Complementary and Alternative Therapy
اسلاید 1: 1www.tabaye.ir
اسلاید 2: Complementary and Alternative TherapyC. Matthews MSN, RNMarilee Elias, MSN, RNSpring 2012Please make phones silent & visible
اسلاید 3: ReadingRequired:Wilkinson-Ch. 40 Ignatavicius – Ch. 2 Suggested Additional reading:Lilley – Ch. 8 “Over the counter drugs and Herbal products”Some references in this presentation will be from pages in your textbooks other than required chapters – highly recommended reading.5/14/20183C. Matthews RN, MSN M. Elias RN, MSN
اسلاید 4: C. Matthews RN, MSN M.Elias RN, MSN SP104Course Outcomes1. Identify the roles of the nurse in a variety of community settings to maintain optimal level of wellness.2. Client - centered teaching.3. Apply the nursing process to meet the physiological and psychosocial needs of clients and their families at the end of life.4. Standards of safe medication administration.5/14/2018
اسلاید 5: C. Matthews RN, MSN M.Elias RN, MSN SP115UNIT OUTCOMES1. Integrate complementary therapies into health promotion activities for the well client.2. Assess client need for Complementary or Alternative therapy.3. Identify use of Complementary or Alternative therapy.4. Evaluate outcomes of Complementary or Alternative therapy practices.5. Provide non-pharmacological measures for pain relief.6. Identify quackery or unscrupulous practitioners.5/14/2018
اسلاید 6: CONTENT FOR ALTERNATIVE THERAPIES I. Systems of Health CareTraditional Chinese MedicineNative American medicineHomeopathyII. Mind-Body Therapies A. Journaling B. Imagery C. Meditation III. Manipulative Therapies D. Massage E. Tai Chi 5/14/20186C. Matthews RN, MSN M.Elias RN, MSN SP11
اسلاید 7: CONTENT FOR ALTERNATIVE THERAPIESIV. Biologic Based Therapies A. Aromatherapy B. Herbal preparations V. Energy TherapiesHealing touchTherapeutic touchReiki5/14/2018C. Matthews RN, MSN M.Elias RN, MSN SP107
اسلاید 8: History of Western Medicine8C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 9: Ancients -- Myths & Religion – Basis For Medical Practice9C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 10: History of Western Medicine: Ancient Greece & RomeHippocratesGalen10C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 11: History of Western MedicineEarly Christian era ushers in hospitals and health care similar to established Arab Medicine11C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 12: History of Western MedicineMiddle AgesMidwivesWitchesPhysicians12C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 13: History of Western MedicineRenaissance13C. Matthews RN, MSN M.Elias RN, MSN SP115/14/2018
اسلاید 14: History of Western MedicineListerNightingale14C. Matthews RN, MSN M. Elias RN, MSN SP115/14/2018
اسلاید 15: History of Western Medicine20th and 21st Centuries15C. Matthews RN, MSN M. Elias RN, MSN SP115/14/2018
اسلاید 16: Integrative Health Care isA Concept of Coordinated Health Care that Includes ALL the Treatments (Conventional and CAMs) and Health Practices that Your Patient uses in their Life.How do We get our Patients to Tell us about the CAMs they use?Course outcome #1 Unit outcome #116C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 17: What is Holism?Concept focused on Relationships among all living things.Therapeutic Encounters include:Enhancing Resistance to IllnessReducing aggravating behaviorsStress Management Goal is Optimal state of Wellness for each unique personCourse outcome #1 Unit outcome #117C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 18: RNs must be familiar with C. A. M. “The 2007 National Health Interview Survey (NHIS), which included a comprehensive survey of CAM use by Americans, showed that approximately 38 percent of adults use CAM.” NCCAM retrieved 3/16/11 from http://nccam.nih.gov/health/whatiscam/Course outcome #1 Unit outcome #1C. Matthews RN, MSN M. Elias RN, MSN SP1118
