Exam 13 - Complementary and Alternative Therapies
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Questions and Answers

What is the main focus of acupressure?

  • Stimulating acupoints with needles.
  • Utilizing essential oils for relaxation.
  • Applying gentle pressure to specific body points. (correct)
  • Promoting holistic nursing practices.
  • Which therapy is characterized by the use of pure essential oils for health benefits?

  • Aromatherapy (correct)
  • Acupuncture
  • Herbal therapy
  • Biofeedback
  • What does complementary therapy aim to achieve?

  • Enhance conventional treatment methods. (correct)
  • Use exclusively natural supplements.
  • Substitute for alternative therapies.
  • Replace allopathic medicine entirely.
  • What is the primary method used in biofeedback?

    <p>Monitoring vital signs through electronic equipment.</p> Signup and view all the answers

    Which therapy is based on the principle that different parts of the foot correspond to specific body areas?

    <p>Reflexology</p> Signup and view all the answers

    What is the main characteristic of alternative therapy compared to complementary therapy?

    <p>It often becomes the primary treatment modality.</p> Signup and view all the answers

    Which of the following best describes holistic nursing?

    <p>Addressing the mind-body-spirit connection.</p> Signup and view all the answers

    What are complementary therapies primarily used for?

    <p>To enhance the effectiveness of conventional treatments</p> Signup and view all the answers

    What distinguishes alternative therapies from complementary therapies?

    <p>Alternative therapies are used exclusively as a replacement for conventional medicine</p> Signup and view all the answers

    Which statement correctly describes herbal therapy?

    <p>Herbal preparations usually use unpurified extracts of the whole plant</p> Signup and view all the answers

    Which of the following is a potential risk when combining prescription drugs and herbal remedies?

    <p>Possible adverse health interactions</p> Signup and view all the answers

    How is chiropractic therapy primarily characterized?

    <p>It adjusts joints through gentle manipulation</p> Signup and view all the answers

    What is a common misconception about acupuncture?

    <p>It exclusively targets muscle-related issues</p> Signup and view all the answers

    Which of the following is true regarding the unregulated manufacturing of herbal products?

    <p>Variability in potency and quality can occur among different manufacturers</p> Signup and view all the answers

    What role do nurses play in the context of herbal products and dietary supplements?

    <p>They assess patient history to identify potential interactions with medications</p> Signup and view all the answers

    Which of the following statements is accurate regarding the establishment of the Office of Alternative Medicine?

    <p>It was created to evaluate and distribute information about alternative medical treatments</p> Signup and view all the answers

    What is the primary purpose of acupuncture as described?

    <p>To alleviate pain by allowing Qi to flow freely.</p> Signup and view all the answers

    Which statement about needles used in acupuncture is accurate?

    <p>They are extremely thin and used only once.</p> Signup and view all the answers

    What is the effect of acupressure on the body?

    <p>Reduces stress and promotes wellness.</p> Signup and view all the answers

    What are the potential risks associated with aromatherapy?

    <p>Abortifacient effects during pregnancy.</p> Signup and view all the answers

    What is a significant contraindication for magnetic therapy?

    <p>Pregnancy and insulin delivery systems.</p> Signup and view all the answers

    Which of the following is NOT a claimed benefit of reflexology?

    <p>Promotes tissue regeneration.</p> Signup and view all the answers

    What technique is commonly combined with imagery therapy for enhanced effect?

    <p>Relaxation training.</p> Signup and view all the answers

    Which of the following statements regarding the practice of therapeutic massage is true?

    <p>Massage may be contraindicated in certain health conditions.</p> Signup and view all the answers

    What is a common physiological response to magnetic field exposure?

    <p>Vasodilation.</p> Signup and view all the answers

    Acupressure primarily employs acupuncture needles to relieve muscle tension.

    <p>False</p> Signup and view all the answers

    Aromatherapy utilizes essential oils extracted from plants for therapeutic benefits.

    <p>True</p> Signup and view all the answers

    Chiropractic therapies are founded on the belief that the body can heal itself through vigorous exercise.

    <p>False</p> Signup and view all the answers

    Complementary therapies are used in isolation from conventional medical treatments.

    <p>False</p> Signup and view all the answers

    The technique of reflexology is based on the concept that specific areas of the feet correspond to glands and organs in the body.

