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triti r th r p ss r l ti id d i r si dit ti h dr th r p th r p ti
Edited by Pauline McCabe
Foreword by Judy Jacka
Throughout history human beings have turned to natural means
for treating illness. At the beginning of the third millennium,
when medical knowledge has never been stronger, the interest in
natural therapies continues to rise.
The therapies described in this book include nutrition,
aromatherapy, relaxation techniques, music therapy, pet therapy,
therapeutic touch and massage. They can be used in nursing
practice to induce relaxation, help create a healing environment,
increase comfort, reduce pain and address troublesome
symptoms, but they also have a role in empowering both nurses
and patients to maintain their own health. Also significant is the
improved professional satisfaction that often accompanies
advanced nursing practice in complementary care.
Pauline McCabe, known widely among Australian nurses and
midwives for her skill and experience in the practice of
complementary therapies, has gathered together a talented group
of practitioners to write passionately about their particular
specialties and experiences. All nurses and midwives will benefit
from reading what these authors have to say.
Pauline McCabe is currently Senior
Lecturer in Naturopathy at La Trobe
University in Victoria, Australia. She
brings to the editorship of this book
over three decades of experience as a
nurse-naturopath, and a career that has
made significant contributions to the
AUSMED PUBLICATIONS
C
integration of complementary therapies into Australian nursing
practice. Pauline strongly believes that the use of
complementary therapies by nurses will significantly advance
the practice, theory, and professional development of
nursing in the coming years.
ISBN 0 9577988 1 4
from vision to reality
COMPLEMENTARY
THERAPIES
IN
NURSING
AND
MIDWIFERY
AUSMED PUBLICATIONS
COMPLEMENTARY THERAPIES
IN NURSING & MIDWIFERY
from vision to reality
Complementary Therapies
in Nursing and Midwifery
from vision to practice
i
Chapter Three
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COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
ii
Complementary Therapies in
Nursing and Midwifery
from vision to practice
Edited by
PAULINE McCABE
Foreword by
JUDY JACKA
Ausmed Publications
Melbourne
iii
Chapter Three
Australasian Health Education Systems Pty Ltd
(ACN 005 611 626)
trading as
Ausmed Publications
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ASCOT VALE,VICTORIA 3032,AUSTRALIA
© Ausmed Publications March 2001
First published March 2001
All Rights Reserved.Without limiting the rights under copyright reserved above, no part of this
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Australia.
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Fax +61 3 9375 7299.
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Home page www.ausmed.com.au
National Library of Australia Cataloguing-in-Publication data:
Complementary therapies in nursing and midwifery : from vision to practice.
Includes index
ISBN 0 9577988 1 4
1.Alternative medicine. 2. Nursing. 3. Midwifery. I. McCabe, Pauline. II.
Jacka, Judy, 1938
610.73
Edited by Trisha Dunning
Cover, design, typesetting and printing by Hyde Park Press, 5 Deacon Avenue, Richmond,
South Australia 5033, telephone (08) 8234 2044, fax (08) 8234 1887, e-mail hpp@olis.net.au
Text set in 10/14 Garamond Book
COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
iv
Foreword
This is an exciting and timely book. It describes how nurses are pioneering
complementary therapies within the medical system to give comfort and healing to
their patients. It is 40 years since I graduated from general nursing training at Prince
Henry’s Hospital Melbourne with deep disappointment about the medical model of
1960. Perhaps my greatest concern was that nurses had insufficient opportunity and
resources to give true caring to their patients.At that time there was little information
about alternative medicine and healing in Australia, but my own quest gradually unfolded
to include a world of healing that I experienced as truly remarkable. My goal became to
create education that would combine natural therapies with a suitable standard of
orthodox science and medicine. In 1997 the Victorian government accredited the
Bachelor Degree in Health Science (Naturopathy) delivered by the Southern School of
Natural Therapies, making it the first private college in Victoria to offer a government
accredited complementary therapy course.
Therefore, during the last 30 years I have been intimately involved with practising
natural therapies and the task of developing a degree standard course for training in the
area.Throughout the 1980s many hundreds of nurses attended courses I conducted in
natural therapies for the Council of Adult Education in Melbourne. Some of those nurses
later enrolled to undertake training at our school. Indeed, since the birth of the school in
1961, nurses have featured strongly amongst our students and they have become
excellent primary contact practitioners.
