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Decent Work Employment (NUR 112)

P 1 Labor code of the Philippines, Article 281

└ The maximum length of probationary employment


Decent work shall be six months, and is counted form the date an
employee started working
└ It is an employment that respects the fundamental  Six months only for probationary but if more
rights of the human person as well as the rights of than six months the person should be already
workers in terms of conditions of work safety and a candidate for regularizations
renumeration, respect for the physical and mental  But for professors, three years is needed to
integrity of the worker in the exercise of his/her be a candidate for regularization
employment
2. Term or fixed employment
 Do employers give respect to the basic rights
of the worker? └ It is when the employee renders service for a definite
 Would the work place offer free PPEs to period of time and the employment contract must be
promote work safety? terminated after such period expires
 Renumeration- Salary and wages are └ Minimum time of service is six months
extrinsic motivation to workers └ Up to the employers if they would rehire the
o Workers should be properly employee or not
compensated └ Also called contractual employment
 Physical and mental- considers holistic
being of the worker 3. Project employment
└ It involves opportunities for work that are productive
└ An employee is hired for a specific project or
and deliver a fair income, security in the workplace
undertaking and the employment duration is specified
and social protection for families, better prospects for
by the scope of work and/ or length of project
personal development and social integration,
└ E.g., architects, engineers, nurse researchers
freedom for people to express their concerns,
organize, and participate in the decisions that affect 4. Seasonal employment
their lives and equality of opportunity and treatment
for all women and men (International Labor └ The work to be performed is only for a certain time
Organization) or a season of the year and the employment is only
 A decent work should develop a person’s for that duration
personality and the professional career (e. g. └ E.g., board exam reviewers
graduate studies scholarships for └ There is a peak season where employees are hired
professional growth, in-service trainings and
seminars) 5. Casual employment

Four objectives of International Labor Organization’s └ An employee performs work that is not usually
decent work necessary or primarily related to the employer’s
business or trade
└ To create jobs └ Outside works are usually done
 Greater job opportunities
 For better sustainable development Working conditions and rest periods, and hours or work
 To boost the economy └ Nurses should only work 8 hours/day, 40 hours per
└ To provide guarantee in worker’s rights and rights at week (5 days)
work └ Some hospitals have 12 hours (4 days of duty only)
 Employees should be well recognized of duty especially in special areas
 There should be no discrimination
└ To extend social protection to workers of all Article 83. normal hours of work
categories └ The normal hours of work of any employee shall not
 Safety condition of all aspects exceed eight hours a day
 Right to rest, day offs
└ To help workers in resolutions in conflicts and Article 85. meal periods
promotion of social dialogue
└ It shall be the duty of every employer to give his
 Conflicts will always arise in work
employees not less than sixty minutes time-off for
environments but should be well managed
their regular meals

Night differential
Types of employment in the Philippines
└ Every employee shall be paid a night shift differential
1. Regular or permanent employment
of not less than ten percent of their regular wage for
└ Will not be fired immediately, unless you violate each hour of work between 10 o’clock in the evening
rules and six o’clock in the morning
└ They enjoy the benefit of security of tenure └ 10 pm-6 am duty or work
└ You will have the job, unless, you resign
Overtime work
└ After retirement, there will be compensations
└ An additional compensation equivalent to their └ Every employee shall be assured security of tenure
regular wage plus at least 25% thereof └ No employee can be dismissed from work except for
a just or authorized cause, and only after due process
Undertime not offset by overtime  Dismissal is not permitted unless there are
└ Undertime work on any particular day shall not be breach to code of ethics and rules
offset by overtime work on any other day Work days and work hours
└ Overtime does not fix undertime
└ The normal hours of work in a day are eight hours
Emergency over time work └ An employee must be paid his or her wages for all
└ When the country is at war hours worked
└ When it is necessary to prevent loss of life or Weekly rest day
property (imminent danger to public safety)
└ When there is urgent work to be performed └ A day-off of 24 consecutive hours after six days of
└ When the work is necessary to prevent loss or work should be scheduled by the employer upon
damage to perishable goods consultation with the workers
 Food delivery Wage and wage related benefits
└ When the completion or continuation of work started
before the eighth hour is necessary to prevent serious └ An employer cannot make any deduction from an
obstruction to the business employee’s wage except for insurance premiums with
the consent of the employee
Right to weekly rest day
 Pag-ibig, SSS, Philheath
└ It shall be the duty of the employer, whether  Gross pay- total salary received before taxes
operating for profit or not, to provide each of his are deducted
employees a rest period of not less than 24  Net pay- total wage when taxes are already
consecutive hours after six consecutive normal deducted
working days  Premiums are deducted at the last salary of
the month (30th)
Article 92. When employee may be required to work on a
rest day Payment of wages

└ In case of actual or impending emergencies caused by └ Wages shall be paid in cash, legal tender at or near
serious accidents: fire, flood, typhoons, earthquake, the place of work. Wages shall be given not less than
epidemic, or other disasters or calamity to prevent once every two weeks or twice within month at
loss of life and property or imminent danger to the intervals no exceeding 16 days
public safety  15th and 30th day salary
└ In cases of urgent work to be performed on the  According to DOLE, salary should not be
machinery, equipment, or installation to avoid serious late but can be given early
loss which the employer would otherwise suffer
Employment of women
└ In the event of abnormal pressure of work due to
special circumstances, where the employer cannot └ Night work prohibition unless allowed by the rules
ordinarily be expected to resort to other measures  In industrial undertakings from 10 pm to 6
└ To prevent loss or damage to perishable goods am
└ Where the nature of work requires continuous  In commercial/non-industrial undertakings
operations from 12 mn to 6 am
 Even when the employee is on leave or on o Industrial workers
rest day they will be called to report to work  In agricultural undertakings, at night time
Article 93. Compensation for rest day, Sunday, or holiday unless given not less than nine consecutive
work hours of rest
 For pregnant women, a month before they
└ When an employee is made or permitted to work on should already file a maternity leave till 90
his scheduled rest day, he shall be paid an additional days
compensation of at least 30% of his regular wage
Employment of children
Article 94. Right to holiday pay
└ Minimum employable age is 15 years old. A worker
└ The employer may require an employee to work on below 15 years of age should be directly under the
any holiday but such employee shall be paid a sole responsibility of parents or guardians; work does
compensation equivalent to twice his regular rate not interfere with the child’s schooling or normal
development
 For emancipated minors, they are allowed to
work since they are already living
The Basic Rights of Employees independently
Equal Work Opportunities for all Safe working conditions
└ The state shall protect labor, promote full
employment, provide equal work opportunity └ Employers must provide workers with every kind of
regardless of gender, race, or creed; regulate on-the-job protection against injury, sickness, or
employee-employer relations death through safe and healthful working conditions
Security of tenure
 All aspects of the work should be secured of └ Philippine nursing act of 2002
safety (holistic health, building structure,
etc.)
 Protective equipment should be provided by
the company or employer
Sec. 32. Salary
Right to self-organization and collective bargaining
└ The minimum base pay of nurses working in public
└ Right to self-organization health institution shall not be lower than salary grade
 Right of every worker to form or join any 15 prescribed under RA 6758 otherwise known as
legitimate worker’s organization, association “Compensation and Classification Act of 1989”
or union of his or her own choice  SG15 = Php 32,000.00
└ Labor unions and organizations of employees  Government: Entry level is nurse I until
 They demand the rights of employees nurse V and salary is also increasing
 Not applicable to private hospitals

Sec. 33. Incentives and benefits


Employee’s compensation (EC) benefits for work-related
contingencies └ The BON in coordination with the DOH and other
concerned agencies, association of hospitals and the
└ The employee’s compensation program is the tax- accredited professional organization shall establish an
exempt compensation program for employees and incentive and benefit system in the form of:
their dependents  Free hospital care for nurses and their
 Medical benefits for sickness or injuries dependents
o Health cards  Scholarship grants
 Disability benefits  Other non-cash benefits
 Rehabilitation benefits  PNA is the accredited professional
 Death and funeral benefits organization of nursing
 Pension benefits
o Government workers highly
benefits this
└ Usually, only the regular workers may experience
Job Search in Nursing
these benefits Different fields in nursing
Types of leaves Clinical nursing
Vacation leave Community nursing
└ All employees, with the exception of casual workers, └ Refers to the practice of nursing in the local, national,
are entitled of four weeks of vacation per year and city health departments which include health
 This type of leave is paid centers and public schools
 In some companies, if vacation leave is not └ Focus: Families and Whole Community
used it may be converted to cash └ Roles:
o Amount will be based on the salary  Vaccinations
 Assessments of Children and Pregnant
Parental leave Women
 Implementation of DOH programs
└ All employees are entitled to unpaid parental leave
School health nursing
after working for 12 months
 Should be legal spouse └ Responsible for the school’s activities in the areas of
 Leave to attend school meetings of children health service, health education and environment
is an example of unpaid parental leave health and safety
└ Female employees are entitled to 90 calendar days └ Focus: Students, Teachers, and Personnel
of maternity leave with full pay └ Roles:
└ Male employees shall be entitled to 10 working  Health education
days of paternity leave with full pay during the  Attend to the complaints of Students,
period of maternity leave of their legal spouse Teachers, and Personnel
Leave for personal Industrial/ occupational nursing

