complementary and integrative health Flashcards
Describe the difference between complementary, alternative, and integrative therapies compared to conventional medicine.
complementary - use of things like supplements, manipulation, biologically based practices, and mind and body practices
alternative - acupuncture, Tai Chi, Reiki, Massage, Reflexology, Herbal medicine, etc.
integrative - follows evidence-based practice, focuses on the whole person, uses appropriate techniques.
Discuss nonpharmacologic therapies.
A type of therapy that does not involve the use of medications
Describe the physiological and psychological response to natural products.
The physiological stress refers to the body’s response towards the physical stressors, such as injury, diseased condition, and excessive workout (McEwen, 2006). On the other hand, psychological stress is a response of the body to intense emotional feelings such as anxiety, sadness, fear, and anger.
identify advantages of complementary and integrative health
CIH is part of holistic nursing practice
therapeutic use of self is an independent action
homeopathy
A system of theoretical medical practices that any substance can produce a disease state in a healthy person and that any substance can provide treatment for a person who has the disorder. Ingredients in homeopathic remedies are often derived from plants, animals & minerals.
functional medicine
A biology-based approach whose focus is on the root cause of disease. It systemically identifies the many causes and conditions contributing to dysfunctional health.
common traditional Chinese medicine practices
acupuncture
herbal remedies
diet and exercise philosophies
prebiotics
A nutrient stimulating the health and growth of bacteria in the large intestine. Organisms in the colon effect digestive health.
probiotics
Substances that promote a favorable, health-promoting effect on tissues and cells. For example, Lactobacillus acidophilus inhibits the growth of damaging bacteria in the GI tract, like Salmonella or C. difficile, and can assist with digestive issues, such as lactose intolerance.
omega-3 fatty acids
Found in a number of foods, mainly fish. Fish oil supplements are the most common non-vitamin/non-mineral natural product taken by adults and children.
B-complex
A group of vitamins including B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (Pantothenic acid), B6 (pyridoxine), B7 (biotin), B9 (folic acid), B12 (cyanocobalamin).
vitamins
Carbon-based organic substances made naturally by plants and animals. Divided into categories of either water-soluble or fat-soluble, the 13 essential vitamins are A,C, D, E, K and the eight B-Complex vitamins, B1, B2, B3, B5, B6, B7, B9, and B12.
water soluble vitamins
c
B-complex
fat-soluble
A
D
E
K
A nurse is assisting with teaching a class about using holistic nursing interventions to care for clients. Which of the following information should the nurse include?
holistic nurses empower client to actively participate in their own care
A nurse is assisting with providing an in-service for staff members about complementary and integrative health. Which of the following statements by a staff member indicates an understanding of the teaching?
“scented oils might decrease comfort”
A nurse is assisting with teaching a client about homeopathy. Which of the following client statements indicates an understanding of the teaching?
“homeopathy believes a substance that can cause a disease can also cure it”
A nurse is planning complementary therapy for a client who has breast cancer. Which of the following treatments is a complementary therapy that the nurse can implement?
massage therapy
A nurse is completing a preoperative health history for a client who reports taking several herbal supplements. Which of the following herbal supplements is the priority for the nurse to report?
Ginkgo biloba
A nurse is assisting with an in-service for staff members about culturally competent care. Which of the following information should the nurse include about traditional Native American beliefs?
music can produce healing energies
A nurse is teaching a client about food choices that promote immunity and healing. Which of the following foods is the best source of vitamin C?
1 cup strawberries
A nurse is caring for a client who is receiving palliative care. Which of the following non-pharmacological nursing interventions should the nurse provide the client?
therapeutic touch
A nurse is assisting with teaching a client, who has a history of alcohol use disorder and is to be discharged following cataract surgery, about non-pharmacological therapies. Which of the following client statements indicates an understanding of the teaching?
“I will practice meditating when stressed”
A nurse is caring for a client who follows a vegan diet and reports lethargy. Which of the following interventions should the nurse implement?
Request a prescription for vitamin B12 supplements
A nurse is caring for a client who has a sunburn. The nurse should identify that which of the following herbal supplements is used to treat sunburns?
aloe vera
A nurse is explaining the practice of Ayurveda to a newly licensed nurse. The nurse should include that Ayurveda is based on establishing a balance between the body, mind, and spirit with which of the following elements? (Select all that apply.)
earth
sky
water
A nurse is assisting a massage therapist to identify the best client for massage therapy. Which of the following clients should the nurse recommend?
a client with postpartum depression
A nurse is assisting in recommending clients for chiropractic treatment. Which of the following clients should the nurse recommend?
a client who has shoulder pain
A nurse is caring for a client who asks about naturopathy. The nurse should include that which of the following is a component of naturopathy? (Select all that apply.)
dietary supplements
traditional chinese medicine
homeopathy
exercise
A nurse is caring for a client who is scheduled for an emergency appendectomy and reports increasing anxiety. Which of the following statements should the nurse make to implement a complementary health strategy?
