exam i: ch36 - integrative care Flashcards
non-mainstream care in conjunction with standard medical care
complementary care
non-mainstream care instead of standard medical care
alternative care
non-mainstream care in coordinated conjunction with standard medical care (working together with pt)
- what is done WITH the patient to health the body and mind
integrative care
- actively participate in healthcare
- engage in holistic practices
- therapeutic approaches with lower risks
goals of integrative care
- advance the science/practice of symptom management
- develop effective, practical, personalized strategies for promoting health/well-being
- enable better evidence based decision making
goals of CAM
all nursing that has healing the whole person as its goal
holistic nursing
vitamin d
- mental health purpose
- linked with
- where to find
- mental health purpose: help prevent depression
- linked with: bone health, cell growth, immune fxn
- where to find: sun, fatty fish, beef liver, cheese, egg yolk
omega 3 fatty acids
- mental health purpose
- linked with
- caution
- mental health purpose: help in tx of depression + bipolar
- linked with: depression + bipolar
- caution: GI belching, indigestion, shellfish allergy, bleeding
microbiomes
- mental health purpose
- linked with
- where to find
- mental health purpose : connection between gut and body
- linked with: tx of depression + anxiety
- where to find: fermented food, probiotics
st. john’s wort
- mental health purpose
- linked with
- caution
- mental health purpose: for minor depression/melancholia
- linked with: serotonin boost for depression tx
- caution: photosensitivity, serotonin syndrome when combined with MAOIs, adverse rxns
SAM-e
- mental health purpose
- linked with
- caution
- mental health purpose: good for depression tx
- linked with: depression
- caution: drowsiness, serotonin syndrome, cardiac issues - HTN, arrythmias
kava
- mental health purpose
- linked with
- caution
- mental health purpose: good for anxiety
- linked with: anxiety
- caution: liver damage
valerian
- mental health purpose
- linked with
- caution
- mental health purpose: good for anxiety, fatigue, depression
- linked with: anxiety, depression
- caution: HA, abdominal pain, USE ONLY SHORT PERIOD
chamomile
- mental health purpose
- linked with
- caution
- mental health purpose: good for sleeplessness, anxiety
- linked with: sleeplessness, anxiety
- caution: allergic rxn (to daisies)
melatonin
- mental health purpose
- linked with
- caution
- mental health purpose: good for insomnia
- linked with: insomnia
- caution: worsen dementia, stop natural production of melatonin
when medications can potentiate each other’s effects
- reason why pt MUST TELL nurse ALL meds they take
supplement effect
type of therapy; connection between mind and body = heal better if good emotional + mental health
mind CAM therapies
how does yoga help mind CAM therapy
helps decrease cortisol levels + stabilize the hypothalmic-pituitary-adrenal (HPA) axis = lowered stress response
how does exercise help mind CAM therapy
alters dopamine, serotonin, norepinephrine in body –turn on signaling pathways in brain responsible for cognitive fxn and behavior
which types of mind CAM therapies are NOT in nursing scope
acupuncture + massage
type of therapy; sight, hearing, smell, taste, touch affects overall health
senses CAM therapy
japanese spiritual practice; energy based therapy (thought field therapy + emotional freedom), GOOD FOR PAIN + ANXIETY
reiki
what are concerns with herbal meds with pharmacological medications
(NOT FDA REGULATED)
CONCERNS: nerve, kidney, liver damage, chemical rxns
