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Decent Work Employment (NCM 120)

P R E L I M S 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
Types of employment in the Philippines
Night differential
1. Regular or permanent employment
└ Every employee shall be paid a night shift differential
└ Will not be fired immediately, unless you violate of not less than ten percent of their regular wage for
rules each hour of work between 10 o’clock in the evening
└ They enjoy the benefit of security of tenure and six o’clock in the morning
└ You will have the job, unless, you resign └ 10 pm-6 am duty or work
└ After retirement, there will be compensations
Overtime work
└ 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 Sec. 32. Salary
safety (holistic health, building structure,
└ The minimum base pay of nurses working in public
etc.)
health institution shall not be lower than salary grade
 Protective equipment should be provided by
15 prescribed under RA 6758 otherwise known as
the company or employer “Compensation and Classification Act of 1989”
Right to self-organization and collective bargaining  SG15 = Php 32,000.00
 Government: Entry level is nurse I until
└ Right to self-organization nurse V and salary is also increasing
 Right of every worker to form or join any  Not applicable to private hospitals
legitimate worker’s organization, association
or union of his or her own choice Sec. 33. Incentives and benefits
└ Labor unions and organizations of employees └ The BON in coordination with the DOH and other
 They demand the rights of employees concerned agencies, association of hospitals and the
accredited professional organization shall establish an
Employee’s compensation (EC) benefits for work-related
incentive and benefit system in the form of:
contingencies
 Free hospital care for nurses and their
└ The employee’s compensation program is the tax- dependents
exempt compensation program for employees and  Scholarship grants
their dependents  Other non-cash benefits
 Medical benefits for sickness or injuries  PNA is the accredited professional
o Health cards organization of nursing
 Disability benefits
 Rehabilitation benefits
 Death and funeral benefits Job Search in Nursing
 Pension benefits
o Government workers highly Different fields in nursing
benefits this
└ Usually, only the regular workers may experience Clinical nursing
these benefits Community nursing
Types of leaves └ Refers to the practice of nursing in the local, national,
and city health departments which include health
Vacation leave
centers and public schools
└ All employees, with the exception of casual workers, └ Focus: Families and Whole Community
are entitled of four weeks of vacation per year └ Roles:
 This type of leave is paid  Vaccinations
 In some companies, if vacation leave is not  Assessments of Children and Pregnant
Women
used it may be converted to cash
 Implementation of DOH programs
o Amount will be based on the salary
School health nursing
Parental leave └ Responsible for the school’s activities in the areas of
└ All employees are entitled to unpaid parental leave health service, health education and environment
health and safety
after working for 12 months
└ Focus: Students, Teachers, and Personnel
 Should be legal spouse
└ Roles:
 Leave to attend school meetings of children
 Health education
is an example of unpaid parental leave
 Attend to the complaints of Students,
└ Female employees are entitled to 90 calendar days Teachers, and Personnel
of maternity leave with full pay Industrial/ occupational nursing
└ Male employees shall be entitled to 10 working
days of paternity leave with full pay during the └ Work alone in situations where they may have to give
period of maternity leave of their legal spouse immediate care to patients with serious injuries, they
Leave for personal need to be fully informed about their legal
responsibilities
└ If he/she is unfit for work due to personal illness or
└ Companies may have their own nurses
injury (Sick Leave)
 Medical certificate should be presented └ Emergency situations in the workplace, especially
└ If a member of the employee’s immediate family needed when toxic or hazardous products are handled
suffers a serious injury or illness or dies (2 days paid in the company
care leave)
Clinical nursing
Study leave
HOSPITAL/ INSTITUTIONAL NURSING
└ Study leave shall be granted by the university only on
└ Nursing in the hospitals and related health facilities
the basis of the needs of the university and the
such as extended care facilities, nursing homes, and
interests of staff development
neighborhood clinics, comprises all of the basic
└ Usually applicable to teachers and professors
components of comprehensive patient care and
RA 9173 “the Philippine Nursing Law” family health
└ Roles:
└ Philippine nursing act of 2002 o OR/ ER/ DR
o Infection control └ Responsible for patients, military or otherwise, who
o Hemodialysis/ Renal have been evaluated from battle areas to the nearest
o ICU/ PICU/ NICU installation for treatment
o Pediatric └ First aid management while transporting the patient
o Psychiatric Nursing from one place to another
o Geriatric Independent nursing practice
o Nurse Midwife
└ The nurse is self-employed and provides professional
o Nurse Anesthetist
nursing services to the clients/patients and their
└ Acute care settings
families
Clinic nursing └ Nurse may take different certifications to have
specializations then put-up business that is inclined
└ Acts as the receptionist, answers phone, does the with to specialization
billing, take x-ray and ECGs, changes dressings, give └ Considered as clinicians
injections (BCG, DPT, measles), and assist in └ Practiced more often in other countries
Physical examinations
└ Attends the needs of the patients in the clinic └ Nurse anesthetists

Nursing informatics

└ Is a field of nursing that incorporates Resume


└ Documentation of e-health records, information
science └ A resume will get you through the door, but the
└ There is a levelling- beginning, advanced, and expert interview is what will get you hired
levels Job search tools
Forensic nursing └ Strong resume
└ Registered Registered nurses who received └ Strong cover letter or application letter
specialized education and training to provide care to  Always name the addressee of the letter
patients who experienced victimized or violence  First paragraph- place your intention why
└ Needs specialization before you can enter this field you want to apply, where did you heart that
└ Medico-legal cases they are hiring, why did you choose the
certain institution
Private duty nursing
 Last paragraph- summary of your profile,
└ Is a registered nurse who undertakes to give experiences
comprehensive nursing care to a client on a one-to- └ 3-4 professional references
one ratio  Recommendations from previous employers,
└ In any setting, ration is 1:1 former professors, dean, faculty
└ Usually for long-term care and chronic patients e.g.,  But make sure they are informed that they
patients with TPN, NGT will be character references, because the
company will be calling them
Military nursing  Family members are not used
└ Provides comprehensive and quality nursing care to └ Interview preparation
all military personnel and their dependents and  Attire should be business attire
authorized relatives
└ Army reserved personnel Resume
└ Has to complete a general military course └ It is a formal document that provides an overview of
└ In military hospitals, in order to become a chief your professional qualifications, including your
nurse, s/he should have a Colonel Ranking
relevant work experience, skills, education, and
Nursing education
notable accomplishments
└ Nurse who likes to consider teaching as their field of └ For fresh graduates and newly board passers, related
expertise nursing experiences may be placed
└ According to RA 9173, for a nurse to become a └ Provides the professional portfolio
faculty in the CON a nurse should have: └ Goal: to convince employers that you are worth
 At least 1 year of nursing experience in the interviewing
hospital └ Your resume is a valuable tool you can use to
 A registered nurse with a master’s degree highlight your experience to prospective employers
 Member of the PNA  Any relevant trainings and experiences may
 With good moral character be highlighted here
 First part of the resume should show your
strong points
Nurse entrepreneur Section
└ Business should still be related to the medical field └ Contact details
└ i.e., Review Center, Derma Clinic, Med tools └ Career objective
└ Education
Flight nursing
 Elementary and high school may not be
included
 College and post grad studies may be └ Communication skills, leadership skills
included └ Be sure to use a strong mix of hard skills and soft
└ Experience skills to demonstrate that you are well-rounded
└ Skills candidate
└ Character references Guidelines in making a resume

