Healing TouchUsing Hearts and Hands

To HealOur Little Ones

Wendy Rolf, RN, MSN, CHTP/I, AHN-BC

What Is “Energy Medicine”“Biofield Medicine” ?

The Human Energetic Systems

Have 3 components: auric field, chakras, meridians

How does the human process the information in these fields?

Auras

Auras

Chakras

The chakra’s exist through the body into the aura

They are ports for energy exchange with the environment

They bring in energy, broadcast emotions, thoughts before they are spoken

Meridians

Parallel pathways that are low voltage electrical conduits.

Conducts chi/universal energy

Permeates body and organs

Meridians

Goal of Healing Touch

Goal restore harmony and balance

Healing Touch complements conventional health care

Healing Touch A Sacred Healing Art

Healing TouchWe use our hands, our hearts, our whole

selves.

Healing– Haelen: to make

whole to make holy..

PhysicallyEmotionally

MentallySpiritually

It is NOT about the Technique

Person being healed is most important part of the equation

Expert healers use self as instrument to change energy flow in patient’s system

Requirements for Doing Healing Touch

Intentionality for the highest health of the healee

Motivation to help another

Openness of mind

Openness of heart--unconditional love

Letting go of expectations for outcome

Then energy system is affected by:

environment

thoughts

emotions

actions

intentionality

Family Centered Care

Three sources of understanding:

• cultural tradition • personal experience • physics

Understanding energy requires knowledge of:

electricity

electo-magnetism

quantum mechanics

Energy MedicineSpiritual Experiences

Image of a Universal Master Healer….

"Children are the hands by which we take hold of heaven."

Henry Ward Beecher

Healing TouchWhere Science and the

Sacred Meet

Biofield Theory

Quantum Physics

Quantum Physics

Dr. Quantum:

Quantum Physics

Observer affects outcomes.

– Quantum particles change as soon as observed or measured.

Consciousness of observer brought the observed object into

being.

We are all made up We are all made up of the same basic of the same basic material, resonating material, resonating with the worldwith the world

Fujiwara Dam  before

offering a prayer

Fujiwara Dam 

after offering a prayer

You Make Me Sick, 

I Will Kill You

Love and Appreciation

Untreated Distilled Water

Hado—the energy of water

•No vacuum or nothingness

•Space between is a hive of activity

Zero point field—an ocean of microscopic vibrations in the space between things—one vast quantum field. If this is true everything is connected like some invisible web

Zero Point Field

The Matrix

Zero-point energyEnergetic continuum

– Without form or vibration– Moves faster than speed of

light

Slows into Tachyon- a vertical streamInteracts with Subtle Organizing Energy fields and begins creating the energetic matrix from which all physical forms are structured.

The Holoverse

Quantum theory states that each part of the universe contains all the information present in the entire cosmos itself.

The entire universe has to be thought of as an unbroken whole.

David Bohm The part contains the whole.

We are all made of the same basic material at the most fundamental level.

– Living beings are packets of quantum energy constantly exchanging energy information in this energy sea.

– Thinking, feeling = quantum information

– We resonate with the world/universe

Non Locality

Strange property in subatomic world– Individual electrons influence another

quantum particle instantaneously over any distance despite there being no exchange of force or energy

– Suggests that quantum particles once in contact retain connection even when separated

So the actions of one will always influence the other no matter how far they get separatedTHIS HAS BEEN DECISEVELY VERIFIED BY PYSICIST SINCE 1982

Coherence

We are Light Beings

The body emits photons

Healing Touch

Zero pointIn their energy- “magic”

CoherenceCentering & Connecting

– Matching their energy– Connecting with their

matrix– Setting Intention– Quantum changes

NIH considers Healing Touch and other types of energy medicine among the most controversial of complementary and alternative medicine practices.

BIOFIELD RESEARCH

“Research is about learning and unlearning, about building on new foundations and about changing thoughts, feelings and attitudes in light

of new evidence and in light of new experience.”

