Suggestions on RN starting up as a Holistic Nurse, - page 3

How does an RN begin to get her feet wet in Holistic Nursing without becoming broke in the process,. I live in a rural area, Always loved Holistic nursing....what is the best way to get accreditations or certifications in this... Read More

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    Steeleworks, you are an inspiration.

    I've commented on this subject in another thread somewhere in this specialty section. Just to add to the conversation here, I'd like to introduce myself. I'm a licensed massage therapist since 1993, an RN since 2011. My holistic health practice has been in effect since my initial licensure, and now I'm incorporating my nursing training to provide an expanded scope of practice.

    I could not agree more with Steeleworks' opinion that nursing is far from a holistic practice in the mainstream. However, I believe that many nurses have a holistic heart. My encouragement and support goes out to any nurse who is being called into the holistic health circle.

    One perspective I would like to offer here is to ask each one to meditate on exactly what do you mean by "holistic"? And in doing so, there is one more question to ask: are you applying to yourself the principles that you wish to teach others?

    In other words, are you the first patient or client in your own practice? We have studies to show that as a group, nurses are at the top of th list in terms of ill health. What are we doing about that?

    Now in the way of encouragement, I will offer this: to be called into a holistic practice is a gift from the Universe. If you follow that calling, and apply to yourself first, the things that you learn, you will be blessed in ways that you can't really imagine right now.

    In doing so, the circle of holistic health will continue to expand, until everyone stands in the circle with hands joined.

    Resources for interested seekers, check out the website for:
    American Massage Therapy Association (includes online courses, e.g. "when medications contraindicate massage" or something like that)
    American Holistic Nurses Association (includes online course links, also has student or recent grad membership rate)
    National Association of Nurse Massage Therapists (some online courses, a handbook for nursing documentation)
    National Certification Board for Therapeutic Massage and Bodywork
    Jin Shin Do Bodymind Acupressure Foundation

    A suggested way to get started: source out a "holistic practitioner" of some variety in your local community and book an appointment. Naturopath, chiropractor, reflexologist, acupuncturist, acupressurist, bodyworker, qi kung, iridologist, herbalist, etc. etc. See what the Universe provides for you in the way of inspiration and guidance. In other words, get out of your head and into your bodymind.

    Just do it! Start where you are.

    bella201 likes this.

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    Thanks and I not only agree, I am following your advice.

    Really, all modalities of health care can be more or less holistic depending on how we practice. For instance, if someone approaches massage therapy as a job to be done, just a pay check, they may not have the passion that makes them look beyond the particular muscle groups they are manipulating and they attain unconscious competence. In other words, they just follow a routine rather than treating the whole person.

    To be holistic would require looking at what we are doing consciously with the holistic mindset. Then as a scientist asking, what is working and why and what is not working and on who.

    One thing I encourage massage therapists to do is to incorporate the water cure in their massages. Have the patients take 1/8th teaspoon of sea salt first thing in the AM as soon as they get up. Dissolve it in the mouth. Then drink 8 to 10 ounces of water. Then do the same at least 45 minutes before the massage if on an empty stomach and at least a few hours before if they will be eating within the 2 hours before the massage.

    The end result of your massage will be even more remarkable as their body will be more hydrated and will easily give up the toxins to the lymphatic system. This takes massage to a whole new level of holistic.

    As to self care for RN's, I went from construction work and weighing 198 lbs and able to dead lift over 500 lbs to weighing 300 lbs and barley able to lift myself out of bed after years of being a nurse. So yes, I was the first patient. It took me getting sick and modern medicine not able to help me for me to finally apply holistic health to myself.

    Using one simple life change first thing in the AM and last thing at night, I lost the first 40 pounds and have kept it off going on 9 months now. Note that I did not change the way I ate or exercised to accomplish this weight loss.

    Actually, I stopped looking at the scale once I hit 300 so do not know how heavy I was. The next 15 pounds came off with the raw food diet and today, I hit 245. I still eat meat and occasionally less healthy food, such as when going out with friends. Otherwise, it is only raw and live foods. I can have all the chocolate I want (or can afford) so long as it is raw. No being deprived, well, except of my excess weight.

