Chapter 36 Integrative Care Flashcards

1
Q

WHAT IS CAM?

A

CAM is complementary and alternative medicine (and integrative medicine).

Medical practices and products that are outside standard medical care.

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2
Q

What is Complementary Medicine?

A

Non-mainstream medicine + with standard medical care

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3
Q

What is ALTERNATIVE MEDICINE?

A

Non-Mainstream medicine instead of standard medical care.

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4
Q

What is INTEGRATIVE MEDICINE?

A

Uses non-mainstream medicine in conjunction with standard medical care in a coordinated way.

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5
Q

What is integrative care?

A

Non-mainstream Medicine

    1. Patient at the CENTER of care
  1. focuses on prevention and wellness
  2. attends to holistic needs (mental, spiritual and physical)
  3. body’’s ability to heal itself with the right tools
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6
Q

Conventional healthcare is also called

____. _____. ______ _____- _____

A

allopathic medicine. biomedicine. conventional medicine. orthodox medicine. Western medicine

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7
Q

How long has conventional medicine been around? _____

How long has CAM been around? __________

A

Conventional 200 years

CAM thousands of years

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8
Q

what percentage of USA people use nontraditional approaches to health care?

A

Why availability of CAM practitionesr and facilities

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9
Q

How does Western Medicine define HEALTH

A

absence of disease

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10
Q

How does integrative health view HEALTH?

A

How well the physical, emotional, mental, and environmental, spiritual, and societal components interrelate.

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11
Q

What is the NCCIH

A

National Center for Complementary and Alternative Institute of Health

Part of NIH 1998

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12
Q

Why are consumers attracted to integrative care?

A

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

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13
Q

Is holistic nursing a specialty

A

yes recognized by ANA

All nursing that has the healing of the whole person as its goal

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14
Q

what is HOLISM?

A

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.

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15
Q

What should psych nursing assessments include?

A

nutrition, exercise, relationships, work, culture, religion, spiritual, herbal supplements.

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16
Q

Certifications

A

`AHN - BC Advanced Holistic Nurse - board certified

APHN-BC Advance Practice Holistic Nurse board certified

17
Q

Natural products

A

Herbal Medicine, vitamins, minerals, probiotics

Herbal therapy

18
Q

Herbal Remedies that may have adverse effects

A

Ginseng. tea - inc anticoags

Kava - heptoxic

St. John’s Wort - Serotonin syndrome, affects oral contraceptives, and some HIV meds.

Melatonin

SAMe

19
Q

NATURAL means

A

Present in nature, but does not mean they are harmless.

20
Q

What nutritional problems can patients with psychiatric disorders have?

A

Nutritional deficiencies

Eating too much or too little

Antipsychotic drugs may cause metabolic syndrome - obesity, diabetes, and hyperlipidemia

Anemia = depression

inflammation - depression link

21
Q

What is orthomolecular therapy

A

Megavitamin therapy

22
Q

Link between low vitamin D and ___________

A

Depression

Too much D inc Calcium hypercalcemia

23
Q

Omega-3 fatty acids can help ——– and ———–

A

Depression

bipolar disorder

24
Q

Microbiomes

A

MAY impact inflammatory state -

depression and anxiety

25
Q

Mind-Body Relationship

A

mind and body continuously interact

mind can affect body function and symptoms

body can also affect mental illness

26
Q

List 6 Body Mind Approaches

A

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)

27
Q

Other complementary therapies

A

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

28
Q

What is homeopathy

A

Law of similars

healing from the inside out.

dilutions of preparations that mimic symptoms

29
Q

What is naturopathy

A

Health restoration rather than disease treatment

nutrition, homeopathy, herbal medicine, hydrotherapy, light therapy, therapeutic counseling, and other

individual is responsible for recovery

30
Q

Aromatherapy

A

essential oils

smell - autonomic nervous system

allergy test first.

pulmonary patients may be sensitive or allergic

lavender improves postpartum problems

31
Q

Traditional Chinese Medicine

A

Basis for:

acupuncture, acupressure, Tm, Tai chi, qigong.

Movement of life energy QI balance yin and yang

32
Q

AYurvedic Medicine

A

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

33
Q

Integrative Care

My body has the ability to _____itself if we have the knowledge to give it the right _______

A

My body has the ability to HEAL_____itself if we have the knowledge to give it the right _____TOOLS__