“try to take slow deep breaths in and out”
A nurse is assisting with teaching a class about U.S. Food and Drug Administration (FDA) regulation of nutritional supplements. Which of the following information should the nurse include in the teaching?
A nutritional supplement contains at least one nutritional component.
A nurse is assisting with teaching a newly licensed nurse about holistic nursing. Which of the following information should the nurse include? (Select all that apply.)
Use deep breathing to promote relaxation in clients.
Encourage clients to use guided imagery to decrease pain.
Apply essential oils to treat anxiety in clients.
A nurse is reinforcing teaching about traditional Chinese medicine (TCM) to a client. Which of the following statements by the client demonstrates an understanding of the teaching?
“I will practice Tai Chi every day”
A nurse is caring for a client who asks about using aromatherapy for nausea. Which of the following scents should the nurse recommend? (Select all that apply.)
peppermint
ginger
orange
convention medicine -
predominantly practiced by:
- Medical doctors (MD)
- Doctors of osteopathy (DO),
- Registered nurses
- Psychologists
- Physical therapists
- Other healthcare professionals
complementary and integrative health (CIH)
- Holistic, eastern, complementary, and alternative medicine (CAM)
- Complementary health approaches (CHA)
- Approaches health and wellness through broader, nontraditional view
- Ideally combined with and complementing conventional medicine
integrative health is?
when you use all components of complementary health together
integrative therapies
gather and use:
- Conventional
- Complementary
- Alternative therapies
They treat the client through mind,
body, and spirit.
holistic medicine uses what
a medical approach but also uses a therapeutic approach
holistic medicine
- Holistic and holism come from the Greek word holos, meaning whole
- Consideration of the whole person, mind, body, and spirit
- Client-centered approach
- Proactive promotion of health and wellness
- Honoring the caring–healing relationship
- Respecting the subjective experiences of client wellness, illness, growth,
healing, birth, and dying - Empowerment—that is, encouraging clients to actively participate in, and
make informed decisions about, their care - Collaboration of cultural values and belief systems, folk and traditional
practices, and the use of complementary and integrative practices in the
promotion of health and wellness
mind-body interventions
deep breathing
mindfulness
meditation
prayer
Research and scholarly pursuits of the
National Center for Complementary and
Integrative Health (NCCIH)
biological therapies (nutritional)
mind-body therapies (psychological)
manual therapies (physical)
bioenergetic therapies
alternative systems of care
biological therapies (nutritional)
substances found in nature,
nonprescriptive, herbal, or botanical medicines; often sold over the counter
mind-body therapies (psychological)
focus on interactions of the mind,
the body, and the brain to positively affect physical functions and health
promotion
manual therapies (physcial)
a hands-on focus on the structures (bones,
joints, soft tissue) and systems (circulatory, lymphatic) of the body
- is hands on
bioenergetic therapies (physical)
practices involving manipulation of human energy fields
alternative systems of care
whole medical systems (e.g., Ayurveda,
traditional Chinese medicine) that have developed over time and in
different cultures
aromatherapy
- Aromatherapy is breathing in the
scent of a natural plant extract in:- topical creams
- lotions
- essential oils
- aromatic diffusers
aromatherapy is used for improvement of?
physical
mental
spiritual wellness
acupuncture
is a professional procedure using long, thin, sterile needles to penetrate the skin and
stimulate, by hand and/or electrically, anatomical points in the body to improve short and long-term physical function.
hypnotherapy or hypnosis
refers to an altered state of
consciousness achieved through
relaxation and focused attention to
suggestions made by a hypnotist
or hypnotherapist.
biofeedback
A mind-body regulation of bodily functions assisted by electronic devices.
biofeedback regulates breathing and heart rate and improves healthy by:
- reducing stress,
- eliminating headaches,
- reconditioning injured muscles, or
- alleviating pain.
massage
is an ancient therapy of manipulating soft tissue with the human hands for relief from pain.
reflexology
is a method of massaging or manipulating the feet and hands reflex systems to positively influence the body’s functions regarding pain, stress, and other dysfunctions.
chiropractic care
- Chiropractic care uses manual therapy and spinal manipulation, focusing on the body’s physical structure, primarily the spine, and
its relationship to functionality.
osteopathic care
- Osteopathic medicine focuses on
structural and anatomical
abnormalities that cause disease. - Treatment is based on rebalancing
structure and function.
healing touch
- Healing touch is a hands-on, energy-based therapy developed from numerous healing philosophies.
therapeutic touch
- Therapeutic touch was developed following the practices of Dora Kunz and her sensitivity to human energy systems and her ability to
sense obstructions in a client’s energy field.
supplements
- Most Americans can meet their USDA requirements of necessary vitamins and minerals through a healthy diet, including nutrient-rich foods.
- Clients taking dietary supplements of any type must be assessed by their nurses for efficacy, reaction, and interactions with their current health regime.