Section 1: contact details └ No more than 2 pages


 Should be stapled
 The second page should have a name in the
footer
└ No grammatical errors and typographical errors
└ Update resume at least annually
 Include the seminars and trainings attended
└ First and last name └ Make sure to keep in mid things like the type of font,
 Titles should be placed the consistency of margins, and the styles of borders
└ Permanent address └ Font recommendations: Arial or Times New Roman;
└ Phone number 10-12
└ Email address └ Using resume template is discourage
└ Do not include personal information such as birthrate,
Section 2: career objective marital status, social security or in good health
 Exclude hobbies, interests and
religion/ethnic backgroundUnless necessary
└ Make sure your resume is readable
└ Maker sure the important facts are easy to spot
 GWA, achievements, positions are usually
└ Change career objective with every job you apply in bold
 Base it on the field you are applying on  Use of headers
 Know the job description to base the career └ Do a spelling and grammar check
objective there └ Do not include pictures, fancy binders, or personal
references
 Also place what you can offer
└ Do not include salary information or hobbies (unless
 Summary profile may also be placed
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 └ Make an appointment either by mail or telephone
└ School names  Date, time, and place of appointment will be
 Address of the school should be placed sent by the employer
 Place the date of when you graduated  Always keep your lines open
└ Highest degree earned, majors and minors └ Be at the place at the appointed time
└ Course  Never be late! This will mark as a first
└ GWA may be placed impression
└ Honor and accomplishments └ Know something about the institution where you will
 Positions held may also be placed apply so that you can answer intelligently
 Know the vision and mission of the
Section 4: experience
organization
 Organization chart, who are the
administrators (top-level managers)
└ Be at your best
 Not only your best attire but also the best
└ List any relevant work experience you have momentum (mood, psyche)
└ If fresh grad, related nursing experiences may be └ Knock before you enter
placed  As a sign of respect
 Where you did your RLE duties └ Bring credentials such as registration card, residence
└ Include your title, the company you worked for, years certificate tax account number
worked, and a bulleted list of your key
 Certificate of registration for nurses as proof
responsibilities and notable successes
that you have already passed the board exam
└ Seminars and trainings may be placed here
 PRC ID
Section 5: skills  Board rating certificate
 Resume
└ Include any resume skills you possess that are
 Photocopy of certificates for seminars
relevant to the position
 A portfolio of credentials
└ Ask questions about the job business-like. Do not dress sensually unless
 There are some employers who ask for an sex appeal is part of the job
expected salary, if they ask, give your  Hair is conservative style; nails manicured,
answer short to mid length, clear or light color
└ Thank the interviewer for giving you some of his or polish
 Keep make-up and accessories to minimum;
her time
less is more
 Sign of sincerity or respect └ For men
└ Give yourself time to think about the position
 Wear a suit, blue or gray, in conservative
└ If the prospective employer does not answer, you style. Blazer, slack and shirt with collar but
may write a follow-up letter stating your interest in w/o tie are acceptable in few instances.
the position Freshly pressed
 Following up in the status of application  Shirts solid color; ties conservative
 Beyond a week, you can write a follow-up  Eliminate earrings, flashy jewelry, or strong
letter because 3-5 days they already respond after-shave
└ Do not begin with questions about vacations,  Conservative style hair, beard
benefits, or sick time. This would leave the  Dress style shoes, polished and repaired
impression that these are the most important part of  Shoes should match color with the belt
the job to you and not the work itself
Non-verbal
 Knowing what to contribute, job functions
and responsibilities should be asked first to └ Always offer your hand; use a firm but not crushing
show your interest handshake
└ Do begin with questions about the employer’s └ Use eye contact without starring; avoiding contact is
expectation of you. This will leave the impression a sign of deception, disinterest, or lack of confidence
that you want to know how you can contribute to the └ If a place of sitting is not indicated, choose a chair
organization closest to the interviewer
└ Be sure you know enough about the position to make └ Sit relaxed, but not slouch. Leaning lightly forward
a reasonable decision about accepting an offer if one shows interest but do not lean on desk or knees
is made └ Use hands naturally to emphasize a point; do not
cover mouth, hold your head or twist hands
 Know the scope of responsibility
 Hand gestures
└ Do ask questions about the organization as a whole.
This information is useful to you and demonstrates Summary of deadly interview mistakes
that you are able to see the big picture
 Philosophy, core values, management └ Arrives late for the interview
└ Do bring a list of important points to discuss to help └ Indicates he is late because the directions he was
you if you are nervous given were not good
└ Phrase your questions appropriately and use └ Looks disheveled and inappropriately dressed
appropriate grammar and diction. Words like “yeah”, └ Slouches in his seat
“uh-huh”, “you know”, or “like” are too casual for an └ Does not maintain good eye contact with interviewer
interview └ Assumes he will find out about the company in the
└ During the interview, use the interviewer’s title and interview. Ask interviewer, “What do you do here?”
last name as you speak. Never use the interviewer’s └ Does not link what he can do with the needs of the
first name unless specifically requested to do so employer
└ Brags about how great he is, but cites no evidence
Additional tips └ Responses have no clear focus, seems disorganized
└ Bring only essential items to the interview (resume, and rambling
references, portfolio, datebook, └ Is low-key; does not provide enthusiasm nor appear
└ Know location of office and how to get there. Make a to want the job; what are you going to do for me
trial trip getting to the interview attitude
└ Answers most questions with short “yes” or “no”
 To prevent from getting lost and predict the
time you can arrive to the are  Always provide explanations
└ Arrive 15 minutes early for the actual interview └ Appears desperate for a job-- any job
 As much as possible, arrive their 30 minutes └ Call the interviewer by his first name repeatedly or
early uses the wrong name
 Shows diligence and punctuality └ Badmouths his former boss and the company
 Also sets the mood └ Gives memorized responses and forgets parts
└ Be pleasant, polite, and friendly but business-like to └ Asks “how am I doing? Are you going to hire me?”
everyone you meet, including office staff After the interview
└ Check your appearance before going in
└ Language used is in accordance to the language of └ Review and analyze
question asked └ Send a thank you note
└ Make a return visit or telephone call two or three
Professional dressing
days after your interview
└ For women
Common questions
 Wear a suit and tailored jacket, dress with
sleeves, or dress with jacket in conservative └ Review and analyze your performance. Take notes,
style, color and fabric. Be feminine, but modify any items to improve your next interview
└ Send a thank you note to the manager immediately └ What are the opportunities for personal growth?
after the interview. Don’t put this off └ If you were to offer me this job, where could i expect to
└ Make a return visit or a telephone call two or three be in 5 years?
days after your interview
 Reintroduce yourself and remind which job
you interviewed for Compensation issues
 Add any additional thoughts you may not └ Never ask about salary. The company will discuss salary
have covered when interviewed when appropriate
 Emphasize your strengths for the job  Usually reserved for the second interview or when
 Find out if a hiring decision has been made. there is a firm offer
If decision and you’re not it, ask for  When the offer is made, ask: is there a sign-on bonus
suggestions for creating a better impression. or commission in addition to salary? How often are
 Thank the interviewer for speaking to you the reviews?
and for their time └ Benefits questions. Company benefits are offer worth
└ If you are asked give me one good reason to not hire 25%-50% or more of cash salary offered.
you  Ask: when am I eligible for the plan? Do I have a
 Answer it by saying a negative trait that choice of benefits available?
could be turned to positive └ Negotiations. Everything can be negotiated after you have
 E.g., micromanaging, does not stop until received an offer. Know the market and request
consideration in terms of salary; benefits and perks
something is finished

