CAM therapies, grief, stress Flashcards
used w/ conventional medicine
therapeutic touch, hypontherapy, chiropractic therapy, guided imagery
- Therapies used WITH conventional treatment recommended by a person’s PCP
- Nurses need to know risks versus benefits
- includes herbal supplement use and a variety of other therapies such as using exercise or art therapy.
complementary
- history of therapy
- history and experience of nursing w/ therapy
- outcome and safety
- research results
- cultural influence for population
considerations w/ complementary
used instead of conventional medicine
Exercise, chiropractic exercise, yoga, Relaxation and biomedical care.
- Using non-pharmacological therapies or herb supplements in the place of conventional medicine
- We want to encourage the use of non-pharmacological therapies when we can to reduce the use of medication and to enhance our patient outcomes
alternative
coordinates complementary with conventional treatments by using EBP
combo of therapies but using EBP
- Emphasizes the importance of the relationship between patient and PCP
integrative
Relaxation therapy
Exercise
Aroma therapy
Meditation
Music Therapy
Guided imagery
complementary therapy - nursing
animal-assisted therapy
biofeedback
acupuncture
therapeutic touch
traditional Chinese medicine
chiropractic therapy
CAM training specific
determine use
understand effects
understand drug interactions
Herbal therapies
treats/prevents UTI
cranberry juice
reduces inflammation
tumeric
reduces anxiety and helps w/ sleep and GI conditions
nausea and dizziness
interacts w/ antiplatelets, sedatives, and NSAIDs
chamomile
speeds up wound healing, heals and softens skin, prevents wrinkles
itching and burning of skin
interacts w/ anticoagulants, antiplatelets
aloe vera
treats URI
enchinacea
lowers cholesterol, improves blood pressure
heartburn, GI conditions, increasing odor
interacts w/ antihypertensives, anticoagulants, and warfarin
garlic
improves memory, vision, and anxiety
headache and dizziness
interacts w/ antidepressants
gingko biloba
increases physical endurance, improves concentration and memory
vomiting and diarrhea
anticoagulants and antiplatelets
ginseng
it decreases effectiveness of birth control, We also don’t want someone taking a supplement for depression before they have sought treatment
improves depression and good for mental disorders
dry mouth, headache, fatigue
interacts w/ all meds and herb supplements, especially antidepressants
St. John’s Wort
improves hormone levels, treats BPH
nausea, headache, dizziness
interacts w/ anticoagulants, antiplatelets, warfarin
Saw Palmetto
helps w/ fever and headaches
nausea, bloating, GI conditions
interacts w/ warfarin
FeverFew
helps w/ insomnia, depression, menstrual cycles
headache, upset stomach
interacts w/ antidepressants and anticonvulsants
Valerian
assess
communicate
collaborate
educate
scope of practice
integrative nursing
can be physical, emotional, or chemically
Stress
Observing behavior
What is the client’s perception of the stress on their life
Therapeutic communication
Subjective findings:
- Pt view of stress
- Coping resources
- Negative coping mechanisms
- Medication
Objective findings:
- Appearance
- Non verbal
- Vital signs
assessment of stress
Change in sleep pattern
Fatigue
Inability to concentrate
Inappropriate laughing or crying
Poor hygiene
Weight gain/loss
signs of ineffective coping of stress
Exercise
Support system
Time management
Guided Imagery
Progressive Relaxation
Journaling
Mindfulness
positive interventions for coping w/ stress
Burnout
Compassion Fatigue
Second Victim Syndrome
nursing and stress
experienced throughout life
Necessary loss
Maturational loss
Situational loss
Actual loss
Perceived loss
loss
Change is inevitable
necessary loss
Sudden and unpredictable
situational loss
The emotional response to loss
Differs for everyone
Mourning
Kubler-Ross Theory of Stages of Dying
grief
Denial
Anger
Bargaining
Depression
Acceptance
Kubler-Ross Theory of Stages of Dying
Developmental Stage
Personal Relationships
Loss
Ability to Cope
Socioeconomic Status
Culture
Spirituality
Factors influencing loss and grief
promote spirituality, hope vs. false hope
support patient and family
facilitate mourning
Nursing role when it comes to loss and grief
identify causes
identify and treat symptoms
educate on positive coping mechanisms
nurse’s role in assessing stress