    <p>True</p> Signup and view all the answers

    Study Notes

    Complementary Therapies

    • These therapies are used in addition to conventional (Western) medicine.
    • Between one-third and one-half of the US population uses CAM.
    • Examples of complementary therapies:
      • Exercise
      • Massage
      • Reflexology
      • Prayer
      • Guided Imagery
      • Creative Therapies
      • Relaxation Strategies
      • Therapeutic Touch
      • Chiropractic therapy
      • Biofeedback
      • Acupuncture
      • Herbalism

    Alternative Therapies

    • These therapies replace conventional medicine.
    • Clients use this form of therapy because they see it as less invasive.
    • Alternative therapies are not used for immediate cures.
    • The Office of Alternative Medicine was established in 1992 to evaluate alternative medical treatments.

    Herbal Therapy

    • Herbal therapy has been practiced for thousands of years.
    • Herbal therapies are often gentler than pharmaceuticals.
    • The goal of herbal therapy is to restore balance within the individual.
    • Herbal preparations use unpurified extracts of whole plants.
    • Some herbs may be toxic if used incorrectly.
    • Herbal medicines are sold as foods or food supplements.

    Chiropractic Therapy

    • Exists since the late 1800s.
    • It is an acceptable treatment for back pain and headaches.
    • Chiropractors undergo training in musculoskeletal manipulation.
    • Chiropractic therapy focuses on the body's capacity to heal itself.
    • Chiropractors adjust joints, usually vertebrae, to restore proper alignment.
    • They use radiographs for diagnosis and hot/cold packs for treatment.
    • Chiropractic care often involves lifestyle changes such as exercise.

    Acupuncture

    • Acupuncture is a key modality in Chinese medicine.
    • It's based on the belief that energy (Qi) flows through the body along meridians.
    • Blockages in meridians cause illness or discomfort.
    • Acupuncture stimulates specific points (acupoints) with needles.
    • Acupuncturists insert thin, sterile, one-time use needles.
    • The needles are manually, electrically, or thermally stimulated.
    • Acupuncture is used to treat a range of conditions, including pain, neurological disorders, and addictions.

    Acupressure

    • Acupressure applies gentle pressure to acupoints.
    • Pressure is applied with fingers or blunt objects.
    • It reduces tension, increases circulation, and encourages relaxation.
    • Acupressure helps relieve stress, promote wellness, and aid in sleep.

    Energy Field Therapies

    • Healing Touch
    • Therapeutic Touch
    • Reiki is the most popular energy field therapy in the US.
    • Verbal consent is obtained before starting a session.
    • Energy field therapies are not religious or atheistic practices.
    • Prayer may be incorporated into the session.

    Therapeutic Massage

    • Nurses have used massage to relax patients and prevent skin breakdown.
    • Therapeutic massage is performed by a trained professional.
    • Nurses may incorporate massage into their plans of care.
    • Massage can be relaxing or energizing and used to heal or prevent injuries.
    • A general health profile is needed before massage.
    • Massage is contraindicated for patients with phlebitis, thrombosis, or infectious skin diseases.
    • Massage uses oils or lotions, so client allergies should be checked first.

    Aromatherapy

    • Aromatherapy uses essential oils to provide health benefits.
    • Oils are formulated for inhalation, topical application, or bathing.
    • Scents are often used for their psychological effects, and may be dispersed with candles or oil diffusers.
    • Certain scents may be taken orally but require prescriptions from qualified practitioners.
    • Essential oils are thought to relax, stimulate, improve digestion, increase hormone production, and improve circulation or memory.
    • Essential oils should not be applied to patients with atopic eczema.
    • Asthmatic patients may experience exaggerated symptoms from aromatic essences.
    • Essential oils with abortifacient potential should be avoided during pregnancy.

    Reflexology

    • Reflexology involves applying pressure to specific points on the feet, hands, and ears.
    • Reflexologists use foot charts to guide their treatment.
    • Reflexology aims to influence the entire body by targeting specific points.
    • It is believed that reflexology can interfere with medical or alternative treatments.
    • A complete health history is required.
    • Reflexologists are not qualified to diagnose medical conditions.
    • Benefits of reflexology include relaxation, enhanced circulation, metabolism normalization, and complementing other healing modalities.