Common questions and answers Legal questions


└ 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
└ In a job, what interests you the most/least?
M I D T E R M S
 Relate to the position
└ Describe your best/worst boss Transcultural Nursing
 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
accomplishment in your job?  Care that fits or is sensitive to the culture
└ Give me one good reason I should hire you.  If it is sensitive to the culture, people tend to
└ Give me one good reason I shouldn’t hire you. adapt and respond to it
└ What qualifications do you have for this job?  Highest and most universal care construct is trust
└ If you were hired, what ideas/ talents could you contribute and should be achieved when caring
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 would you most like to improve about yourself?
 What do they believe in, in certain practices
└ What could you have done better on your last job?
└ Customs
└ What can you tell me that best illustrates your personal
└ A concept that encompasses beliefs and behaviors that are
drive and motivation?
learned by a group of people
Questions an interviewee may ask
Characteristics of culture
└ Were there any questions i didn’t provide an adequate
answer? └ Culture can be learned
└ Is this new or replacement job? └ Shared to a certain group of people or community
└ As you think about this position, what aspects of this job └ Cumulative
could be performed better?
 Can be passed from one generation to
└ What do you visualize as the major opportunity areas for
another
this position?
└ To whom does this report? └ Diverse
└ What is the background of my potential boss?  Cultures differ from place to place
└ What qualifications does your ideal candidate need?  Naturally diverse in nature
└ Dynamic └ 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
└ Natural foods of the earth are considered most pure
 Uses nonverbal and verbal communications
└ They refrain from eating meat and a vegetarian diet is
 Take note of the verbal, most especially, the
desirable
nonverbal communication of a certain
└ Monks avoid all solid food on afternoon
culture
└ Cognitive- composed of ideas and knowledge Hindus
└ Materials
└ 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
the “sacred” cow are pure and desirable
Types of norms └ Alcohol is avoided
└ Acceptable behavior of a society Islam
└ Mores- moral values
 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
Mormons
 E.g., weddings, burials, baptisms
└ Alcohol and beverages containing caffeine prohibited
Cultural transmission
└ 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
Seventh-day Adventists
└ Acculturation- transmission of culture to another
group └ Pork prohibited, and meat and fish avoided
 When a person moves to another country, a └ Alcohol, coffee, and tea prohibited
person may acquire beliefs of the country └ Vegetarian diet is encouraged
└ Assimilation- Removal or forgetting previous culture
└ 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
└ Any foods to which blood has been added are
└ Ethnocentrism- feeling of superiority
prohibited (also INC)
 White supremacists └ Can consume animal flesh that has been drained (no
└ Xenocentrism- feeling of inferiority blood)
Biases of culture Judaism
└ Prejudice- negative feelings └ Meats allowed include animals that are vegetable
└ Stereotype- negative opinions eaters (cows) and animals that are ritually slaughtered
 Generalizing a certain group with a negative └ Fish that have scales and fins are not allowed
opinion └ Any combination of meat and milk is prohibited
└ Discrimination- negative actions └ Yom Kippur- similar to Ramadan
Types of prejudice  Fasting for 24 hours (1 day)
 Pregnant women and those who are
└ Racism seriously ill are exempted from fasting
└ Sexism └ During their pass over, the only thing they can eat is
└ Heterosexism- discrimination of the third sex the unleavened bread (no yeast)
└ Classicism- discrimination depending on social status
└ Linguicism- discrimination based on language Roman Catholicism
└ Ageism- discrimination of the older age
└ Avoid meat on Ash Wednesday and good Friday but └ Discussions about death are usually not welcomed
fasting is optional └ Stopping medical treatment is against Allah’s will
└ During lent, discourage eating of meat on Friday  DNR/ advanced directives are not allowed
└ Grief may be expressed through slapping or hitting
Dietary preferences of different races
the body
Africans └ If possible, same-sex Muslim should handle the body
after death (or same sex if no Muslim)
└ Fried foods  Gloves are worn if the nurse handling the
└ Pork, greens, rice patient is not a Muslim
└ Some pregnant Africans engage in pica └ Embalming is not done and should be immediately
buried
Asians
Judaism
└ Rice
└ Soy sauce └ Prolongation of life is important
└ Raw fish- Japanese  Life-support must remain so until death
└ A dying person should not be left alone
Europeans
└ Ravi (priest) is required
└ Carbohydrates └ Autopsy and cremation are forbidden
└ Red meat
Hinduism
Hispanic Americans
└ Rituals include tying a thread around the neck or
└ Beans wrist of the dying person, sprinkling the person with
└ Fried foods special water, or placing a leaf of basil on their
└ Spicy foods tongue
└ Tortillas └ After death, the sacred threads are not removed and
└ Carbonated beverages the body is not washed
└ They prefer cremation and ashes are cast in the holy
American Indians river
└ Blue cornmeal Buddhism
└ Fish
└ A shrine to buddha may be placed in the client’s
└ Fruits and berries
room
End-of-life issues of different religions └ Time for meditation at the shrine is important and
should be respected
Roman Catholicism └ Clients may refuse medications that may alter their
└ A priest anoints the sick awareness
└ Other sacraments before death include reconciliation  Opioids
and holy communion  Anesthesia
 Confessions └ After death, a monk may recite prayers for one hour