└ If he/she is unfit for work due to personal illness or └ Work alone in situations where they may have to give
injury (Sick Leave) immediate care to patients with serious injuries, they
 Medical certificate should be presented need to be fully informed about their legal
└ If a member of the employee’s immediate family responsibilities
suffers a serious injury or illness or dies (2 days paid └ Companies may have their own nurses
care leave) └ Emergency situations in the workplace, especially
Study leave needed when toxic or hazardous products are handled
└ Study leave shall be granted by the university only on in the company
the basis of the needs of the university and the
interests of staff development
└ Usually applicable to teachers and professors

RA 9173 “the Philippine Nursing Law”


Clinical nursing  At least 1 year of nursing experience in the
hospital
HOSPITAL/ INSTITUTIONAL NURSING
 A registered nurse with a master’s degree
└ Nursing in the hospitals and related health facilities
such as extended care facilities, nursing homes, and  Member of the PNA
neighborhood clinics, comprises all of the basic  With good moral character
components of comprehensive patient care and
family health
└ Roles: Nurse entrepreneur
o OR/ ER/ DR
o Infection control └ Business should still be related to the medical field
o Hemodialysis/ Renal └ i.e., Review Center, Derma Clinic, Med tools
o ICU/ PICU/ NICU
o Pediatric Flight nursing
o Psychiatric Nursing └ Responsible for patients, military or otherwise, who
o Geriatric have been evaluated from battle areas to the nearest
o Nurse Midwife installation for treatment
o Nurse Anesthetist └ First aid management while transporting the patient
└ Acute care settings from one place to another
Independent nursing practice
Clinic nursing
└ The nurse is self-employed and provides professional
└ Acts as the receptionist, answers phone, does the
nursing services to the clients/patients and their
billing, take x-ray and ECGs, changes dressings, give
families
injections (BCG, DPT, measles), and assist in
Physical examinations └ Nurse may take different certifications to have
└ Attends the needs of the patients in the clinic specializations then put-up business that is inclined
with to specialization
Nursing informatics └ Considered as clinicians
└ Practiced more often in other countries
└ Is a field of nursing that incorporates
└ Nurse anesthetists
└ Documentation of e-health records, information
science
└ There is a levelling- beginning, advanced, and expert
levels Resume
Forensic nursing └ A resume will get you through the door, but the
└ Registered Registered nurses who received interview is what will get you hired
specialized education and training to provide care to
Job search tools
patients who experienced victimized or violence
└ Needs specialization before you can enter this field └ Strong resume
└ Medico-legal cases └ Strong cover letter or application letter
Private duty nursing  Always name the addressee of the letter
 First paragraph- place your intention why
└ Is a registered nurse who undertakes to give you want to apply, where did you heart that
comprehensive nursing care to a client on a one-to- they are hiring, why did you choose the
one ratio certain institution
└ In any setting, ration is 1:1  Last paragraph- summary of your profile,
└ Usually for long-term care and chronic patients e.g., experiences
patients with TPN, NGT └ 3-4 professional references
Military nursing  Recommendations from previous employers,
former professors, dean, faculty
└ Provides comprehensive and quality nursing care to  But make sure they are informed that they
all military personnel and their dependents and will be character references, because the
authorized relatives company will be calling them
└ Army reserved personnel  Family members are not used
└ Has to complete a general military course └ Interview preparation
└ In military hospitals, in order to become a chief  Attire should be business attire
nurse, s/he should have a Colonel Ranking
Resume

└ It is a formal document that provides an overview of


your professional qualifications, including your
relevant work experience, skills, education, and
Nursing education notable accomplishments
└ For fresh graduates and newly board passers, related
└ Nurse who likes to consider teaching as their field of nursing experiences may be placed
expertise └ Provides the professional portfolio
└ According to RA 9173, for a nurse to become a └ Goal: to convince employers that you are worth
faculty in the CON a nurse should have: interviewing
└ Your resume is a valuable tool you can use to
highlight your experience to prospective employers
 Any relevant trainings and experiences may
be highlighted here
└ List any relevant work experience you have
 First part of the resume should show your
└ If fresh grad, related nursing experiences may be
strong points
placed
Section  Where you did your RLE duties
└ Include your title, the company you worked for, years
└ Contact details worked, and a bulleted list of your key
└ Career objective responsibilities and notable successes
└ Education └ Seminars and trainings may be placed here
 Elementary and high school may not be
included Section 5: skills
 College and post grad studies may be └ Include any resume skills you possess that are
included relevant to the position
└ Experience └ Communication skills, leadership skills
└ Skills └ Be sure to use a strong mix of hard skills and soft
└ Character references skills to demonstrate that you are well-rounded
candidate
Section 1: contact details Guidelines in making a resume

└ No more than 2 pages


 Should be stapled
 The second page should have a name in the
footer
└ No grammatical errors and typographical errors
└ First and last name └ Update resume at least annually
 Titles should be placed  Include the seminars and trainings attended
└ Permanent address └ Make sure to keep in mid things like the type of font,
└ Phone number the consistency of margins, and the styles of borders
└ Email address └ Font recommendations: Arial or Times New Roman;
10-12
Section 2: career objective └ Using resume template is discourage
└ Do not include personal information such as birthrate,
marital status, social security or in good health
 Exclude hobbies, interests and
religion/ethnic backgroundUnless necessary
└ Make sure your resume is readable
└ Change career objective with every job you apply └ Maker sure the important facts are easy to spot
 Base it on the field you are applying on  GWA, achievements, positions are usually
 Know the job description to base the career in bold
objective there  Use of headers
 Also place what you can offer └ Do a spelling and grammar check
 Summary profile may also be placed └ Do not include pictures, fancy binders, or personal
references
└ Do not include salary information or hobbies (unless
they have contributed to your work experience)
Section 3: education
└ Do not include personal information such as marital
status such as weight, marital status and number of
children
└ Do not repeat yourself just to make the resume
longer. A good resume is lean and to the point and
focuses on your strengths and accomplishments
 Only the strong points should be placed

