TERM 3- MY NOTES FOUNDATIONS OF NURSING CH.17 "COMPLEMENTARY AND ALTERNATIVE THERAPIES" Flashcards Preview

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Flashcards in TERM 3- MY NOTES FOUNDATIONS OF NURSING CH.17 "COMPLEMENTARY AND ALTERNATIVE THERAPIES" Deck (250)
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Complementary and Alternative Therapies

,

1

Complementary therapies are therapies used in addition to conventional treatment recommended by a person's health care provider. As the name implies, complementary therapies do not substitute for but rather complement the conventional treatment.
A)true
B)false

A

2

______________ therapies are therapies used in addition to conventional treatment recommended by a person's health care provider. As the name implies, ___________ therapies do not substitute for but rather complement the conventional treatment.

Complementary

3

Complementary therapies include exercise, massage, reflexology, prayer, biofeedback, creative therapies (art, music, or dance therapy), guided imagery, acupuncture, relaxation strategies, chiropractic therapy, therapeutic touch, and herbalism
A)true
B)false

A

4

Alternative therapies, on the other hand, often include the same interventions as complementary therapies, but frequently become the primary treatment modality that replaces allopathic medicine (traditional or conventional Western medicine).
A)true
B)false

A

5

__________therapies, on the other hand, often include the same interventions as complementary therapies, but frequently become the primary treatment modality that replaces allopathic medicine (traditional or conventional Western medicine).

Alternative

6

The number of patients seeking unconventional treatments has risen considerably. Between one third and one half of the population of the United States uses one or more forms of CAM. In large part, this popularity is due to
(1) the perception that the treatments offered by the medical profession do not provide relief for a variety of common illnesses;
(2) the increasing interest of patients in becoming more eduucated about their health and the need to take a more active role in their treatment;
(3) the increased number of articles in journals such as Annals of Behavioral Medicine, Alternative Therapies in Health and Medicine, and Journal of Alternative and Complementary Medicine, as well as coverage of CAM therapies in respected general medical journals;
(4) programs seen on television; and
(5) the attraction to a holistic approach to health care that incorporates the mind, the body, and the spirit.

True

7

People also tend to turn to alternative therapies because they believe them to be less invasive and gentler than allopathic or traditional medicine and perceive them to incorporate a more holistic approach. Prevention is fundamental to most of the CAM therapies.
A)true
B)false

A

8

In contrast, the strength of allopathic medicine is its effectiveness in treating certain physical ailments (e.g., bacterial infections, structural abnormalities, acute emergencies). In general, it focuses less on preventing disease, decreasing stress-induced illnesses, managing chronic disease, and caring for the emotional and spiritual needs of individuals.
A)true
B)false

A

9

Many of the complementary therapies, such as acupuncture, make use of diagnostic and therapeutic methods specific to their field, whereas others, such as guided imagery, are essentially adjunctive in nature.
A)true
B)false

A

10

Project an open, nonjudgmental attitude when obtaining a health history so that the patient feels comfortable in providing all information about any therapies he or she is currently receiving
A)true
B)false

A

11

Insurance coverage is becoming more common for several of these treatments. Many policies cover chriopractic treatments and massage therapy if ordered by a health care provider. Acupuncture is also covered under some policies. Insurance companies are beginning to see the value of preventive measures, as well as treatment for acute injury or illness. From a risk management perspective, many of the alternative therapies are attractive since they work to maintain health, as well as restore it
A)true
B)false

A

12

The Office of Alternative Medicine (now the National Center for Complementary and Alternative Medicine) was established in 1992 as part of the National Institutes of Health. The goals of this office are to facilitate the evaluation of alternative medical treatment, specifically acting as a clearinghouse to distribute information to the public, the media, and professionals and supporting, coordinating, and conducting research and research training in the area of alternative medicine.
A)true
B)false

A

13

Holistic Nursing

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14

Holistic nursing addresses and treats the mind-body-spirit of the patient.
A)true
B)false

