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Telehealth and the Medical Spiritual Dimension. Relationship among Science and Faith. How to improve compassion in the relationship between doctors, nurses and patients Flavio Burgarella 3rd Asian Preventive Cardiology & Cardiac Rehabilitation Conference Hong Kong, China 11-14 December 2010

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The Manifesto of “Heart Friends Around The World" The greatness of the man is measured on the intelligence of the heart. Vision To promote the Good by the promotion of health. Mission Health promotion is global, in its aspects of body, mind, spirit.

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Heart Friends Around The World is an international movement, born on previous experiences of the association, of which maintains the basic structure, including the existing affiliated groups, aiming to promote human health through a route that develops in the body, mind and spirit.

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Heart Friends Around The World is affiliated to the International Federation of Cardiology, collaborates with the World Health Organization, and in 1994 had already laid the foundations of its existence by involving in its programs physicians, cardiologists and patients worldwide, predominantly coming from low- and middle-income countries, to promote prevention and rehabilitation of cardiovascular disease.

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Heart Friends Around The World believes in the importance of everyday life, in the relationship between body and mind, in the development of interpersonal relationships. It also considers the education of women as a priority for her health and that of his family.

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Heart Friends Around The World believes that old age is an asset in the search for spiritual life, and that young people are a resource of health and values, although nowadays are mortified by excesses both in consumerism and in deprivation.

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Heart Friends Around The World proposes the practice of a regular physical activity, with a medium muscle commitment. A slow and prolonged race practice is a good basis for maintaining the health and the associated state of mental and physical well-being.

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Heart Friends Around The World considers that, in the relationship between doctor and patient, the positive attitude is a vital component to get that confidence, that mutual trust, which is so important for the recovery of health status.

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Heart Friends Around The World finds its essence in the relationship between doctor and patient, striving to have a consistently positive attitude towards the patient and receiving in return what has been given in the form of Good for its professional and spiritual growth. The right man acts the Good for love of the Good, lives in the Good, in an independent manner by religion or no religion to which he belongs.

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Health promotion in its aspects of body, mind, and spirit. The scientific method (Francis Bacon, XV - XVI) replaces tradition and authority with direct observation and experience.   If applied to the study of nature (XVI - XVII century), it leads to:  1. NATURAL SCIENCE (Astronomy, Physics, Chemistry, Biology)   If applied to the study of consciousness and human behavior (XVIII - XIX century), it leads to:   2. SOCIAL and HUMAN SCIENCE (Psychology, Sociology, Anthropology) If applied to the study of spirit (energy and subtle vibration) and spiritual consciousness (XX and XXI century), it leads to:   3. SPIRITUAL SCIENCE

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What is spirituality? Spirituality is a complex and interdisciplinary part of the human experience, whose aspects are philosophical and inherent to the emotional behavior. The philosophical aspects include: the search, by the person, of his/her sense, purpose and truth of life, those beliefs and values on which he/she lives. The aspects of the emotional behavior include: a sense of hope, love and belonging, inner peace and solace.

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Spirituality and Religion Many people reach their spiritual dimension by religion, through a personal relationship with the divine. Other people find this dimension through a connection with nature, the arts and music, or with values and moral principles, or also in the search for scientific truth.

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The role of the doctor (1) Therapeutic interventions include considerations on the spirituality of the patient and recommendations on prevention, health education, treatment and anything that might help the healing process. Although it is not easy to measure, the physician's ability to provide connection and compassion and to ensure that he/she can be felt by the patient as truly present and participating, is in itself an important therapeutic intervention.

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The role of the doctor (2) The doctor, in addition to the knowledge and practice of traditional medicine with science and conscience and with the use of all diagnostic and therapeutic means, in line with modern international guidelines, should be able to awake his/her intuition, in order to be able to communicate with patients, so that they can be more responsible and aware of their situations.

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Science and Faith (1) During this period, science is preparing to explore the spiritual dimension that has not yet been explored. It does it trying to learn to navigate through intuition, inspiration, our mental and spiritual senses and our reason. This is not a choice between reason and faith, between theology and medicine, but the integration between the two, through the expansion of consciousness, the activation of intuition and spiritual awakening of consciousness.

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Science and Faith (2) Spiritual sciences should take a scientific path, but also a philosophical and theological one. The integration of the spiritual dimension in medical practice has to be evolutionary, and performed taking as reference models religious figures, poets and philosophers who have already moved their spiritual consciousness, and suggest their writings.

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www.telesalute.it

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Telehealth: The Spiritual Dimension of Medicine Help the suffering: Mindfulness meditation Prayer: praying the rosary Publications: Be a Wild Dove, Praying with Friar Thomas, When Love Blooms, Saint Mary of the Olive Trees, Words to Comfort in Suffering Iconography: image of Friar Thomas from Olera, image of Saint Mary of the Olive Trees Video recorded and published on the web

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Saint Mary of the Olive Trees

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Words to Comfort in Suffering

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Telehealth: The Spiritual Dimension of Medicine Developing the impermanence: When I hear the beat of my heart I hear the sound of impermanence Non-attachment Contemplative prayer: Saint Teresa of Avila, Saint John of the Cross

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Telehealth: The Spiritual Dimension of Medicine Promote healing: Compassion and sharing Doctor-patient education

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Compassion (1) The definition of compassion is the ability to understand the emotional state of another person or oneself. Often confused with empathy, compassion has the added element of having a desire to alleviate or reduce the suffering of another. Empathy, as most people know, is the ability to put oneself in the other person's place. Although compassion and empathy are two separate things, having compassion for someone can lead to feeling empathy for another person.