Pointers in preparing for an interview


└ Only include college and post grad studies
└ School names └ Make an appointment either by mail or telephone
 Address of the school should be placed  Date, time, and place of appointment will be
 Place the date of when you graduated sent by the employer
└ Highest degree earned, majors and minors  Always keep your lines open
└ Course └ Be at the place at the appointed time
└ GWA may be placed  Never be late! This will mark as a first
└ Honor and accomplishments impression
 Positions held may also be placed └ Know something about the institution where you will
apply so that you can answer intelligently
Section 4: experience  Know the vision and mission of the
organization
 Organization chart, who are the  As much as possible, arrive their 30 minutes
administrators (top-level managers) early
└ Be at your best  Shows diligence and punctuality
 Not only your best attire but also the best  Also sets the mood
momentum (mood, psyche) └ Be pleasant, polite, and friendly but business-like to
└ Knock before you enter everyone you meet, including office staff
 As a sign of respect └ Check your appearance before going in
└ Bring credentials such as registration card, residence └ Language used is in accordance to the language of
certificate tax account number question asked
 Certificate of registration for nurses as proof
Professional dressing
that you have already passed the board exam
 PRC ID └ For women
 Board rating certificate  Wear a suit and tailored jacket, dress with
 Resume sleeves, or dress with jacket in conservative
 Photocopy of certificates for seminars style, color and fabric. Be feminine, but
 A portfolio of credentials business-like. Do not dress sensually unless
└ Ask questions about the job sex appeal is part of the job
 There are some employers who ask for an  Hair is conservative style; nails manicured,
short to mid length, clear or light color
expected salary, if they ask, give your
polish
answer
 Keep make-up and accessories to minimum;
└ Thank the interviewer for giving you some of his or less is more
her time └ For men
 Sign of sincerity or respect  Wear a suit, blue or gray, in conservative
└ Give yourself time to think about the position style. Blazer, slack and shirt with collar but
└ If the prospective employer does not answer, you w/o tie are acceptable in few instances.
may write a follow-up letter stating your interest in Freshly pressed
the position  Shirts solid color; ties conservative
 Following up in the status of application  Eliminate earrings, flashy jewelry, or strong
 Beyond a week, you can write a follow-up after-shave
letter because 3-5 days they already respond  Conservative style hair, beard
└ Do not begin with questions about vacations,  Dress style shoes, polished and repaired
benefits, or sick time. This would leave the  Shoes should match color with the belt
impression that these are the most important part of Non-verbal
the job to you and not the work itself
 Knowing what to contribute, job functions └ Always offer your hand; use a firm but not crushing
and responsibilities should be asked first to handshake
show your interest └ Use eye contact without starring; avoiding contact is
└ Do begin with questions about the employer’s a sign of deception, disinterest, or lack of confidence
expectation of you. This will leave the impression └ If a place of sitting is not indicated, choose a chair
that you want to know how you can contribute to the closest to the interviewer
organization └ Sit relaxed, but not slouch. Leaning lightly forward
└ Be sure you know enough about the position to make shows interest but do not lean on desk or knees
└ Use hands naturally to emphasize a point; do not
a reasonable decision about accepting an offer if one
cover mouth, hold your head or twist hands
is made
 Hand gestures
 Know the scope of responsibility
└ Do ask questions about the organization as a whole. Summary of deadly interview mistakes
This information is useful to you and demonstrates
that you are able to see the big picture └ Arrives late for the interview
 Philosophy, core values, management └ Indicates he is late because the directions he was
└ Do bring a list of important points to discuss to help given were not good
you if you are nervous └ Looks disheveled and inappropriately dressed
└ Phrase your questions appropriately and use └ Slouches in his seat
appropriate grammar and diction. Words like “yeah”, └ Does not maintain good eye contact with interviewer
“uh-huh”, “you know”, or “like” are too casual for an └ Assumes he will find out about the company in the
interview interview. Ask interviewer, “What do you do here?”
└ During the interview, use the interviewer’s title and └ Does not link what he can do with the needs of the
last name as you speak. Never use the interviewer’s employer
first name unless specifically requested to do so └ Brags about how great he is, but cites no evidence
└ Responses have no clear focus, seems disorganized
Additional tips and rambling
└ Is low-key; does not provide enthusiasm nor appear
└ Bring only essential items to the interview (resume,
to want the job; what are you going to do for me
references, portfolio, datebook,
attitude
└ Know location of office and how to get there. Make a
└ Answers most questions with short “yes” or “no”
trial trip getting to the interview
 Always provide explanations
 To prevent from getting lost and predict the
└ Appears desperate for a job-- any job
time you can arrive to the are
└ Arrive 15 minutes early for the actual interview
└ Call the interviewer by his first name repeatedly or └ What would you most like to improve about yourself?
uses the wrong name └ What could you have done better on your last job?
└ Badmouths his former boss and the company └ What can you tell me that best illustrates your personal
└ Gives memorized responses and forgets parts drive and motivation?
└ Asks “how am I doing? Are you going to hire me?”
Questions an interviewee may ask
After the interview └ Were there any questions i didn’t provide an adequate
answer?
└ Review and analyze └ Is this new or replacement job?
└ Send a thank you note └ As you think about this position, what aspects of this job
└ Make a return visit or telephone call two or three could be performed better?
days after your interview └ What do you visualize as the major opportunity areas for
this position?
Common questions └ To whom does this report?
└ What is the background of my potential boss?
└ Review and analyze your performance. Take notes,
└ What qualifications does your ideal candidate need?
modify any items to improve your next interview
└ What are the opportunities for personal growth?
└ Send a thank you note to the manager immediately
└ If you were to offer me this job, where could i expect to
after the interview. Don’t put this off
be in 5 years?
└ Make a return visit or a telephone call two or three
days after your interview
 Reintroduce yourself and remind which job Compensation issues
you interviewed for └ Never ask about salary. The company will discuss salary
 Add any additional thoughts you may not when appropriate
have covered when interviewed
 Usually reserved for the second interview or when
 Emphasize your strengths for the job there is a firm offer
 Find out if a hiring decision has been made.
 When the offer is made, ask: is there a sign-on bonus
If decision and you’re not it, ask for or commission in addition to salary? How often are
suggestions for creating a better impression.
the reviews?
 Thank the interviewer for speaking to you └ Benefits questions. Company benefits are offer worth
and for their time
25%-50% or more of cash salary offered.
└ If you are asked give me one good reason to not hire
 Ask: when am I eligible for the plan? Do I have a
you choice of benefits available?
 Answer it by saying a negative trait that └ Negotiations. Everything can be negotiated after you have
could be turned to positive received an offer. Know the market and request
 E.g., micromanaging, does not stop until consideration in terms of salary; benefits and perks
something is finished
Legal questions
Common questions and answers
└ Tell me about yourself
 Highlight your background as it relates to particular
job
└ In what ways will your education or training help you in
this position?
 Demonstrates your capacity to make practical
application of formal knowledge and training
└ Why did you specialize in your particular field?
 Solicits about basic value system
└ What do know about our company?
 Use company research
└ Why are you interested in working for this company?
 Relate your skills to what you know about the
company
└ How does this position fit into future plans?
└ Where do you see yourself in three years?
 Demonstrate ambition, potential and flexibility P 2
└ In a job, what interests you the most/least?
 Relate to the position Transcultural Nursing
└ Describe your best/worst boss
 Keep it positive └ Madeleine Leininger- proponent of transcultural nursing
└ How others do describe you? theory
 Personal traits and characteristics, adjectives  Provides culturally-congruent care
└ What do you consider your single most noteworthy  Care that fits or is sensitive to the culture
accomplishment in your job?  If it is sensitive to the culture, people tend to
└ Give me one good reason I should hire you. adapt and respond to it
└ Give me one good reason I shouldn’t hire you.  Highest and most universal care construct is trust
└ What qualifications do you have for this job? and should be achieved when caring
└ If you were hired, what ideas/ talents could you contribute
to this position? Culture
└ What do you consider your most outstanding quality?
└ What evidence can you cite that demonstrates your job └ Attitude of people who are geographically grouped
effectiveness? └ Beliefs and behaviors
 What do they believe in, in certain practices Biases of culture
└ Customs
└ Prejudice- negative feelings
└ A concept that encompasses beliefs and behaviors that are
└ Stereotype- negative opinions
learned by a group of people
 Generalizing a certain group with a negative
Characteristics of culture opinion
└ Discrimination- negative actions
└ Culture can be learned
└ Shared to a certain group of people or community Types of prejudice
└ Cumulative
└ Racism
 Can be passed from one generation to
└ Sexism
another
└ Heterosexism- discrimination of the third sex
└ Diverse
└ Classicism- discrimination depending on social status
 Cultures differ from place to place
└ Linguicism- discrimination based on language
 Naturally diverse in nature
└ Dynamic └ Ageism- discrimination of the older age
└ Lookism- discrimination based on physical
 Culture changes with time
appearance
What are the components of culture?
Dietary practices of certain religions
└ Communication- transfer of information from one
Buddhists
person to another
 Uses nonverbal and verbal communications └ Natural foods of the earth are considered most pure
 Take note of the verbal, most especially, the └ They refrain from eating meat and a vegetarian diet is
nonverbal communication of a certain desirable
culture └ Monks avoid all solid food on afternoon
└ Cognitive- composed of ideas and knowledge
└ Materials Hindus
└ Behaviors- there are acceptable behaviors and
└ Beef, other meats, and fish are restricted or avoided
standards in a certain community (norms)
└ Cow is sacred and cannot be eaten, but products of
Types of norms the “sacred” cow are pure and desirable
└ Alcohol is avoided
└ Acceptable behavior of a society
└ Mores- moral values Islam
 E.g., pagmamano, the use of po and opo └ Halal- means “permitted”
 Even if you do not follow more, sanctions └ Haram- means “forbidden”
are not done
└ Alcohol and all alcohol-containing foods are haram
└ Laws- among all types, this is the most formal
└ Coffee, tea, stimulants are haram
 If you do not follow laws, you may be
└ Pork and carnivorous/omnivorous meats are haram
sanctioned
└ Animal blood, meat that has already been dead are
└ Folkways- repetitive behavior of a certain group of
haram
people
└ Animal meats that have been properly slaughtered
 E.g., the way Igorots dress, the way Aetas
with their blood drained are halal
eat
└ Ramadan- fasting during the day time
└ Rituals- ceremonies
 E.g., weddings, burials, baptisms Mormons
Cultural transmission └ Alcohol and beverages containing caffeine prohibited
└ Caffeins is addictive and leads to poor physical and
└ Enculturation- transmission of culture within/ inside
emotional health
the group (families)
└ Fasting is the discipline of self-control and honoring
 E.g., if one parent is a nurse, an offspring
to God
will also be a nurse
└ Acculturation- transmission of culture to another Seventh-day Adventists
group
 When a person moves to another country, a └ Pork prohibited, and meat and fish avoided
person may acquire beliefs of the country └ Alcohol, coffee, and tea prohibited
└ Assimilation- Removal or forgetting previous culture └ Vegetarian diet is encouraged
└ Immersion- acquiring culture when immersed to a
Born again Christians
group of people
└ Balut is restricted
Cultural relativity
└ Fasts from the new year to the mid-year
└ You cannot relate your culture to the culture of others
Jehovah’s witnesses
 Because cultures are different and diverse
└ Ethnocentrism- feeling of superiority └ Any foods to which blood has been added are
 White supremacists prohibited (also INC)
└ Xenocentrism- feeling of inferiority └ Can consume animal flesh that has been drained (no
blood)
Judaism └ Will be excommunicated if they receive blood
transfusions
└ Meats allowed include animals that are vegetable
eaters (cows) and animals that are ritually slaughtered Islam
└ Fish that have scales and fins are not allowed
└ Second-degree male relatives such as cousins or
└ Any combination of meat and milk is prohibited
uncles should be the contact person and determine
└ Yom Kippur- similar to Ramadan
whether the client and/or family should be given
 Fasting for 24 hours (1 day)
information about the client
 Pregnant women and those who are
 If no second-degree families or no family
seriously ill are exempted from fasting
members at all are available the doctors may
└ During their pass over, the only thing they can eat is
decide
the unleavened bread (no yeast)

