Therapeutic nursing interventions – Flashcards
Unlock all answers in this set
Unlock answersquestion
What is complementary medicine?
answer
-Is used with conventional medicine -(enhances or augments) medicine: complement conventional medicine. Includes probiotics, vitamins, herbal medicine, yoga
question
What is Conventional medicine?
answer
-Focuses on physical components of the ill patient -Emphasis is placed on diagnosis and cure based on physical symptoms - medicine, surgery, etc
question
What is alternative medicine?
answer
-Take holistic "multibody approach -takes into consideration the complexity of each person -Include both the material and nonmaterial aspects of the individual and self-healing forces
question
What does complementary and alternative medicine focus on?
answer
-Wellness orientation -Self reliance on healing -body has own energy for healing -use of nutrition and natural products -emphasis on individuality s-trong connection between mind and body
question
Who are the primary primary participants is alternative and complementary practices?
answer
All ethnic goups Age 18-59 Children who's parent use CAM Children whose parent had higher education Children with 6 or more health condition Children who's families delayed conventional car because of cost
question
What are the four domains of CAM?
answer
-energy medicine -Manipulative and body-bases practice -biologically based practice -mind-body medicine
question
What are the therapeutic intentions of CAM?
answer
Stress Pain- acute, chronic Illness Depression Insomnia and others
question
What are types of manipulative and body-based therapies?
answer
Reflexology Acupressure/Acupuncture Massage Therapy Chiropractic Manipulation Yoga Tai Chi
question
What are types of biologically based therapies?
answer
Dietary Therapies Aromatherapy Herbs Vitamins
question
What are major draw backs of herbals?
answer
may delay important diagnosis and treatment
question
What are nursing interventions that should be done if your patient is taking herbals?
answer
make certain MD and PCP is aware of patient use of herbal therapy
question
What are nursing action should the nurse take with patients taking herbals?
answer
What to assess and instruct pre-op patient regarding herbal therapy
question
What does the FDA categorize herbals as?
answer
food and nutritional supplements not as drugs
question
The Dietary Supplement Health & Education Act (DSHEA) of 1994
answer
allowed herbs to be sold as dietary supplements as long as there are no health claims written on labels
question
What does DSHEA require?
answer
Requires no proof of safety of efficacy and sets no standards for products labeled as supplements, I.e. no guarantee the herb is properly prepared
question
What should you always ask patients taking Herbals?
answer
Always ask about use of herbals when getting medication history What is the story of why the patient is using the plant medicine of therapy Teach patients to look for products labeled standardized these- more likely to have accurate amounts of herb and less likely to have contamination
question
What are commonly used herbals?
answer
Gingko Bilboa Garlic Ginger Echinacea Ginseng St. John's Wort
question
Ginko Biolba
answer
Marketed uses: reduce memory problems, dementia, peripheral vascular disease Properties: antioxidants and vasodilatory properties Caution when used with anticoagulants can cause bleeding Avoid before surgery
question
Garlic
answer
Marketed Uses: lower cholesterol, lower BP, natural antibiotic Natural what : Anti-platelet agent- cause bleeding Potentiates: Anti-diabetic Drugs - cause blood sugar to drop Avoid before surgery
question
Ginger
answer
Used to treat nausea, joint pain BUT ... can cause problems with bleeding Irregular heart rate Blood pressure Blood sugar levels
question
Echinacea
answer
Marketed Uses, builds immunity, helps wound healing Major Caution is you use for more then 8 weeks could possible decrease immune function suppression NOT Recommended for People with immune diseases (lupus, RA, HIV)
question
Ginseng
answer
Asian Ginseng- Diabetes, Erectile Dysfunction, "Unclear" Thinking American Ginseng- Diabetes, Prevention of Colds ; Flu, increased immunity Siberian Ginseng- Prevent Colds ; Flu, reduce Severity of Herpes Simplex type 2 Infections
question
However there are major precautions of ginseng
answer
Insomnia, Headache, Agitation, GI Upset, Unusual Menstrual Bleeding, Breast Pain, Dizziness, Increase or Decrease BP, Hypoglycemia, and very important *** fast, pounding, irregular, heartbeat ***sever allergic reaction Not with Immune System Disorders, Schizophrenia, Endometriosis, Fibroids NOT FOR long term use
question
St.Johns Wort
answer
Marketed Uses: heal ease mild to moderate depression BUT can cause photosensitivity DO NOT use in Major Depression DO NOT use with Other antidepressants- why? Risk of suicide, may get worse
question
What are energy therapies?
answer
Therapeutic massage ; Touch Reiki - for stress, relaxation Reflexology- pressure in feet and hands Acupuncture -meridians, pressure points
question
Energy therapies might be use for what conditions?
answer
: migraine, muscle issues, pain, calm, relax
question
Mind-body interventions
answer
Yoga, Meditation, Spirituality, Relaxation, Guided Imagery: think of your happy place, relax, destress Music Therapy: play music to help pt., addresses physical, emotional, cognitive, and social need of the patient. Equine Therapy: Hippotherapy, benefits autistic children, PTSD, stokes, CP
question
What is the role of the nurse with patients doing CAM therapy's?
answer
-Educate the public about the pros and cons -Teach signals of fraudulent practice -Avoid healers who promise the quick fix -Non-Judgmental: despite personal opinions -Respect: build rapport if not may be afraid to tell about CAM use -Benefits vs Warnings: understand these about CAM - H & P - Knowledge is Crucial , in particular, can have significant effects on prescritption drugs, body function and diseas process.
