SYSTEMS OF CARE alternative medical systems TCM  Originated 200 BC  Body is a delicate balance (Yin & Yang) Qi  The

vital energy  Invisible flow of energy Acupressure  Stimulate body s selfcurative ability  12 major meridians  AR: o SNS, heart dse, HPN, CA Acupuncture  365-700 acupoints  Painless, 15 mins  3 main mechanism -electromagnetic Ayurvedic  Science of life  Balance: -wind/ spirit/ air -phlegm -bile  Forms: -Yoga -Massage -Meditation Homeopathy  Induce s/sx  Heavily diluted preps  > effects similar to sx

MIND-BODY THERAPIES facilitates mind s ability to affect symptoms of bodily functions Journaling  Reflecting, recording  Uses: -new perspective -express -attention to unconscious  Indications: -pain -emotional Guided Imagery  Mental representation  Prior to imagery: -tensing -Deep breathing  Indications: -pain, anxiety -n/v -tx for CA  Adverse Reactions: -o anxiety -diff breathing Meditation  Self-directed practice  4 Types -mental repetition (Mantra) -Physical repetition (walking, labyrinths) -Problem contemplation (riddles, Koan) -Visual concentration (imagery)  Indications: -pain, anxiety -Relieve sx of Psoriasis Animal-assisted therapy  Uses: -motor skills -oability to concentrate

MANIPULATIVE AND BODY-BASED interventions based on body movements Massage  Strokes and pressures to manipulate Soft Tissues -Swedish (vigorous w/ long flowing strokes) -Esalen (light touch) -Neuromuscular (deep tissue) -Shiatsu (Japanese pressure points) -reflexology (foot) Tai Chi  Holistic movement  Promotes flow of Qi

 Indications: -stress/ tension -aggressive behaviour (dementia) -pain, insomnia  Contraindications: -reddened, bruised, infected

 Styles -Chen (quick, slow, long) -Yang (slow, large) -Sun (quick compact) -Tai Chi Chih (simple repetitive)  Indications: -weight loss -stress, concentration. Exercise -energize

BIOLOGIC BASED- natural, herbal preparations and food additives; lack of strict regulations Aromatherapy  Use of essential oils Herbal Preparations  Unregulated, unprescribed -liver toxicity -potentiate other drugs -alter BP, bleeding -electrolyte imbalances -dysrhythmias  Uses: -promote health

ENERGY THERAPIES- using energy within body (biofields) or externally (electromagnetic fields) ; healing touch Therapeutic Touch  Use of hands  Indications: -anxiety, pain Reiki  Healing energy through palms (Tenohira)  Means universal life energy  Intent to transmit Ki  Indications: -stress reduction -relaxation  Clearing away blockages & rebalancing  Indications: -enhancement of Qi flow -circulation External Qi gong  energy work or breath discipline Magnetic unruffling  Fingers as magnets collecting excess energy  Indications: -s/p gen anesthesia -chemical dependency -chronic pain -systemic illness Magnets  Indications: -chronic pain (back) -joint pain

 Metal focus + stretching + movement