However, this book features nursing as a profession studying and developing research
and guidelines about natural therapies that enhance nursing practice and improve
patient care in a medical setting. It is now evident that nurses as a professional group
want to know how to apply natural therapies to augment and improve the health of
their patients within the current medical model. So, for me, this is an exciting book,
because I now witness the educational and practice opportunities for complementary
therapies that are taking place within the nursing profession. Perhaps this development
will in time have powerful repercussions on the whole health care system. In a
personal sense, my observations have come full circle, from those of a disillusioned
graduate nurse, to observations of nurses creating opportunities to practise their own
healing therapies.
v
Chapter Three
While preparing to write this foreword it occurred to me that rarely have I heard much
criticism directed towards nurses as a group, despite hearing harsh criticism of
orthodox medicine from various directions.The nursing profession appears to have
always created the perception of being a caring group that did the best for its patients
despite all kinds of difficulties and challenges. It is, therefore, understandable that nurses
are endeavouring to extend their practices to encompass therapies that they perceive as
promoting a more human touch for their patients. In addition, research into the
practices and therapies described in this book has demonstrated improved clinical
outcomes in many of the patients concerned.
The book covers a wide range of areas that includes an historical perspective of natural
therapies within the nursing profession; legal and ethical considerations; research
possibilities and achievements; and educational considerations, as well as the pioneering
experiences of nurses in areas such as nutrition, aromatherapy, massage, meditation,
holistic coronary care, music therapy and the use of pet animals.The practice of
complementary therapies within midwifery is an exciting development and what better
way to give a child a peaceful start in life?
It is of interest that the term ‘complementary therapies’ rather than ‘natural therapies’
is used throughout the book. Educational and government committees dealing with
such therapies have always been challenged to find the most appropriate label and
definition of these healing arts and sciences.The therapies explored in this book are
certainly those that can be seen to complement, rather than threaten orthodox
medical practice. Hospital management could consider massage, aromatherapy,
music and meditation as safe options compared, for instance, to the use of herbs
and homeopathy.
I will be interested to observe how graduates from the double degree in nursing and
naturopathy at Latrobe University and similar courses apply their training in herbal
medicine and homeopathy in the workplace. Some authorities may view oral therapies
as contradicting the use of pharmaceutical drugs. I look forward to a time when doctors
will be versed sufficiently in herbal medicine and homeopathy to allow nurses trained in
these specialities to augment or—dare I suggest it—replace the prescribed drug
treatment in certain cases.
But these are thoughts for the future.This book is a brave and pioneering effort to show
the current level of achievement by the nursing profession in using complementary
therapies to date. Complementary therapies are obviously here to stay and patient
demand is increasing as illustrated by the material in this book.
COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
vi
The appendices include current guidelines established by one state board and two
federal nursing bodies with respect to complementary therapies and are therefore of
particular interest.The impression gained from reading this section is that the nursing
profession is taking a positive, creative and responsible position towards natural
therapies. Indeed the whole book will be an inspiration to all nurses who wish to
practise true healing arts within the medical workplace.
