I
would just like to provide some feedback on two cases where I have found
reflexology to be extremely beneficial when working on cancer patients,
albeit in their final stages of life.
Roger
was diagnosed with a brain tumour in late 1998 and began to receive
reflexology on a regular basis, either from myself or from the hospital he
attended. Additionally he
followed advice from the Bristol Cancer Centre regarding his diet,
drinking water, soap powders, etc. It
was during the final three weeks of his life that the greatest benefits of
reflexology were really seen. He
was lovingly nursed at home by his wife, family and friends and I attended
him every day over this latter period with the exception of one or two
days when my friend and fellow reflexologist Anne Griffith helped out.
On
most occasions I would work the hands and feet – depending on what was
transpiring that day. Roger
loved his treatments and even when he was beyond verbal communication we
knew that he was more relaxed and settled.
Often I could touch him with reflexology, but carers could not
touch him to move or wash him due to his pain levels.
The practice nurses caring for his medication needs were very
interested in and supportive of the role that reflexology was playing, and
would often delay their decisions about increasing or changing drugs until
after a treatment. He was on a
low dose of epilim (anticonvulsant), hyacin (anti-sickness) and
diamorphine for pain relief. The
overall opinion of the nurses was that at the end Roger was on relatively
little medication compared to what they would normally have expected.
For example, one nurse told me that she would have expected him to
have been on anything up to 900 mg diamorphine – and perhaps more - but
he was only on 250 mg when he died.
Whilst
at each treatment I would always work his whole being over a combined hand
and foot treatment, as his condition changed each day so I would focus on
those areas that were causing most concern.
His lungs and kidneys were key areas for attention, especially
towards the end and it would seem that reflexology had a role to play in
keeping his lungs relatively free from a build-up of fluid, and keeping
his kidneys functioning. Again
the nurses might have expected to use more drugs to try and maintain and
support other bodily functions, but these were not necessary.
The
fading away of the body into death can be a long and slow process – and
hence even more heart-breaking for those around.
Apart from his cancer, Roger was a strong man and he drew even more
strength from his caring family. There
were crises of confidence in what was happening which were only natural.
Whilst Roger was conscious, we were aware of any pain and distress,
but once he entered a semi-conscious/unconscious state, how did we know
what Roger was feeling? Was
the medication sufficient? Was it too much?
Was the reflexology keeping him alive?
Questions about medication were not pertinent to me but the latter
question about whether reflexology was prolonging the process was an
interesting and important one. Instinctively
I knew not but nevertheless it was an important question which needed me
to apply my heart and thoughts and respond responsibly to those raising
the question. Unfortunately
where there is great inner strength, it can take days and weeks for the
physical body to die. Where
there is not death by fatality, I believe there is also a need for the
mind and emotions to let go and accept a new future.
Equally important and possibly the more difficult, is the need for
family and friends to let go and let their family member/friend move
forward into a new place. Reflexology
healing can bring the peace and stillness needed to allow this process to
take place. It can and does
reduce the overall suffering of the individual which will reduce the
distress of those around. Roger’s
wife quoted that the doctor and nurses had commented on how remarkably
calm and pain-free Roger seemed to be – something they couldn’t
understand. Reflexology
healing can only support this whole process and help allow death to happen
in the most natural way possible. Roger
died in the early hours of Father’s Day, 1999.
Keiran
was 3 years old when, in June 2001, it was discovered that he had a tumour
on his left adrenal. This was
removed and followed with high doses of chemotherapy.
Keiran’s parents did everything they could to help improve his
health: buying organic food, watching everything that was used around him.
Keiran received some specialist acupressure therapy which helped to
stimulate his own immune system to fight the disease and gradually
Keiran’s health began to improve. During
the summer of 2002 it looked like Keiran had won his battle.
He was full of energy and was back playing outside with his
brothers and friends – a new bike being a favourite toy.
However, after a tumble from his bike which damaged a leg, it was
discovered that the cancer had returned in the bone marrow.
Keiran’s health deteriorated quite rapidly and it appeared that
there was little that the medics could do.
I was approached in late November to see if I was available to work
on him at home, where he was being nursed by his parents and family, with
the help of a specialist nurse (
Petra
) who dealt with cancer in children and his local GP.
The prognosis was very poor and I was told that Keiran had very
little time remaining. I made
my first visit on Saturday 30 November and gave a very short foot
reflexology treatment to assess his strength and ability to cope with a
new treatment. Keiran was very
weak and could not move of his own accord.
His damaged leg was very oedemic and distorted; his abdomen and
testicles were also very bloated and he was very hot.
His feet felt like they were burning.
His parents reported that he was quite agitated most of the time
and in particular found his younger brother Kye (2 years old) very
difficult to cope with. Despite
this Keiran had a great sense of humour and there was a wonderful rapport
between him and his parents. He
was an avid film-watcher and there was always a video on the TV whilst I
treated him and he would constantly explain – usually with some
impatience at my lack of knowledge of children’s films, who all the
characters were and what was going on.
One of his favorites was The Lion King.
