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Bridging Medical and Holistic Care

What if you could find a way to cut back on how often you  prescribe pain killers, like Oxycodone, and instead, offer more unique and holistic alternatives, like essential oils in your nursing facilities?

With the growing popularity of integrative medicine, essential oils have found their way back into health care. Essential oils provide a simple way to alleviate certain physical symptoms, promote emotional well-being, and provide comfort.

The experience that follows inhalation of an essential oil is more than simply the perception of an aroma. When oils enter the body through inhalation, the molecules stimulate olfactory pathways that are closely connected to portions of the brain's limbic system, which influences heart rate, blood pressure, respiratory rate, memory, and hormone levels. The limbic system includes the brain's amygdala, which plays a major role in such reactions as fear and anger, and becomes highly active during emotional trauma.

When applied topically, certain essential oils have been found to make skin more penetrable, which could, theoretically, cause them to potentiate the effectiveness of other topical pharmaceuticals, or of other essential oils when used in a blended concoction.5 A study of the absorbency of lavender oil found that its two main constituents, linalool and linalyl acetate, were detectable in the blood of a single male subject for up to 90 minutes following a lavender massage.6Absorption through inhalation of the fragrant molecules during the massage may have also been a factor, but the absorption patterns of essential oils in humans have not been widely studied. Further clinical research in this area may be beneficial.


SUPPORTIVE RESEARCH AND METHODOLOGICAL CRITICISM
Essential oils have been commonly used to alleviate nausea and vomiting,8 decrease pain,9-12 reduce anxiety,13, 14diminish mental fatigue,15 and, with mixed results, improve behavioral and psychological symptoms in dementia.16 In recent years, an increasing amount of research has been conducted on the efficacy of essential oils for these and other purposes.
 
Supportive research. One study suggests that inhalation of the essential oils lavender and rosemary may affect mood, anxiety levels, and alertness.17 In this study, 40 adults were randomly assigned to receive aromatherapy with one of these two essential oils by direct inhalation. Following the sessions, both groups demonstrated a significant reduction in anxiety, as measured by the State-Trait Anxiety Inventory (STAI). The lavender group showed improved mood, as measured by the Profile of Mood States, and the rosemary group reported feeling more alert. Electroencephalography data, recorded for three-minute periods before, during, and after the aromatherapy sessions, showed that frontal beta 2 power, associated with drowsiness, increased after sessions in both groups, while frontal alpha power, associated with relaxation and drowsiness, increased significantly after the lavender sessions, but decreased after the rosemary sessions, which provided some physiologic support for the subjective reports of reduced anxiety in both groups and the reported increased alertness in the rosemary group.
 
In an Austrian study of 200 patients waiting to undergo dental procedures, the effects of diffusing orange or lavender oils in the waiting room were compared with playing music and with providing no ambient intervention (control). Both the orange and the lavender oils, diffused separately, were found to significantly reduce anxiety (as assessed by a German version of the STAI) compared with music or no intervention, and to improve mood (as assessed by the Mehrdimensionale Befindlichkeitsfragebogen, which uses a Likert scale to ascertain mood, alertness, and calmness).18
 
A pilot study investigated the effects of topically applied lavender and clary sage in a carrier solution of sweet almond oil on work-related stress among 14 medical-surgical ICU nurses over three 12-hour shifts within a two-week period. Compared with a control group that applied only the sweet almond oil, the intervention group reported decreased perceptions of stress.19
 
In a study of test-taking graduate nursing students, inhaling a sachet of lavender or rosemary -before and during each of two exams was found to reduce pre- to posttest anxiety, as assessed by a 10-question test-anxiety scale. In a control test in which no intervention was offered, pre- to posttest anxiety did not change.20
 
In a review of six studies-including two randomized controlled trials, which together included a total of 387 participants-aromatherapy, administered by way of a 30-to-60-minute massage, was found to have positive effects on mood in people with depression, people with cancer-related depression, and mothers with postpartum depression.21 Oils used in these studies included lavender; chamomile; and a blend of sweet orange, geranium, and basil.
 
