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Integrative Care
PNP 101 Ch 42, Module 1A
| Question | Answer |
|---|---|
| Allopathic/Conventional Medicine/Care | Evidence-based diagnosis and treatment: medications, procedures, radiation, surgery. |
| Complementary Medicine/Care | A non-mainstream approach used alongside conventional care. |
| Alternative Medicine/Care | A non-mainstream approach used instead of conventional care. |
| Integrative Medicine/Care | Coordinated conventional and evidence based complementary care that optimizes health of the whole person - body, mind, and soul. |
| CAM | Complementary and Alternative Medicine |
| Why is the use of CAM rising? | There is more awareness of CAM options, there is a desire for natural treatments to add or replace ineffective conventional treatments, and there is a desire to have a more active role in the treatment process. |
| Whole Medical Systems | CAM Category describing complete medical systems outside of conventional medicine (traditional Chinese medicine, Ayurveda, homeopathy) |
| Biological and Botanical Therapies | CAM Category describing the use of natural products to affect health (diet, vitamins and minerals, herbal preparations, probiotics) |
| Body-Based and Manipulative Methods | CAM Category describing external touch to affect the body systems (massage, chiropracty, acupressure) |
| Mind-Body Therapies | CAM Category that connects physiological functions to the mind and emotions (acupuncture, breath work, meditation, yoga, psychotherapy) |
| Energy Therapies | CAM Category that involves the use of the body's energy fields (Reiki, therapeutic touch, magnet therapy) |
| Movement Therapies | CAM Category that uses exercise or activity to promote physical and emotional wellbeing (pilates, dance therapy, western yoga) |
| CAM Practitioners | Specialized licensed or certified practitioners that can provide complementary or alternative therapies. |
| Acupuncturist/Acupressurist | CAM practitioners that use needles or digital (finger) pressure along meridians to alter body function or produce analgesia. |
| Homeopaths | CAM practitioners that administer doses of substances (remedies) that would produce manifestations of specific disease states in a well person to bring about healing. |
| Naturopaths | CAM practitioners that use diet, exercise, environment, and herbal remedies to promote natural healing. |
| Chiropracters | CAM practitioners that use spinal manipulation for healing. |
| Massage therapists | CAM practitioners the stretch and loosen muscles and connective tissue for relaxation and circulation. |
| Biofeedback Therapists | CAM practitioners that use technology to increase awareness of various neurological body respinses to minimize extremities. |
| Touch Therapists | CAM practitioners that use their hands to help bring energy fields into balance. |
| Natural Medicine | Includes herbal medicines, vitamins and minerals, essential oils, and dietary supplements. |
| Why aren't supplements as safe as conventional medicines? | The FDA regulates supplements but relies entirely on manufacturers to provide evidence of quality and safety. |
| Why isn't natural medicine safer than conventional medicine? | Because natural products have their own contents, actions, and interactions. |
| Natural products that interact with warfarin | Garlic, gingko, ginger, st. john's wort, chamomile |
| Natural products that interact with antidepressants | St. John's Wort |
| Natural products that interact with CNS Depressants (benzos, alcohol) | Valerian, Kava |
| Integrating CIH into Patient Care | Obtain lists of all natural products and supplements patient is taking, cross reference for pharmacokinetic and pharmacodynamic interactions, teach therapies like breathing exercises and meditation to encourage independent patient participation, offer evidence based non-pharmacological alternatives to complement primary care. |
| CIH | Complementary and Integrative Health |
| How can you help patients using CIH? | Assist with evaluating the safety of therapies and medicines the patient may be using. Provide the patient with reliable information, and determine possible interactions with conventional medications and therapies. |
| Therapies Nurses can Provide | Guided imagery/visualization therapy, breath work, meditation, music and art therapy, relaxation techniques |
| What CAM Category is meditation in? | It is in the Mind-Body Therapy category. |
| What CAM Category is homeopathy in? | It is in the Whole Medical Systems category. |
| What CAM Category is magnet therapy in? | It is in the Energy Therapy category. |
| What CAM Category is probiotics in? | It is in the Botanical Therapy category. |
| What CAM Category is massage therapy in? | It is in the Manipulative Methods category. |
Created by:
marinareagankhan