Roman Catholicism └ Client may choose to face Mecca


 West or southwest direction
└ Avoid meat on Ash Wednesday and good Friday but └ The head should be elevated above the body
fasting is optional └ Discussions about death are usually not welcomed
└ During lent, discourage eating of meat on Friday └ Stopping medical treatment is against Allah’s will
Dietary preferences of different races  DNR/ advanced directives are not allowed
└ Grief may be expressed through slapping or hitting
Africans the body
└ If possible, same-sex Muslim should handle the body
└ Fried foods
after death (or same sex if no Muslim)
└ Pork, greens, rice
 Gloves are worn if the nurse handling the
└ Some pregnant Africans engage in pica
patient is not a Muslim
Asians └ Embalming is not done and should be immediately
buried
└ Rice
└ Soy sauce Judaism
└ Raw fish- Japanese └ Prolongation of life is important
Europeans  Life-support must remain so until death
└ A dying person should not be left alone
└ Carbohydrates └ Ravi (priest) is required
└ Red meat └ Autopsy and cremation are forbidden
Hispanic Americans Hinduism
└ Beans └ Rituals include tying a thread around the neck or
└ Fried foods wrist of the dying person, sprinkling the person with
└ Spicy foods special water, or placing a leaf of basil on their
└ Tortillas tongue
└ Carbonated beverages └ After death, the sacred threads are not removed and
the body is not washed
American Indians └ They prefer cremation and ashes are cast in the holy
└ Blue cornmeal river
└ Fish Buddhism
└ Fruits and berries
└ A shrine to buddha may be placed in the client’s
End-of-life issues of different religions room
Roman Catholicism └ Time for meditation at the shrine is important and
should be respected
└ A priest anoints the sick └ Clients may refuse medications that may alter their
└ Other sacraments before death include reconciliation awareness
and holy communion  Opioids
 Confessions  Anesthesia
└ After death, a monk may recite prayers for one hour
Protestant
End-of-life issues of different races
└ No last rites
└ Prayers are given to offer comfort and support Hispanic and Latin groups

Mormons └ The family generally makes decisions and may


request to withhold the diagnosis or prognosis from
└ May administer a sacrament if the client requests the client
└ They discourage cremation  Several family members should be at
Jehovah’s witness bedside of the dying person
 Even the extended family members should
└ Blood transfusion and organ donations are prohibited be included in the end-of-life care
└ Do not believe in sacraments
 Pregnant women are prohibited to attend Time orientation and personal space
funerals and take care of dying persons
└ Time orientation reflects respect for the past but
└ Vocal expression of grief and mourning is acceptable
includes emphasis on the present and the future
and expected
└ Members refuse procedures that can alter the body  Asian’s respect and value time
such as organ donation or autopsy  When you say that you will be going back at
└ Members prefer to die at home a specific time, go back to that time
└ Usually, members do not touch others during
 If they know that their family member will
conversations
die, they will prefer to take the family
└ Touching is unacceptable with members of the
member home
opposite sex
Africans  Male nurses are assigned to male patients
and female nurses are assigned to female
└ Members discuss issues with the spouse or older
patients
family member └ The head is considered to be sacred
 The elderly is treated with high respect they
 When you touch someone’s head it means
usually make the decision for the client’s
disrespectful
care
└ Family is highly valued and is central to the care of Social roles
the terminally ill
└ Open displays of emotion are common and accepted └ Large extended family networks are common
└ Organ and blood donation usually are not allowed  Family-oriented people
└ Members prefer to die at home  They honor loyalty to immediate and
extended family
Chinese └ Family unit is structured and hierarchical
 Most Asians practice patriarchal families
└ Family members may make decisions about care and
└ Men have the power and authority
often do not tell the client the diagnosis or prognosis
 They are the breadwinners, makes decisions
 Because they believe that this can aggravate
for the family
the condition of the patient
 Women are expected to be obedient to men
└ Dying at home may be considered bad luck
└ Education is viewed as important
Native Americans └ Religions include Taoism (Buddhism), Islam, and
Christianity
└ Family meetings may be held to make decisions └ Social organizations are strong within the community
about end-of-life and type of treatments that should
be pursued Health and illness
└ Some tribes avoid contact with the dying
└ Health is a state of physical and spiritual harmony
Additional notes: with nature and balance between positive and energy
forces
└ For races and religions who do not encourage  Chinese- yin (femaleness, darkness) and
cremation, if the patient turns out CoVid positive the yang (light, maleness)
patient may still be cremated d/t exception to the └ A healthy body is viewed as a gift from the ancestors
general rule └ Yin foods are cold and yang foods are hot
└ Illness to attributed to prolonged sitting, lying, or to
over exertion
 Moderate work is the standard
Cultural Practices of Different Races Health risks
ASIANS └ Hypertension
└ Body built is petite, thin  Asians like meat and salty foods
└ Heart diseases
Communication └ Cancer
└ Lactose intolerance
└ Languages include Chinese, Japanese, Korean,
└ Blood disorders- thalassemia
Vietnamese, and English
└ Silence is valued Interventions
 Especially the Chinese
└ Eye contact may be considered inappropriate or └ Avoid physical closeness and excessive touching
disrespectful  Unless necessary e.g., performing
 Koreans and majority of the Asians practice procedures
this  But inform the client that you will be
 This means that when you look at their eyes touching a body part
you are at their level └ Limit eye contact
└ Criticisms or disagreements are not exposed verbally └ Avoid gesturing with hands
└ Head nodding does not necessarily mean agreement └ If possible, a female client prefers a female health
└ The word “no” may be interpreted as disrespect for care provide and male nurse to a male client
others └ Be flexible in scheduling care
 They do not want rigidity when scheduling └ Body built is large and broad
care (Asians do not like structure)
└ Alternative modes of healing may include herbs, Communication
acupuncture, restoration of balance with foods, └ Languages include national languages and English
massage, and offering of prayers and incense └ Silence can be used to show respect or disrespect for
└ Encourage family involvement in the care of the another, depending on the situation
patient └ Eye contact is viewed as indicating trustworthiness
AFRICANS Time orientation and personal space
Communication └ Members are future-oriented
└ Members are competent in standard English └ Time is valued
└ Head nodding does not necessarily mean agreement  Always on time
└ Direct eye contact may be interpreted as rudeness or  Gets impatient when a person is not on time
aggressive behavior └ Members may be aloof and tend to avoid physical
└ Be observant when it comes to their nonverbal cues contact
 Nonverbal cues are important because they  When a patient requests to be alone, respect
are not totally expressive the decision
└ Personal questions asked on initial contact with a └ Handshakes may be used for formal greetings
person may be viewed as intrusive
Social roles
 Explain well the importance of health
history taking and why certain information └ The nuclear family is the basic unit
is asked  Elderly is placed in nursing homes
└ The man is the dominant figure
Time orientation and personal space
 But it depends in the variation of culture
└ Members may be late for an appointment because └ Religion includes Judeo-Christian beliefs
relationships and event may be deemed more └ Community social organizations are important
important than being on time
└ Members are comfortable with close personal space Health and illness
when interacting with family and friends └ Health is usually viewed as an absence of disease of
Social roles illness (clinical model)
└ Members have a tendency to be stoical when
└ Large extended family networks are important expressing physical concerns
└ Many households are headed by single-parent women  Does not show or express emotions and
└ Religious beliefs and church affiliations are sources physical pains
of strength └ Members primarily rely on modern western health
care delivery system
Health and illness
Health risks
└ Religious beliefs profoundly affect ideas about health
and illness └ Diabetes mellitus (they are fond of carbohydrates)
└ Members believe illness can be prevented by └ Cancer
nutritious meals, rest, and cleanliness └ Heart disease
└ Injury
Health risks
Interventions
└ Hypertension
└ Heart disease └ Monitor and assess client’s body language
└ Stroke  They do not express if they feel pain
└ Sickle-cell anemia (crescent-shaped RBCs) └ Respect client’s personal space
└ Cancers except skin cancer  Europeans are usually aloof
└ Lactose intolerance
└ Diabetes mellitus HISPANIC AMERICANS