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Compassion (2) Although the above is the accepted definition of compassion, I believe that having compassion for someone involves more than putting yourself in their place and genuinely wanting to understand or even help them. It involves beginning to have a totally different perspective when it comes to how you perceive others. For example, instead of assuming that the reason someone has done something that hurts you is because they are selfish or inconsiderate, assume instead that they had a good reason for doing it.

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Compassion (3) A lot of studies focused on the effect of compassion meditation on inflammatory, neuroendocrine and behavioral responses to psychosocial stress, and evaluated the degree to which engagement in meditation practice influenced stress reactivity. Our findings suggest that meditation practices designed to foster compassion may impact physiological pathways that are modulated by stress and are relevant to disease

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Compassion (4) The best way to teach compassion is not to teach, but to inspire through real-life examples. The volunteers of Telehealth have learned their skills from personal experiences. The compassion forms a bridge between the two very different worlds: the world of the busy health care professional and the anxious, uncertain world of the patient. When compassion is present patients feel confident about the care they receive and health care staff experience greater satisfaction when working in a partnership with patients.

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Telehealth: The Spiritual Dimension of Medicine Nonlocal healing: Intercessory prayer, cloistered Dominican nuns Transcendent consciousness of healing, mindfulness meditation

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Intercessory Prayer (1) To determine the effect of intercessory prayer, a widely practiced complementary therapy, on cardiovascular disease progression after hospital discharge was realized one randomized controlled trial conducted between 1997 and 1999, by the Mayo Clinic. A total of 799 coronary care unit patients were randomized at hospital discharge to the intercessory prayer group or to the control group. Intercessory prayer: prayer by 1 or more persons on behalf of another, was administered at least once a week for 26 weeks by 5 intercessors per patient.

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Intercessory Prayer (2) The primary end point after 26 weeks was any of the following: death, cardiac arrest, rehospitalization for cardiovascular disease, coronary revascularization, or an emergency department, visit for cardiovascular disease. Patients were divided into a high-risk group based on the presence of any of 5 risk factors (age ≥70 years, diabetes mellitus, prior myocardial infarction, cerebrovascular disease, or peripheral vascular disease) or a low-risk group (absence of risk factors) for subsequent primary events.

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Intercessory Prayer (3) Results: At 26 weeks, a primary end point had occurred in 25.6% of the intercessory prayer group and 29.3% of the control group (odds ratio [OR], 0.83 [95% confidence interval (CI), 0.60-1.14]; P=.25). Among highrisk patients, 31.0% in the prayer group vs 33.3% in the control group (OR, 0.90 [95% CI, 0.60-1.34]; P=.60) experienced a primary end point. Among low-risk patients, a primary end point occurred in 17.0% in the prayer group vs 24.1% in the control group (OR, 0.65 [95% CI, 0.20- 1.36]; P=.12).

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Intercessory Prayer (4) Conclusions : As delivered in this study, intercessory prayer had no significant effect on medical outcomes after hospitalization in a coronary care unit. Mayo Clin Proc. 2001;76:1192-1198

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Telehealth: The Spiritual Dimension of Medicine Nonlocal healing: Intercessory prayer, cloistered Dominican nuns Transcendent consciousness of healing, mindfulness meditation

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www.meditazioneconsapevole.it Non local healing (1)

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Non local healing (2) For the entire history of the human race, people have believe that healing can take place at a distance. How does healing happen remotely? The short answer is: nobody knows. The reasons we don’t know how healing happens is that the task is remarkably daunting. We have bumped up against what may be the three most mysterious entities in the universe: consciousness, space, and time. As we shall see, understanding spiritual or distant healing requires penetrating these mysteries, about which we remain appallingly ignorant.

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What do we mean by the term “spiritual healing”? By “spiritual,” I mean the sense of connectedness with a factor in the universe that is wiser and more powerful than the individual sense of self and that is infinite in space and time. I choose to refer to this factor as the Absolute. In the great religions it is often referred to as God, Goddess, Allah, the Tao, Universe, and so on. Non local healing (3)

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Non local healing (4) By “healing” I simply mean the restoration of a sense of wholeness, from whence the term “healing” is derived. Healing involves a sense of oneness of mind and body within the person, but can also include a sense of oneness with all there is, a condition of which the great mystical traditions have always spoken. Healing may or may not be associated with the eradication of a particular disease.

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Non local healing (5) In the point of view of Telehealth, there are the integration in the medical and health promotion field of concepts and experiences expressed in the ancient spiritual traditions of the past, such as Mindfullness Meditation and Sat Nam Rasayan, and the study of modern acquisitions derived from quantum physics and from research on consciousness by cognitive neuroscience, such as Non-Local Healing.

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