    Magnetic Therapy

    • The exact mechanism of magnetic therapy is unknown.
    • It is thought to increase circulation to the affected area, promote healing, and stimulate acupoints.
    • Magnets are used to increase circulation, increase energy levels, and decrease pain.
    • Magnets are placed over the affected area using jewelry, wraps, or tape.
    • Magnet insoles are placed in shoes.
    • Magnetic field exposure can cause:
      • Vasodilation
      • Analgesia
      • Anti-inflammation
      • Spasmolytic activity
      • Healing acceleration
      • Anti-edema activity
    • Contraindications for magnetic therapy include:
      • Pregnancy
      • Patients with pacemakers
      • Insulin delivery systems
      • Cochlear implants
      • Defibrillators
      • Use of electric blankets or heating pads
      • Myasthenia gravis
      • Hyperthyroidism
      • Adrenal gland dysfunction
      • Hypothalamic and pituitary dysfunctions

    Imagery Therapy

    • Imagery therapy or visualization techniques use mental images to evoke physical changes, improve well-being, and enhance self-awareness.
    • Imagery is often combined with relaxation training to enhance its effects.
    • Imagery can be self-directed or guided by a practitioner.
    • Imagery has the power to trigger significant psycho-physiologic responses.
    • Imagery can involve visual, auditory, proprioceptive, gustatory, and olfactory senses.
    • Imagery has been used to treat chronic conditions such as asthma, hypertension, and irritable bowel syndrome.

    Relaxation Therapy

    • Relaxation therapy is a state of reduced cognitive, physiologic, or behavioral arousal.
    • The goal of relaxation therapy is to empower individuals to recognize and release tension.
    • The process of relaxation lengthens muscle fibers, reduces neural impulses, and decreases overall body activity.
    • The relaxation response is characterized by:
      • Decreased heart and respiratory rates
      • Decreased blood pressure
      • Decreased oxygen consumption
      • Increased alpha-wave brain activity
      • Increased peripheral skin temperature
    • Various techniques achieve the relaxation response, incorporating repetitive mental focus and calmness.

    Yoga

    • Yoga means "union" and has been practiced in India for over 5000 years.
    • Yoga is a system of therapy and practice involving breathing exercises, physical postures, and meditation.
    • Yoga is increasingly recognized as a therapeutic treatment in Western medicine.
    • There are over 100 different schools of yoga. Hatha yoga is the most common in the US.
    • All schools of yoga share basic principles:
      • Body control
      • Correct posture
      • Breathing
      • Emotion and mind control
      • Meditation and contemplation
    • Everyone can practice yoga, including children, athletes, and people with disabilities.
    • Yoga provides numerous benefits:
      • Toning muscles, including those in the internal organs.
      • Increased spine flexibility.
      • Improved chronic back issues.
      • Promotes deep relaxation and stress reduction.
    • Patient teaching:
      • Patients with glaucoma should avoid inverted poses, such as the downward dog, as they can cause temporary pressure increases in the eye.

    Older Adult Considerations

    • Essential oils should be used in smaller amounts and lower concentrations.
    • Older adults should have professional supervision prior to using herbal treatments.
    • Exercise is beneficial but should be adjusted based on individual conditions.
    • Massage should utilize lighter pressure.
    • Magnets cannot be used on patients with pacemakers.

    Cultural and Ethnic Considerations

    • Avoid using the term "alternative therapy" as it may be perceived as disrespectful to the patient's beliefs.
    • Be sensitive to cultural and religious differences.
    • Honor the patient's culturally based health beliefs.
    • Remember that each individual is culturally unique and shaped by their experiences, beliefs, and norms.
    • Seek permission before touching the patient.

    Complementary Therapies

    • Complementary therapies are used in addition to traditional medicine
    • Between one-third and one-half of the U.S. population uses one or more forms of complementary therapies
    • Examples include exercise, massage, reflexology, prayer, guided imagery, creative therapies, relaxation strategies, therapeutic touch, chiropractic therapy, biofeedback, and acupuncture
    • Complementary therapies do not replace traditional medicine

    Alternative Therapies

    • Alternative therapies are the same as complementary therapies but may replace traditional medicine
    • Clients may find alternative therapies less invasive than traditional medicine
    • Alternative therapies are not for the immediate cure for illness or acute injury
    • An example is herbal therapy

