“Anthroposophic Nursing Practice: Foundations and Indications for Everyday Caregiving”, 2021, by Rolf Heine (Editor) Buy at Amazon.co.uk
CONTENTS:
Introduction to the English edition Adam Blanning, MD xxi
Preface Rolf Heine xxiii
Foreword to the fourth German edition Matthias Girke, MD xxv
Foreword to the third German edition Michaela Gldckler, MD xxvii
Methodical-Didactical Foundations
CHAPTER 1 Rolf Heine
How Do You Learn Anthroposophic Nursing?
Learning Aid and Guide through this Textbook 1
1. Working with the text 1
2. “Warming up” to the topic 2
3. Discussion 2
4. Develop your own questions and set your own goals 3
5. Practice
6. Deepening and expanding upon the material presented 4
7. Acting creatively 4
Anthroposophy and Nursing
CHAPTER II Monika Layer
Observation as a Method of Self-development and a Therapeutic Element in Care and Destiny 11
1. Introduction 11
2. Starting out in nursing 11
3. Observation and maintenance 12
3.1 Observation in care extended by anthroposophy 12
3.2 Report from a learner 13
3.3 The function of the sense organs 14
3.3.1 Outcomes from the observations 15
3.3.2 Continuity in the observational process 16
3.3.3 The selective perception 16
3.3.4 Attentiveness and observation 17
4. Observation and knowledge 18
4.1 Percept and concept 19
4.2 Thinking 20
4.3 Forming judgments 21
5. Observation and intuition 22
6. Observation training as a component of nursing training 23
6.1 Sense perception 24
6.2 Training of thinking 25
6.2.1 The seedling observation 25
6.2.2 The sage branch 25
6.2.3 Describing and considering paintings 26
6.2.4 A journey through the hand 26
6.3 Transfer to the daily nursing routine 28
7. Final remarks 28
CHAPTER III Frances Bay
The Anthropological Foundations of Nursing Extended by Anthroposophy 31
1. What do nurses do? 31
2. Developments in nursing 34
3. Our view of the human being 35
3.1 The fourfold nature of the human being 35
3.1.1 The human I 35
3.1.2 The soul body or astral body 37
3.1.3 The life body or etheric body 38
3.1.4 The physical body 39
3.2 Body, soul, and spirit and threefold functioning in the human being 40
3.2.1 The body 42
3.2.2 The soul 42
3.2.3 The spirit 43
3.2.4 A bridge between body and spirit—the soul 44
3.2.5 The threefold aspect in body, soul and spirit 45
3.3 Soul qualities and their physiological counterparts 45
3.3.1 Thinking-the neurosensoty system 46
3.3.2 Feeling-the rhythmic system 46
3.3.3 Will-the motor-metabolic system 47
3.4 Further examples of threefoldness 48
4. Functional threefolding in health and illness 49
4.1 Type I diseases—cold predominates 50
4.2 Type II diseases-heat predominates 50
5. Illness and biography 52
5.1 Threefoldness in spiritual development 52
5.1.1 Accompanying support-an opportunity in nursing 53
6. Three levels of knowledge 53
6.1 Imagination 54
6.2 Inspiration 54
6.3 Intuition 54
7. Final remarks 55
CHAPTER IV Renate Hasselberg • Rolf Heine
Illness and Destiny 58
1. Introduction 58
2. The question of meaningfulness 59
2.1 What is a biography? 59
2.2 A biography can be looked at on different levels 61
2.3 What actually falls ill and what happens during illness? 63
2.4 Inviting people to become inquirers 65
3. Biographical aspects of the nursing profession 67
3.1 What motivates young people? 67
3.2 We should create “space for inability” 69
3.3 Work and leisure 70
4. Encounters between patients and nurses 72
4.1 The nursing conversation 72
4.2 Insurmountable difficulties? 74
4.3 The social impact of an ill person 75
CHAPTER V Renate Hasselberg • Rolf Heine
Nursing as a Path of Development 78
1. Nursing as a cultural task 79
1.1 Maintaining things 79
1.2 Tasks in the plant and animal realms 80
1.3 Caring for human beings 82
1.4 Care-giving tasks and the inner and outer capacities needed to fulfil them 83
2. Nursing as a relationship 84
2.1 First exercise: proper thinking—concentration 84
3. Nursing as a process 85
3.1 Second exercise: initiative 85
4. Nursing between closeness and distance 89
4.1 Third exercise: serenity 89
5. Nursing and hope 91
5.1 Fourth exercise: positivity 91
6. Learning in day-to-day nursing care 93
6.1 Fifth exercise: impartiality 93
