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Complementary and alternative medicine, also known as CAM, has had a long and controversial history.
There are different types of CAM (see Figure 1), placed into discrete categories according to how they work: biologically-based therapies that involve the consumption of products, energy therapies that consist of channelling healing energy, mind-body interventions that use the mind to create a positive effect on the body and manipulative therapies that involve the movement or manipulation of the body. Traditional Chinese Medicine, or TCM, is a whole medical system that has received controversy recently (see Figure 2) due to an absence of regulation, lack of scientific basis, use of animal products in its medicinal treatments and the toxicity of some of the herbal medicines used. Amidst all the controversy, according to the Oxford Handbook of Palliative Care and the Nursing Times, it is becoming more frequently used by patients (Ernst & White, 2000), especially terminally ill patients, for pain relief, for many reasons, including desperation and the many side effects of conventional medicine. Palliative care is a branch of medicine that aims to prevent and relieve suffering and to support the best possible quality of life for patients with advanced, progressive or life-limiting conditions, many of whom are terminally ill. Although there are many different types of pain, the one thing, however, that is common in all patients with pain is that pain limits the patient’s quality of life, and this is why it is very important for patients to achieve analgesia, the state of being pain-free.
Pain can also be controlled by CAM, the main principles of which usually involve a holistic therapy (the whole body is being treated, not just the cause of an ailment) and the support of physical, psychosocial and emotional factors. These holistic principles make CAM increasingly popular with patients, with an average of 40% of patients with life-threatening or chronic illness using CAM compared to 28% of the general UK population (Watson, et al., 2005). Some reasons for an increased reliability on CAM include the holistic nature of the therapy, dissatisfaction with conventional medicine being ineffective, side effects of conventional medicine, poor patient-physician relationship, long waiting lists, desperation and rejection of orthodox medicine (see Figure 4). Information such as evidence for the efficacy or the QALY of a therapy would be considered. For example, acupuncture, which is part of Traditional Chinese Medicine, has already been approved to be used in the NHS for the early management of persistent non-specific low back pain.
This study has been done to determine the extent to which Traditional Chinese Medicine should be available in the NHS as a complementary and alternative therapy to treat pain in palliative care patients. This will involve researching how TCM is used in pain relief, including its risks and benefits; how cost-effective TCM is, including a comparison between conventional medicines and whether freedom of choice of therapy is more important in palliative care pain relief than the cost of the drug. From early on in the project, I predicted that TCM will be more expensive and less cost-effective than conventional medicine and that this has been a barrier for its acceptance onto the NHS, but that people will feel that freedom of choice is very important. A video from that impromptu showcase session, taken by Dennis DaCosta, is posted on Youtube and can also be viewed on her website. So, a€?Wowa€? being the operative term, when the opportunity to feature her presented itself, we jumped at it. Layah grew up in the east end of Toronto in an area called a€?The Beaches,a€? near Lake Ontario. This was the point at which Layah connected with long-time friend, Oliver Johnson, to handle the studio end of making the demo. As Oliver recounts it, he was lucky to have gotten supportive parents in both his father and stepdad.
When he was at his fathera€™s house, theya€™d jam till the wee hours and sometimes the police would come. In order to learn musical theory, Oliver approached a guitarist, Wayne Cass, to show him what he needed to know to get into the Humber jazz program.
Toward the end of his first year at Humber, he damaged his hand while moving a heavy table.
At a certain point, the road started to wear Oliver down and he decided to focus on production. At this point, Layah approached Oliver to produce the demo for which shea€™d gotten a grant. In the statement that follows, we can see the wheels turning as she weighed her options: a€?I came home knowing that I really wanted to pursue music and I made my first recording.
Layah enrolled in and completed a three year program at The Toronto School of Homeopathic Medicine and received a DSHomMed, Homeopathic Certification. While involved with her studies she was pursuing music as well, performing quite a bit with Oliver. Not strictly a purist, she believes that a mixture of alternative and traditional Western medicine, a€?the best of both worlds,a€? according to each patienta€™s needs is the best solution. For two or three years, Layah and Oliver remained friends while they played music together. Layah says that Oliver has influenced her, injecting some jazz, R & B, soul and funk, given that he had gone on tour with some of the better Canadian players in that realm. Ita€™s easy to see why The Ontario Arts Council, and the Foundation to Assist Canadian Talent on Records (FACTOR) came through with grants at critical moments. Additionally, Acoustic Live will be hosting its own annual guerrilla showcase at the Northeast Regional Folk Alliance and wea€™ll get to watch Layah and Oliver play a set in our own room.
The new CD, Honey, from Layah and Oliver is just about ready for release and wea€™ve gotten to hear a few sample songs. When Oliver was 9, his mother married a Canadian folk artist, a childrena€™s songwriter, and he then split his time between Toronto and New Hampshire.
