic patient.
vYoga help in treating some problem like asthma, respiration problems back
pain, etc.. it helps in weight reduction.

GROUP THERAPY:
Group therapy is a form of psychotherapy that involves one or more therapists
working with several people at the same time.
It usually center around a common theme. It provide mutual support encouragements and
socialization.
Uses in psychological therapy to work through grief and loss to lose weight, or to work on
self improvement.
Eg..breast cancer survivor groups.

ART & COLOUR THERAPY:
Art, light an environment affects the mood attitude.
Art and color allowed a person to express inner needs and desire record dreams
and meditation.
Art and colored therapy may be used along with other mind and body therapies.
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BIOFEEDBACK
DEFINITION:
Biofeedback is the method of bringing unconscious biologic processes under
conscious control. It involves the self regulations or voluntary control of an
internal state.
Biofeedback involved the use of electronic device to measure and report back to
the conscious mind information such as muscle tension, and brain surface
electrical activity.
Patient learned to regulate their physiologic function in subtle way through the use
of non-invasive electronic monitoring equipment involving blood pressure, heart
rate, skin temperature, electroencephalograms or electromyogram recording.
Allows patient to participate in this own healing.
It is helpful in treating hypertension, paynand disease migraines and lower back
pain.

RELAXATION THERAPY
Relaxation therapy used as a part of stress management.
Stress erodes health and well being. It affect;
Ø Nervous immune system.
Ø Emotion.
Ø Relationship with others.
Stress management technique may reverse diseases and lower blood pressure
and heart rate.
It can be somatic and cognitive.
SOMATIC– it use observation to purposefully relax muscle.
COGNITIVE– uses as a mental device such as word, sound or breathing to relax
the body and mind.
Relaxation technique are effective in,
1) Reduction of chronic pain.
2) Headache.
3) Back pain.
4) Menstrual pain.
5) Post operative pain. Etc..

PSYCHONEUROIMMUNOLOGY
It is the study of mechanism that turns thoughts and feelings into chemical and
neurologic sequelae.
It explore the interaction between behavior, neural and endocrine activity and the
immune process.
Physiologic distress can suppress the immune system
At the same time a person can walk with mind and emotion to increase
resistance to disease or to influence recovery.
USED IN:
• Headache.
• Blood pressure.
• Heart rate and rhythm.
• Ulcer.
• Irritable bowel syndrome.
• Pain, anger, anxiety, panic.
• Reduce muscle spasm.

BIOLOGICALLY BASED THERAPIES
It includes the use of natural products botanical, herbal and nutritional supplements.
HERBAL MEDICINE: (phytomedicine) – the used of plant material for medical purposes.
Herbal product are relatively safe because of the lover concentration of active ingredients.
Therapeutic effective time to develop.
Pharmacologic action are not well understood.
These are not usually approach in emergency or acute care situation, most often use for
patient with chronic illness. It has potential drug interaction with prescribed drugs.
HERBAL MEDICINE NUTRITION

Cont..
The following of some of the herbs commonly thought to be effective:
• St. John’s Wort – Effective for mild and moderate depression and fatigue.
• Ginkgo Riloba – Relieving the symptoms of dementia and support memory in
older people.
• Ginger – Effective for nuisance and vomiting.
• Horse chestnut seed – Alleviate the symptoms of varicose veins.
• Tee tree oil – Effective against fungal infection such as athlete’s foot.
• Vegetable (onions and garlic) – Protects against cancer if eaten regularly.

NUTRITIONAL THERAPHY
Nutritional therapy is a system of healing basis on the belief of food as nature
intended provided the medicine we need to obtain and maintain a state of Health.
Our food is our medicine and our medicine is our food
Nutrition is one of the most commonly used CATS
Play a major role in the prevention and treatment of chronic illness.
Food are associated with improvement of certain symptoms.
Many conditions can be relieved quickly by nutritional therapy including disorder
ranging from chronic fatigue, energy loss, insomnia and depression, to back age,
skin complaint, asthma and headache.
It is safe for;
Babies
Children and
Adult.

AROMATHERAPY
Aroma therapy involves the use of essential oil hydrosols to promote health and
balance and heal the mind body and spirit.
HISTORY:
• Used since 5000 years.
• Distillation device to extract oil were found in Mesopotamia
• Egyptians embalmed the dead with oil.
• World War 1 &2 soldiers carried lavender oil to disinfected wound.
• Dr. Rene Maurice Gattefosse coined the term aromatherapy he is called
“father of the modern aromatherapy”
• Smell can affect intuition, emotion and creativity person reaction to
odor occur on an emotional and subconscious level.
• Smell is connected with memory – maybe pleasant or painful.
• Oil contain hormones, vitamin, natural antibiotics and antiseptics.

