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Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical Center
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Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Dec 23, 2015

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Page 1: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Integrative Therapy for Chronic Neutropenia:A Wellness Strategy

Mary Ann Bonilla, MD

Medical Director, Integrative Therapies

St. Joseph ‘s Regional Medical Center

Page 2: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

CAM

Complementary and alternative medicine (CAM)

Group of medical and health care practices, and products that are not presently considered to be a part of conventional medicine

National Center Complementary and Alternative Medicine (nccam.nih.gov)

Page 3: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

CAM

In the US 36% of adults are using some form of CAM

Used for back, neck, head, or joint aches, or other painful conditions; colds; infertility; GI disorders; anxiety, depression or sleeping problems

Page 4: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Integrative Therapy Combines conventional medical therapy

and CAM therapies that have some high quality scientific evidence of safety and efficacy

National Center for Complementary and Alternative Medicine (NCCAM, National Institutes of Health)

5 disciplines: – biologically based practices, – manipulative and body based practices, – energy medicine, – mind-body medicine– whole-medical systems.

Page 5: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

I. Mind and Body Medicine Focus on the interactions among the brain-

mind, body, and behavior. Interventions that promote healing

– Aromatherapy– Meditation– Yoga– Visual imagery– Group support – Pet therapy– Prayer and spirituality

Page 6: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Aromatherapy Use of essential oils from

plants to support & balance the mind, body,spirit.

Improves the quality of life by reducing stress & anxiety

Chemical receptors from the nose trigger nerve paths to the limbic system

Modulates emotion, arousal, memory

Page 7: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Aromatherapy

Inhalation– Diffuser or placing drops

of essential oil near patient

Topical– Mixing the oil into

massage creams, lotions or bath water

Page 8: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Common Essential Oils

Spearmint/Peppermint– nausea, appetite, fatigue

Lavender– insomnia, anxiety, skin disorders

Lemon/Citrus– fatigue, improves immune system,– Photosensitizer, avoid direct sun after

applying– “ can increase WBC”

Orange– Anxiety, depression

Thieves – Cloves, Lemon, Cinnamon, Eucalyptus,

& Rosemary blend– -anti-bacterial,-fungal, -viral

Samples available!

Page 9: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Meditation

Self-regulation practices that focus on training and awareness to bring mental processes under voluntary control

Foster calm, clarity, and concentration Many styles of practice

Page 10: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Yoga Art and science dedicated to

creating union between body, mind and spirit

Pranayama:  control of breath

Asana:  Postures used in the “mastery of sitting still”, opens the physical body to energy pathways

Page 11: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

II. Manipulative and Body-Based Practice

Therapies that focus on the structures and systems of the body

Page 12: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Massage Therapy

Manipulation of the muscles and soft tissues of the body

To relax and increase delivery of blood and oxygen to the massaged areas

Increasing warmth and decreasing pain

Page 13: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Reflexology

Method of foot /hand massage in which pressure is applied to “reflex” zones mapped out on the feet (or hands).

Page 14: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Reflexology

Page 15: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

III. Energy Medicine

Concept that diseases arise from imbalances in the vital energy fields of the body

Page 16: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Reiki

Practitioner places his hands on or near the person receiving treatment, with the intent to transmit ki, (the life-force energy)

Page 17: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Acupuncture

Sterile stainless steel needles, (0.22 to 0.25 mm) are inserted to stimulate the affected meridians

Used for nausea, pain, muscle spasm, headaches, constipation, insomnia

Page 18: Integrative Therapy for Chronic Neutropenia: A Wellness Strategy Mary Ann Bonilla, MD Medical Director, Integrative Therapies St. Joseph ‘s Regional Medical.

Resources

National Center Complementary and Alternative Medicine (nccam.nih.gov)

Hospital-based programs Yoga studios Private Practioners Local community

– YMCA, Churches, non-profit organizations