CAMs

Question 1

CAMs definition

Answer 1

an array of health care approaches with history of use or origins outside of mainstream or conventional medicine

Question 2

united states-centric

Answer 2

considers what is “mainstream” or “conventional” within the context of the US and the US healthcare system

Question 3

use of complementary, integrative and alternative therapies

Answer 3

-stress induced illness
-managed by symptoms of chronic diseases
-addressing emotional and spiritual needs
-improve quality of life
-improve general well being

Question 4

nursing accessible therapies

Answer 4

-breathing, thinking & concentration, presence, movement
-do not need extra training for these
-evaluate pt response to these therapies

Question 5

relaxation therapy

Answer 5

reduces generalized cognitive, physiological and/or behavioral arousal; occurs through techniques that incorporate repetitive mental focus and the adoption of a calm, peaceful attitude

Question 6

goals of relaxation therapy

Answer 6

for people to continually monitor themselves for indicators of tension and to consciously let go and release the tension

Question 7

progressive relaxation

Answer 7

the person learns to detect subtle localized muscle tension sequentially, one muscle group at a time and differentiates among tension and relaxation (not indicted for pt’s w/ advanced disease or low energy reserve)

Question 8

passive relaxation

Answer 8

still the mind and body intentionally without the need to tighten and relax any body part (best for pts who aren’t strong enough for progressive)

Question 9

clinical applications of relaxation therapy

Answer 9

-lower bp
-decrease HR
-decrease muscle tension
-improve well being
-reduce symptom distress

Question 10

limitations of relaxation therapy

Answer 10

reports of increased sensitivity in detecting muscle tension, may get new symptoms that indicate progression of an existing condition or new illness (need to constantly assess pts physiological & psychological status)

Question 11

meditation

Answer 11

any activity that limits stimulus input by focusing attention to a single unchanging stimulus (general terms for a range of practices that relax the body and still the mind)

Question 12

clinical applications of meditation & breathing

Answer 12

-lowers oxygen consumption
-reduces resp rate
-reduces heart rate
-improves feelings of well being
-reduces anxiety

Question 13

medication & breathing limitations

Answer 13

-continuously assess
-bad for pts w/ fear of losing control
-may cause hypertension
-can increase the effects of a certain drug

Question 14

imagery

Answer 14

uses the conscious mind to create images to stimulate physical changes in the body improve perceived well being, and/or enhance self awareness “pictures waves reaching the shore as you inhale and going back as you exhale”

Question 15

creative visualization

Answer 15

self directed imagery that is based on the principle of mind body connectivity “go to a calming place”

Question 16

clinical applications of imagery

Answer 16

-control/relieve pain
-reduces stress related symptoms
-improves sleeps
-can relieve symptoms associated with chronic conditions

Question 17

imagery limitations

Answer 17

-continuously asses the client
-clients with COPD or asthma may experience increased airway constriction

Question 18

biofeedback (need extra training)

Answer 18

-mind body technique
-uses instruments to teach control over physiological responses
-measures, process and provide info about tension, cardiac activity, res rates, brain wave patters and autonomic nervous system activity
-uses breathing, relaxation and imaging to gain voluntary control over HR and BP

Question 19

biofeedback clinical applications

Answer 19

-reduce headache pain
-shown benefit as adjunctive therapy for post prostatectomy urinary incontinence
-improve fecal incontinence
-stroke recovery

Question 20

Biofeedback limitations

Answer 20

-continuously assess pt
-use w/ precaution due to pt status
-may need meds adjustments as result

Question 21

Acupuncture

Answer 21

regulates or realigns the vital energy, which flows through the body in channels that form a system of pathways called meridians

Question 22

acupuncture clinical applications

Answer 22

-modifies pain response
-modifies processing of pain by central neural pathways
-low back pain
-myofascial pain
-chemo induced nausea & vomiting
-tension headaches / migraine prevention
-post op pain

Question 23

Acupuncture limitations

Answer 23

-practitioner w/ appropriate training
-sterilized needles
-contraindicated in pts w/ bleeding disorders or skin infections
-use condition in pregnant pts, pts who have seizures & those with blood borne illnesses

Question 24

therapeutic touch

Answer 24

uses the energy of the provider to positively influence the pt’s energy field

Question 25

5 stages of therapeutic touch

Answer 25

centering, assessing, unruffling, treating and evaluating

Question 26

therapeutic touch clinical applications

Answer 26

pain, dementia, trauma, anxiety

Question 27

therapeutic touch limitation

Answer 27

-continuously assess your pt
-inappropriate for clients with sensitivity to touch or past traumatic experiences
-not indicated for people who are pregnant, neonates, unstable pts or dying pts

Question 28

Chiropractic Therapy

Answer 28

uses manipulative body based therapy to normalize the relationship between structure and function, the belief is that body structure and the ability of the body to function normally are closely related

Question 29

what does chiropractic therapy aim to restore

Answer 29

structural and functional imbalance

Question 30

clinical application for chiropractic therapy

Answer 30

-improves pain
-can improve disability
-asthma in children and adolescents

Question 31

limitations of chiropractic therapy

Answer 31

contraindicated in those w/ bone & joint infections, acute injury to the spinal cord caused by compression, fractures, dislocations, rheumatoid arthritis, osteoporosis

Question 32

natural products

Answer 32

a natural product is a chemical compound or substance produced by a living organism

Question 33

herbal medicine

Answer 33

are not approved for use as drugs and are not regulated by the FDA (diet sups, vitamins, minerals, essential oils, probiotics)

Question 34

Dietary Supplement Health and Education Act

Answer 34

allowed companies to sell herbs as dietary supplements with the caveat that they couldn’t make any sort of health claims on their labels (can say “helps with relaxation”)

Question 35

clinical applications of natural/ herbal products

Answer 35

-depressive symptoms
-anti inflammatory effects
-blood sugar changes

Question 36

limitations to natural/ herbal products

Answer 36

• natural does not mean safe
  -can interact w/ prescribed meds