After high school, following her year of touring and playing, the artistic and practical sides of Layah collided.
We here in the Northeast can thank our lucky starsA  for a number of chances to see her live. The Oxford Handbook of Complementary Medicine states that if CAM is used alongside conventional medical treatment, then the therapy or treatment is used as a complementary treatment.


Palliative care also involves enhancing the quality of life and helping patients to live as actively as possible, and alleviating the side effects of medication, like chemotherapy. This can be achieved using analgesics, painkilling drugs, which are given on an analgesic ladder (as pain increases, the medication given is also increased and adjuvants, additional medication to increase the benefits of the analgesics are given). However, there are many reasons, more than just the treatment’s efficacy (how well it works), which allows a therapy to be approved on to the NHS by the National Institute for Health and Clinical Excellence (NICE). The QALY or the quality-adjusted life year is a measure of how much long a quality life a patient can be expected to gain from having the therapy, taking into account a patient’s well-being, independence and other factors. But why is not Traditional Chinese Medicine approved, especially for something as important to quality of life as for pain relief? This will be done through surveys, interviews and careful consideration of existing literature. During the 2009 Northeast Regional Folk Alliance Conference, he said, a€?Youa€™ve got to head over to the DJsa€™ afternoon meeting. He played Bruce Cockburn, Joni Mitchell, Dire Straits, The Pointer Sisters, Bruce Springsteen, The Beach Boys, Cyndi Lauper, Kate Bush a€¦ I never did any rebelling against my parentsa€™ choice of music. The question concerning what direction to take with her life still hung in the air and she appears to have approached it with a calm deliberation in incremental stages.
Although music was primarily a hobby, he had an array of musical instruments in the living room, including a drum kit.
Hea€™d jam with friends at his dada€™s all summer and then spend the school year with his mother and stepdad in Toronto.
Hea€™s still amazed at the way his father would cajole the officers, claiming the sound wasna€™t all that bad. He never really studied a€¦ until he went to Humber College in Toronto, which has a program similar to Berklee College of Music in Boston.
Cass was a€?a great guitar player and a great teacher,a€? a favorite that Oliver would watch play in clubs. He found a partner and opened up a studio that, today, works predominately on television projects.
She got the grant for her first demo and began recording, but decided that she wanted to pursue a degree in homeopathy as well. In addition, some readers might remember the Dove Self Esteem Funda€™s 2006 a€?True Colorsa€? TV Campaign. Each time Layah had any doubts about music as a chosen path, every time she needed it, a grant would come through. Layah had to put the guitar aside and let Oliver provide the instrumental accompaniment solo. When I touched on this, Oliver demurred, saying that Layah had brought her own wide range of influences for him to have had all that much effect on her sense of style. Layah and Oliver will be playing Music on 4 in Manhattan on November 18th and Our Times Coffeehouse on Long Island on November 19th. Theya€™ll also play a formal Tricentric showcase and numerous other showcases (see the performance list below).
Layah will always have a keen ear for the vagaries of love and relationships, but she has her eye on the fate of humankind as well. During the 2009 Northeast Regional Folk Alliance Conference, he said, a€?Youa€™ve got to head over to the DJsa€™A  afternoon meeting. TheA  question concerning what direction to take with her life still hung in the air and she appears to have approached it with a calm deliberation in incremental stages. Hea€™d jam with friends at his dada€™s all summer andA  then spend the school year with his mother and stepdad in Toronto.
He never really studiedA  a€¦ until he went to Humber College in Toronto, which has a program similar to Berklee College of Music in Boston.
Her soaring, pitch-perfect vocals and melodic sense are mesmerizing.A  Then, therea€™s the writing. Layah and Oliver will be playing Music on 4 in Manhattan on November 18th and Our Times Coffeehouse on Long Island onA  November 19th. CAM comprises a group of diagnostic or therapeutic systems of healthcare that is separate from conventional medicine (also known as western medicine).
However, if CAM is used instead of conventional treatment, then the therapy is described as alternative medicine. Palliative care neither aims to prolong or curtail the lifespan of the patient (Watson, et al., 2005), but is mainly concerned with maximising the quality of life of patients through the management of symptoms (see Figure 3), especially pain, which is the most frequently seen symptom in palliative care.
These medications do, however, carry side effects, which often push people away from conventional medicine.
Other factors are taken into account including the benefit to the patient, cost and cost-effectiveness and whether the therapy would help the NHS achieve set targets, gaining information and evidence from doctors, drug companies and patients.
Indeed, TCM does have its own system of diagnosing and treating pain that is vastly different to conventional medicine, but if palliative care is all about reducing symptoms like pain, then perhaps TCM should be approved as a method of pain relief in the NHS. The most popular concentrations are Massage Therapy and Chiropractic, Nursing, and Medical. When I started taking piano lessons at home at 8 years old, I started studying show tunes, so I could sing along with what I was playing, and I got into musicals.