Judy Jacka ND, Grad Dip HRE
Retired Chairperson
Southern School of Natural Therapies
Melbourne,Australia
vii
Foreword
Contents
Page
FOREWORD
v
D
EDICATION xii
A
CKNOWLEDGMENTS xiii
G
LOSSARY OF TERMS xiv
P
REFACE xvi
Section One Complementary therapies: historical, political and
professional issues
Introduction Pauline McCabe 3
Chapter 1 Nursing and complementary therapies: a natural 7
partnership
Pauline McCabe
Chapter 2 Complementary care: redefining nursing for the 23
new millennium
Jill Teschendorff
Chapter 3 Developing clinical practice guidelines 37
Trisha Dunning
Chapter 4 Education and professional development 51
Elaine Duffy
Chapter 5 Legal and ethical aspects of complementary 67
therapies and complementary care
Judith Lancaster
COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
viii
Chapter 6 Research issues in complementary therapies and 81
holistic care
Beverley Taylor
Chapter 7 Careers and opportunities: complementary 95
therapies and future nursing
Sue Cechner
Section Two Complementary therapies: some therapeutic approaches
Introduction Pauline McCabe 109
Chapter 8 Nutrition as a complementary therapy 113
Greg May
Chapter 9 Aromatherapy 131
Margaret Meyer
Chapter 10 Massage 147
Laurie Grealish and Angela Lomasney
Chapter 11 Relaxation—the learned response 163
Judy Lovas
Chapter 12 Therapeutic Touch and Healing Touch—nursing 177
modalities for the new millennium
Jane Hall
Chapter 13 An introduction to music therapy 197
Tonia Plack
Chapter 14 Nursing and the role of animals 213
Kirsten James
ix
Contents
[...]... between nursing, midwifery and complementary therapies, drawing on historical and contemporary material It asks the question: how might complementary therapies influence nursing theory and practice?, and looks at some of the challenges these therapies pose to nurses’ understanding of illness and healing THE PAST The history of nursing often focuses on Florence Nightingale and the professional, social and. .. opportunities in complementary therapies and expanded practice in nursing and midwifery are discussed An overview of each chapter follows Chapter 1, Nursing and complementary therapies: a natural partnership, takes a chronological view of the relationship between nursing and natural therapies Pauline McCabe, Senior Lecturer in Naturopathy at La Trobe University, begins with some historical insights into a... ethical and legal issues, public demand, policy development, insurance, education and evaluation • Debate the relationship between nursing or midwifery, complementary therapies and medical practice Learn to argue your case using established research and theory, for example, holistic nursing, effects of complementary therapies on reducing stress and pain, and role of nurses and midwives in promoting healing,... dignity and quality of life for patients in the terminal phase of life (Adapted from Pizzorno, 1996) Many of these principles have strong parallels in nursing theory and practice, which partly explains why complementary therapies fit so well into nursing and midwifery Complementary therapies have not commanded the attention of many nurse academics to date.As the use of complementary therapies increases and. .. Shanley, 1998) Complementary care is more aligned with the latter, embracing an extended role centred in holistic nursing, an active nurse–client partnership, and integration of complementary therapies into standard care, health promotion and healing STRATEGIES FOR INTRODUCING COMPLEMENTARY THERAPIES Judging from my own conversations with nurses interested in complementary therapies, and from the anecdotal... established, leading to Master’s and PhD projects, the latter still in progress Pauline has made numerous contributions to the nursing literature on complementary therapies, including formulating national and state guidelines She is currently Senior Lecturer in Naturopathy in the School of Nursing at La Trobe University, and is leading the design of a five year double degree in nursing and naturopathy... sunbathing, breathing exercises, positive thinking, prayer and fasting were among the therapies employed in the return to Hippocratic medicine which became known as nature cure Germany and Austria were at the heart of this movement, and it was to Germany that Florence Nightingale travelled in 1851 to undertake nursing training From her writings it appears that Nightingale’s thinking was considerably influenced... Preface Complementary Therapies in Nursing and Midwifery from vision to practice speaks to nurses and midwives about the integration of complementary therapies into practice.There are currently a number of books on complementary therapies in nursing and midwifery practice, but they generally place strong emphasis on describing specific therapies. The approach in this book is to bring to life for the reader... the first time in 2001 6 Chapter One Chapter 1 Nursing and complementary therapies: a natural partnership Nurses and midwives need to be able to express their healing instincts.Too often the ideals of the beginning practitioner are put aside in the rush to comply with work practices In spite of this the use of complementary therapies is increasing.Their use is not new in nursing or midwifery. This chapter... or complementary to orthodox medicine Complementary care: Complementary care in nursing emphasises the centrality of caring and the healing role of the nurse, and recognises partnerships in health care that include the patient, the nurse, other health professionals, and the use of a wide range of interventions in the interests of health, healing, wellbeing and patient autonomy Complementary care involves . Home
Rosalie Hudson and Jennifer Richmond
COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
ii
Complementary Therapies in
Nursing and Midwifery
from vision. potential to advance
nursing practice, and to further define what nursing is.
Pauline McCabe
COMPLEMENTARY THERAPIES IN NURSING AND MIDWIFERY
xii
Acknowledgments
Ausmed
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