    Good health to you and all.
    Last edit by Steeleworks on Aug 28, '12 : Reason: better wording, mispelling
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    Steeleworks, thanks to your prompting in one of these columns, I went back to my old copy of Your Body's Many Cries for Water by Dr. Batman. Over 3 weeks I have healed the edema in my legs and feet. Now noticing edema receding around my eyes and face. Also have dropped 6 pounds. Oh yes, I did stop taking the hydrochlorothiazide too. So I am my first patient in this water cure.

    Yes, I totally agree on your comments about massage therapy. Not every massage therapist has a holistic approach. Many massage therapists do the same as nurses -- they give, and give, and give some more without ever giving to themselves first. Not to be too religious, but Master Jesus told us to love one another as you love yourself. What could that possibly mean, if you don't love yourself?

    Self care is the prime directive! For me, I find out if the practitioner I'm thinking about engaging with does their own self care. If not, it's just more of the same old, same old, Do as I say, not as I do. Doesn't work for me, either!

    Such good results you have achieved on dropping the unneeded poundage! I had a similar experience, after "gestational diabetes" at the age of 40, my weight went up from 160 to 250+. I stopped counting after 252. Made various changes in eating pattern and activity level (an ongoing art and science) and have dropped down below 200. Now I am experimenting with the water cure and adding minerals. Also looking at acid/alkaline diet. I think I will contine to see poundage transformed into energy for current projects.

    Oh yes, I will be teaching these things as I go.

    I am intrigued by your specific suggestions as to the use of salt, something that Dr. Batman (and other authors) are vague about.

    Last edit by Esme12 on Aug 30, '12 : Reason: TOS/self promotion
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    Hello...just stumbled onto your response and wanted to comment, and inquire.
    Namaste to you, too. I am an experienced R.N., have worked in many areas of nursing, but got laid off from my last FT, benefitted position 2 years ago and have not been able to find a new FT benefitted position since despite spending MANY hours daily in my search. I have been working as a home health/home infusion nurse for the last 2 years, but a per diem position that has no benefits and the work fluctuates quite a bit. Some weeks I would make more money if I worked as a Walmart Greeter, especially with all of the time it takes to do the paperwork involved and the driving to patients. I am very disillusioned, and although I LOVE being a nurse I no longer get up each day and look forward to my job. I've always been more interested in wellness vs illness, and am personally an avid yoga practitioner and I meditate daily. I have spent the last few months trying to figure out what I can do to:
    1. Make enough money to be more comfortable (right now if my car broke down I'd be hard pressed to be able to afford to fix it) and 2. Get up each day loving what I do for a living and excited to get busy taking care of people...After a long thought process I have decided to go to Massage Therapy school...not to REPLACE my R.N. (as many people are assuming and bringing up to me) but to have something I can ADD to my arsenal of ways to help heal. Yes, as many people have mentioned on this site, a nurse can give a "backrub" as part of his/her scope of practice...but massage therapy involves much more than that, and training to become an R.N. definitely doesn't qualify anyone to give a therapeutic massage! I am on my way today to enroll in a 300 hr MT program (to start...that's all I can afford right now), and I look forward to being able to help heal many people's stressful existences by providing massage, AND to be able to work for myself and earn a better income (it will take some great marketing and hustling to get the business I will need, but that is do-able)...I am very interested in starting a mobile chair massage business (but will also do full body massages when needed)...I am most looking forward to getting up each day LOVING what I do for a living!!!!!
    Any thoughts, comments, or help you can offer????? thank you...Namaste...Debbie
    bella201 likes this.
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    Hey Smilingrn1,

    It may be too late but if not, consider Bowen Works. It is incredible. In learning how to do it (neuro-somatic manipulation, sort of an independent sub specialty of therapeutic massage and deep tissue massage), I was able to put an end to my carpel tunnel pain. This is so gone that I have been able to paint (in pointillism) and even can hammer my metal sculptures pain free.

    Bowen has a place in chiropractors offices and may be cheaper to get started and actually start earning an income.

