Aromatherapy in Pregnancy and Labour Ziets Roets Reg. General Nurse Reg. Midwife Reg. Therapeutic Aromatherapist Reg. Therapeutic Reflexologist B. Tech Somatology (Tech. Natal) CIDESCO Specialist Nurse: Advanced Wound Management The concept of this presentation is thanks to Helen LoudonSHEQ & Infection ControlLife Westville Hospital, Durban
Aromatherapy in Pregnancy and Labour Professional registration means • Referral to other health professionals • Referral from registered disciplines • Reporting to medical aid schemes • To insurance companies • Liable for acts and omissions Accurate and diligent record-keeping is of the essence
The Doula Centuries old concept known in all communities Caregiver who understands biological and medical processes involved in labour and obstetrics. A layperson who functions as part of the “birthing team” Greek for woman who helps women
Requirements for the Therapeutic Aromatherapist to work as a Doula • Not necessary to be a midwife • Assist with 5 – 6 deliveries under the supervision of a midwife or another doula • Knowledge of massage techniques and contra-indications to massage in pregnancy and labour • Knowledge of carrier oils and essential oils suitable in pregnancy and labour • Have ethical supplier of quality essential oils • Empathy • Decision-maker • Adaptable • Available • Good interpersonal relationship skills • Professional • Accurate record keeping
For your practice decide on • Vision • Your contribution to aromatherapy in the therapeutic realm • Values • Passion for People • Ethical behaviour • Performance Pride • Personal Care • Efficiency • Confidentiality • Purpose • Making life better
Why take a history?Isn’t having a diagnosis enough? up the creek without a paddle… If a diagnosis equates with the kayak – then why the paddle…? • steering • direction • keeps you moving • keeps you afloat!
Contemporary healthcare Therapeutic Aromatherapy : an Art and an Applied Science.. • Holistic in approach – family, lifestyle, emotions and environmental influences.. • Recognizes multitude of factors contributing to maintanance of health and prevention of disease and illness.. • Understands the mechanism of essential oils and the various applications • A process…
Making a list means… • being organized! • being prepared for therapy needs • being prepared for the client’s needs • being able to cater for the individual • being able to assess RISKS! • prioritizing immediate, short & long term goals/client outcomes
The essential skills involved • Cognitive & critical thinking WHY? • Technical expertise WHY? • Interpersonal & “soft” skills WHY? • Senses WHY?
Principles of history taking &documentation • What relevant info do I need? • What does this info tell me? • What do I need to do about this info? • Who must be involved? • Who should be informed? • Must meet professional & legal requirements!
Primary objectives of history taking include • Identify the gaps where client will require guidance • Implement measures to manage special risksidentified eg: diabetes, varicose veins, infection etc. • Infection control planning & management ie: patient, environment & HCW’s • Discharge planning for referrals or continuity of care
Photographic Consent I, ____________________ hereby consent to the taking of photographs of parts of my body By ________________ in connection with the following treatment______________________ For assessment, progress, medical aid and/or teaching purposes. It is also understood that confidentiality concerning my identity will be upheld at all times and that these photographic records may not be released to any third party [excluding the aforementioned] without my consent. Signature:______________Witness:_________ Date:______________ Place:__________
To summarize… good records • Facilitate clinical decision making • Provide a baseline & ongoing trends • Accelerate progress! • Provide key interdisciplinary communication • Promote credibility & professionalism • Are the ONLY evidence of therapist activity & competency • Provide the foundation for 2nd opinions & referrals • Defend & protect in cases of medico legal recourse • Are governed by legislation- Allied Health Professions Act, 1982 [Act 63 of 1982]