Complementary and Alternative Therapy in Maternity and Pediatric Nursin

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Questions and Answers

What is the primary goal of biofeedback therapy?

To eliminate drug dependency from the body

To enhance the body's natural immune response

To provide a diagnostic tool for chronic illnesses

To help patients recognize tension in their muscles (correct)

Why is sauna or heat therapy contraindicated during pregnancy?

It can lead to excessive sweating.

It may cause overheating of the mother. (correct)

It has no benefits for pregnant women.

It can inhibit the development of the fetus.

What should a nurse do if they find a family member using a coin to rub a child's skin?

Confiscate the coin for safety reasons.

Inform them that it can introduce germs.

Instruct them to use only sanitized objects.

Ask them about their cultural practices. (correct)

Which of the following is an energy therapy believed to relieve nausea during pregnancy?

Transcutaneous electrical nerve stimulation Signup and view all the answers

What is an important consideration when using herbal medicine in children?

Some herbs may interact negatively with prescription medications. Signup and view all the answers

What can be a potential risk of using herbs that are safe for adults in children?

They could cause toxicity or allergic reactions. Signup and view all the answers

Which statement about herbal remedies is accurate?

The effectiveness of many herbs is supported by scientific evidence. Signup and view all the answers

What might St. John's wort do when combined with oral contraceptives?

Cause them to become ineffective. Signup and view all the answers

What term refers to nontraditional therapy used alongside conventional therapy?

Complementary therapy Signup and view all the answers

What is the primary focus of the lecture mentioned in the content?

Common gynecological, obstetric, and pediatric practices Signup and view all the answers

In a clinical setting, what is the primary action students are expected to perform regarding nursing care?

Determine nursing care approaches for patients requiring complementary therapies Signup and view all the answers

What is defined as unconventional or nontraditional therapy that replaces conventional therapy?

Alternative therapy Signup and view all the answers

Which professional body's resources focus on non-traditional therapies for pediatric use?

American Academy of Pediatrics Signup and view all the answers

What is emphasized as a new area of research in pediatrics regarding complementary and alternative therapies?

Evidence-based practices Signup and view all the answers

Which conditions are contraindicated for pediatric treatments?

Cancer Signup and view all the answers

What is the purpose of gentle touch therapy for premature infants?

To calm and promote bonding Signup and view all the answers

Which forms of energy therapy are mentioned?

Reiki, shen, and magnets Signup and view all the answers

What are reflex points believed to correspond to?

Organs or parts of the body Signup and view all the answers

Which statement about acupuncture is true?

Meridians are established pathways for energy (Chi). Signup and view all the answers

What is an ancient Hindu healing regimen that includes various therapeutic methods?

Ayurveda Signup and view all the answers

Which essential oil is contraindicated during pregnancy due to its potential effects?

Wintergreen Signup and view all the answers

What therapy allows a patient to enter a hypnotic state for long-lasting suggestions?

Hypnotherapy Signup and view all the answers

In which situation could hydrotherapy be used?

During labor in the form of a shower Signup and view all the answers

What does guided imagery involve?

The belief that the mind can influence the body Signup and view all the answers

What is a primary role of nurses concerning CAM therapies?

To recognize and respect the use of CAM by patients and assess interactions with traditional therapies Signup and view all the answers

Which aspect is critical for nurses to understand regarding herbal products?

Manufacturers can avoid FDA regulations by labeling their products as dietary supplements Signup and view all the answers

What is one reason patients may seek CAM therapies?

To incorporate their cultural beliefs and traditions into their health care Signup and view all the answers

Which is a concern regarding the regulation of CAM therapies?

Not all CAM providers have licensure or formal training Signup and view all the answers

Why is it important for nurses to inquire about a patient’s use of CAM therapies during admission?

To prevent potential harmful interactions with prescribed medications Signup and view all the answers

What is a common mind-body therapy utilized in OB and Peds?

Guided imagery Signup and view all the answers

When should herbal products typically be discontinued prior to surgery?

At least two weeks before surgery Signup and view all the answers

Study Notes

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Complementary therapy uses nontraditional therapies alongside conventional treatments (e.g., hypertension medication plus relaxation).
Alternative therapy replaces conventional therapy with unconventional methods.
Integrative and holistic healing are other terms for these therapies.
Focus is on gynecological, obstetric, and pediatric applications.
Pediatric CAM use is relatively new, with ongoing research and resources from the American Academy of Pediatrics.