Interventions Communications

└ Recognize the presence of many individual subgroup └ Languages include Spanish and Portuguese
variations └ Members tend to be verbally expressive
└ Build a relationship based on trust └ Avoiding eye contact with a person in authority
└ Clarify the meaning of client’s verbal and nonverbal indicates respect and attentiveness
behavior └ Direct confrontation is disrespectful and the
└ They do not like rigid scheduling of care, be flexible expression of negative feelings is impolite
in scheduling └ Dramatic body language is used to express emotion
└ Encourage family involvement in care or pain
└ Alternative modes of healing may include herbs,  Gestures, facial expressions are used to
express emotions and pain
prayers, and laying of hands
Time orientation and personal space
EUROPEANS
└ Members are oriented more to the present
└ Members may be late for an appointment because  They are still listening even if they are not
relationships and events are valued more than being looking at your eyes
on time └ Body language is important
└ Members are comfortable with close proximity with
family and friends Time orientation and personal space
└ Members are very tactile and use embraces and └ Oriented more to present
handshakes └ Personal space is important
└ Value physical presence of others └ Members will lightly touch another person’s hands
└ Politeness and modesty are essential during greetings
Social roles └ Massage is used for the newborn infant to promote
bonding between infant and mother
└ The nuclear family is the basic unit └ Some tribes may prohibit touching of a dead body
 But still takes regard of the extended family  Unless there is permission from family
└ Needs of the family take precedence over individual members
family members’ needs
└ Men are the decision makers
 They are the breadwinners Social roles
 Women are homemakers and caretakers
└ Religions include Catholicism, evangelicalism, └ Members are family oriented
Jehovah’s witness, and Mormons └ Basic family unit is the extended family
└ Social organizations and church affiliations are strong └ Elders are honored
within the community  Children are taught to respect this tradition
 Involved in decision-making about care
Health and illness └ The father does all the work outside the home and the
└ Health may be a reward from God mother assumes responsibility for domestic duties
 Health is also a sign of good luck  The mother is the caretaker of the family
└ Health results from a state of balance between “hot └ Sacred myths and legends provide spiritual guidance
and cold” forces and “we and dry” forces └ Community social organizations are very important
└ Illness may be viewed as a result of God’s Health and illness
punishment for sins
└ Members may adhere to folk medicine traditions └ Health is a state of harmony between person, family
and environment
Health risks  If you have conflict with family, neighbor,
└ Lactose intolerance community you are considered unhealthy
└ Diabetes mellitus └ Illness is caused by supernatural forces and
└ Parasites (diet is usually raw foods) disequilibrium, between person and environment
└ Traditional health and illness beliefs may continue to
└ Hypertension
be observed, including natural and religious folk
└ Heart disease
medicine tradition
Interventions
Health risks
└ Allow time for the client to discuss treatment options
└ Alcohol abuse
with family members
└ Injury (physical; may be d/t nature of work)
└ Protect privacy
└ Heart disease
└ Offer to call clergy because of the significance of
└ Diabetes mellitus (too much carbohydrates)
religious practices related to illness
└ Tuberculosis
└ Ask if it would be all right to touch a child before
└ Arthritis
examining him or her
└ Be flexible in scheduling care └ Lactose intolerance
└ Herbs, consultation with lay healers (alternative └ Gall bladder disease
modes of healing) └ Some American Eskimos are susceptible to glaucoma
 Diet between hot and cold foods should be Interventions
balanced
└ Clarify communication
NATIVE AMERICANS └ Understand that the client may be attentive even
Communications when eye contact is absent
└ Obtain input from members of the extended family
└ Languages include English, Navajo, and other tribal  Include them in decision-making
languages └ Encourage client to personalize space in which health
└ Silence indicates respect for the speaker care is delivered
 When another person speaks, the person  Allow them to include his/her personal items
listening should be quiet └ Alternative modes healing includes herbs, restoration
└ Members speak in a low tone of voice and expect of balance between the person and the universe, and
others to be attentive consultation with traditional healers
 They value listening and attentiveness
└ Eye contact is viewed as a sign of disrespect
 Most Treatment plans for alternative medicine include:
avoidance, immunotherapy, nutritional supplements,
Complementary and Alternative detoxification, restricted diets, and drugs.

Therapies TRADITIONAL CHINESE MEDICINE


└ Therapies are used in addition to conventional treatment  focuses on restoring and maintaining a balanced flow
to provide healing resources and focus on the mind-body of vital energy
connection  A branch of traditional medicine in china.
└ Included are high-risk (invasive) therapies and low-risk  Traditional Chinese medicine or TCM for short has
(non-invasive) therapies evolved over thousands of years, with TCM practitioners
 E.g., Low-risk therapy: Meditation, Music therapy, using various psychological and/or physical approaches as
Massage, Aromatic therapy, Humor Therapy, well as herbal products to address health problems.
Relaxation techniques (deep breathing exercises)  Traditional Chinese medicine is founded on the concept
CATEGORIES OF COMPLEMENTARY AND that an energy called qi (pronounced "chee") runs
ALTERNATIVE THERAPIES through the body along paths called meridians
1. Alternative Medical Systems  i.e. acupressure, accupuncture, meditation, tai chi, herbal
2. Mind Body Interventions medicines
3. Biological-based interventions
4. Manipulative and body-based interventions ETYMOLOGY
5. Energy therapies  Era of the Shang dynasty period which was from 1766-
1122 BC.
 Shang Di believes that "illness was caused either by
ALTERNATIVE MEDICAL SYSTEMS upsetting an ancestor and consequently being cursed or
that a demon or evil entered the body and caused illness"
ENVIRONMENTAL MEDICINE
 Focuses on preventing the harmful effects of the TYPES OF TRADITIONAL CHINESE MEDICINE
environmental toxins 1. Acupuncture
 focuses on the use of environmentally safe products  Procedure used in or adapted from Chinese
 a multidisciplinary field involving medicine, medical practice in which specific body areas
environmental science, chemistry and others, overlapping are pierced with fine needles for therapeutic
with environmental pathology purposes or to relieve pain or produce
 Environmental Medicine focuses on the causes of disease regional anesthesia.
in an environmental context  The focus is the imbalance in the patient, and
 i.e. health teaching, therapeutic diet, detoxification, the causality is always multifactorial
immunotheraphy, counseling, use of environmentally safe  function of the points is described in terms of
products TCM diagnosis
 According to WHO, acupuncture is effective in:
HISTORY OF ENVIRONMENTAL MEDICINE o colds and flu
 The modern field of environmental medicine originated o bronchitis and asthma
sometime around the mid-20th century, when possible o hay fever and sinusitis
links between environmental factors and human disease
o high blood pressure diabetes and
gained increased recognition.
hypoglycemia
 Environmental Health (1950's) - emerged after WW II
o constipation and hemorrhoids
as a public health discipline to study the control of
o ulcers and colon infections
environmental factors harmful to human health, focus on
sanitation and control of communicable disease. o indigestion and diarrhea
 Environmental Science (1960's)- Pollution in air, water
and soil did not emerge as a discipline until 1960's 2. Diet Therapy
 Environmental Medicine (1970's) - Focus on how  Strict dietary discipline remains an important
pollution enter the body and cause harm aspect of treatment in all branches of traditional
Chinese therapy.
FACTORS OF ENVIRONMENTAL MEDICINE  TCM emphasizes that it is necessary for people
 Biological Factors - bacteria, virus, molds, candida, to keep a regular diet habit and arrange a
parasites, food, animal hair, dust and pollen from the balanced diet according to one's age, gender
trees. and constitution.
 Chemical factors - Formaldehyde, phenol, solvents,  The most basic principle of proper food
petroleum products, pesticides and herbicides combining is to avoid conflicts of yin and yang
 Physical Factor - Hot, cold, air cycle, noise, in the stomach.
electromagnetic radiation found on mobile phones,  Examples of yin and yang food are:
nuclear explosion and exposure to random gas. o Yin = raw foods, fruits and vegetables,
 Psychosocial Factors - Prolonged psychological stress alcohol, sugar
due to work or personal relationships ex. death of a close o Yang = meat, cooked food, chicken and
relative and lost of job. eggs, salt.
HOW ALTERNATIVE MEDICINE WORKS
 Environmental medicine patients are told that the world 3. Herbal Medicine
has made them sick.  Chinese medical herbs are classified according to
o They blame their symptoms on everything from their basic yinyang nature (warming, cooling, or
cell phones to the very walls of their houses, neutral), their Five Elemental Energy identities
from air pollution to food additives. as reflected in the Five Flavors (pungent, sweet,
 The theory is that while one chemical might not be a sour, bitter, or salty), and their primary
problem, many different chemicals and substances therapeutic properties (tonifying, purging,
overwhelm their ability to cope. concentrating, or dispersing)
 The method of preparation used for each remedy
depends on several factors, including the nature
of the herb(s), the type of condition to be treated,  Combination of Air and Space
and the therapeutic effects to be achieved:  Most powerful Dosha
o Raw  Vatta controls:
o Decoction (broth) o muscle and joint movement
o Paste (gao) o breathing and heartbeat
o Pill (wan) o anxiety and fear
o Liquor (yao jiou) o pain
o Ointment (yio) o other functions of the nervous system
 Things that can disrupt it include eating again too
4. Qi Gong soon after a meal, fear, grief, and staying up too late
 exercise that focuses on breathing,  If vata dosha is your main life force, you’re thought
visualization and movement to be more likely to develop conditions
 Which uses movement, breathing techniques, o Anxiety
and meditation o Asthma
 Is believed to treat a variety of health conditions, o heart disease
o skin problems
including high blood pressure, heart disease,
o rheumatoid arthritis
diabetes, chronic fatigue, insomnia, and leg and
back pain, among others
 The concept of the “five elements” (wood, fire, PITTA DOSHA
earth, metal and water) as energetic archetypes  Combination of Fire and Water
whose cycles affect the flow of energy in our  Pitta controls:
bodies is central to ancient Chinese medicine and o digestion
to its qigong health exercises. o metabolism
o intelligence
5. Taichi o skin color
 Is often described as "meditation in motion,"  Pitta governs the emotions of anger, hate, and
but it might well be called "medication in jealousy.
motion."  Things that can disrupt it are eating sour or spicy
 There is growing evidence that this mind-body foods and spending too much time in the sun.
practice, which originated in China as a martial  If it’s your main life force, you’re thought to be more
art, has value in treating or preventing many likely to develop conditions
health problems. o Crohn’s disease
 Because tai chi integrates low physical impact o heart disease
body movements with deep breathing and mental o high blood pressure
concentration, relaxation is possible, thus making o infections
it an alternative option to conventional anxiety
treatments. KAPHA DOSHA
 Combination of Earth and Water
AYURVEDA  Kapha controls
 Ayurveda, or ayurvedic medicine, is an alternative o immune system
medicine system promoting a healthy-lifestyle system that o muscle growth
people in India o body strength and stability
 focuses on the balance of mind, body and spirit o weight
 Emphasizes good health and prevention and treatment  Kapha includes calmness, forgiveness, love, and
of illness through lifestyle practices greed.
 Ayurvedic medicine is holistic  You can disrupt it by sleeping during the day, eating
 Goal of treatment is to cleanse your body too many sweet foods, and eating or drinking things
 Panchakarma = Cleansing process that contain too much salt or water.
o designed to reduce your symptoms and restore  If it’s your main life energy, practitioners believe you
harmony and balance may develop
o To achieve this, an Ayurvedic practitioner might o asthma and other breathing disorders
rely on blood purification, massage, medical oils, o cancer
herbs, and enemas or laxatives o diabetes
 Ayurveda came from the Sanskrit words: o nausea after eating
o "Ayur" meaning "Life" o obesity
o "Veda" meaning "Sacred"
o Ayurveda thus means Sacred Life USES OF AYUVERDA
 i.e. yoga, breathing exercises  People use ayurvedic practices to maintain health, reduce
stress, and improve flexibility, strength, and stamina.
PRINCIPLES OF AYUVERDA  Practices like yoga and meditation can be helpful for
Five basic elements found in the universe: people with diseases such as asthma, high blood pressure,
Space and arthritis.
Air  Ayurveda stresses proper diet for maintaining good health
Fire and treating disease.
Water  Herbal medicines are prescribed based on the person's
Earth
dosha type
These combine in the human body to form three life forces or
IS IT SAFE TO USE AYVERDA
energies, called doshas.
 Ayurvedic practices such as yoga and meditation can be
safe ways to promote health. If you have a long-term
VATTA DOSHA
illness, you may be able to combine ayurveda with  Naturopaths claim the ancient Greek "Father of
conventional medical treatment. Medicine", Hippocrates, as the first advocate of
 Ayurvedic herbal medicines, like conventional medicines, naturopathic medicine, before the term existed
may cause side effects, trigger allergic reactions, or  “Natura", Latin root for "Birth”"
interact with other medicines or herbs you are taking.  “Pathos" Greek root for "Suffering", which suggest
 Some ayurvedic medicines may contain high levels of Natural Healing
heavy metals, which may be harmful to your body.  Naturopathic treatment plans focus on Education and
 Not all countries allow the entry/ practice of Ayurveda Prevention
HOMEOPATHY o emphasize diet, exercise, and stress management
 uses of plants and mineral extracts  The practice of neuropathy is based on a belief in the
 the body can cure itself body’s ability to heal itself through a special vital energy
 use tiny amounts of natural substances, like plants and or force guiding bodily processes internally
minerals
 developed in the late 1700s in Germany PRINCIPLES AND BELIEFS
 common in many European countries, not popular in the 1. Use the most natural, least invasive and least toxic
United States therapies.
 Origin of Homeopathy > Greek Words : 2. Look beyond the symptoms to the underlying cause.
o "Omoios" meaning "SIMILAR" 3. View the body as an integrated whole in all its physical
o "Pathos" meaning "Suffering" and spiritual dimensions.
 i.e. Hydrotherapy 4. Trust in the body's inherent wisdom to heal itself.
5. Educate patients about the steps to achieving and
TWO THEORIES OF HOMEOPATHY maintaining health.
1. LIKE CURES LIKE 6. Focus on overall health, wellness and disease prevention.
 Large amount of substance that causes an illness
to a healthy person, can cure illness in a very NATUROPATHIC CARE
small dose to a sick person  Naturopathic physicians use a blend of traditional
 stimulates a person's self healing capabilities treatment methods (such as ordering labs or x-rays) and
holistic therapies (such as leveraging botanical medicine)
2. LAW OF MINIMUM DOSE to manage a broad range of health conditions.
 Serial dilution
 The more dilution occur, the more potent remedy
will be the outcome