Cont..
USED:
• It may be used with or without touch therapies.
• Aromatherapy hydrosol are mixed with a base oil of lotion and applied to
the skin.
• It can be used in massage lotion, bath, compresses, steam inhibition, hair
and skin care product.
• Small quantities are therapeutic but larger quantity can be toxic.
• Internal use Irarely recommended.
ODORS VIA THE OLFACTORY
STIMULATE THE LIMBIC SYSTEM OF BRAIN
CONTROL PRIMITIVE NEEDS – HUNGER, THIRST & EMOTION

BACH FLOWER REMEDIES
Bach flower remedies was discovered by the British physician Edward Bach.
The combination are selected from among 38 common non toxic flower.
For example rescue remedy is a combination of five flower;
i. Star of Bethlehem.
ii. Rock Rose.
iii. Impatient.
iv. Cherry plum.
v. Clematis.
This remedy is used to deal with everyday emergency.
It is begin and produce no unpleasant reaction and it is preserve using brandy.
Two or three drops under the tongue or glass of water that they sipped throughout
the day.
Hydrotherapy baths, douches and packs can also be made with Bach flower
remedies.
Used to treat anxiety, depression, ADHD, pain.

MANIPULATIVE AND BODY BASED THERAPIES
Manipulative and body based therapies integrates the structural and functional integrity of
the body using manual methods.
It include:
MASSAGE
CHIROPRATIC
CRANIOSACRAL
TRAGER
ALEXANDER TECHNIQUE
REFLEXOLOGY

MASSAGE
It manipulates the soft tissues, skin, muscle, tendon ligaments, fascia and structure with in
the soft tissues.
It may use their hand, forearm, or elbow to apply pressure and move the body tissue.
Technique include touch, stroking (effleurage) friction, vibration, percussion (tapotement),
kneading (petrissage), stretching and compression.
Origin found in folk medicine.

USE
vIt integrates mechanical, physiologic, reflexive, mind - body and energetic
mechanism.
It affects;
• Musculoskeletal
• Circulatory
• Lymphatic
• Nervous
• Other body system.
vIt reduces muscle tension.
vIt improves circulation.
vIf decrease blood pressure.
vIt reduces acute and chronic pain.
vIt increases joint mobility range of motion.
vIt increases oxygen delivery to the tissue.

CHIROPRACTIC
It is a licensed health care profession that emphasizes the body’s ability to heal itself.
It means “hand works” and refer to Manuel Therapy that focus on the spine and its effect on the
nervous system. The practitioner analyzed structural relationship and manipulates them to restore
proper alignments and function.
USED IN:
• To treat shoulder pain.
• Lower back pain.
• Temporomandibular joint
disorder.
• Spinal disorder.
• Altered muscular skeleton function.
• Altered flexibility.
ADVERSE EFFECTS:
• Brain stem or cerebellar infraction.
• Spinal cord injury.
• Vertebral fracture.
• Tracheal rupture.
• Diaphragm paralyzes and even death.

CRANIOSACRAL THERAPY
Therapy is based on the theory that cranial sacral rhythm or pulse motion reflects the rise
and falls of the cerebrospinal fluid within the dura-meter compartments and occur 6 to 12
times in a healthy person.
It is believed that the skull sutures are not entirely fused, as it commonly believe but can be
used to assess the flow of cerebrospinal fluid through the dual membrane.
The therapist walked with the patients to identify where the pulsing rhythm is obstructed.
They monitor the rhythm using light gentle torch or no heavier 5gm.
After identifying an obstruction, the practitioners assess the natural’s flow of fluid to help
the body self correct. Work in this area can increases energy flow and break up restriction.

USED
Some uses are as follow:
CRANIOSACRAL
THERAPY
DECREASED STRESS AND
ANXIETY
TREAT FATIQUE SYNDROME
RELIEVED HEADACHES
RELIEVE JOINT PROBLEMS
TREATMENT FOR ALZHEIMERS
AND DEMENTIA
IMPROVE QUALITY OF SLEEP
NURTURES HEAQLTHY
PREGNANCY

TRAGER THERAPY
MILTON TRAGER – 1920
It uses gently rhythmic movements or rocking to give the mind sensory information about
where body parts are and how they feel and move.
It connect a person to his body, stimulates deep relaxation and focuses on a model of
optimal functioning
This approaches provide a background for physical therapy, occupational therapy,
chiropractic care, physical rehabilitations and psychotherapy.
Also involves a program of “do it yourself exercise”.
USED in;
• Reducing muscle stiffness.
• Relieving chronic headaches.
• Relieving shoulder pain.
• facilitates deep relaxation.
• increased physical mobility, and
mental clarity.