7. Practicing in day-to-day nursing care 94
7.1 Sixth exercise: inner balance 94
8. Outlook on the anthroposophic path of development 95
8.1 Nursing quality 95
8.2 Path of development 95
8.3 Our view of the human being—thinking as the point of departure 95
8.4 The exercises 96
8.5 Where are human beings headed? -Nursing as a cultural task 96
CHAPTER VI Rolf Heine
Meditation in Nursing 99
1. Aims of meditating 99
1.1 Expansion of consciousness 100
1.2 Health—Regeneration 101
1.3 Transforming the world with spiritual means 102
1.4 Developing our soul forces 103
2. Applied meditation for nurses 104
3. The central meditation for nurses: transforming the verse into a mantram 108
3.1 Working with the verse for nurses 109
3.2 Other practical aspects 114
3.3 The mantram for nurses and the activation of heart thinking 115
CHAPTER VII Rolf Heine
The Concept of Nursing Gestures as a Model for Nursing Care 121
1. What is a nursing gesture? 121
1.1 Nursing activities and inner attitude 122
2. How did the concept of nursing gestures arise? 123
3. How do we fmd a gesture? 125
3.1 Hardening and dissolution as human disease tendencies 126
4. Nursing archetypes 129
4.1 Substituting and activating gestures 130
4.2 Gestures as inner movements 131
5. Gestures in typical areas of nursing 132
5.1 Nursing gestures in the education of the child 144
5.2 Nursing gestures in the care of the elderly 144
5.2.1 Cleansing 144
5.2.2 Nurturing 145
5.2.3 Relieving—Challenging 146
5.2.4 Protecting—Enveloping-Creating order 146
5.2.5 Confirming—Awakening-Uprightness 147
5.2.6 Balancing—Stimulating 148
5.3 Nursing gestures in the accompaniment of people who are dying 149
5.3.1 Creating space—Creating order 149
5.3.2 Affirming-Comforting—Hope 150
5.3.3 Stimulating 150
5.3.4 Nurturing 151
5.3.5 Challenging—Encouraging 152
5.3.6 Relieving 153
5.3.7 Uprightness 153
5.3.8 Enveloping 154
5.3.9 Helping the essence to appear-Cleansing 155
5.3.10 Balancing 155
5.3.11 Averting-Protecting 156
5.3.12 Awakening 157
5.4 Nursing gestures for cancer patients-Awakening as a central gesture 158
5.4.1 How do people wake up? 159
5.4.2 What do cancer patients awaken to? 160
5.4.3 How can external and internal processes of awakening
be accompanied by nursing care? 161
6. Nursing gestures in typical activities 162
7. Nursing gestures and external applications 165
8. Nursing gestures and the zodiac 167
9. The basic nursing moods and the planets 170
9.1 Sun quality—Being interested—Vowel AU 170
9.2 Mars quality—Leading, Guiding—Vowel E 170
9.3 Venus quality—Sympathy, Empathy—Vowel A 171
9.4 Jupiter quality-Organizing-Vowel 0 171
9.5 Mercury quality—Mediating—Vowel I 171
9.6 Saturn quality-Accompanying—Vowel U 171
9.7 Moon quality-Mirroring, Serving-Vowel El 172
10. Overview of nursing gestures 174
11. Nursing gestures in practice 196
Elements of Nursing Practice
CHAPTER VIII Annegret Camps
Rhythm 203
1. The phenomenon of rhythm 203
2. Rhythm in the human being 204
2.1 The rhythmic system 206
3. Leeway as an opportunity for freedom 207
4. Rhythm in nursing 209
4.1 Basic patterns in nursing care 209
4.2 The importance of time frames 211
CHAPTER IX Ada van der Star
The Human Warmth Organism and Its Care 216
1. Earth’s climate and living things 216
1.1 The human warmth organism 217
2. Perceiving warmth 220
3. Warmth in nursing 221
3.1 Temperature extremes and illness 222
3.2 Temperature regulation and clothing 223
3.3 Further aids to stimulate and regulate the warmth organism 224
3.4 Nutrition and warmth 225
3.5 Shaping the environment 226
CHAPTER X Rolf Heine
Variations on Whole-Body Washing 229
1. General aspects 229
2. Basic types of washing 231
2.1 Washing as service to the body 231
2.2 Strengthening self-care skills 231
2.3 Esthetics and attention as elements of washing 232
2.4 Washing to stimulate the life forces 233
2.4.1 Invigorating wash 233
2.4.2 Soothing wash 235
2.4.3 “Sounding Bath” 236
2.5 Variations of the basic forms 237
2.6 Cleansing impurities and the procedure for whole-body washing 238
CHAPTER XI Rolf Heine
Preventing Bedsores, Pneumonia, and Thrombosis in Seriously Ill Patients 240