Protestant End-of-life issues of different races

└ No last rites Hispanic and Latin groups


└ Prayers are given to offer comfort and support └ The family generally makes decisions and may
Mormons request to withhold the diagnosis or prognosis from
the client
└ May administer a sacrament if the client requests  Several family members should be at
└ They discourage cremation bedside of the dying person
 Even the extended family members should
Jehovah’s witness
be included in the end-of-life care
└ Blood transfusion and organ donations are prohibited  Pregnant women are prohibited to attend
└ Do not believe in sacraments funerals and take care of dying persons
└ Will be excommunicated if they receive blood └ Vocal expression of grief and mourning is acceptable
transfusions and expected
└ Members refuse procedures that can alter the body
Islam such as organ donation or autopsy
└ Members prefer to die at home
└ Second-degree male relatives such as cousins or
 If they know that their family member will
uncles should be the contact person and determine
die, they will prefer to take the family
whether the client and/or family should be given
member home
information about the client
 If no second-degree families or no family Africans
members at all are available the doctors may
decide └ Members discuss issues with the spouse or older
└ Client may choose to face Mecca family member
 West or southwest direction
└ The head should be elevated above the body
 The elderly is treated with high respect they └ The head is considered to be sacred
usually make the decision for the client’s  When you touch someone’s head it means
care disrespectful
└ Family is highly valued and is central to the care of
the terminally ill Social roles
└ 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
Chinese extended family
└ Family unit is structured and hierarchical
└ Family members may make decisions about care and  Most Asians practice patriarchal families
often do not tell the client the diagnosis or prognosis └ Men have the power and authority
 Because they believe that this can aggravate  They are the breadwinners, makes decisions
the condition of the patient for the family
└ Dying at home may be considered bad luck  Women are expected to be obedient to men
└ Education is viewed as important
Native Americans
└ Religions include Taoism (Buddhism), Islam, and
└ Family meetings may be held to make decisions Christianity
about end-of-life and type of treatments that should └ Social organizations are strong within the community
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
└ For races and religions who do not encourage forces
cremation, if the patient turns out CoVid positive the  Chinese- yin (femaleness, darkness) and
patient may still be cremated d/t exception to the yang (light, maleness)
general rule └ A healthy body is viewed as a gift from the ancestors
└ Yin foods are cold and yang foods are hot

F I N A L S └ 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
Communication └ Heart diseases
└ Cancer
└ Languages include Chinese, Japanese, Korean, └ Lactose intolerance
Vietnamese, and English └ Blood disorders- thalassemia
└ Silence is valued
 Especially the Chinese Interventions
└ 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
Time orientation and personal space  They do not want rigidity when scheduling
care (Asians do not like structure)
└ Time orientation reflects respect for the past but └ Alternative modes of healing may include herbs,
includes emphasis on the present and the future acupuncture, restoration of balance with foods,
 Asian’s respect and value time massage, and offering of prayers and incense
 When you say that you will be going back at └ Encourage family involvement in the care of the
a specific time, go back to that time patient
└ Usually, members do not touch others during
conversations AFRICANS
└ Touching is unacceptable with members of the Communication
opposite sex
 Male nurses are assigned to male patients └ Members are competent in standard English
and female nurses are assigned to female └ Head nodding does not necessarily mean agreement
patients
└ Direct eye contact may be interpreted as rudeness or └ Members may be aloof and tend to avoid physical
aggressive behavior contact
└ Be observant when it comes to their nonverbal cues  When a patient requests to be alone, respect
 Nonverbal cues are important because they the decision
are not totally expressive └ Handshakes may be used for formal greetings
└ Personal questions asked on initial contact with a
Social roles
person may be viewed as intrusive
 Explain well the importance of health └ The nuclear family is the basic unit
history taking and why certain information  Elderly is placed in nursing homes
is asked └ The man is the dominant figure
Time orientation and personal space  But it depends in the variation of culture
└ Religion includes Judeo-Christian beliefs
└ Members may be late for an appointment because └ Community social organizations are important
relationships and event may be deemed more
important than being on time Health and illness
└ Members are comfortable with close personal space
└ Health is usually viewed as an absence of disease of
when interacting with family and friends
illness (clinical model)
Social roles └ Members have a tendency to be stoical when
expressing physical concerns
└ Large extended family networks are important  Does not show or express emotions and
└ Many households are headed by single-parent women physical pains
└ Religious beliefs and church affiliations are sources └ Members primarily rely on modern western health
of strength care delivery system
Health and illness Health risks
└ Religious beliefs profoundly affect ideas about health └ Diabetes mellitus (they are fond of carbohydrates)
and illness └ Cancer
└ Members believe illness can be prevented by └ Heart disease
nutritious meals, rest, and cleanliness └ Injury
Health risks Interventions
└ Hypertension └ Monitor and assess client’s body language
└ Heart disease  They do not express if they feel pain
└ Stroke └ Respect client’s personal space
└ Sickle-cell anemia (crescent-shaped RBCs)  Europeans are usually aloof
└ Cancers except skin cancer
└ Lactose intolerance HISPANIC AMERICANS
└ Diabetes mellitus
Communications
Interventions └ Languages include Spanish and Portuguese
└ Recognize the presence of many individual subgroup └ Members tend to be verbally expressive
variations └ Avoiding eye contact with a person in authority
└ Build a relationship based on trust indicates respect and attentiveness
└ Clarify the meaning of client’s verbal and nonverbal └ Direct confrontation is disrespectful and the
behavior expression of negative feelings is impolite
└ They do not like rigid scheduling of care, be flexible └ Dramatic body language is used to express emotion
in scheduling or pain
└ Encourage family involvement in care  Gestures, facial expressions are used to
└ Alternative modes of healing may include herbs, express emotions and pain
prayers, and laying of hands Time orientation and personal space
EUROPEANS └ Members are oriented more to the present
└ Body built is large and broad └ Members may be late for an appointment because
relationships and events are valued more than being
Communication on time
└ Members are comfortable with close proximity with
└ Languages include national languages and English
family and friends
└ Silence can be used to show respect or disrespect for
└ Members are very tactile and use embraces and
another, depending on the situation
handshakes
└ Eye contact is viewed as indicating trustworthiness
└ Value physical presence of others
Time orientation and personal space └ Politeness and modesty are essential