HOW DOES HOMEOPATHY WORK


 come from plants (red onion, arnica [mountain herb],
poison ivy, belladonna [deadly nightshade], and stinging
nettle), minerals (white arsenic), or animals (crushed
whole bees)
 often made as sugar pellets to be placed under the
tongue; such as ointments, gels, drops, creams, and
tablets
 Homeopathic doctors weaken these ingredients by adding
water or alcohol
 “potentization.”
 transfers the healing essence
 believe that the lower the dose, the more powerful the
medicine

CONDITIONS HOMEOPATHY TREAT


 Allergies BENEFITS OF NATUROPATHY
 Migraines 1. Disease Prevention
 Chronic fatigue syndrome 2. Treatment of disorders
 Rheumatoid arthritis 3. Sleeping aid
 Irritable bowel syndrome 4. Alternative therapies
5. Increases self-awareness
 bruises, scrapes
6. Changes the way one think
 headaches, nausea
7. Safe & effective treatment
 coughs, and colds
MIND-BODY INTERVENTIONS
IS HOMEOPATHY SAFE
 focus on controlling physical functions through positive
 There are currently no homeopathic products approved by mental processes
FDA as of NOVEMBER 01,2021
 Mind-body medicine focuses on the communication
between mind and body and the powerful ways in which
NATUROPATHY
emotional, mental, social, and spiritual factors can
 Naturopathic medicine directly affect health.
 is a holistic approach to treating illness & disorders of  Mind-body interventions utilize the mind’s capacity to
all kinds, by stimulating a body’s self-healing affect the body and its physiological responses. They
mechanism thereby influence health.
 It is a combination of multiple therapies including  include biofeedback, hypnosis, relaxation therapy,
acupuncture, herbs, massage, physical manipulations, meditation, music or art therapy, qigong, prayer and
homeopathy, hydrotherapy, nutritional counseling & mental healing
much more following the Naturopathic principles
BIOFEEDBACK
 non-drug treatment in which patients learn to control  beneficial for expressing feelings, reducing stress and
bodily processes that are normally involuntary, such as anxiety, enhancing relaxation and a distraction to aid in
muscle tension, blood pressure, or heart rate pain management
 the therapy is used to help prevent or treat conditions,  Examples
including migraine headaches, chronic pain, incontinence, o Analytical Music Therapy
and high blood pressure o Benenzon Music Therapy
 Biofeedback has been Scientifically Proven to help with: o Cognitive Behavioral Music Therapy (CBMT)
o Reduce the intensity and/or patterns of mental o Community Music Therapy
health issues like drug and alcohol addiction, o Nordoff-Robbins Music Therapy
depression and eating disorders. o The Bonny Method of Guided Imagery and
o Improve sleep quality by reducing hyperarousal Music (GIM)
and insomnia. o Vocal Psychotherapy