In a systematic review of 16 randomized controlled trials that examined the anxiolytic effects of aromatherapy administered by massage, inhalation, tablet intake, or footbath, all of the studies found the practice to be effective in reducing anxiety, with no adverse events reported.22 Improvement among participants with low anxiety levels, however, tended to be insignificant.
 

https://www.ncbi.nlm.nih.gov/pubmed/23072267
Investigating the effect of aromatherapy in patients with renal colic

https://www.ncbi.nlm.nih.gov/pubmed/30022505
Screening of antifungal activity of twelve essential oils against eight pathogenic fungi of vegetables and mushroom

https://www.ncbi.nlm.nih.gov/pubmed/30007082
Antibacterial and anti-PmrA activity of plant essential oils against fluoroquinolone resistant Streptococcus pneumoniae clinical isolates.

https://www.ncbi.nlm.nih.gov/pubmed/30005652
Effective antioxidant, antimicrobial and anticancer activities of essential oils of horticultural aromatic crops in northern Egypt

“A large body of literature has been published on the effects of odors on the human brain and emotions. Some studies have tested the effects of essential oils on mood, alertness, and mental stress.”

Breaking into medical paradigm, change proactiv healthcare, bridge between allopathic and holsitic care

our system is completely broken and we have a solution to fix this

2.5 billion dollar company in less than 9 years

opioids, antibiotic resistant, sleep, agitation, pain

trauma / self care (how to integrate etc)

add research
Antimicrobial stewartship 
Antimicrobial stewardship (AMS) is the systematic effort to educate and persuade prescribers of antimicrobials to follow evidence-based prescribing, in order to stem antibiotic overuse, and thus antimicrobial resistance

The 2007 definition by the Society for Healthcare Epidemiology of America (SHEA) defines AMS as a "set of coordinated strategies to improve the use of antimicrobial medications with the goal to 
  • enhance patient health outcomes,
  • reduce antibiotic resistance, and
  • decrease unnecessary costs".

Decreasing the overuse of antimicrobials is expected to serve the following goals:
  • improve patient outcomes, especially patient safety
  • decrease adverse drug reactions such as hypersensitivity reactions or kidney or heart damage (e.g., QT prolongation).
  • decrease antibiotic-associated disease, such as Clostridium difficile–associated diarrhea, other antibiotic-associated diarrheas, and invasive candidiasis
  • guard the patient's microbiome, including the gut flora, respiratory tract flora, urogenital tract flora, and skin flora (this is closely related to the preceding goal of preventing antibiotic-associated disease)
  • decrease wasted costs
  • slow the increase in antimicrobial resistance
  • prevent unforeseen environmental degradation, such as likely adverse effects of altering biotas and animal microbiotas by pervading the water cycle with antimicrobials in wastewater

CDC

https://www.cancer.gov/about-cancer/treatment/cam/patient/aromatherapy-pdq

legislation
national holistic association

hospice/medical facilities / nursing homes / skilled nursing fac.

As you may know, aromatherapy has been shown to give promising relief and support to those in assisted living, nursing homes, hospice, hospitals and other similar type facilities.

Aromatherapy essential oils are made using dozens of different medicinal plants, flowers, herbs, roots and trees grown all over the world — which have powerful effects on improving physical, emotional and spiritual well-being.

A growing pool of both human and animal studies has shown that aromatherapy oils can have sedative and stimulant effects, plus positive effects on the immune system and central nervous system. Recently, studies conducted using functional imaging scans have showed that fragrant aromatherapy oils have positive effects on the primitive region in the brain called the limbic system, which helps control both emotional responses and behaviors. Diffusing essential oils is an extremely beneficial way of improving the life quality of residents as well as the staff.

The key to achieving results from aromatherapy is to use pure, therapeutic-grade oils rather than those with synthetic ingredients or fragrances.  The effectiveness of aromatherapy practices always depends on the quality of the oils used. 
In a residential setting, you will see that essential oils can support areas such as:

  • Calms & relaxes staff and patience
  • Freshens air & neutralizes odors without the harmful ingredients of wall plug ins or sprays
  • Supports the immune system
  • Balances emotions & uplifts mood
  • Stimulates the secretion of endorphins
  • Improves concentration & focus
  • Promotes restful sleep
  • Invigorates & energizes
  • Supports the respiratory system
  • Also, essential oils have anti-viral, anti-bacterial and anti-fungal properties to varying degrees and are able to kill airborne pathogens     

We would like to set up an appointment with you in regards to the use of essential oils in your facility and show you how to integrate the oils into a successful work environment. We will customize a plan specific to the size and needs of your facility. Our services also provide online as well as in-service staff training, so each employee can use essential oils with confidence.

Below you will find the Vanderbilt study which show the profound results created with staff by diffusing doTERRA essential oils regularly.  You will notice they effectively relieved stress and anxiety as well as increased productivity for staff- something every facility would benefit from.