└ Members are future-oriented Social roles


└ Time is valued
└ The nuclear family is the basic unit
 Always on time
 But still takes regard of the extended family
 Gets impatient when a person is not on time
└ Needs of the family take precedence over individual Social roles
family members’ needs
└ Members are family oriented
└ Men are the decision makers
└ Basic family unit is the extended family
 They are the breadwinners
└ Elders are honored
 Women are homemakers and caretakers
└ Religions include Catholicism, evangelicalism,  Children are taught to respect this tradition
Jehovah’s witness, and Mormons  Involved in decision-making about care
└ Social organizations and church affiliations are strong └ The father does all the work outside the home and the
within the community mother assumes responsibility for domestic duties
 The mother is the caretaker of the family
Health and illness └ Sacred myths and legends provide spiritual guidance
└ Community social organizations are very important
└ Health may be a reward from God
 Health is also a sign of good luck Health and illness
└ Health results from a state of balance between “hot
and cold” forces and “we and dry” forces └ Health is a state of harmony between person, family
└ Illness may be viewed as a result of God’s and environment
punishment for sins  If you have conflict with family, neighbor,
└ Members may adhere to folk medicine traditions community you are considered unhealthy
└ Illness is caused by supernatural forces and
Health risks disequilibrium, between person and environment
└ Traditional health and illness beliefs may continue to
└ Lactose intolerance
be observed, including natural and religious folk
└ Diabetes mellitus
medicine tradition
└ Parasites (diet is usually raw foods)
└ Hypertension Health risks
└ Heart disease
└ Alcohol abuse
Interventions └ Injury (physical; may be d/t nature of work)
└ Heart disease
└ Allow time for the client to discuss treatment options └ Diabetes mellitus (too much carbohydrates)
with family members └ Tuberculosis
└ Protect privacy
└ Arthritis
└ Offer to call clergy because of the significance of
└ Lactose intolerance
religious practices related to illness
└ Gall bladder disease
└ Ask if it would be all right to touch a child before
└ Some American Eskimos are susceptible to glaucoma
examining him or her
└ Be flexible in scheduling care Interventions
└ Herbs, consultation with lay healers (alternative
modes of healing) └ Clarify communication
 Diet between hot and cold foods should be └ Understand that the client may be attentive even
balanced when eye contact is absent
└ Obtain input from members of the extended family
NATIVE AMERICANS  Include them in decision-making
└ Encourage client to personalize space in which health
Communications
care is delivered
└ Languages include English, Navajo, and other tribal  Allow them to include his/her personal items
languages └ Alternative modes healing includes herbs, restoration
└ Silence indicates respect for the speaker of balance between the person and the universe, and
 When another person speaks, the person consultation with traditional healers
listening should be quiet
└ Members speak in a low tone of voice and expect Complementary and Alternative
others to be attentive Therapies
 They value listening and attentiveness └ Therapies are used in addition to conventional treatment
└ Eye contact is viewed as a sign of disrespect to provide healing resources and focus on the mind-body
 They are still listening even if they are not connection
looking at your eyes └ Included are high-risk (invasive) therapies and low-risk
└ Body language is important (non-invasive) therapies
 E.g., Low-risk therapy: Meditation, Music therapy,
Time orientation and personal space Massage, Aromatic therapy, Humor Therapy,
Relaxation techniques (deep breathing exercises)
└ Oriented more to present
CATEGORIES OF COMPLEMENTARY AND
└ Personal space is important ALTERNATIVE THERAPIES
└ Members will lightly touch another person’s hands 1. Alternative Medical Systems
during greetings 2. Mind Body Interventions
└ Massage is used for the newborn infant to promote 3. Biological-based interventions
bonding between infant and mother 4. Manipulative and body-based interventions
└ Some tribes may prohibit touching of a dead body 5. Energy therapies
 Unless there is permission from family
members
ALTERNATIVE MEDICAL SYSTEMS  Shang Di believes that "illness was caused either by
upsetting an ancestor and consequently being cursed or
ENVIRONMENTAL MEDICINE that a demon or evil entered the body and caused illness"
 Focuses on preventing the harmful effects of the
environmental toxins TYPES OF TRADITIONAL CHINESE MEDICINE
 focuses on the use of environmentally safe products 1. Acupuncture
 a multidisciplinary field involving medicine,  Procedure used in or adapted from Chinese
environmental science, chemistry and others, overlapping medical practice in which specific body areas
with environmental pathology are pierced with fine needles for therapeutic
 Environmental Medicine focuses on the causes of disease purposes or to relieve pain or produce
in an environmental context regional anesthesia.
 i.e. health teaching, therapeutic diet, detoxification,  The focus is the imbalance in the patient, and
immunotheraphy, counseling, use of environmentally safe the causality is always multifactorial
products  function of the points is described in terms of
TCM diagnosis
HISTORY OF ENVIRONMENTAL MEDICINE  According to WHO, acupuncture is effective in:
 The modern field of environmental medicine originated o colds and flu
sometime around the mid-20th century, when possible o bronchitis and asthma
links between environmental factors and human disease o hay fever and sinusitis
gained increased recognition. o high blood pressure diabetes and
 Environmental Health (1950's) - emerged after WW II hypoglycemia
as a public health discipline to study the control of o constipation and hemorrhoids
environmental factors harmful to human health, focus on o ulcers and colon infections
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)
 Most Treatment plans for alternative medicine include:  The method of preparation used for each remedy
avoidance, immunotherapy, nutritional supplements, depends on several factors, including the nature
detoxification, restricted diets, and drugs. of the herb(s), the type of condition to be treated,
and the therapeutic effects to be achieved:
TRADITIONAL CHINESE MEDICINE o Raw
 focuses on restoring and maintaining a balanced flow o Decoction (broth)
of vital energy o Paste (gao)
 A branch of traditional medicine in china. o Pill (wan)
 Traditional Chinese medicine or TCM for short has o Liquor (yao jiou)
evolved over thousands of years, with TCM practitioners o Ointment (yio)
using various psychological and/or physical approaches as
well as herbal products to address health problems.
4. Qi Gong
 Traditional Chinese medicine is founded on the concept
 exercise that focuses on breathing,
that an energy called qi (pronounced "chee") runs
through the body along paths called meridians visualization and movement
 i.e. acupressure, accupuncture, meditation, tai chi, herbal  Which uses movement, breathing techniques,
medicines and meditation
 Is believed to treat a variety of health conditions,
ETYMOLOGY including high blood pressure, heart disease,
 Era of the Shang dynasty period which was from 1766- diabetes, chronic fatigue, insomnia, and leg and
1122 BC.
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
o metabolism
to its qigong health exercises.
o intelligence
o skin color
5. Taichi
 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
 Combination of Air and Space conventional medical treatment.
 Most powerful Dosha  Ayurvedic herbal medicines, like conventional medicines,
 Vatta controls: may cause side effects, trigger allergic reactions, or
o muscle and joint movement interact with other medicines or herbs you are taking.
o breathing and heartbeat  Some ayurvedic medicines may contain high levels of
o anxiety and fear heavy metals, which may be harmful to your body.
o pain  Not all countries allow the entry/ practice of Ayurveda
o other functions of the nervous system HOMEOPATHY
 Things that can disrupt it include eating again too  uses of plants and mineral extracts
soon after a meal, fear, grief, and staying up too late  the body can cure itself
 If vata dosha is your main life force, you’re thought  use tiny amounts of natural substances, like plants and
to be more likely to develop conditions minerals
o Anxiety  developed in the late 1700s in Germany
o Asthma  common in many European countries, not popular in the
o heart disease United States
o skin problems  Origin of Homeopathy > Greek Words :
o rheumatoid arthritis o "Omoios" meaning "SIMILAR"
o "Pathos" meaning "Suffering"
 i.e. Hydrotherapy 5. Educate patients about the steps to achieving and
maintaining health.
TWO THEORIES OF HOMEOPATHY 6. Focus on overall health, wellness and disease prevention.
1. LIKE CURES LIKE
 Large amount of substance that causes an illness NATUROPATHIC CARE
to a healthy person, can cure illness in a very  Naturopathic physicians use a blend of traditional
small dose to a sick person treatment methods (such as ordering labs or x-rays) and
 stimulates a person's self healing capabilities holistic therapies (such as leveraging botanical medicine)
to manage a broad range of health conditions.
2. LAW OF MINIMUM DOSE
 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 BENEFITS OF NATUROPATHY


