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Hospitals defend use of 'energy field' treatment

http://www.southam.com/hamiltonspectator/news/970125/718226.html

Suzanne Morrison

Area hospitals are defending their use of a
controversial treatment that skeptics say is quackery
and without any scientific foundation.

Therapeutic touch -- an unconventional technique in
which one person uses their hands to heal another
without ever touching them -- is being used and taught
in Hamilton-area hospitals as well as many others
across the country.

Many practitioners are nurses who believe that by manipulating "energy
fields," they can relax patients, ease disease and promote healing.

The College of Nurses of Ontario, the licensing body for the nursing
profession, says it's up to individual hospitals to decide whether
therapeutic touch should be practised.

Under the Standards of Nursing Practice, which governs the profession
in Ontario, nurses may practise anything that "S promotes comfort --
by using touch, massage and stress reduction techniques."

Val Vaillancourt, director of professional practice at the General and
Henderson divisions of the new Hamilton Health Sciences Corp., said
therapeutic touch is only used in conjunction with, and never as an
alternative to, traditional medical treatments.

Currently, therapeutic touch is being used on patients suffering
everything from labour pain and cancer to heart disease and burns.

"I'm not going to pretend I know how it works," said Vaillancourt. "I
know that when I have used therapeutic touch I have yet, in 20 years,
had a patient say to me they didn't feel better.

"While we may not have the research to indicate this absolutely, I
think as health-care professionals we have to at least investigate
and, until we have that clear, not just dismiss it."

That argument doesn't sit well with people like Hamilton hematologist
Dr. Brian Leber, who says there is no scientific evidence to suggest
therapeutic touch works. He doesn't believe its use in publicly funded
hospitals can be justified simply because some patients claim it makes
them feel better.

"Let's take five different people who have an incurable condition and
they want something to help them feel better," Leber said. "One wants
therapeutic touch; one is a devout Muslim and wants to go to Mecca;
one is a devout Catholic and wants to go to Lourdes; one is a
brilliant artist and wants to tour the Prada in Madrid; the other is a
single truck driver who wants a tour of every strip joint between Los
Angeles and the Mexican border.

"There is no question all these things can make people feel better,
but I don't think it's the role of the health-care system to fund
that."

Locally, therapeutic touch is practised at the Hamilton Health
Sciences Corp., which includes Henderson, General, McMaster and
Chedoke hospitals, and Oakville Trafalgar Memorial Hospital. Both
hospitals permit nurses to practise therapeutic touch while on duty,
and have subsidized the cost of instruction in the treatment.

St. Joseph's Hospital permits therapeutic touch for patients who
request it, but they must arrange for an outside therapist.

Dean Olson, vice-president of patient services, says while St. Joe's
does not have a formal policy on therapeutic touch, the hospital would
not be opposed to trained staff performing it on hospital time.

"I don't think you ever waste time when you spend it with patients,"
Olson said. "That's why we're there."

The treatment isn't yet offered at Joseph Brant Hospital in
Burlington, but there is a groundswell among staff on one ward who
want the hospital to provide courses.

Vaillancourt says while there has been little rigorous scientific
research of therapeutic touch, that's not sufficient reason to
prohibit its use in publicly funded hospitals because it's not harmful
or invasive.

Dr. Gordon Guyatt, an expert on evidence-based medicine and professor
of clinical epidemiology and biostatistics in the faculty of health
sciences at McMaster University, disagrees. He says scarce health-care
dollars shouldn't be spent on unproven treatments.

"We have shortages of nurses doing just about everything in the
health-care system at this point. Could (a nurse) be doing something
else that we know is useful?"

Nursing students are learning therapeutic touch in courses at
community colleges, such as Mohawk College, and schools of nursing in
many universities across Canada.

Carolyn Byrne, chair of the undergraduate nursing program at McMaster
University, said therapeutic touch is discussed at McMaster but not
taught.

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