Week 7 Therapies

Question 1

Complementary and integrative approaches

Answer 1

an array of healthcare approaches with a history of use or origins outside of mainstream or conventional medicine
- from NIH, very U.S. centric

Question 2

Eastern and Western Medicine

Answer 2

united states centric

Question 3

Complementary therapies

Answer 3

therapies used together with conventional treatment recommended by a person’s HCP

Question 4

Integrative therapies

Answer 4

interventions used in complementary fashion
- particularly by licensed HCP

Question 5

Use of C, I, and A therapies

Answer 5

• address stress induced illness
• manage symptoms of chronic disease
• address emotional and spiritual needs of pt
• improve quality of life and general well-being

Question 5

Alternative therapies

Answer 5

non-pharmacological therapies used in place of conventional pharmacological interventions or other medical procedures
- such as exercise, chiropractic, herbal supplements,

Question 6

Nursing-accessible therapies

Answer 6

general in nature and use natural processes = breathing, thinking, presence, movement
- make sure to use clinical judgement to decide if these are best

Question 7

Relaxation therapies

Answer 7

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

Question 8

Stress response

Answer 8

normal and helpful in short-term situations

Question 9

Progressive relaxation

Answer 9

the person learns to detect subtle localized muscle tension sequentially, one muscle group at a time and differentiates among tension and relaxation

Question 10

Passive relaxation

Answer 10

still the mind and body intentionally without the need to tighten and relax any body part
- good for people who may not have the energy for progressive relaxation

Question 11

Clinical applications of relaxation therapy

Answer 11

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

Question 12

Limitations of relaxation therapy

Answer 12

• reports of increased sensitivity in detecting muscle tension
• new symptoms may indicate progression of an existing condition or a new illness
• assess the client = physiological and psychological status

Question 13

Meditation

Answer 13

Any activity that limits stimulus input by focusing attention to a single unchanging stimulus
- has roots in hinduism, buddhism, and taoism
- general term for a range of practices that relax the body and still the mind

Question 14

Clinical applications of meditation

Answer 14

lowers oxygen consumption
reduces respiratory rate
reduces HR
improves feelings of well-being and anxiety

Question 15

Limitations of Meditation

Answer 15

assess the client
- strong fear of losing control, contraindication
- some individuals also become hypertensive during meditation
- meditation may also increase the effects of certain drugs

Question 16

Imagery/Visualization

Answer 16

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

Question 17

Creative Visualization

Answer 17

self-directed imagery that is based on the principle of mind-body connectivity

Question 18

Clinical applications of imagery

Answer 18

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

Question 19

Limitations of Imagery

Answer 19

Assess the client!
Clients with COPD or asthma may experience increased airway constriction

Question 20

Training-specific therapies

Answer 20

complementary treatments that can only be administered by trained professionals
- require more certification
- all therapies carry some risk, therefore you need advanced knowledge to effectively talk about them with pts and provide education about their safe use

Question 21

Biofeedback

Answer 21

mind-body technique
- uses instruments to teach control over physiological responses
- measure, process, and provide information about muscle tensions, cardiac activity, respiratory rates, brain-wave patterns, and autonomic nervous system activity
- uses variety of breathing, relaxation, and imaging exercises to gain voluntary control over HR or BP

Question 22

Clinical applications of biofeedback

Answer 22

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

Question 23

Limitations of biofeedback

Answer 23

assess the client!
- use with precaution in clients with psychological or neurological conditions
- may need medication adjustments as a result of biofeedback

Question 24

Acupuncture

Answer 24

regulates or realigns the vital energy (qi), which flows through the body in channels that form a system of pathways called meridians - can modify our body's response to pain

Question 25

Clinical applications of acupuncture

Answer 25

- modifies pain response and processing of pain by central neural pathways - chemo induced nausea and vomiting - low back pain - myofascial pain - tension HAs - migraine prevention - post-operative pain

Question 26

Limitations of acupuncture

Answer 26

- practitioner with appropriate training - sterilized needles - contraindicated in clients with bleeding disorders or skin infections - pregnant, seizures, or bloodborne illnesses = not suggested - electroacupuncture = no pacemakers or dysrhythmias

Question 27

Therapeutic touch

Answer 27

affects energy fields with conscious intent to help or heal - uses the energy of the provider to positively influence the pt's energy field - other types = acupressure, healing touch, reiki, Jin Shin Jyutsu

Question 28

Clinical applications of therapeutic touch

Answer 28

Pain Dementia Trauma Anxiety

Question 29

Limitations of therapeutic touch

Answer 29

Assess your pt Inappropriate for clients with sensitivity to touch, past traumatic experiences

Question 30

Chiropractic Care

Answer 30

uses manipulative body-based therapy to normalize the relationship between structure and function - belief is that body structure/spine and body function are closely related - aims to restore structural and functional imbalances

Question 31

Clinical applications of chiropractic care

Answer 31

Improves pain = back pain, osteoarthritis joint pain, cancer pain can improve disability asthma in children and adolescents

Question 32

Limitations of chiropractic care

Answer 32

Contraindicated in those with bone and joint infections, acute injury to the spinal cord that's caused by compression, fractures, dislocations, rheumatoid arthritis, osteoporosis

Question 33

Natural products

Answer 33

chemical compound or substance produced by a living organism

Question 34

Herbal medicines

Answer 34

- also known as botanicals - dietary supplements, vitamins, minerals, mycotherapies (fungi-based products), essential oils (aromatherapy), and probiotics - not regulated by FDA - not approved for use as drugs - they are over the counter dietary supplements (1994 act) - can't make health claims on their labels

Question 35

Clinical applications of herbal medicines

Answer 35

Depressive symptoms Anti-inflammatory effects Blood sugar changes

Question 36

Limitations of herbal medicines

Answer 36

Natural DOES NOT EQUAL safe - can interact with prescribed medications

Question 37

Integrative nursing role

Answer 37

- work closely with pt's to know their spiritual and cultural viewpoints - determine which therapies are more aligned with their beliefs - knowledge can help to provide accurate info to pts and other HCPs - understand the benefits and risks so information is clearly disclosed - understand your state Nurse Practice Act and practice within the scope of that

Question 38

Holistic Nursing

Answer 38

Holistic nursing treats the mind-body-spirit of a patient, using interventions such as relaxation therapy, music therapy, touch therapies, and guided imagery