 Allergies 1. Disease Prevention
 Migraines 2. Treatment of disorders
 Chronic fatigue syndrome 3. Sleeping aid
 Rheumatoid arthritis 4. Alternative therapies
 Irritable bowel syndrome 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
 Naturopaths claim the ancient Greek "Father of BIOFEEDBACK
Medicine", Hippocrates, as the first advocate of  non-drug treatment in which patients learn to control
naturopathic medicine, before the term existed bodily processes that are normally involuntary, such as
 “Natura", Latin root for "Birth”" muscle tension, blood pressure, or heart rate
 “Pathos" Greek root for "Suffering", which suggest  the therapy is used to help prevent or treat conditions,
Natural Healing including migraine headaches, chronic pain, incontinence,
 Naturopathic treatment plans focus on Education and and high blood pressure
Prevention  Biofeedback has been Scientifically Proven to help with:
o emphasize diet, exercise, and stress management o Reduce the intensity and/or patterns of mental
 The practice of neuropathy is based on a belief in the health issues like drug and alcohol addiction,
body’s ability to heal itself through a special vital energy depression and eating disorders.
or force guiding bodily processes internally o Improve sleep quality by reducing hyperarousal
and insomnia.
PRINCIPLES AND BELIEFS
1. Use the most natural, least invasive and least toxic HYPNOTHERAPY
therapies.  involves attention and focused concentration with a
2. Look beyond the symptoms to the underlying cause. relative suspension of peripheral awareness
3. View the body as an integrated whole in all its physical  verbal repetition and mental images
and spiritual dimensions.  effective method for coping with stress, anxiety and
4. Trust in the body's inherent wisdom to heal itself. PTSD
 3 Aspects: Absorption, Dissociation and Suggestibility
 It is helpful when the person has difficulty expressing
HYPNOTIC INDUCTION feelings verbally.
 Relaxation technique  Examples
 Handshake Technique o Collage
 Eye Cues o Coloring
o Doodling and scribbling
RELAXATION THERAPY
o Drawing
 Relaxation technique is any method or process that
o Finger painting
produces a relaxing effect to the body lessening pain,
o Painting
stress, anxiety or anger.
o Photography
 The stress response is a good example of how systems
cooperate to protect an individual from harm through this o Sculpting
it also triggers the sympathetic response of our body. o Working with clay
o Where our muscles are tightened, increase heart
rate, in other words, our body is in a fight or
flight state
o relaxation response is indeed needed to reduce QI GONG
the neural impulses to the brain  A form of exercise (stimulation therapy)
o It helps individuals to develop cognitive skills to  Improves health by redirecting mental focus, controlling
reduce negative ways in which they respond breathing, improving coordination, and promoting
within their environment. relaxation.
o Relaxation enables individuals to exert control  Activates the natural currents that flow along the body's
over their lives. meridians to rebalance the body's own healing ability.
o The long-term goal of relaxation therapy is for
PRAYER
people to know the indicators of tension and
release the tension in various body parts.  PRAYER is one of the most ancient expressions of
religion.
 According to Potter and Perry (2017) research shows that
relaxation in combination with imagery, yoga, and music  IN HINDUISM
reduces anxiety and pain while improving well-being. o dhyana (“meditation”) and the stotra (“praise”)
 It includes slow deep abdominal breathing.  IN BUDDHISM
 Research shows that relaxation effectively triggers the o muyou (“monastic prayer”)
parasympathetic response, lowering blood pressure, heart  IN ISLAM
rate, decreasing muscle tension, and improving well- o five daily prayers include:
being.  Fajr (sunrise prayer),
 It can help improve one’s satisfaction in work and  Dhuhr (noon prayer),
relationships with others.  Asr (afternoon prayer),
 Maghrib (sunset prayer),
MEDITATION  Isha (night prayer)
 A practice that connects the mind and the body which can  IN CHRISTIANITY
produce a deep state of relaxation and a tranquil mind to o worship, thanksgiving, rosary, fasting, during
enhance physical and emotional well-being meals
 2 Main Types
o Concentrative Meditation MENTAL HEALING
o Mindfulness Meditation  process of alleviating or attempting to alleviate mental or
physical illness through the power of the mind
MUSIC THERAPY
 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
 beneficial for expressing feelings, reducing stress and
anxiety, enhancing relaxation and a distraction to aid in
pain management
 Examples
o Analytical Music Therapy
o Benenzon Music Therapy
o Cognitive Behavioral Music Therapy (CBMT)
o Community Music Therapy
o Nordoff-Robbins Music Therapy
o The Bonny Method of Guided Imagery and
Music (GIM)
o Vocal Psychotherapy

