Complementary and Alternative Therapy NURS 1060 Exam 4 PDF

Complementary and Alternative Therapy NURS 1060 Exam 4 Outcome  Describe principles of safe, patient-centered, evidence-based nursing care to adults at the basic level, guided by the Caritas philosophy. Competency  Discuss health promotion using alternative and comp...

Complementary and Alternative Therapy NURS 1060 Exam 4 Outcome  Describe principles of safe, patient-centered, evidence-based nursing care to adults at the basic level, guided by the Caritas philosophy. Competency  Discuss health promotion using alternative and complementary therapies. Concept  Cultural & Diversity:  Culture – patterns of behavior and thinking that people living in social groups learn, develop, and share.  Diversity – the array of differences among individuals, groups, and communities. Unit Outcomes  Differentiate between complementary and alternative therapies.  Discuss selected methods of complementary and alternative therapies.   Include a broad domain of systems, practices, and products other than those of Complementa the dominant health system of a particular society or culture ry and  That which might be considered Alternative “complementary and alternative” in one Therapies country or at one period of history might be considered “conventional” in another place or time Complementary and Alternative Therapies Complementary therapies are therapies used in conjunction with conventional medicine. Alternative therapies are therapies used in place of conventional medicine.   Integrative therapies combine treatments from conventional medicine with Integrative complementary and alternative therapies that have evidence of safety and Therapies effectiveness.  Physical body can be studied in isolated parts. Convention al Health Emphasis is placed on what can be Care seen, measured, and quantified, often to the exclusion of the mind and the spirit. Biomedical vs. Integrative Health Care Model Biomedical Integrative Model Model Focus on physical body Focus on mind–body–spirit Focus on treatment of Focus on self-healing of body using symptoms using drugs and herbs, nutrition, stress surgery management Health care provider directs Individual directs care; encourages care personal responsibility for health. Biomedical vs. Integrative Health Care Model Biomedical Integrative Model Model Focus on disease Focus on health and states wellness Technologic, invasive Noninvasive Increasing cost Lower cost Little focus on Focus. on prevention prevention National Center for Complimentary and Integrative Health (NCCIH)  Health care professionals have raised important questions about the effectiveness and safety of complementary and alternative approaches.  A branch of the National Institutes of Health (NIH), NCCIH serves as the federal government’s lead agency for scientific research on complementary and alternative therapies.  https://www.nccih.nih.gov/health/are-you-considering-a-compl ementary-health-approach American Holistic Nurses Association Categories of CATs Natural products Mind-body medicine Manipulative and body-based methods   Herbal therapy  Dietary supplements Natural  Vitamins Products  Minerals  Other “natural” products   Focuses on the interaction between mind, body, and behavior  Meditation Mind-Body  Yoga  Relaxation breathing Medicine  Guided imagery  Acupuncture Acupunctur e Treatment   Massage Manipulative  Manipulation of soft tissues and joints and Body-  A form of caring, communication, and comfort Based  Can be used as a specific Practices nursing intervention   Energy fields  Biofields originate within the body. Other CAT  Electromagnetic fields are from other sources. Energy systems Practices in and around the body need to be balanced to enhance Energy healing. Therapies  Examples: Reiki, Therapeutic Touch Other CAT Practices Energy Therapies method of detecting and Therapeutic Touch (TT) balancing human energy practitioners transfer energy to Reiki the patient for reestablishing equilibrium and self-healing Herbal Therapies Herbal Therapies Use of individual herbs Estimated 25,000 plant Estimated 30% of or mixtures of herbs for species are used prescription drugs are therapeutic benefit medicinally. derived from plants.   is a plant or plant part (bark, roots, leaves, seeds, flowers, fruit) that produces and Herb contains chemical substances that act on the body. Herbal Supplements Advantages Disadvantages  Amenable to self-care  Longer time to onset of  Lower cost action  Possible drug-herb  Directly available to interactions consumers  Inconsistent manufacturing practices  Lack of available and reliable information for consumers Herbal Therapy Use In the United Approximately States, herbal 80% of the world’s products are population relies classified as extensively on dietary plant-derived supplements for remedies. their medicinal value.   Regulating agencies in Germany, France, the United Kingdom, and Canada enforce standards of quality and safety assessments Herbal on manufacturers.  Quality control in the United States is largely Therapy unregulated and often poor --- Dietary Regulation supplements can be marketed without proven safety, efficacy, or manufacturing practices..  Medicinal plants work much like drugs. Clinical Both are absorbed and trigger Application biologic effects that can be therapeutic. s Many have more than one physiologic effect and condition for which they are used. Commonly Used Herbs  Aloe  Ginkgo biloba  Black cohosh  Ginseng  Echinacea  Hawthorn  Evening primrose  Kava  Feverfew  Milk thistle  Garlic  St. John’s wort  Ginger  Saw palmetto  Valerian Echinacea Common Uses Comments  Treatment and prevention of  May lead to liver upper respiratory infections inflammation  Immune system stimulation  Use caution with immune system conditions Feverfew Common Uses Comments  Migraine headache  May increase risk of prevention bleeding  Arthritis Garlic Common Uses Comments  Hyperlipidemia  Use caution with bleeding disorders.. Ginger Common Uses Comments  Nausea/vomiting  May increase risk of (associated with bleeding chemotherapy treatment)  Motion sickness. Ginkgo Biloba Common Uses Comments  Intermittent claudication  May increase risk of  Dementia treatment (no bleeding scientific proof). Ginseng (Asian & American) Common Uses Comments  Improve mental  May ↓ blood glucose levels performance  ↓ effectiveness of Warfarin  Lower blood glucose (type 2  Avoid in patients with diabetes) hormone-sensitive conditions, such as breast cancer. St. John’s Wort Common Uses Comments  Depression  May interact with other  Insomnia medicines in dangerous, life-threatening ways  Wound healing.  Assess for possible drug-herb interactions Do you have any conditions that have not responded to conventional Nursing medicine? Assessment If so, have you tried any other approaches? Are you using any vitamin, mineral, dietary, or herbal supplements? Clinical Application Advise Patients to: Adhere to suggested Be cautious in changing dosage. brands. If herbal preparations are taken in high The potency of herbal remedy can vary doses, they can be toxic. widely because of factors such as where and how it was grown, along with harvesting and processing methods.. Important Some Herbal products must be Patient discontinued 2 to 3 weeks before Teaching surgery..