CAM therapies, grief, stress

Question 1

used w/ conventional medicine

therapeutic touch, hypontherapy, chiropractic therapy, guided imagery

• Therapies used WITH conventional treatment recommended by a person’s PCP
• Nurses need to know risks versus benefits
• includes herbal supplement use and a variety of other therapies such as using exercise or art therapy.

Answer 1

complementary

Question 2

• history of therapy
• history and experience of nursing w/ therapy
• outcome and safety
• research results
• cultural influence for population

Answer 2

considerations w/ complementary

Question 3

used instead of conventional medicine

Exercise, chiropractic exercise, yoga, Relaxation and biomedical care.

• Using non-pharmacological therapies or herb supplements in the place of conventional medicine
• We want to encourage the use of non-pharmacological therapies when we can to reduce the use of medication and to enhance our patient outcomes

Answer 3

alternative

Question 4

coordinates complementary with conventional treatments by using EBP

combo of therapies but using EBP

• Emphasizes the importance of the relationship between patient and PCP

Answer 4

integrative

Question 5

Relaxation therapy
Exercise
Aroma therapy
Meditation
Music Therapy
Guided imagery

Answer 5

complementary therapy - nursing

Question 6

animal-assisted therapy
biofeedback
acupuncture
therapeutic touch
traditional Chinese medicine
chiropractic therapy

Answer 6

CAM training specific

Question 7

determine use
understand effects
understand drug interactions

Answer 7

Herbal therapies

Question 8

treats/prevents UTI

Answer 8

cranberry juice

Question 9

reduces inflammation

Answer 9

tumeric

Question 10

reduces anxiety and helps w/ sleep and GI conditions

nausea and dizziness

interacts w/ antiplatelets, sedatives, and NSAIDs

Answer 10

chamomile

Question 11

speeds up wound healing, heals and softens skin, prevents wrinkles

itching and burning of skin

interacts w/ anticoagulants, antiplatelets

Answer 11

aloe vera

Question 12

treats URI

Answer 12

enchinacea

Question 13

lowers cholesterol, improves blood pressure

heartburn, GI conditions, increasing odor

interacts w/ antihypertensives, anticoagulants, and warfarin

Answer 13

garlic

Question 14

improves memory, vision, and anxiety

headache and dizziness

interacts w/ antidepressants

Answer 14

gingko biloba

Question 15

increases physical endurance, improves concentration and memory

vomiting and diarrhea

anticoagulants and antiplatelets

Answer 15

ginseng

Question 16

it decreases effectiveness of birth control, We also don’t want someone taking a supplement for depression before they have sought treatment

improves depression and good for mental disorders

dry mouth, headache, fatigue

interacts w/ all meds and herb supplements, especially antidepressants

Answer 16

St. John’s Wort

Question 17

improves hormone levels, treats BPH

nausea, headache, dizziness

interacts w/ anticoagulants, antiplatelets, warfarin

Answer 17

Saw Palmetto

Question 18

helps w/ fever and headaches

nausea, bloating, GI conditions

interacts w/ warfarin

Answer 18

FeverFew

Question 19

helps w/ insomnia, depression, menstrual cycles

headache, upset stomach

interacts w/ antidepressants and anticonvulsants

Answer 19

Valerian

Question 20

assess
communicate
collaborate
educate
scope of practice

Answer 20

integrative nursing

Question 21

can be physical, emotional, or chemically

Answer 21

Stress

Question 22

Observing behavior
What is the client’s perception of the stress on their life
Therapeutic communication

Subjective findings:
- Pt view of stress
- Coping resources
- Negative coping mechanisms
- Medication

Objective findings:
- Appearance
- Non verbal
- Vital signs

Answer 22

assessment of stress

Question 23

Change in sleep pattern
Fatigue
Inability to concentrate
Inappropriate laughing or crying
Poor hygiene
Weight gain/loss

Answer 23

signs of ineffective coping of stress

Question 24

Exercise
Support system
Time management
Guided Imagery
Progressive Relaxation
Journaling
Mindfulness

Answer 24

positive interventions for coping w/ stress

Question 25

Burnout Compassion Fatigue Second Victim Syndrome

Answer 25

nursing and stress

Question 26

experienced throughout life Necessary loss Maturational loss Situational loss Actual loss Perceived loss

Answer 26

loss

Question 27

Change is inevitable

Answer 27

necessary loss

Question 28

Sudden and unpredictable

Answer 28

situational loss

Question 29

The emotional response to loss Differs for everyone Mourning Kubler-Ross Theory of Stages of Dying

Answer 29

grief

Question 30

Denial Anger Bargaining Depression Acceptance

Answer 30

Kubler-Ross Theory of Stages of Dying

Question 31

Developmental Stage Personal Relationships Loss Ability to Cope Socioeconomic Status Culture Spirituality

Answer 31

Factors influencing loss and grief

Question 32

promote spirituality, hope vs. false hope support patient and family facilitate mourning

Answer 32

Nursing role when it comes to loss and grief

Question 33

identify causes identify and treat symptoms educate on positive coping mechanisms

Answer 33

nurse's role in assessing stress