Maui Bliss Geriatric Massage – Geriatric Massage and Aromatherapy
Aloha; My name is Liona Shareing, and I’ve recently moved from Maui to north county San Diego. I would like to offer your patients and senior family members the benefit of my extensive experience as a Certified Massage Therapist-Aroma therapist, including 10 years of gentle Geriatric massage, including training in “Comfort Touch” and the “M” technique. I have found my treatments vastly improve well being on all levels. My Organic Massage oil or rich body lotion helps dry, flaky skin and improves tone, texture, elasticity and strength of the skin while improving circulation. It has been proven that Aromatherapy massage reduces stress for both the patients and the nurses. The patients are happier, better adjusted and sleep more soundly.
WHAT GERIATRIC MASSAGE CAN DO FOR SENIORS, YOUR PATIENTS AND STAFF
* Increased Systemic Circulation For Faster Healing * Boosts Immune System * Reduces Stress & Fatigue * Decreases Pain * Increases Sense of Proprioception Which Creates Better Balance and Mobility * Aids To Prevent Loss Of Muscle Tone From Disuse * Decreases Symptoms Of Depression * Improves Sleep Patterns * Aids in faster and better recovery from Heart Attacks * Enhanced Sense Of Well-Being By Bringing the Body Back To Balance * Happier, relaxed patients are easier for the staff to work with The focused attention afforded in massage to residents of health care facilities also has significant psychosocial benefits, including: – one-on-one attention – tactile and sensory stimulation – an opportunity for social interaction – nurturing, compassionate touch? – comfort – reassurance
Combating Dementia At least half the population in most skilled nursing facilities suffer from some form of dementia. Massage offers therapeutic support for such people by increasing body awareness and helping to ground those who are confused and disoriented, bringing them back into present time and physical reality. The use of conscious and compassionate touch helps address quality-of-life issues common among residents of long-term care facilities: – touch deprivation – low self-esteem – anxiety – boredom – depression – lethargy In addition, skilled touch is a great aid in managing challenging behaviors sometimes characteristic of those living with dementia-related conditions, like Alzheimer’s disease, restlessness, wandering, agitation, fearfulness and withdrawal. Utilizing skilled touch can help in such situations by focusing and engaging attention, redirecting energy, promoting interaction and calming
Aromatherapy Massage Helps Alzheimer’s Patients
Scented oils contain small molecules that quickly reach the brain either by inhalation or through skin penetration in massage lotions. Their effects on the body remain largely unexplored, but the few studies performed have documented a clear correlation between certain fragrances and mood enhancement. Aromatherapy massage improves quality of life for people with Alzheimer’s and as a result, can play a supportive role in treatment. In 1988, Megan Carnarius, R.N., a Colorado nursing home nurse who cared for people with Alzheimer’s disease, began giving aromatherapy massages to six people with late-stage Alzheimer’s who required antipsychotic medication to control their challenging behaviour. After five weeks of twice-weekly, 40-minute massages, none of them needed antipsychotics any longer. In 1989, Carnarius became an Alzheimer’s nurse at Manor Care Nursing Home in Boulder, Colorado, and expanded her aromatherapy program. She began using diffusers, special devices that broadcast fragrances, to spread a lemon scent around the Alzheimer’s unit each morning. ‘Lemon is refreshing and helps everyone wake up,’ she explains. In the afternoon, she diffuses any of several calming oils around the unit — chamomile, germanium, lavender, marjoram, rosemary, or ylang-ylang. Challenging behavior declines and positive social interactions increase. Even without the use of essential oils, massage helps minimize disruptive behavior in people with Alzheimer’s disease. In a study in three Alzheimer’s care units in British Columbia, 57 people with the disease were divided into two groups. One group received two six-minute massages a day for three days; the other did not. Despite the brevity of the massages and the short duration of the study, compared with the control group, the people who received the massages became less disruptive and wandered less.
One of the most popular essential oils and one shown to be beneficial with Alzheimer’s, is Lavender Augustifolia. A hand massage with lavender essential oil has shown to help with emotions, sundowning and reduce aggressive behaviour in elderly with Alzheimer’s type dementia.3 In another study, lavender and orange were used in the evening, and rosemary and lemon used during the day with 28 patients with dementia, of which 17 had AD.
