Final: Complementary, alternative, and integrative therapies Flashcards

1
Q

NIH

A

National Institute of Health

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2
Q

NCCIH

A

National Center for Complementary and Integrative Health

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3
Q

The NIH/ NCCIH identifies

A

Complementary and integrative approaches as an array of health care approaches with a history of use or origin outside mainstream or conventional medicine (normal)

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4
Q

What other terms are United states-centric

A

Eastern or western medicine

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5
Q

Complementary therapies

A

Therapies USED TOGETHER with conventional treatment recommended by a persons health care provider

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6
Q

Integrative therapies

A

approach to healthcare that includes practices not traditionally part of conventional medicine, such as herbs and supplements, meditation, wellness coaching, acupuncture, massage, movement, resiliency, and nutrition

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7
Q

Alternative therapies

A

Non-pharmacological therapies such as exercise, chiropractor, and herbal supplements are USED IN PLACE of conventional pharmacological or other medical procedures

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8
Q

Use of complementary, integrative, and alternative therapies:

A
  1. Address stress-induced illness
  2. Manage symptoms of chronic diseases
  3. Addressing emotional and spiritual needs of the client
  4. Improve quality of life
  5. Improve general well-being
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9
Q

Nursing Accessible Therapies

A

-Can learn about these techniques and integrate them into your independent nursing practice
-Use clinical judgement
-determine appropriateness and usefulness
Ex. Relaxation therapy, Meditation & breathing, Imagery

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10
Q

Clinical benefits of Relaxation Therapy

A

-Lower BP
-Decrease HR
-Decrease Muscle tension
-Improve well-being
-Reduce symptom distress

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11
Q

Limitations of relaxation therapy

A

-Reports of increases sensitivity in detecting muscle tension
-New symptoms may indicate progression of an existing condition or a new illness
-Asses before and during: physiological and psychological status

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12
Q

Meditation

A

-Any activity that limits stimulus input by focusing to a single unchanging stimulus
-Mindfulllness and aware of thoughts to clear mind
-Roots in Hinduism, Buddhism, and Taoism

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13
Q

Clinical application of meditation

A

-Lowers O2 consumptoin
-Reduces RR
-Reduced HR
-Improves feelings of well-being
-Reduces anxiety

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14
Q

Limitations of meditation

A

-Assess before and during
-Strong fear of losing control
-Some individuals may become hypertensive

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15
Q

Imagery

A

Uses the conscious mind to create mental images to stimulate physical changes in the body, improve perceived well-being, and/or enhance self-awareness
-mind-body connectivity

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16
Q

Clinical applications of imagery

A

-Control/relieve pain
-Reduce stress
-Improves sleep
-Can relieve symptoms associated with chronic conditions

17
Q

Limitations to imagery

A

-Assess before and during
-Client with COPD or asthma may experience increased airway constriction

18
Q

Training-specific therapies

A

-Complementary treatments that can only be administered by trained professionals
-All therapies carry some risk
-Need advanced knowledge to talk about the, and provide education on safe use

19
Q

Biofeedback

A

-Mind-Body Technique
-Use instruments to teach control over physiological responses
-Uses a variety of breathing, relaxation, and imaging exercises to gain voluntary control over heart rate or blood pressure

20
Q

Clinical application of biofeedback

A

-Reduce headache pain
-Shown benefit as adjunctive therapy for post-prostatectomy urinary incontinence
-Fecal incontinence
-Stroke Recovery

21
Q

Limitations to Biofeedback

A

-Assess the client
-Use with precaution in clients with psychological or neurological conditions
-May need medication adjustments as a result of biofeedback

22
Q

Acupuncture

A

-Originated in China 3000 years ago
-regulates or realigns the vital energy (qi), which flows through the body in channels that form a system of pathways called meridians
-Essentiall block energy from flowing to certain areas of body

23
Q

Clinical applications of acupuncture

A

-Modifies pain response
-Modifies processing of pain in central neural pathways
-Low back pain
-Myofascial pain
-Chemo-induced nausea and vomiting
-Tension headaches
-Migraine prevention
-Post operative pain

24
Q

Limitations to acupuncture

A

-Practitioner with appropriate training
-Sterilized needles
-Contraindicated in clients with bleeding disorders, skin infections, pregnant, seizures, blood-borne illnesses, and heart disease pts

25
Q

Therapeutic Touch (TT)

A

-Affects energy fields with conscious intent to help or heal
-Redirect energy pattern

26
Q

Clinical application of Therapeutic touch

A

-Pain
-Dementia
-Trauma
-Anxiety

27
Q

Limitations of Therapeutic touch

A

-Assess your patient
-Inappropriate for clients with sensitivity to touch, past traumatic experiences, physcially abused, or psychiatric disorders

28
Q

Chiropractic Therapy

A

-Aims to restore structural and functional imbalances
-Use manipulative body-based therapy to normalize the relationship between structure and function

29
Q

Clinical applications of Chiropractic therapy

A

-Improves pain: back pain, osteoarthritis joint pain, cancer pain
-Can improve disability
-Asthma in children & adolescents

30
Q

Limitations of Chiropractic therapy

A

-Contraindicated in those with: bone and joint infections, acute injury to spinal cord caused by compression, fractures, dislocations, rheumatoid arthritis, osteoporosis

31
Q

Natural products

A

a chemical compound or substance produced by a living organism

32
Q

Herbal medicines (botanicals)

A

Dietary supplements, vitamins, minerals, mycotherapies (fungi-based products), essential oils (aromatherapy), and probiotics
-Not FDA regulated or approved for use as drugs

33
Q

Dietary Supplement Health and Education Act (1994)

A

Allowed companies to sale herbs as dietary supplements with caveat that they can’t make health claims on label
-Can’t say cures hypertenstion or treats anxiety
-Can say restores relaxation or sense or balance

34
Q

Clinical applications of Herbal Therapies

A

-Depressive symptoms
-Anti-inflammatory effects
-Blood sugar changes

35
Q

Limitations of Herbal Therapies

A

-Natural does not equal safe
-Can interact with prescribed medications

36
Q

Integrative nursing role

A

-Work closely with pts to know their spiritual and cultural viewpoints
-determine which complementary therapy is appropriate and aligns with these beliefs and offer recommendation accordingly
-Be Knowledgeable
-Thoroughly understand benefits and risk
-Practice only within your scope of practice