Study Of The Effects Of Healing Touch Therapy
Main Category: Complementary Medicine / Alternative MedicineAlso Included In: Pain / Anesthetics; Health Insurance / Medical Insurance
Article Date: 02 Jul 2008 - 1:00 PDT
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Often, a gentle hand on your shoulder when you're upset is all it takes to ease your mind and calm your nerves.
Now, UC researchers are looking at a similar occurrence by pairing a complementary therapy known as Healing Touch with mild sedation to see if the technique truly calms patients undergoing minor procedures.
Healing Touch is a series of techniques that balance energy for wholeness within a person's body, mind and soul. It is an energy therapy that can be used in conjunction with other traditional medical treatments.
Nathan Schmulewitz, MD, the lead author of this investigator-initiated study and assistant professor of digestive diseases, says people undergoing procedures often have problems falling asleep because of anxiety.
Schmulewitz specializes in endoscopic ultrasound (EUS), a technique for imaging and accessing deep structures in the chest and abdomen which are near the GI tract. EUS is used as a screening tool for cancer or other suspicious polyps.
He says if a patient is unable to fall asleep with intravenous sedation, it might be necessary to use stronger anesthesia which is expensive and not often covered by insurance companies.
"In addition, stronger sedation can prolong recovery for the patient and can cause slight amnesia following the procedure," Schmulewitz says.
This study is looking at whether coupling Healing Touch with mild sedation prior to an EUS procedure can help relax patients, avoiding problems with anesthesia and making the procedure run more smoothly.
Judy Bowers, a nurse at University Hospital, Healing Touch practitioner and co-author of the study, has been doing this therapy for about seven years and has administered it to over 40 patients involved in this study.
"By restoring balance within the energy system, you create an optimal environment for healing," Bowers says. "This is complementary medicine, not alternative medicine, so it can be easily incorporated in a medical model."
Although there are many healing touch therapies, this study is only looking at three: the Chakra Connection, which facilitates movement of energy from one energy center to another, Magnetic Clearing, which clears the field of congested energy, and Mind Clearing, which involves a light touch on the face, head and neck.
As part of the study, a third party calls the patient two days after the procedure to ask a number of questions about how Healing Touch affected the patient during the EUS and recovery.
The results are being analyzed, but Bowers says she's observed some fairly positive responses.
"Some of the patients are asleep before they even receive the intravenous sedation," she says, noting that she stays with patients throughout the procedure in order to continue sharing her energy with them and maintaining the balance.
Schmulewitz says if the results are positive, this could be an inexpensive, effective way to reduce costs and improve care at University Hospital.
"It will be a fairly easy way to enhance patient care with acceptable and specific means and without increased risk of injury," he says.
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Source: Katie Pence
University of Cincinnati
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OK For Some But ...
posted by Kathleen Clohessy on 17 Jul 2008 at 7:24 pmWhile I fully support all attempts to use complementary therapies to limit exposure to the potential side effects of sedation, I have some misgivings when I hear the words "less-expensive" used in these discussions, especially when attached to an "insurance might not pay for (more sedation)" disclaimer.
Different people sedate differently, and the risks associated with inadequate anesthesia are not inconsequential. Many people are psychologically crippled for life due to a phenomenon known as "awareness under anesthesia". Others suffer flashbacks and nightmares following procedures during which they were "asleep" but inadequately sedated.
It is dangerous, indeed, to allow insurers to determine what is and is not appropriate anesthesia for an endoscopic exam or any procedure. Physicians and complementary healers must be-first and foremost-patient advocates, by making certain that each patient's needs are appropriately assessed and addressed. It is also important that each patient is offered the option of one or more or a combination of interventions in order to ensure that he/she has the best experience possible.
There is nothing more frightening than being completely helpless and unable to express discomfort, pain, or other terrifying sensations while undergoing a surgical procedure or exam. I also find it personally horrifying that some very painful procedures that not long ago were performed only under general anesthesia are now routinely done with IV sedation because the "insurance won't pay" for more. Both of these situations demonstrate a failure of the medical "system" to protect patients when they are at their most vulnerable.
Again, complementary medicine is a wonderful adjunct to many medical interventions. Let's just not forget that many technologically advanced approaches to anesthesia were developed with patient comfort and safety in mind; they should never be pushed aside for the sake of cost or convenience.
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