Chapter 36 Integrative Care Flashcards
WHAT IS CAM?
CAM is complementary and alternative medicine (and integrative medicine).
Medical practices and products that are outside standard medical care.
What is Complementary Medicine?
Non-mainstream medicine + with standard medical care
What is ALTERNATIVE MEDICINE?
Non-Mainstream medicine instead of standard medical care.
What is INTEGRATIVE MEDICINE?
Uses non-mainstream medicine in conjunction with standard medical care in a coordinated way.
What is integrative care?
Non-mainstream Medicine
- Patient at the CENTER of care
- focuses on prevention and wellness
- attends to holistic needs (mental, spiritual and physical)
- body’’s ability to heal itself with the right tools
Conventional healthcare is also called
____. _____. ______ _____- _____
allopathic medicine. biomedicine. conventional medicine. orthodox medicine. Western medicine
How long has conventional medicine been around? _____
How long has CAM been around? __________
Conventional 200 years
CAM thousands of years
what percentage of USA people use nontraditional approaches to health care?
⅔
Why availability of CAM practitionesr and facilities
How does Western Medicine define HEALTH
absence of disease
How does integrative health view HEALTH?
How well the physical, emotional, mental, and environmental, spiritual, and societal components interrelate.
What is the NCCIH
National Center for Complementary and Alternative Institute of Health
Part of NIH 1998
Why are consumers attracted to integrative care?
Active participation
Engage in holistic practice
to find therapeutic approaches that have lower risk
positive experiences due to supportive and inclusive
Dissatisfaction with practice style of conventional medicine
recommended by provider, family or friends
neuropsychiatric symptoms
Ineffective conventional treatment
cost of conventional treatment
used to improve energy and immune function
wellness and prevention
Is holistic nursing a specialty
yes recognized by ANA
All nursing that has the healing of the whole person as its goal
what is HOLISM?
Identification of interrelationships of Bio-psycho-social-spiritual dimensions of person
whole greater than sum of the parts
individual is a whole in process with the environment.
What should psych nursing assessments include?
nutrition, exercise, relationships, work, culture, religion, spiritual, herbal supplements.
Certifications
`AHN - BC Advanced Holistic Nurse - board certified
APHN-BC Advance Practice Holistic Nurse board certified
Natural products
Herbal Medicine, vitamins, minerals, probiotics
Herbal therapy
Herbal Remedies that may have adverse effects
Ginseng. tea - inc anticoags
Kava - heptoxic
St. John’s Wort - Serotonin syndrome, affects oral contraceptives, and some HIV meds.
Melatonin
SAMe
NATURAL means
Present in nature, but does not mean they are harmless.
What nutritional problems can patients with psychiatric disorders have?
Nutritional deficiencies
Eating too much or too little
Antipsychotic drugs may cause metabolic syndrome - obesity, diabetes, and hyperlipidemia
Anemia = depression
inflammation - depression link
What is orthomolecular therapy
Megavitamin therapy
Link between low vitamin D and ___________
Depression
Too much D inc Calcium hypercalcemia
Omega-3 fatty acids can help ——– and ———–
Depression
bipolar disorder
Microbiomes
MAY impact inflammatory state -
depression and anxiety
Mind-Body Relationship
mind and body continuously interact
mind can affect body function and symptoms
body can also affect mental illness
List 6 Body Mind Approaches
Meditation and Mindfulness (depression, anxiety, chronic pain)
Yoga (physically strengthen and emotionally relax)
Exercise (substance abuse, depression, anxiety, improved cog function addh)
Acupuncture (pain, stim altering body functions, blood disorders, withdrawals, emotional disturbances
Guided Imagery (anxiety, pain, psych trauma, ptsd, dec side effects of meds,
Manipulative practices (chiropractic - pain, headache, allergies, asthma, migraines, depress, anxiety -, massage(swedish, shiatsu depression stress)
Other complementary therapies
Homeopathy and Naturopathy
Aromatherapy
Expressive therapies - music and art
Energy therapies -
(Theraputic touch, Kreiger Kunz energy field dont touch the patient
healing touch, Mentgen laying of hands highest level of well-being
reiki, practitioner connected to universal source to patient pain and anxiety
bioelectromagnetic based therapies, TMS VNS
bright light therapies (for SAD) , prayer and spirituality
What is homeopathy
Law of similars
healing from the inside out.
dilutions of preparations that mimic symptoms
What is naturopathy
Health restoration rather than disease treatment
nutrition, homeopathy, herbal medicine, hydrotherapy, light therapy, therapeutic counseling, and other
individual is responsible for recovery
Aromatherapy
essential oils
smell - autonomic nervous system
allergy test first.
pulmonary patients may be sensitive or allergic
lavender improves postpartum problems
Traditional Chinese Medicine
Basis for:
acupuncture, acupressure, Tm, Tai chi, qigong.
Movement of life energy QI balance yin and yang
AYurvedic Medicine
eye your veh dik
Indian 5000 BC
the science of life
individuals responsibility for health
five elements (earth, water, fire, air, and space) hat regulate mind, body and spirit
Doshas - vital energies
dhatus tissues
malas - waste products
panchakakarma - five prodceures for purification
Integrative Care
My body has the ability to _____itself if we have the knowledge to give it the right _______
My body has the ability to HEAL_____itself if we have the knowledge to give it the right _____TOOLS__