اسلاید 19: C. Matthews RN, MSN M. Elias RN, MSN SP1119What is CAM?Complementary modalities (therapies): used in conjunction with conventional medical practice. (Wilkinson, p. 1019)Alternative Modalities(therapies): used instead of traditional care. (Wilkinson, p.1019)Unit outcome #3
اسلاید 20: C. Matthews RN, MSN M. Elias RN, MSN SP1120RN must:1.Be non-judgmental despite personal opinions 2. Build rapport by showing client respect – if not, he may be afraid to tell about CAM use3. Understand that C.A.M. can be beneficial, when used correctly4. Be aware that C.A.M. can be dangerous if it interacts or interferes with conventional treatmentCourse outcome #1Unit outcome #1
اسلاید 21: C. Matthews RN, MSN M. Elias RN, MSN SP1121RN must:5. Be willing to teach the public about the positive and negative information regarding C.A.M.6. Be aware that use of C.A.M. is popular and increasing and must be included in the history & physical7. Know that Herbals, in particular, can have significant effect on prescription drugs and body functionCourse outcome #1,2Unit outcome #1
اسلاید 22: National Center for Complementary and Alternative MedicineNational Institutes of Health established NCCAM.Purposes:Fund studies evaluating effectiveness of C.A.M.Advance health professional knowledge re: C.A.M.Serve as a clearinghouse for information about these therapies5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1122
اسلاید 23: C. Matthews RN, MSN M. Elias RN, MSN SP1123NCCAM Domains of C.A.M. Ignatavicius pg 8; Wilkinson p. 1020National Center for Complementary and Alternative Medicine – 5 categoriesSystems of Health CareMind-body therapiesManipulative and body-based therapiesBiologically based therapiesEnergy therapiesUnit outcome #3
اسلاید 24: C. Matthews RN, MSN M. Elias RN, MSN SP1124Mind-BodyMeditationStress relief/ reduce anxietyRelaxationReduced levels of lactic acidDecreased oxygen consumptionSlowed heart rateDecreased blood pressureImproved function of immune systemReduce painRelieve symptoms of psoriasisImprove health(References: Ignativicius; Wilkinson)Unit outcomes #1-5
اسلاید 25: C. Matthews RN, MSN M. Elias RN, MSN SP1125Relaxation Used post-operatively (Ignatavicius, p. 299)Relaxation techniques (Ignatavicius, p. 56-57)To reduce anxiety, tension & emotional tension which can exacerbate painRelaxation (Wilkinson Vol 2, p. 967; Vol 1, pg 806-807)Progressive muscle relaxation (PMR) (Wilkinson p. 807)Promoting sleepCan be taught in home settingNurses can use for reduction of pain & stress. Unit outcomes #1-5
اسلاید 26: C. Matthews RN, MSN M. Elias RN, MSN SP1126Guided Imagery Distraction when confronting pain, discomfort or fear Making decisions and altering behaviorCaution: not recommended for emotionally unstable or cognitively impaired clientHelps reduce pain.Reduction of nausea & vomiting.Decreasing anxietyPromoting comfort during cancer treatmentIgnatavicius, 6th ed. p. 9Unit outcomes #1-5
اسلاید 27: C. Matthews RN, MSN M. Elias RN, MSN SP1127Mind - BodyBiofeedback (see Wilkinson text p. 1027)JournalingProvides a vehicle for expressing feelingsHypnosisAdvanced training is NECESSARY HumorBiochemical Responses?Physiologic Responses?Unit outcomes #1-5
اسلاید 28: Spiritual Life force beliefs found in most cultures. (Wilkinson, p 1020)Faith healing (Wilkinson page 260)5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1128
اسلاید 29: C. Matthews RN, MSN M. Elias RN, MSN SP1129Spiritual spiritual beliefs – how they affect healthLonger life spanPredictors of health outcomesEffects on specific diseases Page 249 WilkinsonUnit outcomes #1-5