Their families were close friends and theya€™d have various holiday dinners, celebrating a variety of spiritual doctrines together as they saw fit. During those 3 months, he got a job in a computer store that sold software for digital recording.
During the first few years of pursuing music, I had some questions about how it would pan out and whether this really was a good spot for me. Conventional medicine is distinct from CAM because of its evidence-based or scientific nature as opposed to a set of cultural practices that may be seen in CAM. Others may refer to CAM being used to help maximise the benefits of conventional treatment, and this is known as integrative medicine.
50% of all cancer patients experience some level of pain (Running & Turnbeaugh, 2011) and many patients are increasingly relying on an integrative approach of CAM to achieve a state of analgesia. We have home videos of me prancing around in my diapers, singing along with the music that he loved.
He learned about the software and about producing and, as an employee, was able to purchase the software at an affordable price. The a€?lemonade-from-lemonsa€? character of both accidents might lead one to believe that a certain magic guided them. However, if you would like to transfer or take non-credit coursework, these metrics are not important.Student Retention59%The student retention rate at American Institute of Alternative Medicine is low at 59% (below Ohio average).
Their style is what might be termed a€?jazzy folk.a€? I asked if shea€™d be singing for the DJs and she responded that it had already taken place.
In 3 months, Oliver learned everything he needed to know to get into Humber, entering at age 22.
When it came time to re-enroll in school, he was tapped to play for a group that toured all over Canada.
Stepping off the stage during a pause, she fell when the overturned plastic bin that was placed as a makeshift step collapsed [too late for a lawsuit at this point, I suppose].
He learned a lot of theoretical things that allowed him to communicate ideas, rather than hashing them out by demonstrating on the guitar.
He chose that and, between playing on the road and producing when he got home, he never went back to school. Even though Ia€™m primarily pursuing music at this point, it enriched my life in such a great way, in terms of being able to help myself and my family and friends and broadening my understanding of the human body. Learn more details on instruction at this college in the Faculty & Salaries report.Tuition and LoansTuition and fees per year$13,000Average tuition pricing is close to the nationwide median - about $12,400 annually. A couple of other interested presenters showed up, as I suggested we go to my own guerrilla showcase room. Thus, about six of us got our very own private Layah Jane showcase performance a€” about 3 songs.
It wasna€™t like one day it occurred to me, a€?Oh, I could do this.a€™ It just naturally grew, I think.
Approximately 900 massage therapy and chiropractic diplomas and certificates are awarded each year. Average tuition price for massage therapy and chiropractic degree programs in OH is roughly $13,400.MedicalOur directory contains 153 medical schools and colleges in Columbus, Cincinnati, Cleveland, Dayton, Canton, Marietta, Delaware, and 97 other cities. In concert, sometimes she sings solo with just Oliver on guitar and on some songs, she and Oliver both play guitar. I wrote in the following montha€™s NERFA wrap-up issue: a€?Shea€™s like Diana Krall with a guitar.
Average tuition for medical programs in OH is approximately $16,900.Medical AssistantOur listing contains 180 medical assistant schools and colleges in Columbus, Cincinnati, Cleveland, Dayton, Toledo, Lima, Canton, and 107 other cities.
Layah Jane would be the result.a€? On paper, that might not seem like much, but seen live, it packs quite a wallop. Average tuition charges for medical assistant programs in OH is around $11,800.NursingRead information about 155 nursing schools and colleges in Cincinnati, Columbus, Akron, Dayton, Canton, Cleveland, Toledo, and 93 more cities. Additionally, it happens that Oliver is a brilliant, seasoned guitarist, having toured Canada with top-of-the-line acts. Please verify this code before using it with your FAFSA application.Federal Student Aid is an office of the US Department of Education, which provides grants and loans to eligible students and families. Approximately 900 massage therapy and chiropractic diplomas and certificates are awarded every year. Average tuition price for massage therapy and chiropractic degree programs in OH is approximately $13,400.MedicalLearn about 153 medical schools and colleges in Columbus, Cincinnati, Cleveland, Dayton, Akron, Canton, Marietta, and 97 more cities.
Average tuition cost for medical degree programs in OH - $16,900.Medical AssistantLearn more about 180 medical assistant schools and colleges in Columbus, Cincinnati, Cleveland, Dayton, Toledo, Canton, Lima, and 107 other cities.
Average tuition for medical assistant degree programs in OH - $11,800.NursingWe list 155 nursing schools and colleges in Cincinnati, Columbus, Akron, Dayton, Canton, Cleveland, Toledo, and 93 other cities.



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