Chapter 36 Integrative Care

Question 1

WHAT IS CAM?

Answer 1

CAM is complementary and alternative medicine (and integrative medicine).

Medical practices and products that are outside standard medical care.

Question 2

What is Complementary Medicine?

Answer 2

Non-mainstream medicine + with standard medical care

Question 3

What is ALTERNATIVE MEDICINE?

Answer 3

Non-Mainstream medicine instead of standard medical care.

Question 4

What is INTEGRATIVE MEDICINE?

Answer 4

Uses non-mainstream medicine in conjunction with standard medical care in a coordinated way.

Question 5

What is integrative care?

Answer 5

Non-mainstream Medicine

1. 1. Patient at the CENTER of care
2. focuses on prevention and wellness
3. attends to holistic needs (mental, spiritual and physical)
4. body’’s ability to heal itself with the right tools

Question 6

Conventional healthcare is also called

____. _____. ______ _____- _____

Answer 6

allopathic medicine. biomedicine. conventional medicine. orthodox medicine. Western medicine

Question 7

How long has conventional medicine been around? _____

How long has CAM been around? __________

Answer 7

Conventional 200 years

CAM thousands of years

Question 8

what percentage of USA people use nontraditional approaches to health care?

Answer 8

⅔

Why availability of CAM practitionesr and facilities

Question 9

How does Western Medicine define HEALTH

Answer 9

absence of disease

Question 10

How does integrative health view HEALTH?

Answer 10

How well the physical, emotional, mental, and environmental, spiritual, and societal components interrelate.

Question 11

What is the NCCIH

Answer 11

National Center for Complementary and Alternative Institute of Health

Part of NIH 1998

Question 12

Why are consumers attracted to integrative care?

Answer 12

Active participation

Engage in holistic practice

to find therapeutic approaches that have lower risk

positive experiences due to supportive and inclusive

Dissatisfaction with practice style of conventional medicine

recommended by provider, family or friends

neuropsychiatric symptoms

Ineffective conventional treatment

cost of conventional treatment

used to improve energy and immune function

wellness and prevention

Question 13

Is holistic nursing a specialty

Answer 13

yes recognized by ANA

All nursing that has the healing of the whole person as its goal

Question 14

what is HOLISM?

Answer 14

Identification of interrelationships of Bio-psycho-social-spiritual dimensions of person

whole greater than sum of the parts

individual is a whole in process with the environment.

Question 15

What should psych nursing assessments include?

Answer 15

nutrition, exercise, relationships, work, culture, religion, spiritual, herbal supplements.

Question 16

Certifications

Answer 16

`AHN - BC Advanced Holistic Nurse - board certified

APHN-BC Advance Practice Holistic Nurse board certified

Question 17

Natural products

Answer 17

Herbal Medicine, vitamins, minerals, probiotics

Herbal therapy

Question 18

Herbal Remedies that may have adverse effects

Answer 18

Ginseng. tea - inc anticoags

Kava - heptoxic

St. John’s Wort - Serotonin syndrome, affects oral contraceptives, and some HIV meds.

Melatonin

SAMe

Question 19

NATURAL means

Answer 19

Present in nature, but does not mean they are harmless.

Question 20

What nutritional problems can patients with psychiatric disorders have?

Answer 20

Nutritional deficiencies

Eating too much or too little

Antipsychotic drugs may cause metabolic syndrome - obesity, diabetes, and hyperlipidemia

Anemia = depression

inflammation - depression link

Question 21

What is orthomolecular therapy

Answer 21

Megavitamin therapy

Question 22

Link between low vitamin D and ___________

Answer 22

Depression

Too much D inc Calcium hypercalcemia

Question 23

Omega-3 fatty acids can help ——– and ———–

Answer 23

Depression

bipolar disorder

Question 24

Microbiomes

Answer 24

MAY impact inflammatory state -

depression and anxiety

Question 25

Mind-Body Relationship

Answer 25

mind and body continuously interact mind can affect body function and symptoms body can also affect mental illness

Question 26

List 6 Body Mind Approaches

Answer 26

Meditation and Mindfulness (depression, anxiety, chronic pain) Yoga (physically strengthen and emotionally relax) Exercise (substance abuse, depression, anxiety, improved cog function addh) Acupuncture (pain, stim altering body functions, blood disorders, withdrawals, emotional disturbances Guided Imagery (anxiety, pain, psych trauma, ptsd, dec side effects of meds, Manipulative practices (chiropractic - pain, headache, allergies, asthma, migraines, depress, anxiety -, massage(swedish, shiatsu depression stress)

Question 27

Other complementary therapies

Answer 27

Homeopathy and Naturopathy Aromatherapy Expressive therapies - music and art Energy therapies - (Theraputic touch, Kreiger Kunz energy field dont touch the patient healing touch, Mentgen laying of hands highest level of well-being reiki, practitioner connected to universal source to patient pain and anxiety bioelectromagnetic based therapies, TMS VNS bright light therapies (for SAD) , prayer and spirituality

Question 28

What is homeopathy

Answer 28

Law of similars healing from the inside out. dilutions of preparations that mimic symptoms

Question 29

What is naturopathy

Answer 29

Health restoration rather than disease treatment nutrition, homeopathy, herbal medicine, hydrotherapy, light therapy, therapeutic counseling, and other individual is responsible for recovery

Question 30

Aromatherapy

Answer 30

essential oils smell - autonomic nervous system allergy test first. pulmonary patients may be sensitive or allergic lavender improves postpartum problems

Question 31

Traditional Chinese Medicine

Answer 31

Basis for: acupuncture, acupressure, Tm, Tai chi, qigong. Movement of life energy QI balance yin and yang

Question 32

AYurvedic Medicine

Answer 32

eye your veh dik Indian 5000 BC the science of life individuals responsibility for health five elements (earth, water, fire, air, and space) hat regulate mind, body and spirit Doshas - vital energies dhatus tissues malas - waste products panchakakarma - five prodceures for purification

Question 33

Integrative Care My body has the ability to \_\_\_\_\_itself if we have the knowledge to give it the right \_\_\_\_\_\_\_

Answer 33

My body has the ability to HEAL\_\_\_\_\_itself if we have the knowledge to give it the right \_\_\_\_\_TOOLS\_\_