اسلاید 30: PrayerMost Widely Used CAM in U.S. (NCCAM, 2004)C.A.M. interventions (Wilkinson page 257)PrayerFor SelfFor OthersHealing Prayer ServicesPrayer GroupsUnit outcomes #1-530C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 31: C. Matthews RN, MSN M. Elias RN, MSN SP1131SpiritualIntercessory prayerAn organized and regular form of prayer in which someone communicates with his or her higher power on behalf of another who is in need. Healing prayerStudies showing evidence of improvementWilkinson, p 259-260 Unit outcomes #1-5
اسلاید 32: C. Matthews RN, MSN M. Elias RN, MSN SP1132SpiritualNurses should expect to work in collaboration with others, particularly ministers, pastors and chaplains, to meet the complex spiritual needs of all patients.Potential problem: the nurse and patient have different views of spiritualityRespect patient’s wishesIf patient asks for spiritual intervention that is inconsistent with the nurse’s beliefs, seek assistance from another nurse or chaplain.Unit outcomes #1-5
اسلاید 33: C. Matthews RN, MSN M. Elias RN, MSN SP1133 Manipulative and body-based methods Movement & exerciseStrengthens circulatory & respiratory functionEndorphinsHelps regulate metabolismEnhances Immune systemUnit outcomes #1-5
اسلاید 34: C. Matthews RN, MSN M. Elias RN, MSN SP1134 Manipulative and Body-based Therapies Yoga “life forces in correct balance and flowConcentration, strength, flexibility, symbolic movementsBreathing, movement & postureTai ChiPromotes the flow of qi or energy throughout the bodyIgnatavicius, p. 11Reduces sx. of fibromyalgiaUsed in cardiac rehab programs, can lower BPUnit outcomes #1-5
اسلاید 35: Chiropractic and OsteopathyChiropracticRelationship between Body Structure and FunctionSubluxation & AdjustmentOsteopaths D.O. vs. M.D.Includes Osteopathic ManipulationUnit outcomes #1-535C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 36: MassageMuscles & Soft TissuesBenefits of MassageContraindications for MassageCan we (nurses) do Massage?Unit outcomes #1-536C. Matthews RN, MSN M.Elias RN, MSN SP10
اسلاید 37: C. Matthews RN, MSN M. Elias RN, MSN SP1137Energy – Based Therapies “A group of techniques that work with the body’s energy field by the use of the hands to direct or redirect the energy to enhance balance within the field.” (see Wilkinson page 1033-34)alternativecancer.us/aura.jpg Unit outcomes #1-5
اسلاید 38: CC. Matthews RN, MSN M. Elias RN, MSN SP1138Energy – Based TherapiesEnergy fields http://images.google.com/images?hl=en&q=layers+of+body+energy+field&btnG=Search+Images&gbv=2Layers Chakras Reflexology ‘zones’ http://images.google.com/images?gbv=2&hl=en&q=reflexology+zones&btnG=Search+ImagesTraditional Chinese Medicine – 12 Meridians (Ignatavicius, 6th ed., page 9) Acupressure ‘meridians’ (Wilkinson figure 40-3 page 1024) Acupuncture chi/blockageswww.windsofchange.eu.com/chakra.html Unit outcomes #1-5
اسلاید 39: C. Matthews RN, MSN M. Elias RN, MSN SP1139Energy – Based TherapiesTherapeutic massagePrecaution – Wilkinson p. 1033Therapeutic touchCaution for touch – Ignatavicius 6th ed., page 13Healing touchReikiAcupressureReflexology Unit outcomes #1-5
اسلاید 40: C. Matthews RN, MSN M. Elias RN, MSN SP1140Energy – Based TherapiesTT (Therapeutic Touch)Integral to assessmentBondingCommunicationSoothing, calming, comfortorientationContraindications When NOT to touch – Ignatavicius pg. 13Unit outcomes #1-5
اسلاید 41: ReikiCreate Energy BalancePatient draws EnergyReiki Masters & TrainingUnit outcomes #1-541C. Matthews RN, MSN M. Elias RN, MSN SP11http://www.centurylink.net/search/index.php?q=google&context=www.centurylink.net“Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by "laying on hands" and is based on the idea that an unseen "life force energy" flows through us and is what causes us to be alive.”