1. Understanding the causes of bedsores, pneumonia und thrombosis 240
1.1 The importance of the ‘I’-organization 241
1.2 Excamation and incarnation 242
2. General prophylaxis 243
2.1 Warmth in the spiritual aspect 244
2.2 Warmth in the soul 244
2.3 Warmth in the body 246
3. Special aspects 247
3.1 Bedsore prophylaxis 247
3.2 Pneumonia prophylaxis 249
3.3 Thrombosis prophylaxis 251
4. Nursing care substances 252
4.1 Bedsores 254
4.2 Pneumonia 255
4.3 Thrombosis 255
CHAPTER XII Ursula von der Heide • Revised by Monika Layer
Rhythmical Einreibung According to Wegman/Hauschka 258
1. Touch in nursing care 258
1.1 Closeness and distance 258
1.2 Qualities of touch 259
1.3 Treating with the hands 261
2. What is Rhythmical Einreibung? 262
2.1 Basic forms 264
2.2 The importance of rhythm 265
2.3 Other characteristics of quality 267
3. Administering a Rhythmical Einreibung treatment 267
4. The effects of Rhythmical Einreibung 270
5. Touching must be learned 273
6. Final considerations 274
CHAPTER XIII Gabriele Weber
Compresses in Anthroposophically Extended Nursing Care 277
1. Introduction 277
1.1 Historical origins 278
1.2 Compresses as part of anthroposophically extended nursing care . 278
2. Understanding the effects of external applications .279
2.1 The relationship between the threefold human being and medicinal plants 279
2.2 Health and illness 281
2.3 Stimulating and supporting self-healing powers 281
3. Lemon 282
3.1 Practical implementation using the example of a lemon chest compress 283
4. Cabbage leaves 284
4.1 Practical implementation using the example of a joint compress 285
5. Chamomile 286
5.1 Practical implementation using the example of a hot abdominal compress 288
6. Mustard 289
6.1 Practical implementation using the example of a mustard powder foot bath 290
7. Observing and influencing metabolic activity and warmth processes 291
8. Basic rules for administering compresses 292
8.1 Substances 292
8.2 Materials 292
8.3 Special preparations for compresses 293
8.4 Priorities for monitoring 293
8.5 New qualities in the therapeutic process 295
8.6 The nurse’s inner attitude 295
CHAPTER XIV Rolf Heine
Active Principles in External Applications
The Nature of External Applications—How They Differ from Other Medical and Nursing Interventions 297
1. Effect factors 297
2. Substances in external applications 299
2.1 Active principles in sulfuric substances 303
2.2 Active principles in mercurial substances 303
2.3 Active principles in saline substances 304
3. The medium through which a substance is conveyed 305
3.1 The importance of warmth 307
4. Rhythm (time of day, frequency, dosage) 308
5. Attention-giving, setting and touch 310
5.1 Waking-Dreaming-Sleeping, shown in ginger and mustard applications 312
5.2 Touch 317
6. Evaluating external applications 318
7. Cognition-Based Medicine (single case studies) 322
7.1 Evaluation of external applications in practice 323
7.2 Vademecum of External Applications 326
Specializations in Nursing
CHAPTER XV Anna Wilde • Regula Markwalder
Pregnancy, Childbirth, and Puerperium as Stages of Human Becoming 335
1. When does human life actually begin? 335
1.1 What happens at the threshold events of birth and death? 336
2. Pregnancy 337
3. Birth 340
3.1 Why does giving birth hurt, what is the point of such pain? 342
4. The puerperium 343
5. Lily and rose 344
CHAPTER XVI Inge Heine • Rolf Heine
Neonatal Nursing Care. Care Is Education—Education Is Care 347
1. Parental counselling as a focus of postpartum care 347
2. The didactics of parent counselling 348
2.1 The newborn’s physical environment 349
2.2 Clothing—Wrapping 351
2.3 Body care 353
2.3.1 Cleansing and prevention of infections 353
2.3.2 The skin as the body’s boundary 354
2.3.3 Touch and relationships during body care 354
2.4 Breastfeeding—Nourishment 355
2.4.1 Assistance with getting the baby latched onto the breast 356
2.4.2 Nipple confusion 357
2.4.3 Breastmilk and milk substitutes 357
2.4.4 Introducing other forms of nutrition—Weaning 358
2.5 Relationships-Education-Development 360
2.5.1 Supporting movement development through everyday care. 360
2.5.2 Cultivating a rhythmic lifestyle 361