ALEXANDER TECHNIQUE
Australian Frederick Mathius Alexander Shakespearean reciter developed the technique
(vocal problem)
If the system of posture and movement that capitalized on the body’s natural grace and
poise, the technique focuses on postural reflexes or anti gravity reflects “the uses of our
self”.
Use in performing art physical therapy.
BENEFIT:
• Chronic pain.
• Traumatic injury.
• Back hip and neck dysfunction.
• Repetitive stress injuries.
• Neurological dysfunction.
• Respiratory dysfunction.
• Posture or balance disorder.

REFLEXOLOGY
Reflexology involves applying pressure with the thumb and fingers to stimulate the
reflex area in the feet and hands that correspond to all the glands organs and part of
the body.
It can improve the whole functions of the body or a specific targeted area that may be
distant from the area being stimulated.
It encourages energy flow and remove impurities to promote healing.
It is based on the theory ‘blockage of the body's energy’ which leads to energy loss
discomfort and illness.
They work each reflexes, triggering releases of stress and tension in the
corresponding area or body zone and promoting overall relaxation response.
USED IN;
• Relaxes the nervous systems.
• Boosts circulation.
• Improves energy levels.
• Releases toxin. etc..

EXERCISE
It is the movement that promote health and fitness including cardiovascular endurance,
muscle strength and body flexibility.
is a type of rehabilitation that uses physical activity to help treat injuries or conditions
• Stretching relaxes and loosen muscle released toxins.
• It decreases stress hormone.
• It improves relaxation.
• Deal with stress more effectively.
• Improve cardiovascular and pulmonary function.
• Decrease hypertensions, diabetes, osteoporosis
and depressions.

ENERGY THERAPIES
• Energy therapies include;
Acupuncture.
Acupressure.
Therapeutic touch.
Reiki.
Psychoacoustics.
Bioelectromagnetic.
All living system are
based on energy and
vibration and all form of
body worked interact
with this energy in some
ways.
Energy therapies
are based on the belief
that a vital life energy
flows through and around
your body.

ACUPUNCTURE
It was developed in China, has been used in >2000 years. It stimulating specific
anatomic point in the body for therapeutic purposes.
Body has >400 acupuncture points which connected 12 main and 8 secondary
meridian.
These point are stimulated by using a thin hair size needle.
They may also use heat, pressure, light or impulses electromagnetic energy.

USED
It is used in;
• Addiction.
• Headache.
• Menstrual cramp.
• Tennis elbow.
• Myofascial pain.
• Osteoarthritis.
• Lower back pain and
stroke rehabilitation.
• Carpal tunnel syndrome
and asthma.

ACUPRESSURE
It is a combination of acupuncture and massage in which the thumb and fingertip
apply pressure to stimulate pressure point along the acupuncture meridian.
Acupressure pressure may be incorporated into a massage therapy session.
Use for relieving chemotherapy associated nausea and vomiting.
BENEFIT:
• RELIEVING PAIN.
• REDUCING PMS SYMPTOMS.
• CALMING NAUSEA.
• INDUCING LABOUR.
• INSOMIA.

THERAPEUTIC TOUCH
It developed in 1972 by Dolores Krieger a nurse and Professor (New York University) and
Dora Kunz a natural healer.
• The uses of the hand on or near the body with the intent to help or heal.
• Contrary to the name implies, the therapeutic touch practitioner modulates the patient’s
energy field without physically touching the patient.
• The technique is based on Roger’s theory of unitary human being. The body is an open
energy field that interacts with environment. The practitioner consciously directed
sensitively modulates human energies.
• Therapies center then assess the energy field, unruffles or clears immobilized the energy
field, directs energy and balances energy field.
USED;
• To decreased pain perception and anxiety.
• To improved wound healing.
• To promote relaxation.

HEALING TOUCH
The practitioner uses the hands to clear energize, balance the human energy
field, thus mobilizing the persons own’s ability to heal.
It was offered in the 1980s as a continuing education program for nurses by
American Holistic Nurses Association.
It is widely used in conjunction with allopathic treatment.
BENEFIT;
• Reduction of stress.
• Improving anxiety and depression.
• Decreasing pain.
• Immune function.
• Enhancing recovery from surgery.
• Deepening spiritual connections.
• Supporting cancer care

REIKI
Practitioner use a technique similar to the laying on of hand, in which it is claimed to
channel for energy “ki” guide by universal spirit or spiritual nature “Rei” following through
palms to heal a person wherever they may need healing.
USES IN;
• Reduce stress.
• Increased relaxation.
• Improves sleep.
• Restore inner peace and harmony.
• Balance mind and emotion.
• Reduce pain.
• Stimulate the immune system.
• Fasters living in the present.
• Speed recovery from surgery and illness.