A

15

Nurses use holistic nursing interventions such as relaxation therapy, guided imagery, music therapy, simple touch, massage, and prayer. Such interventions affect the whole person (mind-body-spirit) and are effective, economiy-scal, noninvasive, nonpharmacologic complements to medical care.Holistic interventions can be used to augment standard treatments, to replace interventions that are ineffective or debilitating, and to promote or maintain health.
A)true
B)false

A

16

The American Holistic Nursing Association (2007) maintains standards of holistic nursing practice, which define and establish the scope of holistic practice and describe the level of care expected from a holistic nurse.

• Nurses who provide holistic care need to recognize that prayer is a valued and frequently used coping strategy for many patients, especially cancer patients.

• One means at your disposal to help patients cope is to recognize and facilitate patients' use of prayer.

• Patients are likely to pray at times of symptom distress and emotional distress, and during diagnostic and therapeutic processes. At such times, your help is valuable in fostering conditions and an environment conducive to prayer.

• Although there are commonalities in prayer experiences, typically prayer is unique to the individual. Therefore, you will be called on to design nursing strategies for facilitating prayer with sensitivity to the uniqueness of each patient.

• You contribute to the patient's opportunity for prayer by helping the patient relax, offering spiritual reading material, placing the patient with a view of nature, offering a notebook for journaling, and safeguarding the patient's privacy by preventing unnecessary intrusion into the room during this time.

True

17

HERBAL THERAPY

,

18

Herbalists were consulted by and worked in conjunction with medical physicians until the 1930s, when the last accredited herbal schools closed
A)true
B)false

A

19

Still, many of those drugs, as well as medications in use today, had their origins in herbs. An example is digitalis, which comes from the finger-shaped foxglove herb. Used in the treatment of heart failure, it is commonly prescribed by health care providers
A)true
B)false

A

20

The Dietary Supplement Health and Education Act passed in 1994 now allows for herbs to be sold as dietary supplements as long as there are no health claims written on their labels.
A)true
B)false

A

21

Because herb use is not widely accepted or understood by mainstream medical caregivers, patients often do not disclose their use of herbs to their health care provider. Many use prescription drugs concurrently with herbal remedies and face possible health risks as a result of adverse interactions
A)true
B)false

A

22

As a nurse, you help patients make educated decisions about their health; there is no reason for this to exclude the use of herbs
A)true
B)false

A

23

Teach patients that before taking any herbal product, it is best to review it with a health care professional, pharmacist, or certified herbalist.
A)true
B)false

A

24

Treatment is provided in a variety of ways. It is possible to take dried herbs orally in capsule or tablet form. Tinctures are made by placing herbs in alcohol or vinegar and allowed to sit until the Liquid absorbs the properties of the herb. The liquid is then strained and used.
A)true
B)false

A

25

Remind patients to take care to only use herbs from a reliable source. Before using any fresh herbs, it is best to obtain exact identification from a trained professional.
A)true
B)false

A

26

Always know exactly what the herb is and what its actions are before using any herb
A)true
B)false

A

27

Many herbs interact with various medications. For example,
-the combination of valerian and barbiturates will probably cause excessive sedation.

-Ginseng is likely to interfere with the actions of digoxin.

-Advise against taking St. John's wort concurrently with antidepressant medications.

Screen patients carefully in regard to herbal use and possible interactions with other medications.
A)true
B)false

A

28

Commonly Used Herbs

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29

-Asian ginseng (Panax ginseng)

Improves overall health and well-being
Atherosclerosis, bleeding disorders, colitis, diabetes, depressant cancer

Avoid use if taking anticoagulants because it can prolong clotting. Avoid taking with CNS stimulants, estrogen, furosemide, ibuprofen, caffeine. Drug interactions are possible with agents that inhibit monoamine oxidase (phenelzine, St. John's wort, selegiline)

True