2.5.3 Imitation as a basic principle of education 363
CHAPTER XVII Carols Edelmann
The Concept of Development as the Basis for Anthroposophically Extended Pediatric Nursing 365
1. The nature of children 365
2 The stages of child development, with a view to the associated illnesses and nursing care requirements 367
2.1 Infants and small children 367
2.1.1 Disease dispositions 369
2.2 The school child 370
2.2.1 Disease dispositions 371
2.3 The adolescent 373
3. The professional profile of extended pediatric nursing 374
4. New areas of activity for pediatric nursing 375
CHAPTER XVIII Klaus Adams
Psychiatric Nursing 378
1. General psychiatric nursing and elements of anthroposophically extended psychiatric nursing 378
1.1 Nursing as relationship work 378
1.2 Milieu therapy and psychoeducation 379
1.3 Cultivating rhythm, a daily structure, seasonal activities and annual festivals 380
1.4 External applications 382
1.5 Soul exercises (attention and mindfulness) 383
1.6 Dealing with medications 383
1.7 Work with the twelve nursing gestures 384
1.8 The therapeutic attitude 384
2. Anthroposophic aspects of the treatment and nursing care of common psychiatric diseases 385
2.1 Depression 386
2.1.1 Nursing aspects for the treatment of depression 389
2.2 Psychosis 392
2.2.1 Nursing aspects in the treatment of psychoses 393
2.2.2 Therapeutic aspects 396
2.3 Anxiety disorders 398
2.3.1 Nursing aspects in the treatment of anxiety disorders 400
2.3.2 Therapeutic aspects 401
2.4 Personality disorders 402
2.4.1 Factors in the nursing care of people suffering from borderline illnesses 406
2.4.2 Therapeutic aspects 407
3. Soul exercises 408
CHAPTER XIX Bernhard Deckers
From the Question of Meaning in Cancer to the Cultivation of the Senses 417
1. About our encounters with cancer patients in nursing care 418
2. The process by which cancer develops 420
3. The experience of cancer patients 420
3.1 The question of the meaning of life in cancer patients 420
4. Care of the ‘I’-care of the senses 421
4.1 Touch 422
4.2 Perceiving one’s state of health 423
4.3 Sensing movement and experiencing balance 423
4.4 Taste 424
4.5 Smell 425
4.6 Sight 426
4.7 Perceiving warmth 426
4.8 Hearing 427
4.9 Experiencing speech and perceiving thoughts 428
4.10 Perceiving the‘I’of the other person 429
5. Concluding remarks 430
CHAPTER XX Jana Schier
Anthroposophic Oncology Nursing 433
1. Historical aspects 433
2. The anthropological basis for understanding cancer 433
3. The four phases of the disease 434
4. The nurse’s case histoiy based on an anthroposophic understanding of the human being 435
4.1 The physical body 435
4.2 The etheric body 436
4.3 The soul body 437
4.4 The ‘I’-organization 438
5. Finding meaning and healing 439
6. Nursing—mediating—accompanying 440
7. Anthroposophic nursing accompaniment of cancer patients 441
7.1 Shock, bewilderment, specchlessness 441
7.2 Fear with agitation 443
7.3 Dysregulation in the warmth organism 444
7.4 Pain 446
7.5 Fluid congestion processes in the organism 448
7.6 Identity as a man or a woman 449
7.7 Anthroposophic nursing accompaniment of patients undergoing
radiation therapy and/or chemotherapy 450
7.7.1 Prophylactic and therapeutic nursing applications in tumor therapy 451
7.7.2 Nursing support before the start of therapy 451
7.7.3 Nursing support during and after therapy 453
8. Anthroposophic nursing in oncology 459
CHAPTER XXI Ada van der Star • Annegret Camps
Geriatric Care as Care for Human Beings 461
1. The difference between nursing the sick and nursing the elderly 461
2. Structuring one’s life and geriatric nursing 463
3. Views of humanity und motivation in geriatric care 465
4. Stimulation for people in care 467
CHAPTER XXII Christel Kaul
Aspects of Caring for Elderly People who are Mentally Ill or Confused 471
1. On the situation of people with dementia and their nurses 471
2. The transformation of physical decline into mental and spiritual development 472
3. The anthroposophic-anthropological understanding of senile dementia 473
3.1 Food intake and its metamorphosis 474
3.1.1 The pathology of untransformed metabolic processes in old age 474
3.1.2 Therapeutic nursing measures 475
