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  1. Nursing Management of Clients Utilizing ALTERNATIVE THERAPIES NUR101 Fall 2009Lecture # 25K. Burger, MSEd, MSN, RN, CNE

  2. 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

  3. 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

  4. Integrative Medicine • Combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and efficacy.

  5. 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

  6. Alternative Medical Systems • Complete systems of theory & practice • Based on older systems than today’s conventional medical system • Ayurveda • Traditional Chinese medicine • Homeopathy

  7. Mind-Body Interventions • Utilizing the power of the mind to promote healing and alleviate symptoms • Meditation • Guided Imagery • Hypnotherapy • Bio-feedback

  8. Biologically Based Therapies • Utilize natural substances and dietary supplements to improve health • Herbs • Mega vitamins • Macrobiotic diet

  9. Manipulative and Body-Based • Manipulation and movement of body parts promotes health and relieves symptoms. • Massage • Acupressure • Chiropractic / Osteopathic manipulation

  10. Energy Therapies • Energy fields that exist within the body can be manipulated to benefit health • Reiki • Therapeutic Touch • Bio electromagnetics

  11. Nurse’s Role in CAM • Some therapies are nurse-accessible:Relaxation therapiesMeditation / BreathingImagery • Others require special training:BiofeedbackTherapeutic TouchAcupuncture

  12. Nurse’s Role in CAM • Assessing client’s use of CAM • Awareness of research • Appropriate integration / Holistic nursing • Safety • Client teaching

  13. 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).