    Herbal Therapy

    • Herbal therapy seeks to restore balance in the body and facilitate self-healing
    • Herbal preparations are usually unpurified extracts of the whole plant
    • One herb can be used for a variety of purposes
    • The quality of herbal products is unregulated
    • Herbs are sold as foods or food supplements

    Pharmaceutical Therapy

    • Pharmaceuticals (drugs) derived from herbs are more potent than the herbs themselves
    • There is a risk of adverse interactions with other medications
    • Drug therapy targets specific diseases or symptoms

    Chiropractic Therapy

    • Chiropractic uses gentle manipulation of the musculoskeletal system to put a disturbed area back in alignment
    • Chiropractic began in the late 1800s and is acceptable treatment for certain disorders
    • The chiropractor does not prescribe medication as part of the treatment

    Acupuncture

    • This therapy is based on the belief that Qi (life force) flows through meridians (channels of energy)
    • Blocked meridians cause illness
    • Acupuncture stimulates acupoints with needles to open meridians and allow Qi to flow freely
    • Acupuncture is used to treat low back pain, myofascial pain, headaches, sciatica, shoulder pain, tennis elbow, osteoarthritis, whiplash, and musculoskeletal sprains

    Acupressure

    • Acupressure uses gentle pressure on the body at similar points to acupuncture
    • Pressure may be applied with a finger or small blunt object
    • Acupressure reduces tension, increases circulation, and enables the body to relax

    Energy Field Therapies

    • Include healing touch, therapeutic touch, and reiki
    • Therapists quiet the mind and work with the patient’s energy field
    • Energy field therapies are not religious or atheistic practices; prayer may be included.

    Massage

    • Massage is a form of touch used by nurses to relax patients and help prevent skin integrity issues
    • Therapeutic massage is performed by trained professionals to manipulate soft tissues and assist with healing
    • There are various types of massage designed to heal or prevent injury
    • Avoid massage on patients with phlebitis or thrombosis

    Aromatherapy

    • Uses essential oils produced from plants to provide health benefits
    • Essential oils can be used for inhalation, topically, or in bathing
    • Certain scents are thought to relax or stimulate, aid digestion, increase hormone production, and improve circulation or memory
    • Avoid the use of essential oils on the skin of a client with atopic eczema

    Reflexology

    • Apply pressure to specific areas of the feet, hands, and ears to exert an effect on the entire body
    • Reflexologists use foot charts to identify areas
    • Reflexology can interfere with medical and alternative treatments
    • Main benefits of reflexology are: relaxation, improved circulation, improved metabolism, and complements other healing modalities

    Magnetic Therapy

    • Magnetic therapy uses magnets to increase circulation, increase energy, and decrease pain
    • The magnet is placed over the affected area
    • Common physiologic responses include vasodilation, analgesia, anti-inflammatory action, spasmolytic action, healing acceleration, and anti-edema activity

    Imagery Therapy

    • Uses the conscious mind to create mental images to create physical changes, improve well-being, and enhance self-awareness
    • Frequently combines with relaxation training
    • Can be self-directed or guided
    • Creates psycho-physiologic responses including alterations in immune function

    Relaxation Therapy

    • Relaxation therapy decreases cognitive, physiologic, or behavioral arousal
    • The goal of relaxation therapy is for the person to monitor themselves for tension and release the tension
    • The relaxation response is characterized by decreased heart and respiratory rates, decreased blood pressure, decreased oxygen consumption, increased alpha-wave brain activity and increased peripheral skin temperature

    Yoga

    • The word yoga means “yoke” or union of the personal self with the divine source
    • Yoga began in India over 5000 years ago and uses breathing exercises, physical postures, and meditation
    • Yoga is becoming recognized as a therapeutic treatment
    • There are many benefits to yoga including muscle toning, increased flexibility, stress reduction, and improved flexibility of the spine

    Older Adult Considerations

    • May be more sensitive to essential oils
    • Should have professional supervision before taking herbal treatments
    • Should adapt exercise to their condition
    • Massage should use light pressure
    • Magnets cannot be used on patients with pacemakers

    Cultural/Ethnic Considerations

    • Avoid the term "alternative therapy."
    • Be sensitive to cultural beliefs and respect differences in health beliefs
    • Ask permission before touching a patient

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