Presentation on theme: "Acupuncture for the Cancer Patient"— Presentation transcript:
1 Acupuncture for the Cancer Patient An Integrative Approach FromMemorial Sloan-Kettering Cancer CenterDanee Barnett, AP, DOM
2 How does Acupuncture work? Acupuncture is a complex branch of ancient Chinese medicine that has been successfully practiced for over 2,500 years, but its practical principles and methods are easily understood.
3 Fourteen major energy channels called meridians course through the human body including the head, arms, hands, feet, torso and internal organs. A subtle energy called Qi (pronounced chee) circulates via these meridians to all parts of the body, even the most remote cells.
4 Qi is the vital force, the presence of which separates the living from the dead. Its balanced, unimpeded flow is critical to sound health.
5 Qi flows through each of us like a river, energizing, nourishing and supporting every cell, tissue, muscle, organ and gland.
6 Any misdirection, blockage, or other derangement of the amount, flow or balance of Qi may result in pain, dysfunction and ill health.
7 These imbalances can be caused by StressTraumaAccidentsImproper DietStrainSurgery
8 With acupuncture needles, I stimulate specific points (acupuncture points) along the course of the meridians.Such stimulation helps restore the normal balance and flow of Qi so organs and bodily systems can work together in harmony as intended
9 Acupuncture was initiated at Sloan-Kettering in 1999 Approximately 1400 outpatients per monthare treated with acupunctureInpatient services are offered free of charge
10 Nutritional Counseling In addition to acupuncture, other integrative therapies offered include:Touch TherapiesFitnessMind-Body MeditationMusic TherapyNutritional Counseling
11 Although many Chinese herbal formulas may help in cancer treatment they are are NOT used at MSKCC during chemotherapy because there has not been enough research to determine if they help or hinder the effects of chemo
12 Alternative vs. Complementary Alternative TherapiesPromoted for use INSTEAD of mainstream careMany are biologically invasiveCostly, potentially harmfulComplementary TherapiesUsed WITH mainstreamcare for cancerNon-invasiveInexpensive, safe and beneficial
13 Complementary Therapies Used WITH mainstream care for cancerNon-invasiveinexpensive, safe and beneficialEffectively reduce side effectsEnable self-care and controlEnhance well-being and quality of lifeReduce fear, distress, depression, anxietySafe, non-invasive, inexpensive and easy to use
14 How is Acupuncture used at Sloan-Kettering Cancer Center?
15 Acupuncture for Surgical Patients (pre-surgery) promotes relaxationprevents infectionshortens recovery timeless post-op painoptimum time of treatmentis 2 days before surgery
16 Acupuncture for Surgical Patients (post-surgery) less swellingless painimproves mental alertnessimproves intestinal mobility and urinationshortens recovery timepromotes incision healingoptimum time of acupuncture treatment:2 days post surgery, 1 week post surgeryand 2 weeks post surgery
17 Acupuncture for Radiation Patients reduces fatiguehelps anemiaincreases white blood cell counthelps nausea and vomitingstops diarrheahelps burnsdecreases hair losscan help with infertility due to treatment
18 Acupuncture for Chemotherapy Patients Helps nausea and vomitingdecreases hair losshelps fatigue and shortness of breathstrengthen immune systemIncreases appetiteHelps red and white blood cell countsstops diarrheahelps neuropathyoptimum time of acupuncture treatment is 1-2 hours before treatment and 24 hours after treatment. If only one treatment is possible, treat before chemo.
19 What Causes Cancer? Genetics Exposure to harmful elements Lack of protective elementsBad habitsCHANCEnotes: tobacco, carcinogens in food and environmentUV protection, exercise, obesity
20 One Third of Cancers Are Preventable with Lifestyle
21 BE PRO-ACTIVE! Research at Sloan-Kettering shows us many things we can doourselves to help avoid arecurrence of cancerBE PRO-ACTIVE!
22 EXERCISE INCREASES SURVIVAL (and it’s never too late to start)
23 EXERCISE AND BREAST CANCER 50-60% increase in survivorship seenwith regular physical fitnessNurse Health Study:2987 Nurses with breast cancer decreased their risk of death from breast cancer by 50-60% by exercising more than 9 hours per week vs. less than 3 hours per week.
24 EXERCISE AND COLON CANCER 832 stage III colon cancer patientsreceiving chemotherapyReported physical activities 6 month completion of chemotherapy51% decreased risk of dying from colon cancer for hours/week vs. less than3 hours/week
25 EXERCISE AND CANCER IN GENERAL 55% decreased risk for 27+ hours/week exerciseThe benefit is not significantly modified by sex, body mass index, number of lymph nodes involved, age, baseline performance status or chemotherapy received
27 Guidelines for Physical Fitness for most Cancer Patients and Survivors • Do continuous or intermittent aerobic exercise20-60 minutes 3-5x/wk• Do anabolic exercise 6-12 reps and 1-4 sets ofeach exercise for major muscle groups 1-3 x/wk•Do flexibility exercises for major muscle groups2-4 sets each exercise 2-3x/wk(i.e. Yoga, Qi Gong, Tai Chi)
30 Mediterranean Diet Benefits • Analysis of 1.5+ million patients• Greater adherence to the Mediterranean Diethas 9% reduction in overall mortality• 9% reduction in cardio-vascular mortality• 6% reduction in cancer mortality• 13% decreased incidence ofParkinson’s and Alzheimer’s
31 What’s in the Diet? • 3-5 serving of fresh fruits/day • 2-5 servings of fresh vegetables/day• 2+ Proteins/day (fish, legumes, nuts, etc.)• WHOLE GRAINS (whole wheat, brown rice etc.)• Extra virgin olive oil rather than(NOT in addition to) butter or margarine
33 Nutritional Supplement Recommendations from Sloan-Kettering
34 • 20+ billion dollars are spent each year in the USA on vitamins and nutritional supplements • Anti-oxidants are highly marketed and are of uncertain benefit • Wheat Grass, Gogi, Noni, Acai, Pomegranate, Green Tea, Reveratrol, Vitamins A, C and E have not proven to be of any real benefit
35 HIGH LEVELS OF ANTI-OXIDENTS PROTECT CANCER CELLS AS WELL AS HEALTHY CELLS!
36 Don’t waste your money on supplements, just eat good, healthy food as per the Mediterranean Diet.
37 There are however, 2 supplements that Sloan-Kettering Recommends.
38 VITAMIN D 1000-2000 IU Daily • Most people are vitamin D deficient • Minimal vitamin D is obtained from food sources(80 oz. of milk needed to get sufficient D)• Improved outcomes from lung, breast, andcolorectal cancer with sufficient vitamin D levels• Sufficient D levels cut risk of colorectal cancerby 50%
39 Calcium mg/day• Calcium Citrate is helpful for colon cancer,prostate cancer and osteoporosis• Calcium / Magnesium comboprevents constipation• Calcium Citrate is the most bio available• Take with food - only 500 mg. at a time
40 Summary • Eat healthy food, not supplements • Eat mostly plants • Be physically active every day• Stay as lean as possible withoutbeing underweight• Take your Calcium and Vitamin D
41 Mind-Body Meditation Sloan-Kettering has patients listen to audio recordings that helpvisualize the cancer being destroyed.
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