Nurse's Role in CAM Therapy

CAM therapies often rely on accepted theories like the gate control theory of pain.
Nurses must demonstrate cultural competency, understanding diverse practices (e.g., Mexican curanderos, African American root doctors, Asian/Chinese herbalists, Puerto Rican espiritistas, Navajo singers).
Patients increasingly desire control and integration of cultural beliefs in care.
Nurses must understand how CAM therapies interact with traditional medicine, recognizing potential unlicensed practitioners and unregulated products.
Many CAM practices are now considered standard nursing practice (e.g., massage, imagery, acupressure, aromatherapy).
Documentation of patient CAM use is crucial for informed care.

Federal Government Involvement

FDA regulates medications, but herbal products as "dietary supplements" have less regulation.
National Center for Complementary and Integrative Health (NCCIH) facilitates research on CAM therapies.
Dietary Supplement Health and Education Act (DSHEA) impacts herbal product labeling.

Common Alternative Health Care Practices

Mind-Body Therapies: Deep breathing, imagery, biofeedback, and hypnosis.
Massage: Varies in styles (Rolfing, Cao-gio, neuromuscular massage) with potential benefits in OB/Peds but contraindications.
Osteopathy: Combines manipulative therapy and traditional medicine.
Energy Healing: Includes TENS, reiki, and magnets.
Reflexology: Focuses on reflex points in the hands and feet, with potential applications in labor.
Acupuncture and Acupressure: Works with meridians and acupuncture points, with OB/Peds benefits. Avoidance of specific areas is crucial.
Ayurveda: An ancient Hindu healing regimen.
Aromatherapy: Uses aromatic plants—some safe, some contraindicated in pregnancy and pediatrics.
Hypnotherapy: Used for smoking cessation and pain control.
Hydrotherapy: Using water for relaxation (e.g., shower during labor).
Guided Imagery: Uses imagery to manage stress and discomfort in labor.
Biofeedback: Helps patients recognize muscle tension.
Sauna/Heat Therapy: Potentially beneficial, but contraindicated in pregnancy.
Chiropractic Care: Focuses on spinal column and nervous system, with considerations for pregnancy.
Homeopathy: Uses plant, herb and earth minerals.

Herbal Medicine and its Considerations

Herbal remedies have long-standing use globally, often as first-line treatments in developing countries.
Safety cautions: processing, storage, and potential contaminants (pesticides, heavy metals).
Drug interactions: affecting cardiac medications, glucose control, and HIV/AIDS medications.
Dosage considerations—a critical area.
Herb safety, especially for infants and children.
Herbal choices for specific conditions (colic, nausea, diarrhea).
Traditional medicine origins in many today's medications.
Key considerations for OB/Peds, including interactions with pregnancy and potential harms/benefits.
Additional contraindications for specific herbal products.

Hyperbaric Oxygen Therapy

Uses an airtight enclosure with oxygen under pressure.
Uses include reviving carbon monoxide poisoning victims, wound healing, and treatment of diving illnesses.
Contraindicated in pregnancy.

Patient Education Examples

Postpartum and Ayurvedic herbs: Safe/unsafe herbal choices with OB guidance, importance of discussing with their practitioner.
Aromatherapy during labor: Discuss risks and benefits with OB.
Chamomile tea: Check with OB for any contraindications.
Menopausal symptoms and natural therapies: Discuss various safe, holistic options.

Additional Instructions

Pre-operative instructions: Herbal supplements must be discussed with the surgeon for interactions with other medications and the effect on the surgery.
Sickle Cell Patient Education: Comfort measures, such as imagery and relaxation, can be used. Herbal remedies may interact negatively with other treatments. Discussion of appropriate treatment is vital.
Nurse Responsibilities: Document all patient medication, including herbal supplements, and communicate them to the appropriate medical staff.

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Description

This quiz explores the roles of complementary and alternative medicine (CAM) in maternity and pediatric nursing. It covers various therapies, their applications, and the importance of cultural competency for nurses. Gain insight into integrating these practices in healthcare settings.