Burn-out Recognized by the World Health Organization

Written by Dr. Field

Burn-out is now recognized as a disease state by the World Health Organization (WHO). On May 28, 2019 the WHO released a statement detailing how Burn-out will be included in the ICD-11. The ICD-11 is the 11th revision of the International Classification of Diseases and guides health care practitioners in classifying disease states.

According to the WHO statement, burn-out is defined as follows:

“Burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions:

  • feelings of energy depletion or exhaustion;

  • increased mental distance from one’s job, or feelings of negativism or cynicism related to one's job; and

  • reduced professional efficacy.

Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life.”

The recognition of Burn-out as a disease state by the WHO is very important. Every day I see people dealing with Burn-out as a result of work place stress, though they don’t often accept this assessment or even recognize that they are stressed out. We live in a society where we feel like we have to be on the go all of the time, valuing productivity so very much.

Having a disease classification helps to make things concrete and put things into perspective. It helps people understand and recognize that they are sick and that changes are necessary to address the disease state.

To book an appointment please call (250) 504-0090 or book online

References:

Acupuncture and Cervical Ripening

Written by Dr. Field

What is Cervical Ripening?

During pregnancy your cervix is firm and closed. Once you begin labour your cervix changes and becomes soft and distended so that it can dilate and open. This change to the cervix is referred to as cervical ripening.

What Do The Studies Say?

A 2011 study by Gribele et. al. compared the drug misoprostol to acupuncture and found “acupuncture is effective at obtaining cervical ripening with a significantly higher frequency of vaginal deliveries and without occurrence of obstetric complications.”

In 1998 Zeisler et al. concluded that acupuncture treatment had a positive effect on the duration of labour by shortening the first stage of labour, defined as the time between 3cm cervical dilation and complete dilation. The acupuncture group were treated from 36 weeks gestation and had a median duration of 196 minutes compared to the control group time of 321 minutes.

In 1974 Kubista and Kucera concluded that acupuncture once per week from 37 weeks gestation was successful in reducing the mean labour time in the women treated.

Conclusion:

As a result of these studies, Naturopathic Doctors and Acupuncturists offer this therapy to pregnant women as part of their prenatal care. The general recommendation is to have weekly acupuncture treatments beginning at 36 weeks through to your due date.

To book an appointment please call (250) 504-0090 or book online

References:

Betts D and Lennox S (2006). “Acupuncture For Prebirth Treatment: An Observational Study Of Its Use In Midwifery Practice.” Med Acup; 17(3): 16–19.

Gribele G.P.C., Coca-Velarde LG, Moreira de Sa RA. (2011). “Electroacupuncture for cervical ripening prior to labor induction: a randomized clinical trial.” Archives of Gynecology and Obstetrics; 283(6): 1233-1238.

Kubista E ,Kucera H (1974). [On the use of acupuncture in the preparation for delivery]. Geburtshilfe Perinatol; 178: 224-9.

Rabl M, Ahner R, Bitschnau M, Zeisler H, Husslein P (2001). “Acupuncture for cervical ripening and induction of labour at term – a randomised controlled trail.” Wien Klin Wochenschr; 113(23-24): 942-6.

Zeisler H, Tempfer C, Mayerhofer Kr, Barrada M, Husslein P (1998). “Influence of acupuncture on duration of labour.” Obstet Gynecol; 92(2): 245-8.

IMS and Pain

IMS and Pain

The objective of IMS is to ease pain through three treatment goals.

  1. To release muscle spasm and so improve range of motion

  2. To relieve nerve pain caused by compressed nerves by the muscle in spasm

  3. To encourage tissue healing by stimulating local inflammation and therefore increased blood flow

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