All patients showed significant improvement in orientation related to cognitive function. Laboratory tests after this study showed that there were no side effects with the use of aromatherapy.4 Acetylcholinesterase, aka AChE, is the main target for many drugs to treat AD and dementia. AChE is an enzyme, which degrades the neurotransmitter acetylcholine. Thyme (Thymus vulgaris) essential oil and its compounds, thymol, linalool and carvacrol, were found inhibit AChE.5 In a placebo controlled, double blind study, sage (Salvia officinalis) and Spanish sage (Salvia lavandulaefolia) have shown to increase the speed of memory and enhance mood.6 An earlier study showed that Spanish sage inhibits the enzyme acetylcholinesterase (AChE).7 Black pine (Pinus nigra) has also shown to have AChE and butyrylcholinesterase (BChE) inhibitory activity.8 Another placebo controlled trial with lemon balm (Melissa officinalis) was conducted in a health care facility to assess treatment for agitation in patients with severe dementia. Sixty percent of the active group showed a 30% decrease of their CMAI agitation (Cohen-Mansfield Agitation Inventory) score.9 Some people who suffer from AD and other forms of dementia, experience Sundowner’s Symdrome, named so as these confusion symptoms appear after ‘sundown’. These symptoms can include restlessness, wandering, depression, agitation and hallucinations. Many of the essential oils mentioned can be used to aid with these symptoms.
Applications, which have been used successfully in nursing homes and at home, include inhalation of the essential oil, a room spray made with the appropriate hydrosols, use of the essential oils in a diffuser, adding a few drops to a bath or onto a pillow and a custom made inhaler for personal use. As more research and clinical trials are completed, aromatherapy (essential oil therapy) will become more recognized as an accepted and evidence based alternative to pharmaceutical drugs. For those of you who have a family member with AD or are caring for one, there is an amount of stress involved in caring for your loved one and a feeling of helplessness.
There are a number of essential oils to aid with stress, depression, anxiety and panic attacks. 1. Alzheimer Society http://www.alzheimer.ca 2. Modulation of cognitive performance and mood by aromas of peppermint and ylang-ylang. Moss M, Hewitt S, Moss L, Wesnes K. Int J Neurosci. 2008 Jan;118(1):59-77. PMID: 18041606 3. The effect of lavender aromatherapy on cognitive function, emotion, and aggressive behavior of elderly with dementia. Lee SY. Taehan Kanho Hakhoe Chi. 2005 Apr;35(2):303-12. PMID:15860944 4. Effect of aromatherapy on patients with Alzheimer’s disease. Jimbo, D. Kimura, Y. Taniguchi, M. Inoue, M. Urakami, K. Psychogeriatrics. 2009 Dec;9(4):173-9. PMID: 20377818 5. In vitro acetylcholinesterase inhibitory properties of thymol, carvacrol and their derivatives thymoquinone and thymohydroquinone. Jukic M, Politeo O, Maksimovic M, Milos M, Milos M. Phytother Res. 2007 Mar;21(3):259-61. PMID: 17186491 6. Positive modulation of mood and cognitive performance following administration of acute doses of Salvia lavandulaefolia essential oil to healthy young volunteers. Tildesley NT, Kennedy DO, Perry EK, Ballard CG, Wesnes KA, Scholey AB. Physiol Behav. 2005 Jan 17;83(5):699-709. PMID: 15639154 7. In-vitro activity of S. lavandulaefolia (Spanish sage) relevant to treatment of Alzheimer’s disease. Perry NS, Houghton PJ, Sampson J, Theobald AE, Hart S, Lis-Balchin M, Hoult JR, Evans P, Jenner P, Milligan S, Perry EK. J Pharm Pharmacol. 2001 Oct;53(10):1347-56. PMID: 11697542 8. Acetylcholinesterase and butyrylcholinesterase inhibitory activity of Pinus species essential oils and their constituents. Bonesi M, Menichini F, Tundis R, Loizzo MR, Conforti F, Passalacqua NG, Statti GA, Menichini F. J Enzyme Inhib Med Chem. 2010 Oct;25(5):622-8. PMID: 20429778 9. Aromatherapy as a safe and effective treatment for the management of agitation in severe dementia: the results of a double-blind, placebo-controlled trial with Melissa. Ballard CG, O’Brien JT, Reichelt K, Perry EK. J Clin Psychiatry. 2003 Jun;64(6):732; author reply 732. PMID: 12143909