The gut microbiome has been well researched in the past few years and may be a target for treating mental illness. Trillions of bacteria in the digestive system work with the brain, immune function, and endocrine pathways. This gut microbiome ecosystem mediates the interaction between the human being and the environment making its inclusion in holistic nursing essential. Changes in normal balance of the gut microbiome occur with diet, antibiotics and other medications, stress, cancer treatment, geography and environment, and current illnesses. When the microbiome is challenged a “dysbiotic” state leads to inadequate production of needed neurotransmitters such as serotonin and dopamine. Research has shown links between the dysbiosis, and the inflammatory response system that are known to contribute to depression, anxiety, and schizophrenia. Understanding the role of the gut microbiome can be beneficial to holistic nurses, providing a new tool to prevent, treat, or reduce symptoms of mental illness and improve general immune function. This innocuous holistic approach to mental wellness is becoming an important evidenced-based approach.
The diagnosis of cleft anomalies evokes many emotions for parents, creating a significant psychosocial burden and ripple effect on the family. Parents report feeling fearful after diagnosis and overwhelmed on how to care for their child. They feel unprepared to manage the social response to a visible congenital malformation such as cleft lip and palate. Parents of children born with congenital malformations such as cleft palate have many obstacles to overcome in their child's lifetime, but many do not even know where to begin. Support for parents of children with palate should begin at diagnosis, as it takes time for these families to process how their child's congenital malformation will affect the quality of life of the family and the child. This article reviews the ways healthcare teams can support parents through diagnosis, coping, feeding, and surgical experiences and provides resources for providing care for these families.
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