ART THERAPY
 A technique rooted in the idea that creative expression can
foster healing and mental well-being.
 The goal of art therapy is to utilize the creative process to
help people explore self-expression, develop self-
awareness, cope with stress, boost self-esteem, and work
on social skills.
 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
therapeutic application or the medicinal use of antiseptic
aromatic substances like essential oils for holistic o Tsaang-gubat (Carmona cetusa) –
healing. Mouthwash
 This Aromatherapy is just a complementary therapy o Yerba-Buena (Mentha Arvensis) –
 does not provide a cure for diseases, rashes or illnesses, Analgesic or antipyretic
but it can be supportive treatment for various conditions o Niyog-niyogan (Quisaualisindica) – Anti-
 It provides respiratory disinfection, decongestant, and helminthic
psychological benefits. o Acapulco (Cassia alata) – Antifungal
 BENEFITS:
HOW IS THIS AROMATHERAPY APPLIED o more affordable and accessible than
It can be through inhalation or as a topical application. conventional medicines
 For inhalation: the oils evaporate into the air using a o many people prefer using them because they
diffuser or in a steamed bath align with their personal health ideologies
 For topical applications: the massage oils are
absorbed through the skin. MACROBIOTIC DIET
 first developed by a Japanese philosopher named George
 These essential oils are readily available from the market Ohsawa
 be aware of fake oils because this can lead to irritations o he believed in a holistic approach to health
and may possibly cause you death once you inhale it incorporating many lifestyle aspects, from diet
 According to the one of the best selling essential oil and exercise to meditation and even the ‘yin
brands in the Philippines, there are 5 most popular and yang’ energy of particular foods
essentials oils and their superpowers:  macrobiotic diet is divided as follows:
o Lavender - promotes feelings of calmness and o Around 40-60% of your food contains whole
fights nervous tension grains such as brown rice, barley, oats,
o Peppermint - cools fatigued muscles after buckwheat
physical activity o Around 20-30% contains fruits and vegetables
o Lemon - promotes healthy immune system such as pickles, which are one of the things that
o Frankincense - promotes relaxation and are believed to have a balancing effect
tranquility o Around 10% – 25% contains bean and bean
o Thieves - promotes healthy immune system products such as tofu, miso as well as seaweeds