اسلاید 42: Reflexology/AcupressureReflexology Ancient EgyptEnergy Zones Top to BottomPressure PointsWhat conditions benefit from it?AcupressureMeridians & Pressure PointsUnit outcomes #1-542C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 43: AcupunctureDerived from traditional Chinese medicine and other countries and alternative systemsQi (chi) Energy travels through 72 Meridians in the bodyNeedles are applied to Acupoints on the Meridians to restore the flow of qiUnit outcomes #1-543C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 44: C. Matthews RN, MSN M.Elias RN, MSN SP1044Acupuncture – uses for Migraine headache – Ignatavicius, p. 953 Pain and Anesthesia – Ignatavicius p. 575/14/2018
اسلاید 45: 5/14/2018C. Matthews RN, MSN M.Elias RN, MSN SP1045The dreaded nausea and vomiting which commonly occurs in some patients undergoing chemotherapy and inevitably, with the use of certain classes of agents, can often be worse than the disease itself. Most oncologists have experienced the patients who start vomiting at the thought of their next clinic visit. At the University of Los Angeles (UCLA) School of Medicine, a well-controlled study completed over two Years ago, the authors of the published paper reported significant reduction of nausea and vomiting when pre-treated with. It is now routinely administered before, after and in between chemotherapy treatment sessions for control or nausea and emesis. Such treatments are relatively simple and easily executed in an outpatient setting. Its effectiveness helps in minimizing the use of standard, expensive multi-drug anti-nausea regimens with their attendant side effects, given along with the chemotherapeutic agents. Acupuncture in Cancer Treatment by Eugene Mak, MD@ http://www.medicalacupuncture.org/acu_info/articles/cancertreatment.html
اسلاید 46: Biologically Based TherapiesDietary TherapiesHerbsVitaminsAromatherapyCourse outcome #2, 3 & 4Unit outcomes #1-546C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 47: C. Matthews RN, MSN M. Elias RN, MSN SP1147Dietary TherapiesNutraceuticals and phytonutrientsProtective or healing agents found in plant and animal foods.Free radicals: unstable molecules that alter genetic codes and trigger the development of cancer growth in cells.Antioxidants: react with free radicals, preventing their damaging effectsSources of antioxidants: vitamin C, beta-carotene, vitamin ECourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 48: C. Matthews RN, MSN M. Elias RN, MSN SP1148Dietary TherapiesMacrobiotic Diets Yin/ yang of foodsBalanced foods Foods to avoid: processed and treated foods, red meat, sugar, dairy products, eggs, caffeineCaution: children and pregnant women may have deficiency in Vitamins D and B12Course outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 49: C. Matthews RN, MSN M. Elias RN, MSN SP1149Aromatherapy – Wilkinson page 1030Essences from oils extracted from plants & flowers.Conditions responsive to aromatherapy:Stress and anxietyMuscular and rheumatic painsDigestive disordersSkin conditionsCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 50: AromatherapyCan be used for sense of smell, but also as compresses, baths or topical5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1150
اسلاید 51: C. Matthews RN, MSN M. Elias RN, MSN SP1151Aromatherapy (Ignativicius, p.12)Lavender – promotes relaxation & sleepPeppermint – stimulation, concentrationSandalwood – ease depressionTea tree – treating MRSA?Chamomile – relaxationLemon – promotes sleep/ tx for insomnia and/or digestive disordersCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 52: C. Matthews RN, MSN M. Elias RN, MSN SP1152HerbalsCherokee story“…humans were without diseases until the animals created them in retribution for the lack of respect humans had shown them. The plants, however, felt that the animals were much too harsh and volunteered themselves to provide a cure for every disease the animals had created.”Cavendar, p. 55Course outcome # 3 & 4Unit outcomes #1-5