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    Wow what great advice. I strolled onto allnurses in hopes of finding some answers and sure enough, I am in luck! I've been searching my state's statutes and trying to figure out what is allowed in my state vs what is not (everything here needs a license of some sort). I'm still searching and I will find an answer one day. But what I don't understand is if a nurse writes a nursing diagnosis and care plan for a client, doesn't the nurse still have to be under the direction of a physician? I don't see how a private practice RN can run by itself. Are there any resources to address these kinds of concerns on what a RN can and can't do without their doctors approval? Of course the scope of practice varies by state but my scope of practice is as vague as vague gets....
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    It depends on each states Nurse Practice Act. In many states, Nurses are allowed to bill. This helps.

    But even if the act is vague as to what you can and cannot do....consider this.

    Many have conditions with out labels or diagnoses with out any hope of getting well. Could they benefit from a non-patient consultation and you provide health and wellness education for them?

    My first paid consultation ( I simply said pay what it is worth) involved three generations and 2 sets of in-laws all sitting around a table. There were commonalities that all faced and they wanted to know what to do.

    My initial consult with the father had such great results, he wanted to get his whole family involved.

    The solution was not in a nursing diagnosis nor even a care plan. It was simply in educating the family on simple things to help them meet their health goals. The family wrote their own action plan (not a care plan) as a result of the education.

    So, there were diet (eat this instead of that), hydration (the water cure), sleep (no blue lights, tart cherry juice concentrate) and even neurolinguistic programming suggestions (to get the children to obey). No health assessment, no H & P, no science was required. It was mostly intuition, education and motivation.

    They were so excited about the family project, they were destined to succeed. Oh yea, one of the family was also a nurse and was surprised she was never taught any of this.

    Remember what the definition of a nurse is. What we do goes beyond the scope of any license.
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    Again, thank you steeleworks for your valuable input. You have brought up so many things I haven't considered yet... There is such a gray area in some parts of this. Sure a nurse can use their education to talk about healthy eating but at what point does it cross over to a dietitian? I am trying to work out all those kinds of scenarios since my state is so strict. The program I was eyeing talks about using your license in conjunction with the certification- well, perhaps I will have to find another program that doesn't make you use your license just in case I have to keep them separate. I found the area in my nurse practice act that says what I can do- of course, nothing in that section that is related to billing or alternative therapies.
    Do you do a H&P and health assessment? I wasn't picturing getting fancy in that aspect. I was considering making up a questionnaire and coming up with goals/steps and suggestions/actions for the issue at hand (based on what is subjective to avoid any issues on the objective end). I am now reconsidering that due to your comment about nursing diagnoses and care plans... because that makes sense!
    That being said, I am still in my information gathering stage so all of this is very helpful. I wasn't planning on advertising that I am a nurse at first due to my state. Now I don't know because education is education anyway you look at it.. You should write a book, I would buy it :-)
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    I am. You should take your own advice and write a book too.

    There is where you will find a place that you can do the most. You will be able to sell the book, speak, teach and a number of opportunities may open for you. Actually, I am starting my second book. Have not launched the first yet but will some day.

    Whether formal or informal, I always do a H & P.

    As to the dietitian, this is a gray area too. Some states are going after non-licensed practitioners. The problem is that they could come after you as a nurse too. However, that being said, dietitians look advise what to eat in order to lead a healthy lifestyle reach a specific health-related goal.

    The difference with a nurse advising related to diet, the dietitian can only tell what foods to eat. Under a nursing diagnosis and care plan, you can go much farther. In the end, it is the treating the whole person that brings the most success. Things like exercise, motivation and related emotional and social health issues are things only you are licensed to help a person with.

    But, in the end, the courts interpret the law or in this case, nurse practice acts. It might be good to contact the state board of nursing and find through them, a lawyer that specializes in nurses. Go and spend $50 to $100 and have a list of questions. When asking them, do not settle for the opinion of the lawyer. Ask for the place in the act that specifies what the counselor is saying.
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    Thanks for the advice. That is the thing with law- it is up to interpretation and even the BON put that in writing when I asked for specifics. They also told me I can submit a declaratory statement to the BON for further review. Luckily, I'm still a 6 months-1 year away from seeing anyone as a coach so I have time to get answers.

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