Early Studies

PICO Question:

P (population) Pediatric Post OperativeT&A Patients

I (intervention) Healing TouchC (comparison) No Healing TouchO (outcome)

Decrease post op anxietyDecrease post op pain Decrease emergence delirium /emergence agitationDecrease time to meet PACU departure criteria

Surgery

Emotional

65% of all children undergoing anesthesia and surgery develop extreme anxiety and fear during the perioperative period

88% of all children undergoing anesthesia and surgery develop new-onset postoperative maladaptive behavioral changes

Review of LiteratureWeight of the Evidence

CINAHL, MEDLINE, Cochrane, EBSCO, PUBMED, OVID, Centre for Reviews &Dissemination, Healing Touch International, Healing Touch Program, Dissertations, &

NACHRI 1960-PRESENTTERMS:

– Healing touch– Reiki– Bioenergy– Energy medicine– Energy therapies– Energy healing– Children– Anxiety – Anxiety in hospitalized children– Relaxation– Pain– Surgery– Emergence delirium– Length of stay

Findings:62 articles reviewed

10 most recent & highest level that addressed PICO question

• 3 Meta-analysis & Systematic Reviews

• 3 Randomized Controlled Trials

• 3 descriptive studies• 1 Qualitative

3 CCHMC PACU staff surveys1 CCHMC Retrospective Study (Unpublished)

2 NACHRI Responses

Systematic Review (Jain & Mills 2010)

66 clinical studies -- Biofield Therapies, TT, HT, Reiki.

Quantitative studies---RCT & within subjects designs

Findings

Biofield therapies show:

strong evidence for reducing pain intensity in pain populations

moderate evidence for reducing pain intensity in hospitalized populations

moderate evidence for decreasing anxiety for hospitalized populations

Meta Analysis So, Jiang, Qin, (2008)

To evaluate the effectiveness of touch therapies including HT, TT, & Reiki

Effectiveness acute and chronic pain

Determine adverse effects

Evaluate analgesic use.

RCT, CCT

24 studies, 1153 participants

Findings

Evidence supports the use of touch therapies for pain relief

No adverse effects identified.

Anxiety, Surgery, & Length of Stay (MacIntyre, 2008)

The efficacy of Healing Touch in coronary artery bypass surgery recovery: A randomized clinical trial.

3 groups, control, visitors, HT (N-237)

Measured Post operative length of stay

Anxiety

Findings

All HT patients showed a greater decrease in anxiety scores than 2 other groups

HT-- significant decrease length of stay, out patient.

Reports: relaxed or relaxing, energized, peaceful.

Studies with ChildrenPremature Infants

Whitley (2008) Double-blind RCT Pilot Trial Examining The Safety And Efficacy Of TT In Premature Infants

Can non contact TT reduce stress and is it safe to use in preterm infants

– 20 infants less than 29 weeks

– Evaluated Oxygen saturation,

– Heart period variability (HPV)—used to evaluate stress

– Adverse events, bradycardic and hypoxic events

Results

Significant greater variability in low-to-high frequency ratio (supports increased relaxation)

No adverse effects

Children/ Infants

Effect of 2 different forms of energy work (Yakson and Gentle

Human Touch) versus usual care on urine stress hormones and behaviors in preterm infants: A quasi-experimental study (Im, 2009)

3 groups

59 infants 26-34 weeks gestational age

measured urine stress hormones,

behavioral indicators, sleeping & awake states.

Results

Significantly lower stress hormone levels

Increased percentage of sleep states and decreased percentage of awake and fussy states

Qualitative Study with ChildrenHanley (2008)

Goal elicit descriptions of how TT is used with preterm infants, and evaluation of TT with neonates.

Findings:– The TT treatment is logical and dynamic– Practitioners use strategies to self-monitor their emotional and

physical states during treatment to remain centered– Practitioners reported infants responses increases:

• Respiratory functioning and oxygenation, • Feeding and nutritional status• Weight over time• Time in deep sleep• Relaxation: being “settled”

Practitioners reported neonates had decreases in:• Heart rate and respirations• Seizure activity

Practitioners reported behavioral changes• Infants better able to organize complex tasks• Infant ability to attend to situations and learn• Improved developmental patterns

Changes in energy fields patterns– smoothed out, more integrated, more coherent

The Impact of Healing Touch on Pediatric Oncology Outpatients: Pilot Study

(Kemper, 2009)

N-9

VAS to assess relaxation, vitality, overall well-being, stress, anxiety, and depression

Compared HT & rest period

Stress decreased significantly in HT group

Descriptive Study: Comparison of TT and casual touch in stress

reduction of hospitalized children Kramer (1990)

Early study, evaluated stress reduction children aged 2 weeks to 2 years. Measures used were pulse Galvanic skin response and peripheral skin temperature.

Results

TT had significant changes in values and needed less time to calm children after stressful experiences.

Healing Touch In our PACU

97% somewhat or strongly agree that patients feel more comfortable when receiving Healing Touch94.5 somewhat or strongly feel the patients are calmer when they awaken from anesthesia94.5% somewhat or strongly feel Healing Touch/Holistic Health enhances patient and family coping.

