CAM Exam 4

Question 1

Integrative Health

Answer 1

A coordinated approach to using complementary and conventional medicine

Question 2

Alternative Medicine

Answer 2

Used in PLACE OF conventional medicine

Question 3

Complementary Medicine

Answer 3

Used together WITH conventional medicine

Question 4

Conventional Medicine

Answer 4

Focuses on physical components of the ill patient
‘Emphasis is placed on diagnosis and cure based on physical symptoms
Medicine, surgery, etc.

Question 5

Alternative

Answer 5

Takes a holistic “multi body” approach
Takes into consideration the complexity of each person
Embraces self-healing forced, spirituality, balance b/w internal or external forces

Question 6

Why has the use of CAM increased?

Answer 6

Overall dissatisfaction with conventional health care
Desire for greater control over one’s health
Need to blend cultural and philosophical congruence with personal beliefs about health illness
Belief in the effectiveness of alternative therapies

Question 7

Acupressure/ acupuncture

Answer 7

Pain
Migraine headaches
Anesthesia

Question 8

Yoga

Answer 8

Life forces in correct balance and flow
Concentration, strength, flexibility, symbolic movements

Question 9

Tai Chi

Answer 9

Promotes the flow of energy throughout the body
Reduces sx. Of fibromyalgia
Used in cardiac rehab programs, can lower BP

Question 10

Reiki - Energy Balance

Answer 10

“Reikie is a Japanese technique for stress reduction and relaxation that also promotes healing.
Based on the idea that an unseen “life force energy” flows through us and is what causes us to be alive”

Question 11

Reasons for Dietary Supplement Use Includes

• perceived as “ safer and healthier”
• sense of control
• emotional comfort
• cultural influence
• limited access to healthcare
• convenience.
• AGGRESSIVE MARKETING

Answer 11

• perceived as “ safer and healthier”
• sense of control
• emotional comfort
• cultural influence
• limited access to healthcare
• convenience.
• AGGRESSIVE MARKETING

Question 12

Federal Regulation

Answer 12

FDA categorized herbals as food and nutritional supplements NOT as drugs

Question 13

Dietary supplement health and education act (DSHEA) of 1994

Answer 13

Package labeling
Adverse effects
Impurities, adulterants, variability

Question 14

Current good manufacturing practices (CGMP)

Answer 14

Require quality control procedures
Labeling to reflect active and inactive ingredients

Question 15

Federal reporting requirements

Answer 15

Deaths
Hospitalizations
Life-threatening experiences
Persistent or significant disabilities
Birth defects

Question 16

Private Quality Certification Programs

• USP
• ConsumerLab
• NPA
• NSF

Answer 16

US P = pharmacopeia

Question 17

Herbals: what an RN needs to know - Major drawback

Answer 17

May delay important diagnosis and treatment

Question 18

Herbals: what an RN needs to know - Nursing Intervention

Answer 18

Make certain MD or PCP is aware of patient’s use of herbals

Question 19

Herbals: what an RN needs to know - Nursing Action

Answer 19

What to assess & instruct patient regarding herbal therapy

Question 20

Herbals & the RN

• ALWAYS ask about use of herbals when getting medication history
• “What is their story - why the patient is using the plant medicine or alternative therapy?”
• TEACH patients to look for products labeled ‘standardized’ - these more likely to have accurate amounts and a more purified form of the herb
• Goal is to help patients be INFORMED CONSUMERS

Answer 20

ALWAYS ask about use of herbals when getting medication history
“What is their story - why the pt is using the plant medicine or alternative therapy”
Teach patients to look for products labeled ‘standardized’ - these more likely to have accurate amounts and a more purified form of the herb
Goal is to help patients be informed consumers

Question 21

Commonly used herbals

• gingko biloba
• garlic
• ginger root
• feverfew
• echinacea
• St. John’s Wort
• valerian
• kava
• ephedra
• cannabis*
• CBD*

Answer 21

Gingko biloba
Garlic
Ginger root
Feverfew
Echinacea
St. John’s Wort
Valerian
Kava
Ephedra
Cannabis*
CBD*

Question 22

Ginko Biloba

Answer 22

Reduce memory problems, dementia, peripheral vascular disease
Antioxidant & vasodilatory properties
Can cause bleeding when used with anticoagulants
Avoid using before surgery

Question 23

Garlic

Answer 23

Lowers cholesterol, lowers BP, natural antibiotic
Natural Anti-platelet agent
Potentiates Anti diabetic drugs
Avoid ingesting before surgery
Can cause bleeding and blood sugar to drop

Question 24

Ginger Root

Answer 24

Used to treat nausea, joint pain
Can cause bleeding, irregular heart rate, decrease blood pressure, decrease blood sugar levels

Question 25

Feverfew

Answer 25

Used for Migraine prophylaxis Can cause increased risk if bleeding and uterine contractions

Question 26

Echinacea

Answer 26

Builds immunity Wound healing Taken too long can cause a decrease in immune response Can’t be given to those with an autoimmune disorder

Question 27

St. John’s Wort

Answer 27

May ease mild to moderate depression Contraindicated for major depression Using with other antidepressants could cause Serotonin Syndrome

Question 28

Valerian Root

Answer 28

Generally safe but ineffective Slows down CNS, makes the pt very lethargic

Question 29

Kava

Answer 29

Relieves anxiety Promotes sleep Relaxes muscles Too much can cause liver damage, so bad for the liver it’s outlawed in some countries

Question 30

Ephedra

Answer 30

Was used for a diet supplement and a performance supplement Caused someone to be alert and awake Banned from sale in the US So bad for ppl it caused heart attacks Damaging to heart and CNS

Question 31

Mind body interventions include - yoga - meditation - spirituality - relaxation - guided imagery

Answer 31

Yoga Meditation Spirituality Relaxation Guided imagery

Question 32

Nurse’s role

Answer 32

Educate the public Teach signals of fraudulent practice Avoid ‘healers’ who: - Promise immediate relief or success - State that their way is the only sure therapy - Refuse to work with other health care providers - Claim to have all the answers - Use testimonials that claim amazing results

Question 33

Nurses Role should - be non judgmental despite personal opinions - build rapport by showing pt respect: if not, can be afraid to tell about CAM - understand that CAM can be beneficial, when used correctly - be aware that CAM can be dangerous if it interacts or interferes with conventional treatment - be aware that use of CAM is popular and increasing and must be included in the history & physical - know that herbals, in particular, can have significant effect on prescription drugs, body function and disease processes

Answer 33

Be non-judge mental despite personal opinions Build rapport by showing patient respect - if not, can be afraid to tell about CAM drawback Understand that CAM can be beneficial, when used correctly Be aware that CAM can be dangerous if it interacts or interferes with conventional treatment Be aware that use of CA Is popular and increasing and must be included in the history & physical Know that HERBALS, in particular, can have significant effect on prescription drugs, body function and disease processes