The definition of aromatherapy is the controlled use of essential oils (2). Essential oils are steam distillates obtained from aromatic plants. Aromatherapy is a fairly new complementary therapy, although its roots are in herbal medicine, one of the oldest known forms of medicine. Aromatherapy is an accepted part of nursing care in the United Kingdom, Switzerland, Germany, Australia, and Canada, and many nurses in the United States are beginning to use aromatherapy. Aromatherapy is particularly useful in cardiology (see Table 1), because the use of familiar smells and gentle touch can be deeply reassuring. Essential oils have many other properties that can be useful in cardiology-hypotensor, sedative, antiinflammatory, antispasmodic, analgesic, antibiotic, antifungal, and antiviral. This chapter covers the use of aromatherapy for borderline hypertension and for fear and anxiety associated with myocardial infarction (MI) or cardiac surgery and outlines interesting case and small clinical studies addressing the effect of essential oils on methicillin-resistant Staphylococcus aureus (MRSA)
Table 1
Essential Oils for Specific Diagnosis
Diagnosis
Essential oil
Research
Reference
Borderline hypertension
Ylang ylang
Lavender
Rose
Neroli
Lemon
Clary sage
Freund, 2000
Saeki and Shiohara, 2001
Nathan, 2000
Tiran, 1996
Tiran, 1996
Tiran, 1996
28
30
31
34
34
34
Reducing fear and anxiety
Lavender
Roman chamomile
Rose
Hadfiele, 2001
Yamada et al., 1996
Manly, 1993
41
46
51
Methicillin-resistant Staphylococcus aureaus
Tea tree
Lavender
Juniper
Peppermint
Lemongrass
Eucalyptus
Clove
Thyme
Nelson, 1997
Nelson, 1997
Nelson, 1997
Nelson, 1997
Sherry et al., 2001
Sherry et al., 2001
Sherry et al., 2001
Sherry et al., 2001
22
22
22
22
26
26
26
26