1. Reiki for Self and Others Joining Eastern and Western medicine for Holistic Care Lisa Laking MSN, RNC-NIC, Reiki Level 1 Peggy Rabuck BSN, OCN, Reiki Master -Teacher

2. Goals Describe 3 benefits patients have described from receiving Reiki in a hospital setting Identify how a patient can be referred for Reiki at AAMC. Identify references relating to Reiki research.

3. “Nature alone cures….and what nursing has to do….is put the patient in the best condition for nature to act upon him.” Florence Nightingale

4. What is Reiki? A Japanese technique used for stress reduction & relaxation to promote healing "Rei" means universal and "ki" means life force energy. So “Reiki” means universal life force energy. Just as each person is unique, each Reiki experience is unique to each person The best way to know Reiki is to experience Reiki

5. …What sets Reiki apart from other forms of “energy work”? Practitioner holds intent for good and acts as a conduit for positive energy Nothing is “pushed” Recipient’s body chooses to accept energy, and does the repair/ relaxation/“healing” themselves

6. What is Reiki like? Reiki is non-invasive and non-manipulative – Practitioner lays their hands over areas of the body to allow the opportunity for healing energy to enter the recipient – Recipient can remain fully clothed – Can be felt as a gentle warmth or tingling sensation – Some recipients feel deep or mild relaxation, some subtle sensations, some see colors, some feel nothing at all

7. What Reiki is Not… NOT- a Religion or a Belief System NOT - Medical practice NOT- Massage Therapy, Physical Therapy NOT- Homeopathic, Chiropractic NOT –Osteopathic, Acupuncture, Hypnotherapy, Not intended to replace the care of a medical healthcare provider, and does not negatively interfere with other treatments

8. Powerful statements from patients who received Reiki at AAMC “I’m not afraid anymore.” “Pain and anxiety are gone!” No comment- patient asleep! “I think I can do this.” “I’m more relaxed than I have been in a long time.”

9. History of Reiki Reiki was founded by Dr. Mikao Usui in Japan in the early 1900s. Developed the format and teaching lineage In 1938, in Japan, Mrs. Hawaya Takata received training from one of Dr. Usui’s students. When she moved to Hawaii, she became the first Reiki Master in the western world. In Hawaii, Mrs. Takata trained 22 Masters who have continued to train others. It is estimated that there are at least 1 million Reiki Masters and over 4 Million Reiki Practitioners worldwide. There are many healing modalities with Reiki in their name

10. Benefits of Reiki Benefit for Recipient and Practitioner – Supports the body's natural ability to heal itself – Significantly lowers anxiety – Assists in relief of pain, tension, and fatigue – Promotes deep relaxation – Can mitigate negative side effects of meds – Improves appetite Reiki can be for self-care & caring for others

11. How is Reiki provided? Traditional – Work on clothed reclining person – 12-16 hand positions – Session lasts 30 - 90 minutes In hospital setting Reiki adaptable & varies greatly depending on the situation – Time tailored to meet demands of the environment – Sessions last several minutes up to one hour – Hand positions altered to fit the need

12. What has been Studied? Many anecdotal stories about benefits– but we need to also look at research to drive our EBP… NIH 2007 National Health Survey asked Americans if they had used any complementary health methods in the previous year – more than 1.2 million adults said yes NIH - National Center for Complementary and Alternative Medicine – 2013 Metastudy Review on Reiki- found minimal research, many were small and/or scientifically weak studies – Overall findings: Reiki appears to be safe, no serious side effects, concluded that more study needed – Shows promise as a healing modality, especially in the areas of stress, anxiety, chronic pain and self-care (NCCAM, 2013)

13. Effect of Reiki therapy on pain and anxiety in adults: An in- depth literature review of randomized trials with effect size calculations (Thrane, Cohen, 2014) 2014 review of literature: 12 randomized clinical trials reviewed Findings- Reiki effective treatment for pain and anxiety with recommendations that more rigorous scientific studies be done Noted - Issues with small sample size- one reason offered is that nobody wants to be in the study if they have to be in the control group Also noted- short intervention times, and differing protocols used between studies

14. Effects of Reiki on anxiety, depression, pain, and physiological factors in community dwelling older adults (Richeson, et al.; 2010) 20 older adults with medical diagnosis of pain, depression, or anxiety, were assigned to either the experimental group that received weekly- 30 minute Reiki treatment/8 weeks, or to a “wait list” control group. Base line and 8 week quantitative data were collected with research validated tools for pain, depression, anxiety, and BP/heart rate Findings: Significant improvement in pain, depression and anxiety compared to the control group, no change in HR or BP Qualitative data was collected in each session and in a follow up interview. Themes: Increased coping skills, increased relaxation

15. Mission & Vision for Reiki Program at AAMC Mission: To provide a complimentary discipline in collaboration with traditional medical care that assists in the overall health of the patient, family and/or staff through a positive exchange of energy from one human being to another. Vision: Expand Reiki services to include development of a comprehensive Reiki training program for staff and the community to enhance patient and family centered care.