Keiran had two older brothers – Nathan (10) and Matthew (14) and
either of these would often be sat with him, holding his hand, watching
the TV.
At
the first treatment, it was difficult to assess any reflexes due to the
excessive heat and oedema. I
continued visiting every day, lengthening my treatments as I monitored
Keiran’s response. Within
two visits his parents and grandmother commented that Keiran seemed much
calmer. At the 5th
visit I began to work both the hands and the feet and continued in this
manner for the rest of the treatments.
On the 6th visit the burning had reduced and he almost
felt cool. Keiran’s Mum
checked his temperature which was normal, but his whole body was no longer
burning. His agitation was
also still reduced. By the 11th
visit Keiran’s energy was very low which was reflected in his reflexes.
Occasionally his pituitary gland reflex would be apparent, or his
kidneys or lungs. The reflexes
for his testicles were always spongy.
As part of my treatment I always focused on flushing the lymphatic
system to try and reduce his oedema or at least stop it from getting any
worse. He was on high doses of
medication through 2 syringe drivers (mostly pain relief and
anti-sickness, sometimes with 2 drugs used to boost each other or deal
with side effects). Apparently
this is quite normal in children as they need and can take more medication
than adults, as perverse as that may seem.
However,
Petra
reported that he was on lower levels than she would have expected and that
he was much calmer and less distressed than other children she worked
with. Over the last couple of
days Keiran was given a very small amount of tranquilizer to try and
settle the muscle spasms he was experiencing.
The
last two or three days were extremely stressful for all the family, as
both parents were by now very tired, having hardly slept for a weeks.
At most visits I worked Keiran and one parent, alternating at each
visit where possible. They
both found this very supportive as independent of all the stress they were
under, both had neck, shoulder and back problems from having to lift and
carry Keiran as the requested hoist failed to arrive until it was too
late. Keiran had by now been
more or less unconscious for 4/5 days and they were finding the lack of
communication and physical, loving contact very difficult, questioning
whether the medication was right, especially whether the tranquillizer was
necessary. What was difficult
for the parents to accept was that it was not the tranquilizing medication
which was keeping Keiran unconscious, but the fact that Keiran was now
fading away. At my 17th
visit, on 16 December, I was there for approximately 3 hours as I
supported Keiran and his family through a very distressing crisis.
At heart they knew he was going but had to make the final
acceptance of this. As the
parents distress grew so did Keiran’s, during which time I simply sat
and held his solar plexus, probably for a period of about 30 minutes.
After about an hour
Petra
arrived and gave additional support and gradually the emotions began to
calm down as both parents began to understand what was happening and were really
able to let Keiran go. Just
before my departure Keiran’s GP arrived and offered further support and
promised to call back in about 3 hours – if his parents were happy with
that. It was now about
7 pm
. As I left Keiran looked very
settled and peaceful.
Keiran
died in his parents arms just after
10 pm
that evening. The song ‘The
Circle of Life’ from ‘The Lion King’ was played at his funeral.
It
is my sincere belief that reflexology brought great benefit to both Roger
and Keiran – and to both their families.
There was evidence of reduced requirements for medication
generally, and particularly pain relief. There was evidence of other body
systems not failing or getting into difficulty thereby causing additional
problems. And the benefit of
bringing peace and calm during such a difficult time is probably one of
the greatest benefits.
Roger
and Keiran taught me so much and I am extremely grateful for having been
given the opportunity to work with both of them.
From a practical point of view it is a big undertaking to visit on
a daily basis, not knowing how long the final stages can take and having
to adapt your normal daily life around these visits.
However, one of the things I did learn was how important it is to
the patient’s family to have this level of continuity during this
difficult time and how important it was to have a back-up.
On both occasions Anne Griffith MAR supported me and was able to
step in and treat Roger on a couple of days when I couldn’t make it.
Although this wasn’t necessary with Keiran she did accompany me
on a visit so she could meet him and his family and likewise they would
know her if she had to come out in my place.
There
are two occasions in my working practice when I do not set a charge –
when assisting at the birth of a child and when supporting into death.
This is always a difficult area but these are very special times
and what charge can be set? And
yet a lot of time and effort is given – and real expenses can be
incurred – visits to Keiran involved a round-trip of 15 miles.
However I feel the rewards are far greater than any financial gain
and I have the time and flexibility to be able to work in this way.
Keiran’s surgery generously donated £50 to cover my petrol costs
as they had just received a grant from Clic (Cancer and Leukemia in
Children).
Additionally,
whilst working with people who are dying is emotionally very rewarding, it
is also emotionally very difficult, even more so with little children and
it is important to be clear that you can cope with that undertaking.
The time spent working with Keiran and Roger was extremely special
but I don’t deny that working with Keiran in particular was also one of
the most difficult and I was grateful for some very good listening support
from Anne and another fellow reflexologist Debbie Hilder (MAR).
I
am always eternally grateful that I learned the healing art of reflexology
and have found it a tremendous privilege to be able to use it to assist
and guide into a new beginning.