Mains dans les Mains nous dévoile le parcours d’une proche aidante en soins palliatifs et son approche du yoga face au cancer.
[Extrait résumé éditeur]
Hinduism is one of the five major world religions with >1 billion followers worldwide and encompasses a diversity of belief systems. As of 2010, an estimated 1.8 million Hindus lived in the United States, and this number is expected to increase to 4.8 million by 2050, making the United States home to the largest Hindu population outside of South Asia. As this population continues to grow, it will become increasingly important that clinicians of all disciplines develop a basic understanding of their beliefs and practices to address their palliative care needs. This article highlights 10 considerations for Hindu patients and their families relevant to inpatient care, symptom management, and advance care planning.
Yoga was developed >5,000 years ago as a comprehensive system of health and well-being for the mind, body, and soul. The word is believed to derive from the Sanskrit root "yuj" meaning to bind, yoke, union, and/or to concentrate one's attention. In health care, it often serves as a complementary mind-body practice, and it is increasingly being integrated into cancer care. It can be performed in the privacy of one's home through DVD or web-based programs or through group practices led by instructors who are often experienced working with students with medical issues. Most published evidence regarding yoga for seriously ill patients involves breast cancer survivors or breast cancer (stages I-IV) patients undergoing cancer treatment with a preserved functional capacity (ECOG <3). There is limited data examining its effectiveness or feasibility in children or for those with terminal cancer.
Le but de ce mémoire est d'établir un pont entre le domaine des soins palliatifs et le yoga, afin de poser un regard renouvelé sur la spiritualité de personnes gravement malades. L'objectif principal de la recherche est de décrire l'expérience spirituelle de personnes en fin de vie qui pratiquent des exercices inspirés du yoga. Secondairement, nous cherchons à
savoir dans quelle mesure le fait de porter attention à ce qui se vit lors d'une pratique psychocorporelle et d'en parler avec un accompagnateur permet à la personne malade de prendre conscience de la dimension spirituelle de son vécu. Cette recherche utilise une méthodologie qualitative d'inspiration phénoménologique. Des entrevues semi-structurées ont été effectuées auprès de quatre participants recrutés grâce à la collaboration d'intervenants en soins palliatifs. Cinq rencontres ont eu lieu à domicile avec chacun des participants. Trois d'entre elles font suite à une séance de yoga thérapeutique, tandis que la première et la dernière portent sur l'expérience spirituelle en lien avec l'expérience de la maladie. Le
matériel recueilli est examiné à la lumière de la technique d'analyse phénoménologique interprétative.
[Extrait introduction]
This perspective piece gives an overview of the current situation of yoga therapy in Japan today. Traditional yoga in Japan suffered a serious setback in 1995 with a nerve gas terrorist attack on the Tokyo subway, which was carried out by a cult that recruited members through yoga classes. But with the increase in popularity with modern forms of yoga such as Iyengar yoga, Ashtanga yoga and hot yoga in the West, the general public in Japan today is forgetting its aversion to yoga and considers it to be something that can contribute to good health. In 2012, the Japan Yoga Therapy Society (JYTS) conducted a study on adverse events in yoga classes throughout Japan with the University of Kyushu School of Medicine, with support from the Ministry of Health, Labour and Welfare. This study indicated that more than half of people attending yoga classes have some form of chronic illness, with 42.3% receiving outpatient care. This survey was the beginning of growing interest from both the government and universities in yoga therapy. JYTS is beginning to make inroads into bringing yoga therapy into cancer and palliative care, senior citizen homes, alcohol and drug addiction rehabilitation, cardiovascular rehabilitation, and research on trauma and schizophrenia. While there are still limited opportunities for yoga therapists to work in mainstream healthcare services, there is growing interest among medical professionals in both physical and mental health. JYTS is beginning to make inroads into bringing yoga therapy into cancer and palliative care, senior citizen homes, alcohol and drug addiction rehabilitation, cardiovascular rehabilitation, and research on trauma and schizophrenia. While there are still limited opportunities for yoga therapists to work in mainstream healthcare services, there is growing interest among medical professionals in both physical and mental health. This perspective piece introduces some of the developments in yoga therapy research and practice in Japan.
BACKGROUND: Little is known about how to best care for mothers after stillbirth. As such, this paper will report the satisfaction and perceptions of an online yoga intervention (12-week beta test) in women after stillbirth.
METHODS: Participants (n=74) had a stillbirth within the last 24-months (M time since loss 9.65 ± 6.9 months). Post-intervention satisfaction surveys and interviews and dropout surveys were conducted. Descriptive statistics were used to analyze survey responses and demographic information. A phenomenological approach was used to explore and understand unique experiences of participant interviews. Data were analyzed using NVivo10.
RESULTS: Twenty-six women (M age 33.73 ± 4.38) were completers (> 3 wks of yoga), 26 (M age 31.82 ± 4.13) were non-completers (< 3 wks of yoga), and 22 (M age 32.94 ± 2.93) dropped out. Twenty completers participated in a post-intervention satisfaction survey with 75% (n=15) reporting being very satisfied or satisfied with the online yoga intervention, found it to be very enjoyable or enjoyable, and very helpful or helpful to cope with grief. Satisfaction and perceptions of the intervention in those who completed an interview (n=12) were clustered around the following themes: benefits, barriers, dislikes, satisfaction, and preferences. Of the 22 dropouts, 14 completed a dropout survey. Women withdrew from the study due to pregnancy (n=3, 21%), burden (n=3, 21%), stress (n=2, 14%), lack of time (n=2, 14%), did not enjoy (n=1, 7%), and other (n=3, 21%).
CONCLUSION: Findings here may be used to help design future research.
L'intégration des thérapies complémentaires et alternatives (TCA) dans les réseaux de soins palliatifs est de plus en plus étudiée et reconnue. L'article traite plus particulièrement du yoga : historique, philosophie, pratique et contexte thérapeutique en soins palliatifs.
Le Livre des morts tibétain, ou Bardo Thödol, est l'un des grands classiques de la littérature tibétaine. Cet ouvrage rassemble une palette d'images réalisées par le photographe T.L. Kelly, à laquelle s'ajoutent une analyse contextuelle et une traduction abrégée fournies par le tibétologue Glenn H. Mullin.
Le Bardo Thödol est un guide pour mener sa vie diurne et nocturne, ainsi que pour réussir sa mort et sa transmigration.
Ce numéro de la revue Recto-Verseau est consacré aux moments de la naissance et de la mort et contient notamment les articles suivants : Un nouvel accompagnement de la naissance; La naissance consciente; Quel est l'avenir d'une civilisation née sous péridurale; La naissance en chantant; Bien naître grâce à la Médecine Traditionnelle Chinoise; Yoga et maternité; Des Fleurs de Bach pour les traumatismes de naissance; Les maisons de naissance; Naître et mourir; L'art de mourir; L'euthanasie en question; L'accompagnement des personnes en fin de vie et des endeuillés; Maisons de fin de vie; On peut rater sa vie et réussir sa mort; L'expérience de la mort est une initiation à l'immortalité; Communiquer avec les morts; Le sens de la mort.