HYPNOTHERAPY ART THERAPY


 involves attention and focused concentration with a  A technique rooted in the idea that creative expression can
relative suspension of peripheral awareness foster healing and mental well-being.
 verbal repetition and mental images
 The goal of art therapy is to utilize the creative process to
 effective method for coping with stress, anxiety and
PTSD help people explore self-expression, develop self-
 3 Aspects: Absorption, Dissociation and Suggestibility awareness, cope with stress, boost self-esteem, and work
on social skills.
HYPNOTIC INDUCTION  It is helpful when the person has difficulty expressing
 Relaxation technique feelings verbally.
 Handshake Technique  Examples
 Eye Cues o Collage
o Coloring
RELAXATION THERAPY o Doodling and scribbling
 Relaxation technique is any method or process that o Drawing
produces a relaxing effect to the body lessening pain,
o Finger painting
stress, anxiety or anger.
o Painting
 The stress response is a good example of how systems
cooperate to protect an individual from harm through this o Photography
it also triggers the sympathetic response of our body. o Sculpting
o Where our muscles are tightened, increase heart o Working with clay
rate, in other words, our body is in a fight or
flight state
o relaxation response is indeed needed to reduce
the neural impulses to the brain QI GONG
o It helps individuals to develop cognitive skills to  A form of exercise (stimulation therapy)
reduce negative ways in which they respond  Improves health by redirecting mental focus, controlling
within their environment. breathing, improving coordination, and promoting
o Relaxation enables individuals to exert control relaxation.
over their lives.  Activates the natural currents that flow along the body's
o The long-term goal of relaxation therapy is for meridians to rebalance the body's own healing ability.
people to know the indicators of tension and
release the tension in various body parts. PRAYER
 According to Potter and Perry (2017) research shows that  PRAYER is one of the most ancient expressions of
relaxation in combination with imagery, yoga, and music religion.
reduces anxiety and pain while improving well-being.  IN HINDUISM
 It includes slow deep abdominal breathing. o dhyana (“meditation”) and the stotra (“praise”)
 Research shows that relaxation effectively triggers the  IN BUDDHISM
parasympathetic response, lowering blood pressure, heart o muyou (“monastic prayer”)
rate, decreasing muscle tension, and improving well-  IN ISLAM
being. o five daily prayers include:
 It can help improve one’s satisfaction in work and  Fajr (sunrise prayer),
relationships with others.  Dhuhr (noon prayer),
 Asr (afternoon prayer),
MEDITATION  Maghrib (sunset prayer),
 A practice that connects the mind and the body which can  Isha (night prayer)
produce a deep state of relaxation and a tranquil mind to  IN CHRISTIANITY
enhance physical and emotional well-being o worship, thanksgiving, rosary, fasting, during
 2 Main Types meals
o Concentrative Meditation
o Mindfulness Meditation MENTAL HEALING
 process of alleviating or attempting to alleviate mental or
MUSIC THERAPY physical illness through the power of the mind
 A therapeutic approach that uses the naturally mood-
lifting properties of music to help people improve their
mental health and overall well-being
 can be an active or passive
(Complementary and Alternative Medicine (CAM)
Committee of Craig Hospital, 2021)
 these are made through extraction from plants, herbs or
flower
 The extracted plant part will be used for its scent,
flavor, or therapeutic properties.
 according to The World Health Organization, an estimate
of 80% of the world’s population, or about 4 billion
people, currently use herbal medicine for some of their
health care.
 PURPOSE:
o treats wounds
o enhances general health and wellbeing
o improves energy
o aids relaxation and sleep
o can even makes the mixture taste better
 DIFFERENT FORMS OF HERBAL MEDICINE:
o liquid herb extracts
o skin creams
o teas
o herb
o powders
o capsules
o tablets
 10 APPROVED MEDICINAL PLANTS IN THE PH:
There are ten (10) Philippine medicinal plant species
approved for therapeutic uses by the Food and Drug
Administration (FDA) under the Department of Health
BIOLOGICAL-BASED THERAPIES (DOH):
 therapies includes natural and biological-derived o Lagundi (Vitexnegundo) – Cough and asthma
products, interventions, and practices o Sambong (Blumeabalsamifera L.) – Anti-
 include aromatherapy, herbal therapies, macrobiotic diet, urolithiasis (kidney stones)
and orthomolecular therapy o Ampalaya (Momordicacharantia L.) – can
Lowering of blood sugar and anti-diabetes
AROMATHERAPY o Garlic (Allium sativum) – Anti-cholesterol
 According to the National Association for Holistic o Guava (Psidium Guajava) – Oral/skin
Aromatherapy (NAHA) aromatherapy is the antiseptic
therapeutic application or the medicinal use of o Tsaang-gubat (Carmona cetusa) –
aromatic substances like essential oils for holistic Mouthwash
healing. o Yerba-Buena (Mentha Arvensis) –
 This Aromatherapy is just a complementary therapy Analgesic or antipyretic
 does not provide a cure for diseases, rashes or illnesses, o Niyog-niyogan (Quisaualisindica) – Anti-
but it can be supportive treatment for various conditions helminthic
 It provides respiratory disinfection, decongestant, and o Acapulco (Cassia alata) – Antifungal
psychological benefits.
 BENEFITS:
o more affordable and accessible than
HOW IS THIS AROMATHERAPY APPLIED
conventional medicines
It can be through inhalation or as a topical application.
o many people prefer using them because they
 For inhalation: the oils evaporate into the air using a
align with their personal health ideologies
diffuser or in a steamed bath
 For topical applications: the massage oils are
MACROBIOTIC DIET
absorbed through the skin.
 first developed by a Japanese philosopher named George
Ohsawa
 These essential oils are readily available from the market
o he believed in a holistic approach to health
 be aware of fake oils because this can lead to irritations
incorporating many lifestyle aspects, from diet
and may possibly cause you death once you inhale it
and exercise to meditation and even the ‘yin
 According to the one of the best selling essential oil and yang’ energy of particular foods
brands in the Philippines, there are 5 most popular
 macrobiotic diet is divided as follows:
essentials oils and their superpowers:
o Around 40-60% of your food contains whole
o Lavender - promotes feelings of calmness and
grains such as brown rice, barley, oats,
fights nervous tension
buckwheat
o Peppermint - cools fatigued muscles after
o Around 20-30% contains fruits and vegetables
physical activity
such as pickles, which are one of the things that
o Lemon - promotes healthy immune system
are believed to have a balancing effect
o Frankincense - promotes relaxation and o Around 10% – 25% contains bean and bean
tranquility products such as tofu, miso as well as seaweeds
o Thieves - promotes healthy immune system
BENEFITS
HERBAL THERAPIES  By adopting a macrobiotic way of eating you are likely
 herbal medicines are products made from botanical or to lose weight, but be careful that you don’t replace
plants and also involving the use of natural and protein-rich foods with too many carbs
biologically based practices and interventions
o Starchy carbs like grains and rice are easy to o even large doses of vitamin E pose no risk to
overeat. health and are useful for the treatment and
o Research suggests that it has a positive effect on prevention of a broad list of conditions, including
heart health reporting lower blood lipids and heart and circulatory diseases, diabetes and
cholesterol plus benefits in the management of nephritis
blood pressure. o The usefulness of vitamin E in orthomolecular
o plant-based, low-fat, high-fibre nature of the medicine was based on epidemiological studies
regime suggesting that people who consumed more
 may be useful for women because it moderately reduces vitamin E had lower risks of chronic disease,
the level of circulating estrogens in the body, which such as coronary heart disease.
possibly helps reduce the risk of having breast cancer
o This effect is due to the diet being rich in whole CHELATION
grains which may also benefit post-menopausal  Chelation therapy is an IV therapy that removes heavy
women. metals from the body.
o Wholegrain foods supply a bounty of helpful  heavy metals accumulate in the body through many of
compounds, specifically phyto-estrogens, our daily activities, most commonly through certain
including lignans, which may help maintain foods, people who smoke, dental procedures, seafood
insulin sensitivity and weight management are all possible sources of heavy metals and we are
after the menopause exposed to these if not every day
 There are some prime causes of concern which are  Heavy metals can cause inflammation and can be
associated with minimal nutritional inadequacies catalysts to disease processes.
including calcium, iron, vitamins B12 and D as well as
protein, social limitation due to the strict nature of the PROCESS
plan as well as possible delay in pursuing more  The process of chelation therapy is an IV solution
conventional medical treatments. based in saline including vitamin C and B vitamin that
 Eating more fruit and vegetables and lowering your includes EDTA.
salt, sugar and fat intake can have a positive effect. o ethylenediaminetetraacetic acid
 chewing your food thoroughly and breathing deeply  a synthetic amino acid that grabs onto
are also important elements of this lifestyle heavy metals
 When EDTA is filtered through the kidneys, the EDTA
ORTHOMOLECULAR THERAPY and the heavy metals get filtered out and come out in the
 The term orthomolecular therapy or also known as urine.
"orthomolecular medicine"  What Chelation therapy basically does to our body is to
 coined in around 1968 by a famous chemist and detox the body from heavy metals.
biochemist named Dr. Linus Pauling
o best known for his work on the nature of
chemical bonds and the structure of molecules CONDITIONS DOES CHELATION THERAPY TREAT
 It is both a preventive measure and a treatment for
PURPOSE OF ORTHOMOLECULAR THERAPY heavy metal toxicity.
 a form of alternative medicine  The most common form of heavy metal toxicity is from
 aims to maintain human health through nutritional the most poisonous form of metals which are lead and
supplementation mercury and these are in our environment.
 The concept builds on the idea of an optimal nutritional o There are lead based gasolines
environment in the body and suggests that diseases reflect o mercury is in dental amalgams
deficiencies in this environment. o mercury is in some curtains seafood
 The treatment for disease, according to this view, involves o both of these chemicals can cause chronic issues
attempts to correct "imbalances or deficiencies based and acute poisoning if the levels are high enough
on our individual biochemistry" by use of substances  If you feel to have been exposed to heavy metals you can
such as vitamins, minerals, amino acids, trace elements be checked through blood tests and urine tests and even
and fatty acids. hair samples.

TYPES OF CONDITIONS FOR WHICH MANIPULATIVE AND BODY-BASED


ORTHOMOLECULAR PRACTITIONERS HAVE INTERVENTIONS
CLAIMED SOME EFFICACY  involve manipulation and movement of the body by a
 Acne therapist
 Alcoholism  interventions include acupressure, movement reeducation
 Allergies techniques, chiropractic therapy and therapeutic massage
 Arthritis
 Autism CHIROPRACTIC THERAPY
 bee stings  A system of diagnosis and treatment based on the concept
 bipolar disorder that the nervous system coordinates all of the body's
 burns functions, and that disease results from a lack of normal
 cancer nerve function
 common cold  Spinal manipulation is not recommended for people who
 depression have any of the following:
o Osteoporosis
 drug addiction
o Symptoms of nerve damage or malfunction
 epilepsy
o Previous spinal surgery
 heart diseases
o Stroke
 hypertension
EXAMPLES o Blood vessel disorders
 Vitamin E  There is no evidence that chiropractic manipulation is
effective for conditions not directly related to the
musculoskeletal system.
 A massage therapist is a person trained in giving
ACUPRESSURE massages.
 Ancient form of massage used in Traditional Chinese
Medicine 5 BASIC MASSAGE STROKES
 Restore health balance by regulating the positive and EFFLEURAGE- is more on long, sliding, gliding, and
negative forces of the body sweeping strokes, usually used for spreading massage oil. In
 BENEFITS effleurage, movement is usually repeated several times to
o It relieves: induce relaxation of muscle.
 Stress
 Pain PETRISSAGE- ‘petri’ means ‘to knead’. This technique is
 Anxiety like kneading a dough. The kneading, rolling, and squeezing
 Muscle tension strokes stimulates the nerve endings, getting rid of impure
o Improves circulation substance in the muscle, and increases circulation which then
o People can try doing acupressure on themselves will promote cell repair
or use the services of a licensed practitioner who
has studied pressure points VIBRATION- It is a fine, gentle, trembling movement
 HOW TO DO IT performed with hands or fingers. Vibrations can be used to
o Use deep, firm pressure to massage and stimulate stimulate soft tissues in the body. Vibration movements can
help stimulate nerves, relieve muscular tension and decrease
each point
stress.
o While applying acupressure, close your eyes, and
breathe deeply.
FRICTION- This technique can be done by rubbing back and
o Use your thumb to massage point in a circular or
forth. The movement creates heat, warming up muscles in the
up and down motion. Massage point for 1-2 body to be treated for deep massage technique.
minutes. TAPOTEMENT- This is a rhythmic tapping, pounding, and
o Repeat acupressure as often as you would like. patting movement. The motion is like drumming with your
hands by cupping, hacking and chopping. This technique is
CUPPING THERAPY usually used as the last technique in a massage session.
 Also known as Ventosa or Ventosa therapy
 It is an ancient form of alternative medicine in which a REFLEXOLOGY
therapist puts special cups on your skin for a few minutes  “Zone Therapy”
to create suction.  It is a low-cost therapy, that can be applied easily
 Many Taoists believe that cupping helps balance yin and  It is performed on the reflection points on soles and palms
yang, or the negative and positive, within the body in order to create biophysiological changes in the body.
 People get it for many purposes, including to help with  Similar with acupressure
pain, inflammation, blood flow, relaxation and well-
being, and as a type of deep-tissue massage.
 The heated cup is immediately inverted and placed on the
skin.
o The resulting vacuum sucks the skin partway
into the cup, which may be left in place for
several minutes.

