LAVENDER HEARTS

Empowering Bariatric Surgical Patients By Implementing The Caring Sciences With Breathwork, Guided Imagery, Meditation

And Aromatherapy For Improved Outcomes

Pamela Dayon | RN, BA ManagementPACU Kaiser Fresno | Pamela.J.Dayon@KP.org

Cohort 6

PURPOSE

Lavender Hearts will be a dynamic team of nurses, surgeons, anesthesia and supportive

personnel to improve the outcome of bariatric surgical patients by presenting integrative and holistic medicine modalities.

Lavender Hearts Team

PACU Frontline NursesPACU Frontline Nurses interested in Dr. Jean

Watson's Caring Science are being educated in the TenCaritas Processes, reading The Philosophy and

Science of Caring by Watson, and Caritas MediationCD.

The goal is to set examples to change theenvironment with leadership and literacy and thereforecreate overall change and loving-kindness, whether it is

in the operating room, recovery room ormedical-surgical floor.

PATIENT EDUCATIONBreathworkSmell the FlowersBlow out the Birthday CandlesBelly BreathworkGuided Imagery and MeditationCD and PamphletEncourage a Mental Mindscape for CalmnessCD Preparing for a Successful Surgery

Stop and Smell the Flowers…

Blow Out the Birthday Candles!

Belly Breathwork

Guided Imagery and Meditation

Utilizing Kaiser’s Preparing For Successful Surgery CDOr, if patient preference, using their own relaxing or

meditation music

CD and Pamphlet

Encourage a Mental Mindscape for Calmness

AROMATHERAPYMedical quality and evidenced-based aromatherapy synergies from AromaMD

will be introduced and utilized.The surgical patient will be educated on

the ancient art of aromatherapy and its benefits.

Categories of the synergies:

Psyche – anxiety, inner emotions

Soma- perception of pain nausea and vomiting

urinary retention

Empower the PatientThe patient will select a dedicated synergy(s) for

psyche and somatic conditions.

This will empower the patient to direct and focus on wellness and health using the favored synergy during breath-work, guided imagery and relaxation

times preoperatively.

Synergies will follow patient during hospitalization to be used as needed.

Ministering to the Patient By ministering to the patient,

utilizing caring and integrative modalities, the patient may require less allopathic /medicinal

intervention and subsequent side effects.

The synergies will be patient driven by theinhalation method 6-10 inches from nose, one drop on a cotton ball as a supplement

and charted as a caring science intervention.

These oils are medical quality and will not have adverse affects on staff.

Aroma should only disperse 12 inches in diameter.

Co-Create: Caritas Process #8

The reduction of a stressful situation with the patient will improve staff morale and

thus co-create a caritas environment.

IMPLEMENTATION Communication and agreement with pharmacy, MDs,

nurse managers to coordinate the aromatherapy segment of study.

Staff education with dedicated Caritas Nurses in initial phase.

Patient Education in Preoperative Bariatric Classes.

Patient supported and encouraged in self care with loving-kindness to use breath-work, meditation, CD,

aromatherapy synergies.

Staff Co-creating healing environments.

PROJECT PROJECTED EVALUATION

This project will be over a six month period.

Patient data will be collected evaluating calmness, anxiety, nausea, vomiting, perception

of pain and urinary retention.

Control groups will be utilized.

Staff will be interviewed and patients will be given an opportunity to report satisfaction.

Project Projected Outcomes

This study will show that integrative and holistic modalities can and do have a solid place in the surgical experience that benefit the patient and providers with a positive and caring process. As we give to our patients we can as

nurses and providers BE THE CHANGE WE WANT TO SEE.

Implementation of Reflection to

Refine and Guide Staff

BE THE CHANGE WE WANT TO SEE

Acknowledgements

My deepest appreciation to Dr. Jean Watson, for her unfailing light and encouragement as we walk.

Dr Kamyar Heyadat, AromaMD for his support, encouragement and education.

To my fellow nurses in the PACU at Kaiser Fresno who are choosing to follow Caritas to Co-create by being a part of this project: Brenda Apparcel RN; Cecile Balanon RN and Kathy Zuniga RN.

Ann Foss-Durant RN, KP Regional; Amy Tobin RN, CNO Kaiser Fresno; Debra Parker RN, Interim Manager PACU; Chi Ly, Inpatient Pharmacy Manager; Kevin Rhoden CRNA

And especially to Diana Rouse RN, TPMG Bariatric Educator/ Assistant Manager for giving me the opportunity to be a part of the education process for bariatric patients.