16. History of Program at AAMC 4/2010 - Sharon Cameron and Diane Baumgartner had a dream of bringing Reiki to AAMC. Sherry Perkins gave her blessing Kathy McKay of the Auxiliary agreed to cover the expenses of processing all Reiki Volunteers Legal Department gave their approval 9/30/10 - First day of Reiki Program at AAMC 11/2010 - Peggy Rabuck joined as Coordinator 2/1/11 - First day of Outpatient Reiki Program Current – Volunteers see inpatients & outpatients

17. Current State of AAMC Reiki Program 8-10 Volunteers Careful Screening of Volunteers Reiki can be done in most areas of Hospital Over 1,500 Reiki treatments given to patients, family and staff

18. Interested in Reiki for your patients? Scheduling of volunteer Reiki practitioners: call Peggy Rabuck at Ext 5845 or email mrabuck@aahs.orgmrabuck@aahs.org Peggy will email practitioners to set up an appointment

19. AAMC Data Each person who receives Reiki is asked to rate their Pain, Anxiety and Level of Relaxation before and after they receive Reiki This is recorded on an Evaluation Form, Comments from the recipient are also added So many patients would fall asleep, we amended the form so we could capture that data!

20. STATS Treatments Given % Report Decrease in Pain % Report Decrease in Anxiety % Report Increase in Relaxation % Asleep April195526847 May2540687244 June2437832054 July1662 6850 August153373 13 995-62%52-83%20-73%13-54%

21. How to become a Reiki Practioner 3 Levels of Training – First degree entry level course: focus on self-healing and giving Reiki to others, cover ethics and responsibilities of practitioners, receive attunement (energy boost) – Second Degree - taught additional skills – Master/teacher training qualified to teach others Finding a class – Check online for local Reiki practitioner – International Center for Reiki Training, online

22. To Close Reiki can help patients and staff feel more in the moment, to exhibit and feel cared for in the modern healthcare environment. This allows, as Florence states, for nature to heal. Reiki- Wonderful tool to use for self-care & for patient/family care!

23. References Barnett, L. (2008). Reiki healing connection. Accessed at http://www.reikienergy.com/index.php http://www.reikienergy.com/index.php Fazzino, D.L.; Griffin, M.T.; McNulty, R.S.; Fitzpatrick, J.J. (2010 ). Energy healing and pain: a review of the literature. Holistic Nursing Practice, 24(2):79-88. Hahn, J.; Reilly, P.M.; Buchanan, T.M. (2013). Development of a hospital Reiki training program: Training volunteers to provide Reiki to patients, families, and staff in the acute care setting. Dimensions of Critical Care Nursing, 33(1):15-21. National Center for Complementary and Alternative Medicine (NCCAM). (2013), accessed 5/30/2014, http://nccam.nih.gov/health/reiki/introduction.htm http://nccam.nih.gov/health/reiki/introduction.htm Richeson, N.E.; Spross, J.A.; Lutz, K.; & Peng, C. (2010). Effects of Reiki on anxiety, depression, pain, and physiological factors in community dwelling older adults. Research in Gerontological Nursing, 3(3):187-99. Thrane, S.; Cohen, S. (2014) Effect of Reiki therapy on pain and anxiety in adults: an in-depth literature review of randomized trials with effect size calculations. Pain Management Nursing, 15(4):897-908.

24. Resources www.reiki.org - the International Center for Reiki www.reiki.org www.reikiinhospitals.org - Sponsored by the International Center for Reiki - provides a list of hospitals that offer Reiki. www.reikiinhospitals.org www.ahna.org - The American Holistic Nurses Association www.ahna.org www.centerforreikiresearch.org www.nccam.nih.gov National Center for Complimentary and Alternative Medicine www.nccam.nih.gov