اسلاید 53: C. Matthews RN, MSN M. Elias RN, MSN SP1153HERBALS – what RN needs to knowMajor drawback: May delay important diagnosis and treatment.Nursing Intervention: Make certain MD or ARNP is aware of client’s use of herbals.Nursing action: What to assess & instruct pre-op client regarding herbal therapy. Course outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 54: C. Matthews RN, MSN M. Elias RN, MSN SP1154HERBALS – what RN needs to knowFDA categorized herbals as food and nutritional supplements not as drugs The Dietary Supplement Health & Education Act (DSHEA) of 1994 allowed herbs to be sold as dietary supplements as long as there are no health claims written on labelsDSHEA requires no proof of safety or efficacy and sets no standards for products labeled as supplements, i.e. no guarantee the herb is properly preparedCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 55: C. Matthews RN, MSN M. Elias RN, MSN SP1155Commonly used Herbals Ignatavicius page 12 – table 2-3Know intended uses for eachKnow Caution & adverse effects of eachGingko bilboaGarlicEchinaceaGinsengSt. John’s WortCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 56: Ginko BilobaReduce Memory Problems, Dementia, Peripheral Vascular DiseaseAntioxidant & Vasodilatory PropertiesBUT can cause BLEEDING when used with AnticoagulantsAvoid before surgeryAlso cause Headache, GI UpsetCourse outcome #2, 3 & 4Unit outcomes #1-556C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 57: GarlicLowers Cholesterol, Lowers BP, Natural Antibiotic, Natural Anti-platelet AgentBUT Causes BLEEDING with other Anti-platelet DrugsPotentiates Anti-diabetic DrugsAvoid before SurgeryCourse outcome #2, 3 & 4Unit outcomes #1-557C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 58: EchinaceaBuilds Immunity, Helps Wound HealingUse > 8 Weeks & Possible Immune Function Suppression NOT Recommended for People with Immune DiseasesCourse outcome #2, 3 & 4Unit outcomes #1-558C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 59: Ginseng Asian Ginseng- Diabetes, Erectile Dysfunction, “Unclear” ThinkingAmerican Ginseng- Diabetes, Prevention of Colds & FluSiberian Ginseng- Prevent Colds & Flu, reduce Severity of Herpes Simplex type 2 InfectionsBUT, BUT, BUT, BUT…Course outcome #2, 3 & 4Unit outcomes #1-559C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 60: Ginseng and the Big Buts5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1160
اسلاید 61: Ginseng & The BIG BUTSInsomnia, Headache, Agitation, GI Upset, Unusual Menstrual Bleeding, Breast Pain, Dizziness, Increase or Decrease BP, Hypoglycemia, Fast/Pounding/Irregular Heartbeat; Severe Allergic ReactionNot with Immune System Disorders, Schizophrenia, Endometriosis, FibroidsNOT FOR Long-term UseCourse outcome # 2, 3 & 4Unit outcomes #1-561C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 62: St. John’s WortEase Mild to Moderate DepressionBUT causes PhotosensitivityDO NOT use in Major DepressionDO NOT use with Other Antidepressants Course outcome #2, 3 & 4Unit outcomes #1-562C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 63: C. Matthews RN, MSN M. Elias RN, MSN SP1163HerbalsAlert: “Natural” does not always mean harmless. Plants used improperly can be poisonous.Chemicals within herbs can strengthen the immune system, alter blood chemistry, or protect specific organs against disease Caution: some individuals may have allergiesCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 64: C. Matthews RN, MSN M. Elias RN, MSN SP1164Herbals Special precaution with pregnant or lactating women and children – should not use without physician’s knowledgeRationale:Unpredictable biologic effectsPossible allergiesSide effectsHerbs have chemical compositionLittle or no regulation of production/ qualityPossible herb/drug or herb/herb interactionPossible delay of treatment is dangerousCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 65: C. Matthews RN, MSN M. Elias RN, MSN SP1165Herbals & the RNTeach about signs of allergic reactionsTeach that herbs can be dangerous even if they are not Rx and are “natural”Course outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 66: C. Matthews RN, MSN M. Elias RN, MSN SP1166Herbals & the RNAlways ask about use of herbals when getting medication history“What is the story of why the patient is using the plant medicine or therapy?”Libster, p. 809Teach