A Retrospective Database Review Of Pre-post Pain And Comfort Scores In Post Operative Patients At

CCHMC

Clinical records of 1613 patients 0-21 years old who received post Clinical records of 1613 patients 0-21 years old who received post operative healing touch therapy from October 2004-September 2007operative healing touch therapy from October 2004-September 2007

Impact of Healing Touch on Pain in Post-Op Children at CCHMC

Impact of Healing Touch on Comfort in Post-Op Children at CCHMC

Leveling the Evidence TodayEnergy Therapy’s Effect on Pain, Anxiety, Emergence Delirium,

and Length of Stay in Children Having Surgery

Synthesis of Evidence

High grade of evidence to support the safety of Healing Touch with adults and children (Jain,2010 [1a]; Lee, (2008) [1a]; So, 2008 [1a]; Whitley, 2008 [1a]).

High grade of evidence to support Healing Touch for pain and anxiety with adults (Jain,2010 [1a]; Lee, 2008 [1a]; So, 2008 [1a]).

High grade of evidence to support the use of HT to decrease stress with premature infants (Hanley, 2008 [2a]; Im, 2009[2b]; Whitley, 2008 [2a]).

Moderate evidence that Healing Touch may decrease the length of stay (MacIntyre, 2008 [2a]).

Moderate evidence to support the use of Healing Touch with children’s stress & anxiety (Kramer, 1990 [4b]; Kemper, 2009 [4a]; Zimmer, 2008 [Unpublished]).

“Do the Work”

Connect with children

Connect with the families

Our work is our blessing & joy.

A Sacred Time and Place for Healing

Therapeutic Presence

Healing Touch

Let’s Do It

CenterConnectAssessMagnetic PassesTreatEvaluate

Infants

Perry, B., 2006

The young child's undeveloped brain

organizes in a "use-dependent" way, mirroring

the pattern, timing, nature, frequency, and quality of experience.

Hospital environments, what do these infants experience?

The primary infant relationship has been shown to be the best predictor of improved

developmental outcomes for infants

Bondurant & Brinkman, 2003

Healing Touch in the Perioperative Area

AUTISTIC & DEVELOPMENTALLY DELAYED CHILDREN

•Barnes PM, Powell-Griner E, McFann K, Nahin Rl. Complementary and alternative medicine use among adults: United States, 2002. Adv Data. 2004; 343:1-19.

•Jain, S & Mills, P (2010) Biofield Therapies: Helpful or Full of Hype? A best evidence Synthesis. Int. J. Behav. Med. 17:1-16

•So, PS, Jiang Y, Qin Y. Touch therapies for pain relief in adults. Cochrane Database of Systematic Reviews 2008. Issue 4. Art. No.: CD006535. DOI: 10.1002//14651858. CD006535. pub2.

•Lee, MS, Pittler, MH, Ernst, E. (2008) Effects of Reike in clinical practice: a systematic review of randomized clinical trials. International Journal of Clinical Practice Volume 62, Issue 6, pages 947-954

•MacIntyre, B, Hamilton, J, Fricke, T, Ma, W Mehle, S Michel, M (2008). The efficacy of Healing Touch in coronary artery bypass surgery recovery: A randomized clinical trial. Alternative Therapies Jul/Aug 2008. Vol 14. No 4•Maville, J, Bowen, J, Benham, G. (2008) Holistic Nursing Practice, March/April:103-110.

•Whitley, J, Rich, B. (2008) A double-blind randomized controlled pilot trial examining the safety and efficacy of Therapeutic Touch in premature infants. Advances in Neonatal Care, Vol.8, No.6: 315-33

•Im, H, Eunjung, K Effect of Yakson and Gentle Human Touch versus usual care on urine stress hormones and behaviors in preterm infants: A quasi –experimental study. International Journal of Nursing Studies 46 (2009) 450-458.

•Kemper K, Flecher, N, Hamilton, C, McLean, T. (2009) The Impact of Healing Touch on Pediatric Oncology Outpatients: Pilot Study. Journal of Society for Integrative Oncology, Vol 7, No 1 (Winter),:12-18

•Hanley, M (2008) Therapeutic touch with preterm infants: composing a treatment. Explore. July/August Vol. 4, No. 4 249-258.

Kramer, N (1990) Comparison of Therapeutic Touch and casual touch in stress reduction of hospitalized children. Pediatric Nursing. September-October Vol.16/no.5.483-485.

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