MOXIBUSTION
 a manipulative and body-based practice
 a therapy within traditional Chinese medicine
 Dried moxa herb (a mugwort) is burned usually just above
but sometimes directly on the skin over acupuncture
points
 The herb may be in the form of incense sticks or wool
 BENEFITS
o Expelling cold and dampness
o Relieves back pain and pain from arthritis and
menstrual camping
o Improving female health issues
o Relieving male health problems
o Increasing resistance to cold and flu
o Stimulating the immune system to fight more
serious illnesses
o Regulating the digestive system to relieve
constipation and chronic diarrhea
o Reducing numbness in the fingers and toes
o Reducing the risk of developing blood clots
o Easing anxiety disorders and certain symptoms
of depression
o Eliminate general fatigue TAI CHI AND QI GONG
 Tai chi and qi gong are centuries-old, related mind and
THERAPEUTIC MASSAGE body practices
 Massage is the practice of rubbing and kneading the  TAI CHI
body using the hands. o a practice that has grown from the Qigong
 During a massage, a massage therapist will apply gentle tradition
or strong pressure to the muscles and joints of the o more complex, including foot movements, thus it
body to ease pain and tension. is excellent for brain plasticity maximization
o involve certain postures and gentle movements promote healing through restoring harmony to a person's
with mental focus, breathing, and relaxation energy fields.
o movements can be adapted or practiced while  "Some people use therapeutic touch to reduce pain, ease
walking, standing, or sitting tense muscles, speed healing, and improve sleep. It is
 QI GONG sometimes used to help people who have pain or
o movements associated with the practice, was discomfort from cancer or other diseases"
designed solely as a meditative and healing  Why use it?
practice o Healing touch works with your personal energy
o movements developed as a part of the Tai Chi field to support the body’s own natural ability to
tradition can be used as a martial art or applied to heal
self- defense  What to expect?
o Qigong can be very easy, thus it soothes the o Therapeutic touch can be practiced while you are
nervous system sitting, standing or lying down.
 Qi gong, tai chi movements, if practiced quickly, can be a o Before beginning, the therapist may perform a
form of combat or self-defense. meditation and then assess your energy field by
 Exercise programs, including tai chi, may reduce falling observation and movements of the hands over
and the fear of falling in older people. the body.
 Tai chi also may be more effective than other forms of
exercise for improving balance and stability in people REIKI
with Parkinson’s disease.  Reiki is an energy healing technique that promotes
relaxation, reduces stress and anxiety through gentle
touch.
ENERGY THERAPIES  Reiki practitioners use their hands to deliver energy to
 focus on energy originating within the body or on your body, improving the flow and balance of your
energy from other sources energy to support healing.
 include therapeutic touch and magnetic therapy  Reiki is an ancient form of Japanese healing that is
 Energy therapy is based on the belief that the body has an practiced by many practitioners around the world
invisible energy field, and that when this energy flow is o there is an omnipotent energy that gives life to
blocked or unbalanced, you can become sick. every living thing, and the Japanese call this
 Unblocking this energy can help promote healing and “Ki”
wellbeing. o It is also known as Chi by the Chinese, Prana by
 The purpose of energy therapies can be broadly defined as a number of Asian cultures, and most of the
"The healing of mental or physical disorders by western world refers to it as the Holy Spirit.
rebalancing the energy fields in the human body or by  “Because it works on the entire self – mind, body and
drawing upon spiritual energies or forces for such emotions – and because it is universal life force energy,
healing". reiki may be successful in all types of physical, emotional,
o Some energy therapies include internal mental and spiritual healing”
detoxification or release of trauma-related  How does Reiki work?
memories as additional purposes. o Reiki practitioners act as a conduit between you
 energy therapies consist of interventions that are and the source of the universal life force energy.
designed to interact with the biofield of a person o The energy flows through the practitioner’s
 The concept of the biofield is based on the assumption hands to you.
that all living things have a natural flow of energy that is o The term reiki is a Japanese word meaning
integral to their basic composition. universal life energy.
 The concept of energy flowing through and around the o It is a form of gentle hands-on therapy using
physical body has a long-standing history and is the basis energy fields within and around the body.
for various ancient healing practices and many  Why use it?
complementary and alternative therapies. o People use reiki to improve physical, emotional
and spiritual wellbeing, on or slightly above your
BENEFITS body.
 There is no scientific evidence of an energy field or that o The aim is to use their own healing energy to
energy therapies have any benefits. identify energy imbalances and promote health.
 Energy therapies are very gentle and do not require the o This may generate a feeling of warmth.
therapist to make any heavy physical adjustments.  What to expect?
 They are used to help people feel relaxed and less o During a reiki session a client sits or lies down
anxious, and to improve overall wellbeing fully clothed.
o The therapist places their hands in a series of
SIDE EFFECTS positions.
 As energy therapies are not invasive, they are considered o Reiki treatments typically last about 50 minutes.
to be safe. o During a session, you’ll lie on a massage table
fully clothed, as your reiki practitioner gently
THERAPEUTIC TOUCH places their hands, palms down, on or just above
 The placement of hands in specific sequences above or on your body in specific energy locations.
the body to assess and determine areas of energy o They use a series of 12 to 15 different hand
imbalance, which are generally, experienced as positions.
temperature, texture or vibration changes.  Evidence
 Therapeutic touch uses a practice called "laying on of o Anecdotal evidence suggests that reiki is calming
hands" to correct or balance energy fields. Despite the use and relaxing, often helping to relieve pain and
of the word "touch," the hands usually hover over the anxiety, reduce stiffness and improve posture.
body and do not physically touch it. The goal of the
 What does Reiki feel like?
technique is to help people relax, relieve their pain, and
help them heal faster. Therapeutic touch is thought to
o “You may experience the energy in the form of UNIPOLAR MAGNETS
sensations like heat, tingling or pulsing where the  Magnets that have north on one side and south on the
Reiki practitioner has placed their hands” other.
o By placing the hands over the corresponding
seven major chakra centers that are experiencing NORTH POLE SOUTH POLE
any of the imbalances mentioned and performing CHARACTERISTICS CHARACTERISTICS
Reiki, these centers can be rebalanced leading to Sedating, Stimulating,
better health. Cooling Heating
Negative: Yin Positive: Yang
Low back pain Tingling
Arthritis Numbness
Inflammation Weak muscles
Acute headaches Paralysis
Sharp pain Scars

BIPOLAR OR ALTERNATINGPOLE MAGNETS


 These are made from a sheet of magnetic material with
north and south magnets arranged in an alternating
pattern, so that both north and south face the skin.
 This type of magnet exerts a weaker magnetic field
because the alternating magnets tend to oppose each
MAGNETIC THERAPY other.
 The term magnet therapy usually refers to the use of static o Fractures
magnets placed directly on the body, generally over o Chronic pain
regions of pain.  The type of ailment determines the type and power of the
 An umbrella term for various advancements in the biomagnet to be used, the length of time the patient has
principle that high frequency electromagnetic currents had the problem, its severity, if the ailment is superficial
could have therapeutic effects. or deep, the area of the body to be treated, and the
 Utilizes specifically calibrated electromagnetic fields to patient's sensitivity.
induce biochemical changes at the cellular level,  Side Effects
stimulating multiple natural healing mechanisms. o Lightheadedness
 Static magnets (Permanent Magnets) are either attached to o Headache
the body by tape or encapsulated in specially designed o Sleepiness
products such as belts, wraps, or mattress pads. There are o Itching
also therapeutic magnets used that is either unipolar or  Precautions:
bipolar.  Should not be used during pregnancy, patient with a
 How does it work? pacemaker or who have metal implants that could be
o A commonly held misconception is that magnets dislodged by magnet use
attract the iron in blood cells, thus moving the
blood and stimulating circulation.
o However, the iron in the blood is not in a
magnetic form.
o Static magnets could affect charged particles in
the blood, nerves, and cell membranes or subtly
alter biochemical reactions, although whether the
effect is strong enough to make a difference
remains to be shown.

TYPES OF MAGNETIC THERAPY


1. Pulsed Electromagnetic Field Therapy
 Effects:
o Increasing blood flow
o Stimulating cell metabolism and healing
o Rehabilitating unhealthy tissue
 In orthopedic cases, it was used to promote bone
healing after surgical procedures
 In plastic surgeries, it was used to decrease swelling,
promote faster wound healing, and minimize scarring
2. Combined Electromagnetic Field Therapy
3. Focused Electromagnetic Field Therapy

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