VIBRATIONAL MEDICINE
All matter is believed to vibrate to precise frequently.
Vibrational medicine uses fluctuating energy field from electronics device, the human voice,
or musical instrument to promote health.
The use of resonance vibration through music and sound can produce changes in heart rate,
blood pressure, brain waves, muscle contraction and restore the balance in the body.
BENEFIT:
• Reduce stress.
• Reduce pain.
• Ease blockages and tension.
• Reduce depression.
• Improve sleep.
• Boost creativity.
• Improve concentration.
• Balance energy fields (aura) and chakras.

PHYSIOACOUSTICS
It’s specifically applies low frequency stimulation to the body to obtain
desire effects.
It is used in waves in the range of 20 to 120 Hz.
The subject may sit in a special chair or lie on a special mattress.
Pre selected frequency or sounds or play through simple speaker and are
more fell than heard.
Contraindication- acutely herniated disk.
Uses - reduction of stress, anxiety, pain.

BIOELECTROMAGNETICS
It explores the interaction of electromagnetic field and radiation with living tissues.
All physical bodies has magnetic fields.
The Earth has a geomagnetic field of 0 .5G.
Exogenous static and electromagnetic field influence and moderate the properties of
biological system, yet there is no consensus about how they operate.
Uses in diagnosis – ECG, EEG and MRI.
Eye magnet (to remove sharp) to treat retinal tears, external cardiac
defibrillators and peacemaker.
Research is going on to use in wound healing and the treatment of muscle, bone
and joint pain.
Women with bladder incontinence and men who have had prostatectomies are
using chairs with pulsed magnetic field to improve continence.

STRATEGIES FOR INTRODUCING CATs
• Identify the goal of treatments.
• Assess patient KAB on CATs.
• Etiquette CAT options.
• Offer option that may be beneficial to the patient.
• Share current research outcomes.
• Discuss expected outcome of therapy.
• Obtain clinical informed consent.
• Ask the patient to evaluate the therapy.
• Take notes on every therapy perform by the patient.

NURSING MANAGEMENT
• Nurse must be aware of and sensitive to patient interpretation about health, illness.
• Promotion and Prevention aspect.
• Unique health practice and belief must be identified and respected.
• Nurse need to knowledgeable about cultural belief and alternative practices.
• Deliver effective individualized holistic care.
• Nurses need to be knowledgeable about CATs and their complication, contraindication,
potential benefit and adverse effect.
• Use of special pavers, special food are integrated into the plan of care whenever possible.
• Success may be small (cultural food relaxation exercise) but their cumulative effect can
be powerful.
• Suggest to the patient to give a daily log of therapy use and documented symptom
improvements and side effects.
• Helps the patient explore CATs therapy that are suitable for them.
• Is important for patients to know how to assess and evaluate safe and competence
practitioners.

CONCLUSION
• The integrative medicine approach is consistent with the holistic approach
nurses are thought to practice many nurses should be knowledgeable,
skillful and competent enough to make appropriate recommendation for
CATs, to the allopathic primary care providers about which therapies may
be useful for the clients who does not want to continue any conventional
treatment.
• It also helped to maintain the equilibrium by maintaining the health and
promoting, preventing from various illness.
• Is becoming a human concerns, so people are turning to alternative
approach so the prospects of alternative approach is bright.
• New therapist demonstrate their effectiveness they can be added to the
assessment, it is expected that the CATs will become a longer part of
nursing which is helpful for both the client and the nurses practitioner.

BIBLIOGRAPHY
• Shebeer. P. Basheer, S. Yaseen Khan, A concise text book of advanced nursing practice,
Manjunath S. Hegde Proprietor, EMMESS medical publishers page no: 661 – 673.
• Alternative Modalities of Care [Internet]. Scribd. Available from:
https://www.scribd.com/presentation/177809509/Alternative-Modalities-of-Care
• Wikipedia contributors. Meditation [Internet]. Wikipedia, The Free Encyclopedia. 2023.
Available from: https://en.wikipedia.org/w/index.php?title=Meditation&oldid=1167432698
• Alternative modalities and complementary system [Internet]. Slideshare.net. Available
from: https://www.slideshare.net/PreetiBagul/alternative-modalities-and-complementary-
system

THANKS YOU

ALTERNATIVE MODALITIES OF CARE/COMPLEMENTARY MODALITIES OF CARE.pdf

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