Chapter 29: Complementary and Integrative Health Flashcards by Divya Adukuzhiyil

Who expects nurses to be knowledgeable about CHA?

Patients, families, physicians, and institutions increasingly expect practicing nurses to be knowledgeable about CHA

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Why should nurses know CHA for patients?

Many patients use these types of therapies as outpatients and want to continue their use as inpatients

Patients/family members may expect nurses to administer herbal preparations/nutritional supplements

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What do nurses do (having to do with their practice) when they incorporate CHA?

Many nurses are expanding their clinical
practice by incorporating CHA

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What is included in many institutions having to do with CHA?

Many institutions now provide complementary therapies to inpatients as part of total patient care in an effort to provide integrative health care

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CHA- what does it stand for?

Complementary Health Approach (CHA)

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Complementary Health Approach (CHA):

CHA Refers to interventions that are not typically part of conventional medical care but can be used together

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What does term integrative health (IH) refer to?

The term integrative health (IH) refers to the combination of
complementary health and conventional health approaches in a coordinated way

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Allopathic medicine:

treatment of symptoms and diseases using drugs, radiation, or surgery

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Holism:

theory and philosophy that focuses on connections and interactions between parts of the whole

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Holistic nursing:

practice built on a holistic philosophy; healing the whole person is the goal

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Integrative health care:

combination of allopathic and complementary and alternative modalities

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Allopathic Medicine: Where does illness occur?

Illness occurs in either the mind or body, which are separate entities

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Allopathic Medicine: What is Health?

Health is the absence of
disease

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Allopathic Medicine: What are the main causes of illness?

The main causes of illness are pathogens

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Allopathic Medicine: What does curing disease seek?

Curing seeks to destroy the invading organism or repair the affected part

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Allopathic Medicine: What is emphasis placed on?

Emphasis is on disease and high technology (drugs, surgery, and radiation are key tools)

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Holism: What does continual interaction and change mean for the body?

This continual interaction and change means that the body is not the sum of its parts (as in reductionism), but that it is a unified, dynamic whole

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What are the reasons for using complementary health approaches? (1 of 2)

Seeking ways to improve health and well-being or relieve symptoms associated with chronic, even terminal illnesses or the side effects of conventional treatments for them

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What are the reasons for using complementary health approaches? (2 of 2)

Having a holistic health philosophy or a transformational experience that changes one’s worldview and wanting greater control over one’s own health

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Three Categories of Complementary Health Approaches:

Mind–body practices
Natural products
Other CHAs

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COMPLEMENTARY AND INTEGRATIVE HEALTH APPROACHES THAT WORK ON PAIN

Mind–body practices that are movement-based
Natural products—nutritional and herbal remedies
Other mind–body approaches
Energy healing
Physical manipulation
Lifestyle changes

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Mind-Body Practices

Relaxation

Meditation

Guided imagery

Yoga

Qi Gong and Tai Chi

Acupuncture

Chiropractic health care

Aromatherapy

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Energy Healing Therapies

Therapeutic touch
Healing touch
Sound healing

Manipulative and Body-Based Practices: What does it include?

This group of therapies includes therapeutic massage-an assortment of techniques that involve manipulation of soft tissues of the body through pressure and movement.

Manipulative and Body-Based Practices: What is the goal?

The goal is to break up tension held in body structures promote communication between mind-body structures, promote detoxification, and generally improve body functioning

Common types of Yoga

Ashtanga: Bikram: Iyengar: Kripaula or "gentle yoga"

Common types of Yoga: Ashtanga:

focuses on synchronizing breath with a fast-paced series of postures

Common types of Yoga: Bikram:

is done in a 105-degree studio with 26 set postures

Common types of Yoga: Iyengar:

focuses on proper alignment and holding poses for a relatively longer time

Common types of Yoga: Kripaula or "gentle yoga"

focuses on relaxation and coming into balance

Qi Gong includes:

System of posture Exercise- gentle and dynamic Breathing techniques Visualization that regulates the qi gong

Why is Qi Gong important:

Has been suggested to hold potential as an intervention to improve balance and reduce falls in older adults and has been used successfully to promote balance and coordination in other age groups

How does Qi flow through the body?

Qi flows vertically through body through 12 meridians

What is acupuncture?

Places thin, short, sterile needles at particular acupoints to change flow of energy and restore the balance of yin and yang

What does acupuncture do to flow of qi?

Acupuncture either increases or decreases the flow of qi along the meridian, restoring the balance of yin and yang

What does change in flow of energy lead to (having to do with acupuncture)?

This change in the flow of energy contributes to healing

What does acupuncture lead to?

Reduces pain, promotes adherence to substance abuse programs, minimizes nausea and vomiting

Chiropractic Health Care- what does it include?

Spinal adjustment Heat and ice Electrical stimulation Relaxation techniques Rehabilitative and general exercise Counseling about diet, weight loss, and other lifestyle factors Dietary supplements

Benefits of Relaxation for Patients?

Reduces anxiety Reduces muscle tension and pain Improves function of immune system Enhances sleep and rest Improves sense of well-being

Four scientific premises of therapeutic touch?

1. A human being is an open energy system 2. Anatomically, a human being is bilaterally symmetrical 3. Illness is an imbalance in an individual's energy field 4. Human beings have a natural ability to transform and transcend their conditions of living

Natural Products include?

Botanical agents Nutritional supplements Medical cannabis Nutritional therapy

Medical cannabis includes:

Marijuana Cannabidiol (CBD) Hemp oil

Ayurveda- where did it originate?

Originated in Vedic civilization of India; one of world's oldest medical systems

What is the aim of ayurvedic medicine?

The aim of Ayurvedic medicine is to integrate and balance the body, mind, and spirit

What are the key concepts of Ayuvedic medicine?

Key concepts include universal interconnectedness among people, their health and the universe; and the body's constitution and life forces

What do ayurvedic practitioners do?

Ayurvedic practitioners prescribe individualized treatments that include herbs, metals, minerals, and other materials; diet and exercise; and lifestyle recommendations

Theoretical Framework of Traditional Chinese Medicine (TCM) includes:

Yin-yang theory 8 principles to analyze symptoms and categorize conditions: Theory of five elements:

What does the Theory of Five Elements in the TCM include?

Fire, earth, metal, water, wood

What does the eight principles to analyze symptoms and categorize conditions in TCM include?

Cold/heat, interior/exterior, excess/deficiency, yin/yang

What is the most widely practiced medical system

Shamanism

Shamanism: Where is illness thought to have originated from?

Illness is thought to originate in the spirit world

What does the shaman in Shaminism do?

The shaman or medicine man/woman accesses the spirit world to obtain information on the proper treatment

What is the treatment for Shamanism?

Treatment may consist of retrieving lost soul energy, restoring the individual to right relationship with the spirit world, and treating symptoms

What do the healing techniques include for shaminism?

Healing techniques involve native plants and herbs, animals, rituals, ceremonies, and purification techniques

Theories of Homeopathy?

1. "Like cures like" 2. "Law of minimum dose"

"Like cures like"

the notion that disease can be cured by a substance that produces similar symptoms in healthy people

"Law of minimum dose"

The notion that the lower the dose of the medication, the greater its effectiveness; many homeopathic remedies are so diluted that no molecules of the original substance remain