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Complementary & Alternative Therapy

Complementary & Alternative Therapy. Sakura Maillet Kathy Cress-Waugh Kendra Miller. “Curing the soul; that is the first thing” -Socrates (as cited in Fontaine, 2005). Experience Your Energy Field. (Fontaine, 2005). Purpose.

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Complementary & Alternative Therapy

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  1. Complementary & Alternative Therapy Sakura Maillet Kathy Cress-Waugh Kendra Miller

  2. “Curing the soul; that is the first thing” -Socrates (as cited in Fontaine, 2005)

  3. Experience Your Energy Field (Fontaine, 2005)

  4. Purpose • To address the issue of utilizing complementary and alternative therapy

  5. Objectives • 1) The class will be able to identify the different complementary and alternative therapies • 2) The class will be able to compare the positives versus the negatives of integrating alternate therapies into nursing practice • 3) The class will distinguish for themselves after the presented material whether they support or are against the use of alternative therapies • 4) The class will be able to list ways that they can integrate these therapies into their nursing practice

  6. Conventional Medicine • Biomedical or Western medicine • Rene Descartes (1596-1650) • Sir Issac Newton (1642-1727) • Mechanistic/ reductionistic (Fontaine, 2005)

  7. Alternative Therapy • Holistic • Albert Einstein (1879-1955) • Life force • Chronic/ debilitating disease (Fontaine, 2005)

  8. Complementary Therapy • Conventional medicine & alternative therapy • Holistic care model +

  9. Nursing • Using our hands, heart, and head in creating healing environments • Scientific skills & spiritual commitment • Attitude and perspective • Holistic • Take care of yourself (Fontaine, 2006)

  10. Basic Concepts in Alternative therapy • Balance • Spirituality • Energy • Breath (Fontaine, 2006)

  11. Complementary & Alternative Therapies • Systematized Health Care Practices • Traditional Chinese Medicine • Ayurvedic Medicine • Native American Healing and Curanderismo (Fontaine, 2006)

  12. Botanical Healing • Herbs and Nutritional Supplements • Aromatherapy • Homeopathy • Naturopathy (Fontaine, 2006)

  13. Manual Healing Methods • Chiropractic • Massage • Pressure Point Therapies • Hand-Mediated Biofield Therapies • Combined Physical and Biofield Therapies (Fontaine, 2006)

  14. Mind- Body Techniques • Yoga • Meditation • Hypnotherapy and Guided Imagery • Dreamwork • Intuition • Biofeedback • Movement-Oriented Therapies (Fontaine, 2006)

  15. Spiritual Therapies • Shamans • Faith and Prayer (Fontaine, 2006)

  16. Other Therapies • Bioelectromagnetics • Detoxifying Therapies • Animal-Assisted Therapy (Fontaine, 2006)

  17. Factors Influencing Nurses Use of CAT • Personal use • Perception of legitimacy, efficacy, and benefits • Knowledge & experience • Nurses stress and environmental stressors (Tracy, Lindquist, Savik, Watanuki, Sendelbach, Kreitzer, & Berman, 2005)

  18. General openness towards therapies • Age • Ethnic background • Religious affiliation • Other sociodemographic factors • Concerns about legal issues • Ethical issues • Lack of equipment, time, training

  19. Pros of Complementary and Alternative Therapy • History • Positive attitudes • Physiological and psychological benefits • Combination with conventional medicine • Cost-effective (within hospital) • “Specific to patient and not the disease” (Helms, 2006).

  20. Pros related to Nursing • Provided by nurse • Positive attitudes • Increased interest of education

  21. Cons of Complimentary and Alternative Therapies or Medicine (CAT/ CAM) Unreported use Safety Adverse Drug Reactions Money/ Expenses Nurse related issues

  22. Unreported use of CAM Mantle, 2006 HCP negative feelings. 47% of patient use CAM. 1/3 unreported CAM can effect clinical disorders, and can have adverse reactions with conventional medications.

  23. Misconception: Natural means safe. Unknown, unmonitored, inadequate CAM practitioners are not always educated on clinical disorders Adverse nutrition and dietary advice Side effects of CAM Safety Mantle, 2006

  24. Adverse Drug and Therapy Reactions Mantle, 2006/ Jose, Rao, Kamath, & Jimmy, 2009 Unstable blood pressure control Unstable diabetes Herbal remedies (over the counter) 12 adverse drug reactions in 24 months

  25. Money and Expenses Grimaldi, 2008 out of the pocket expenses many limitations to insurer reimbursement Consumer demand proven efficacy cost effectiveness

  26. Nursing Related Cons

  27. Nurse Related Issues Helms, 2006/ Tracy et al, 2005 Lack of information in nursing education related to CAM Not enough time Not enough training Not enough Knowledge Ethical issues Reluctance of peers and physicians

  28. Strategies for Incorporating Complementary and • Alternative Therapies into Nursing Curricula • Provide complementary and alternative medicine (CAM) learning opportunities for faculty through workshops, seminars, and online learning modules. • • Revise course objectives to reflect CAM interventions in • patient care. Helms, 2006

  29. Encourage CAM interventions in care plans whenever appropriate. • Include specific CAM information relevant to theory and skill courses and clinical experiences. • Look for inclusion of CAM in textbooks before adoption. • Include CAM articles as part of required readings. • Provide adequate library resources, such as CAM journals. • Include basic CAM principles on tests.

  30. Information Video about CAM! http://www.youtube.com/watch?v=ig3IyCB4ytg

  31. Discussion Questions • 1) Do you believe there is a value to these alternative therapies used in nursing? • 2) What do you perceive as the barriers to using these therapies? • 3) Would anyone like to share their personal experience where alternative therapies have been used? Beneficial or non-beneficial? • 4) How would you integrate these therapies into your nursing practice?

  32. Breathing Clouds • http://www.youtube.com/watch?v=50_p7H-OYlk&feature=related

  33. Examples • Ginger • Decreases nausea • Boosts the immune system • Lowers blood pressure • Use 2 tsp of powered or grated root per cup of boiling water. Steep 20 mins, strain, add juice from half a lemon and honey for taste. Drink hot up to 3 cups a day. (Fontaine, 2006)

  34. Examples • Mint • Relaxes the digestive tract • Used to treat colds, cough, & fever • For infusion: use 1 tsp of fresh herb or 2 tsp of dried leaves per cup of boiling water. Steep 10 mins, strain, and drink up to 3 cups a day. (Fontaine, 2006)

  35. Adult Cold Cure • 2 drops eucalyptus • 5 drops geranium • 3 drop peppermint • 5 drops rosemary • Mix oils together and use in any of these ways: • Several drops in a diffuser, 2 drops on a tissue and breathe in the aroma, 4 drops in a bath, add 8 drops to 2 tbs of massage oil and massage the chest, back, neck, forehead, nose, cheekbones. (Fontaine, 2006)

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