HERBAL THERAPIES BENEFITS


 herbal medicines are products made from botanical or  By adopting a macrobiotic way of eating you are likely
plants and also involving the use of natural and to lose weight, but be careful that you don’t replace
biologically based practices and interventions protein-rich foods with too many carbs
(Complementary and Alternative Medicine (CAM) o Starchy carbs like grains and rice are easy to
Committee of Craig Hospital, 2021) overeat.
 these are made through extraction from plants, herbs or o Research suggests that it has a positive effect on
flower heart health reporting lower blood lipids and
 The extracted plant part will be used for its scent, cholesterol plus benefits in the management of
flavor, or therapeutic properties. blood pressure.
 according to The World Health Organization, an estimate o plant-based, low-fat, high-fibre nature of the
of 80% of the world’s population, or about 4 billion regime
people, currently use herbal medicine for some of their  may be useful for women because it moderately reduces
health care. the level of circulating estrogens in the body, which
 PURPOSE: possibly helps reduce the risk of having breast cancer
o treats wounds o This effect is due to the diet being rich in whole
o enhances general health and wellbeing grains which may also benefit post-menopausal
o improves energy women.
o Wholegrain foods supply a bounty of helpful
o aids relaxation and sleep
compounds, specifically phyto-estrogens,
o can even makes the mixture taste better
including lignans, which may help maintain
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:
 drug addiction o Osteoporosis
 epilepsy o Symptoms of nerve damage or malfunction
 heart diseases o Previous spinal surgery
 hypertension o Stroke
EXAMPLES o Blood vessel disorders
 Vitamin E  There is no evidence that chiropractic manipulation is
o even large doses of vitamin E pose no risk to effective for conditions not directly related to the
health and are useful for the treatment and musculoskeletal system.
prevention of a broad list of conditions, including
heart and circulatory diseases, diabetes and ACUPRESSURE
nephritis  Ancient form of massage used in Traditional Chinese
o The usefulness of vitamin E in orthomolecular Medicine
medicine was based on epidemiological studies  Restore health balance by regulating the positive and
suggesting that people who consumed more negative forces of the body
vitamin E had lower risks of chronic disease,  BENEFITS
such as coronary heart disease. o It relieves:
 Stress
CHELATION  Pain
 Chelation therapy is an IV therapy that removes heavy  Anxiety
metals from the body.  Muscle tension
 heavy metals accumulate in the body through many of o Improves circulation
our daily activities, most commonly through certain o People can try doing acupressure on themselves
foods, people who smoke, dental procedures, seafood or use the services of a licensed practitioner who
has studied pressure points
 HOW TO DO IT VIBRATION- It is a fine, gentle, trembling movement
o Use deep, firm pressure to massage and stimulate performed with hands or fingers. Vibrations can be used to
each point stimulate soft tissues in the body. Vibration movements can
o While applying acupressure, close your eyes, and help stimulate nerves, relieve muscular tension and decrease
breathe deeply. stress.
o Use your thumb to massage point in a circular or
up and down motion. Massage point for 1-2 FRICTION- This technique can be done by rubbing back and
minutes. forth. The movement creates heat, warming up muscles in the
o Repeat acupressure as often as you would like. body to be treated for deep massage technique.
TAPOTEMENT- This is a rhythmic tapping, pounding, and
CUPPING THERAPY patting movement. The motion is like drumming with your
 Also known as Ventosa or Ventosa therapy hands by cupping, hacking and chopping. This technique is
usually used as the last technique in a massage session.
 It is an ancient form of alternative medicine in which a
therapist puts special cups on your skin for a few minutes
REFLEXOLOGY
to create suction.
 “Zone Therapy”
 Many Taoists believe that cupping helps balance yin and
yang, or the negative and positive, within the body  It is a low-cost therapy, that can be applied easily
 People get it for many purposes, including to help with  It is performed on the reflection points on soles and palms
pain, inflammation, blood flow, relaxation and well- in order to create biophysiological changes in the body.
being, and as a type of deep-tissue massage.  Similar with acupressure
 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
THERAPEUTIC MASSAGE  Tai chi and qi gong are centuries-old, related mind and
 Massage is the practice of rubbing and kneading the body practices
body using the hands.  TAI CHI
 During a massage, a massage therapist will apply gentle o a practice that has grown from the Qigong
or strong pressure to the muscles and joints of the tradition
body to ease pain and tension. o more complex, including foot movements, thus it
 A massage therapist is a person trained in giving is excellent for brain plasticity maximization
massages. o involve certain postures and gentle movements
with mental focus, breathing, and relaxation
5 BASIC MASSAGE STROKES o movements can be adapted or practiced while
EFFLEURAGE- is more on long, sliding, gliding, and
walking, standing, or sitting
sweeping strokes, usually used for spreading massage oil. In
 QI GONG
effleurage, movement is usually repeated several times to
o movements associated with the practice, was
induce relaxation of muscle.
designed solely as a meditative and healing
PETRISSAGE- ‘petri’ means ‘to knead’. This technique is practice
like kneading a dough. The kneading, rolling, and squeezing o movements developed as a part of the Tai Chi
strokes stimulates the nerve endings, getting rid of impure tradition can be used as a martial art or applied to
substance in the muscle, and increases circulation which then self- defense
will promote cell repair o Qigong can be very easy, thus it soothes the
nervous system
 Qi gong, tai chi movements, if practiced quickly, can be a
form of combat or self-defense.
 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
o “You may experience the energy in the form of
help them heal faster. Therapeutic touch is thought to
promote healing through restoring harmony to a person's sensations like heat, tingling or pulsing where the
energy fields. Reiki practitioner has placed their hands”
o By placing the hands over the corresponding
 "Some people use therapeutic touch to reduce pain, ease
tense muscles, speed healing, and improve sleep. It is seven major chakra centers that are experiencing
sometimes used to help people who have pain or any of the imbalances mentioned and performing
discomfort from cancer or other diseases" Reiki, these centers can be rebalanced leading to
better health.
 Why use it?
o Healing touch works with your personal energy
field to support the body’s own natural ability to
heal
 What to expect?
o Therapeutic touch can be practiced while you are
sitting, standing or lying down.
o Before beginning, the therapist may perform a
meditation and then assess your energy field by
NORTH POLE SOUTH POLE
CHARACTERISTICS CHARACTERISTICS
Sedating, Stimulating,
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
MAGNETIC THERAPY pattern, so that both north and south face the skin.
 The term magnet therapy usually refers to the use of static  This type of magnet exerts a weaker magnetic field
magnets placed directly on the body, generally over because the alternating magnets tend to oppose each
regions of pain. other.
 An umbrella term for various advancements in the o Fractures
principle that high frequency electromagnetic currents o Chronic pain
could have therapeutic effects.  The type of ailment determines the type and power of the
 Utilizes specifically calibrated electromagnetic fields to biomagnet to be used, the length of time the patient has
induce biochemical changes at the cellular level, had the problem, its severity, if the ailment is superficial
stimulating multiple natural healing mechanisms. or deep, the area of the body to be treated, and the
 Static magnets (Permanent Magnets) are either attached to patient's sensitivity.
the body by tape or encapsulated in specially designed  Side Effects
products such as belts, wraps, or mattress pads. There are o Lightheadedness
also therapeutic magnets used that is either unipolar or o Headache
bipolar. o Sleepiness
 How does it work? o Itching
o A commonly held misconception is that magnets
 Precautions:
attract the iron in blood cells, thus moving the
 Should not be used during pregnancy, patient with a
blood and stimulating circulation.
pacemaker or who have metal implants that could be
o However, the iron in the blood is not in a
dislodged by magnet use
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

UNIPOLAR MAGNETS
 Magnets that have north on one side and south on the
other.

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