Chapter 35 Integrative Care Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Conventional health care system  Allopathic  Mainstream  Orthodox  Regular medicine  Biomedicine  Based on highly controlled and federally regulated scientific research Integrative Care in the United States 2 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 38% of adults, 12% of children use some type  Greater use among women and those with higher levels of education and income  Most common therapies are nonvitamin or nonmineral products  Adults most likely to use for musculoskeletal problems  Decrease in CAM therapies for head or chest colds −2008 Study Use of CAM in the United States 3 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Safety and efficacy  Cost  Reimbursement  Placebo effect Consumers and Integrative Care 4 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Nurses need basic knowledge of treatments used so they can  Provide safe and effective care for patients who use a variety of unconventional modalities to meet health needs  Fully understand the health needs of patients and ask questions about the use of CAM as part of a holistic assessment Integrative Nursing Care 5 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Natural products  Mind and body medicine  Manipulative practices  Body-based practices  Other CAM therapies Integrative Care Classifications 6 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Diet and nutrition  Herbal therapy  St. John's Wort  Ginkgo biloba  Black cohosh  Valerian  Herbal teas Natural Products 7 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Meditation  Yoga  Acupuncture  Deep breathing exercises  Guided imagery  Hypnotherapy Mind and Body Practices 8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Spinal manipulation  Massage therapy Manipulative and Body-Based Practices 9 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Homeopathy  Naturopathy  Aromatherapy  Energy therapies  Therapeutic touch  Healing touch Complementary Therapies 10 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

 Reiki  Thought field therapy and emotional freedom technique  Bioelectromagnetic-based therapies  Prayer and spirituality Complementary Therapies (Cont.) 11 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

One advantage of alternative medicine is that it: A.allows companies other than pharmaceutical manufacturers to profit. B.offers a more cost-effective alternative for persons without health insurance. C.gives the patient more control over his or her treatment. D.enables people to use the Internet to research treatments before using them. Question 1 12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

1.Allopathic, mainstream, or orthodox medicine; regular medicine; and biomedicine are terms that refer to A.manipulative and body-based practices. B.the conventional health care system. C.mind and body practices. D.integrative health care. Audience Response Questions 13 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2.In traditional Chinese healing, which event occurs first? A.Attainment B.Awakening C.Empowerment D.Transformation Audience Response Questions 14 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3.How often do you personally use complementary or alternative practices? A.Daily B.More than once a month C.Rarely D.Never Audience Response Questions 15 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.