3.2 Breathing and its metamorphosis .476
3.2.1 Late-life depression and anxiety as lost mental elasticity 477
3.2.2 Therapeutic nursing measures 477
3.3 The metamorphosis of the senses 478
3.3.1 The sense of life transforms into equanimity 480
3.3.2 The sense of one’s own movement and the sense of balance 480
3.3.3 The sense of touch transforms into reverence 481
3.3.4 The sense of sight transforms into inner comprehension 481
3.3.5 The sense of smell transforms into compassion 481
3.3.6 The sense of taste transforms into tact and politeness 482
3.3.7 The sense of warmth transforms into patience 482
3.3.8 The sense of hearing transforms into restraint 482
3.3.9 The senses of the speech, thought, and the ‘I’ of the other person
transform into courage, silence, and renunciation 483
4. The double 483
CHAPTER XXIII Heike Schaumann
Caring for People with Dementia in Inpatient Facilities 487
1. Introduction 487
2. Moving into an institution: an increasing loss of space for
making decisions and acting as one pleases 488
3. Integrating into and getting used to one’s new home—shaping the way people live together 490
3.1 Feeling at home in the community 490
3.2 Habits create security 491
3.3 Different forms of dementia 491
3.4 What skills do staff need? 492
4. Dealing with life’s remaining opportunities-occupations in inpatient facilities 492
5. Adaptation and resistance: previous patterns of behavior may change 494
6. Letting go—Accepting increasing weakness and accompanying the dying process 495
6.1 The confrontation with dying 496
6.1.1 Building trust 496
6.1.2 Making decisions 497
6.1.3 Accepting the new situation 499
6.2 Nutrition in the last phase of life 500
6.2.1 Changing needs 500
6.2.2 Easing the feeling of thirst 501
6.3 Expecting the unexpected 502
7. The professionalism of caregivers 504
8. People with dementia in the hospital 505
9. People with dementia in outpatient care 506
CHAPTER XXIV Christoph von Dach • Sasha Gloor
Palliative Care 508
1. Introduction 508
1.1 The origins of palliative care 508
2. When does dying begin? 510
2.1 Living and dying as a process 511
3. The fourfold human being 511
4. The seven life processes 512
5. Pain in anthroposophic palliative care 512
5.1 Palliative sedation 512
6. Principles for external applications in palliative care 513
7. External applications in palliative care 513
7.1 Pain 514
7.2 Breathing 515
7.3 Warming 518
7.4 Nutrition 519
7.5 Elimination 520
7.6 Maintenance 521
7.7 Growth 523
7.8 Reproduction 523
8. The dying process—Observations from the daily work of a nurse 523
8.1 The dying process as a journey with seven stages 524
8.2 The seven planets as an analogy for the phases of the dying process 525
8.2.1 Self-perception 525
8.2.2 Confrontation 526
8.2.3 Deciding 527
8.2.4 Finding one’s own 528
8.2.5 Creating order 529
8.2.6 Preparation .531
8.2.7 Detaching oneself from this world 532
8.3 How can nurses accompany the dying process? 532
8.3.1 Self-perception 533
8.3.2 Confrontation 533
8.3.3 Deciding 534
8.3.4 Finding one’s own 535
8.3.5 Creating order 536
8.3.6 Preparation 537
8.3.7 Detaching oneself from this world 538
CHAPTER XXV Gudrun Buchhol
The Care and Accompaniment of the Dying and the Deceased 542
1. Introduction—An attempt at an approach to death and dying 542
2. The anthroposophic view of dying and death 543
2.1 What happens to our fourfold nature after death? 544
2.2 The psyche of the dying person 545
3. Birth and death 547
4. The transformation of the dying person 548
4.1 Time perspectives 548
4.2 Pain 549
4.3 Pain relief 549
4.4 The encounter with the double 550
5. Nursing care for people who are dying 551
5.1 Accompanying the patient’s relatives 554
6. Death 554
6.1 External features that indicate that death is about to occur 555
6.2 The moment of death 555
7. Care of the deceased in anthroposophic institutions 556
7.1 The laying out of the deceased 556
7.2 Changes after death 557
7.3 The laying-out group 557
Epilogue RolfHeine 561
List of Products Mentioned, with US and European equivalents 568
About the Authors 573
Index 579
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