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Nursing Management of Clients Utilizing ALTERNATIVE THERAPIES NUR101 Fall 2008Lecture # 25K. Burger, MSEd, MSN, RN, CNE Revised: J Borrero 12/08
Complementary and Alternative MedicineCAM • Diverse medical and health care practices, systems, and products that are not presently considered to be part of conventional medicine. • Holistic nursing may include CAM Rx • Increased public interest and use • Some proven through research; many others being researched
Complementary MedicineVersusAlternative Therapy • Complementary Medicine =Used together with conventional medicine. Ex: using massage along with traditional analgesic medications. • Alternative Therapy =Used in place of conventional medicineEx: using a special diet to treat cancer instead of undergoing chemotherapy
Nurse’s Role in CAM • Assessing client’s use of CAM • Awareness of research • Appropriate integration / Holistic nursing • Safety • Client teaching
Integrative Medicine • Combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and efficacy.
Complementary These therapies are used in addition to conventional treatment: Therapeutic touch Imagery Relaxation Exercise Reflexology Art, music, dance Biofeedback Alternative These therapies replace allopathic medical care: Chiropractic Feldenkrais Chinese medicine Ayurvedic medicine CAM Complementary or Alternative Therapies in Health Care
Nursing-Accessible Therapies • Relaxation therapy • Meditation and breathing • Imagery
Nursing Role in Complementary and Alternative Therapies • Multiple practitioner approach • Holistic in nature • Follow Nurse Practice Act Scope of Practice • Work closely with client
CAM Classifications National Center for Complementary and Alternative Medicine NCCAM • Alternative Medical Systems • Mind-Body Interventions • Biologically Based Therapies • Manipulative and Body-Based Methods • Energy Therapies
Alternative Medical Systems • Complete systems of theory & practice • Based on older systems than today’s conventional medical system • Ayurveda • Traditional Chinese medicine • Homeopathy
Mind-Body Interventions • Utilizing the power of the mind to promote healing and alleviate symptoms • Meditation • Guided Imagery • Hypnotherapy • Bio-feedback
Biologically Based Therapies • Utilize natural substances and dietary supplements to improve health • Herbs • Mega vitamins • Macrobiotic diet
Manipulative and Body-Based • Manipulation and movement of body parts promotes health and relieves symptoms. • Massage • Acupressure • Chiropractic / Osteopathic manipulation
Energy Therapies • Energy fields that exist within the body can be manipulated to benefit health • Reiki • Therapeutic Touch • Bio electromagnetics
NCCAMCAM Online Continuiing Ed Series • http://nccam.nih.gov/videolectures/ • Video from: National Center for Complementary and Alternative Medicine (NCCAM), a department of National Institute for Health (nih).