Walking into Beth Israel Medical Center in New York City for
the first time, you might notice a few things that appear out of the
norm for a traditional hospital setting. People stroll down the
hallways with dogs; small groups of musicians carry instruments,
stopping at patient rooms to play a short medley of music; you might
even catch a glimpse of a patient and nurse in meditation or in a yoga
pose.
Integrative medicine therapies have been working their
way into the mainstream of traditional medicine at Beth Israel Hospital
for the past eight years, and Beth Israel is embracing it.
“This
area is being driven by demand from patients and doctors,” says Richard
Freeman, executive vice president and chief operation officer at Beth
Israel Medical Center. “We believe there are various approaches to
provide quality care to our patients. As time goes on, more and more
people are choosing alternative medicine therapies in conjunction with
traditional medicine. We believe that this can be an important adjunct
to care that can enhance the healing process.”
Beth Israel
offers integrative medicine therapies to all of its cancer patients, in
combination with conventional treatments, in a yearlong pilot program
to determine whether therapies such as yoga, relaxation, and breathing
techniques can help alleviate common side effects of treatment such as
pain, nausea, anxiety, insomnia, constipation, and fatigue. The program
is being funded by Donna Karan’s Urban Zen Foundation, which is
dedicated to incorporating Eastern healing practices of yoga,
meditation, and aromatherapy with Western medicine.
The
foundation was created after Karan’s husband and several close friends
died of cancer. During his battle with the disease, Karan’s husband
used several Eastern techniques that Karan says were helpful in
relieving treatment symptoms and providing inner peace. Through this
pilot program, which includes a research component, the Urban Zen
Foundation hopes to demonstrate that integrative therapies can work
effectively in combination with chemotherapy and radiation to reduce
common cancer symptoms and promote healing.
“We believe
integrative medicine can provide more optimal healing than medicine
alone,” says Joanne Heyman, executive director of the Urban Zen
Foundation. “It has much broader applications than just treating
cancer, but we wanted to focus on this disease first because of Donna’s
personal connection.”
The program is providing specialized
training to 15 yoga teachers who will become experts in providing
therapy to non-terminal cancer patients. It focuses on yoga, aroma
therapy, healing touch, nutrition, and awareness of death and dying in
hospital and private settings. Training is being provided by Karan’s
yoga masters, Rodney Yee and Colleen Saidman Yee, who also will oversee
yoga therapy during the pilot study. Nurses on the oncology floor also
are being trained in relaxation techniques including meditation,
imagery, aromatherapy, and breathing.
The program also funds a
nurse navigator who guides the patient and family through the medical
system and orients them to services on the unit; a yoga coordinator and
assistant to oversee therapies; and a research director to coordinate
the research component.
Heyman says Beth Israel was
particularly suited for the program because of its long-standing
commitment to integrative medicine. The hospital has been offering
alternative therapies to patients for many years, primarily through the
Continuum Center for Health and Healing, the nation’s largest and most
comprehensive academic integrative medical center. The department is
headed by Woodson Merrell, MD, who has been specializing in integrative
medicine therapies for more than 20 years and is one of the country’s
leading experts on holistic medicine. Merrell believes there is
significant evidence to validate its usefulness and that using this
approach to empower the patient and provide compassionate,
relationship-centered, integrative care is critical for transforming
the nation’s ailing healthcare system.
Reflecting an increasing
interest and growth in holistic medicine, Beth Israel’s integrative
medicine center recently was elevated to departmental status, providing
it with more autonomy to grow and expand.
Ed Dailey, RN, a
registered yoga teacher, is one of 15 yoga instructors receiving
specialized training through the Urban Zen Foundation and is a believer
in the healing power of alternative medicine. A nurse for 14 years and
a yoga instructor for 10 years, Dailey has seen yoga, meditation, and
other forms of relaxation and integrative medicine provide inner
strength, calmness, and healing to his patients. Since undergoing
formal training, Dailey and other therapists have been offering yoga
and relaxation therapies to patients on the head and neck surgical
floor at Beth Israel Medical Center with positive results. The
therapies are provided at the bedside, using a very flexible definition
of yoga. Patients are guided through simple yoga movements and postures
while never being touched by the therapist.
“It was believed we
could be of service to patients prior to the start of the clinical
study,” Dailey says. “We’ve provided therapy to up to 500 patients so
far, and I’ve seen patients become calmer and more relaxed, sleep
better, [and] experience fewer bed sores, less nausea and constipation,
and less anxiety.”
For instance, breathing and relaxation
techniques recently brought relief to a young father who had been
diagnosed with cancer. “The family was extremely anxious and stressed,”
Dailey says. “I provided relaxation interventions to him and his wife,
which they now practice at home.” Dailey used the body scan relaxation
technique, in which he helps the patient focus on areas of the body
that have tension. “It really has a calming effect on the mind, body,
and nervous system. It can help relieve stress levels, which can
interfere with the healing process. They both became calmer, happier,
and much less stressed.”
Dailey says the program also targets
staff. “Our goal is to put health back into healthcare,” he says.
“Nurses can become depleted [by the demands of their jobs]. How can
they provide quality healthcare when they are depleted themselves? Our
goal is to encourage staff to take short breaks throughout their day
and use yoga and other relaxation techniques to reduce stress levels
and re-energize.”
The oncology floor also is undergoing physical
changes funded by the Urban Zen Foundation to provide a more healing
environment that includes larger spaces for quiet and meditation for
patients and staff. The meditation room includes banquette seating, a
large flat-screen TV for imagery, and personal MP3 players for music
and relaxation sessions. A small kitchenette for families also has been
upgraded and expanded. In addition, a small reception area was created
so when patients enter the floor, they are greeted by a patient
navigator who provides floor tours and guides the patient through the
care process.
Integrative medicine is a growing trend, and
Heyman says she is seeing growing interest among hospitals in
developing integrative medicine services. She says she expects that
trend to increase as more research is unveiled that demonstrates the
positive benefits of integrative medicine in relieving pain and
enhancing healing.
Susan Meyer is a freelance writer.
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