clients to look for products labeled ‘standardized’ – these more likely to have accurate amounts of herb and less likely to have contaminationCourse outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 67: C. Matthews RN, MSN M. Elias RN, MSN SP1167Have had spiritual significance since ancient times and they also were adopted as medicines for physical ailments. In modern Chinese Materia Medica, these two resins are classified as herbs for vitalizing circulation of blood and are utilized for treating traumatic injury, painful swellings, masses, and other disorders related to stasis syndromes. MYRRH AND FRANKINCENSE by Subhuti Dharmananda, Ph.D., May 2003 @ http://www.itmonline.org/arts/myrrh.htm*Will not be on the test!Course outcome #2, 3 & 4Unit outcomes #1-5Frankincense and Myrrh* medicinal use
اسلاید 68: Pain in the epigastrum, abdomen, hypochondria, and/or heart due to qi and blood stasis, and stagnation in the viscera and bowels or the channels (jing) and network vessels (luo). Amenorrhea, dysmenorrhea, or postpartum abdominal pain due to blood stasis. Rheumatic complaints due to wind damp causing qi and blood stagnation and stasis in the network vessels. Wounds, scars, and skin inflammation with blood stasis and necrotic tissue. Traumatic injuries with pain, swelling, and redness due to qi stagnation and blood stasis.MYRRH AND FRANKINCENSE by Subhuti Dharmananda, Ph.D., May 2003 @ http://www.itmonline.org/arts/myrrh.htm5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1168
اسلاید 69: C. Matthews RN, MSN M. Elias RN, MSN SP1169Folk Medicine (Ignatavicius, 6th ed., page 32-33)Learned from experiencePassed from generation to generationPreservation of heritage/ cultureSome have been scientifically proven (ex. Garlic)Plants/herbsHot/cold“Evil Eye” (Mal de Ojo)Course outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 70: 5/14/2018C. Matthews RN, MSN M. Elias RN, MSN SP1170
اسلاید 71: C. Matthews RN, MSN M. Elias RN, MSN SP1171Folk MedicineOwn terminology: (Feel free to ask the meaning)“high blood”“low blood”“thin blood”“Thick blood”conjurewater“fall out”gimpydropsyrisin’ sugar cut painWeeded breasts“snuffing the mother”“the itch”Cavendar, 2003Course outcome #2, 3 & 4Unit outcomes #1-5
اسلاید 72: Course outcome #2Unit outcome #6C. Matthews RN, MSN M. Elias RN, MSN SP1172
اسلاید 73: C. Matthews RN, MSN M. Elias RN, MSN SP1173What is Quackery?A pretenderQuestionable products & servicesOverpromotion vs fraudMisinformationUseful for some purposes, not othersCourse outcome #2Unit outcome #6
اسلاید 74: C. Matthews RN, MSN M. Elias RN, MSN SP1174How to spot QuackeryTell only part of the storyOverpromotes nutritional insurancePlay on fears about chemicals‘Everyone needs supplements’Promise quick, dramatic, miraculous resultsAnecdotes & testimonialsQuestionable credentialsClaim persecutionPromote distrustTake claims directly to the media, not peersResist peer reviewCourse outcome #2Unit outcome #6
اسلاید 75: C. Matthews RN, MSN M. Elias RN, MSN SP1175Nurses Educate the PublicTeach signals of fraudulent practiceAvoid ‘healers’ who:Promise immediate relief or successState that their way is the only sure therapyRefuse to work with other health care providersClaim to have all the answersUse testimonials that claim amazing resultsCourse outcome #2Unit outcome #6
اسلاید 76: One Minute PaperNow is the time to write short answers to:What is something you heard today that is new to you?How do you plan to approach your clients about CAM?List one thing that surprised you.List one thing that reinforced something you already believed.5/14/201876C. Matthews RN, MSN M. Elias RN, MSN SP11
اسلاید 77: C. Matthews RN, MSN M. Elias RN, MSN SP1177ReferencesCavender, A.(2003) Folk Medicine in Southern Appalachia. The University of North Carolina Press, Chapel Hill, N.C.Ignatavicius, D.D. & Workman, M.L. (2010) Medical-Surgical Nursing. 6th ed. Elsevier Saunders, St. Louis, Missouri.Libster, M.L. (2002) Delmar’s Integrative Herb Guide for Nurses. Delmar Thomson Learning. United States. Wilkinson, J.M. & Treas, L.S. (2011) Fundamentals of nursing, 2nd ed. FA Davis Company, Philadelphia, PA. 5/14/2018
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