I have fond memories of when I began my journey to share the joys of aromatherapy with Long Term Care Sites. I truly felt honored to work with each individual of the dedicated staff and residents. It was inspirational to see that my in-service attendees were very enthusiastic about this aromatic care modality; they looked forward to implementing an aromatic program as quickly as possible.

Today in the United States one can find an infinite array of books dealing with essential oils, ranging from beginning to advanced levels of study. Some of the books have something of value to contribute and many do not. Institutional supply catalogues carry some essential oils and a few books; lack of knowledgeable instruction renders these tools useless. Specific population-sensitive information is needed. It soon became apparent that something more than a few notes taken from my lectures was important. This motivated me to spend the time to create a special program and a manual that could be an on-site working reference.

Although essential oils can be useful for a variety of health conditions, I focus on Sensory Stimulation and Quality of Life issues. Specifically, emotional discomfort is a common experience that impedes creativity, learning and healing. It has long been and still is my personal belief that nurturing a balanced emotional and mental state can do much to support the immune system and create an environment for healing and comforting the body. My philosophy is to walk gently and carefully into these sheltered places. Residents in a Long Term Care setting have many physical compromises that must be taken into consideration. For this reason I have selected a limited number of essential oils and hydrosols as appropriate.

We all have the tendency to seek a quick fix for problems; staff members at institutional sites are no different in this quest. Before even delving into essential oil use to remedy difficult situations, I clearly state, aromatherapy is a tool that can be used to build a bridge between two persons. Intent of the therapist is a primary consideration when using this tool. The most compromised client can discern whether the therapist truly cares and wishes to help them. The unseen energy and focus of the therapist shines through regardless of any visual, emotional or auditory deficits of the client. When the therapist or caretaker is truly focused on the patient and the situation, then aromatherapy can be implemented.

Hydrosols, essential oils, lotions, massage oils and foam baths may now become the valued tools of the caretaker. To minimize the risk of adverse reactions only the most gentle and safe oils and hydrosols should be used. Standard safety and contra-indication issues should be confirmed. Essential oils should be purchased from brokers who supply a GC printout certifying quality: hydrosols should have microbiology certification for freedom from bacteria and molds. Essential Oil Material Safety Data Sheets are required for all institutions.

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