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

2. Complementary and Alternative Medicine CAM 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 Medicine Versus Alternative Therapy Complementary Medicine = Used together with conventional medicine. Ex: using massage along with traditional analgesic medications. Alternative Therapy = Used in place of conventional medicine Ex: 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 therapies Meditation / Breathing Imagery Others require special training: Biofeedback Therapeutic Touch Acupuncture

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

13. NCCAM CAM 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).