Complementary And Alternative Therapies
Citrus is one essential oil that has been shown to be useful during labor and delivery. DIF: Cognitive Level: Analysis REF: p. 768 OBJ: 7 TOP: Aromatherapy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. A parent asks the nurse, "What is guided imagery?" The nurse explains: a. "It is a technique where the patient focuses on an image to relieve stress." b. "It involves using water to promote relaxation." c. "The patient enters a hypnotic state of sleep to promote relaxation." d. "It helps the patient recognize tension in the muscles with responses on an electronic machine." In guided imagery, by focusing on a specific image, stress reduction and improved performance can result. DIF: Cognitive Level: Knowledge REF: p. 768 OBJ: 7 TOP: Guided Imagery KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 6. The woman taking St. John's wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. The nurse would instruct the woman that: a. the herbs are not likely to cause any problems during the surgery. b. the St. John's wort must be stopped prior to surgery, but she can continue the ginseng. c. the ginseng should be stopped 1 week before surgery. d. she should discontinue taking both herbs 2 weeks before surgery. Both St. John's wort and ginseng can cause problems during surgery, and their use should be discontinued 2 weeks before surgery. DIF: Cognitive Level: Analysis REF: p. 765, Table 34-1 KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk 7. The nurse suggests which herb that is used for discomforts associated with menopause, such as hot flashes? The use of guided imagery has helped relieve some of the sympt Continue reading >>
Ch 27: Complementary And Alternative Therapies Prepu
The instructor is describing the definition of holism. Integrative perspective is combining allopathic and complementary and alternative therapy (CAM). The medical system perspective is based on a philosophy and theory about health and illness along with specific types of treatment that may be based in culture. The allopathic perspective is based in biomedicine. Holism is the only perspective that is looking at parts interacting with each other and the environment. Which nursing action is an example of using integrative care? a) A nurse performing a home assessment of an older adult client recommends a referral to social services. b) A nurse monitors the heartbeat of a fetus and charts the height of the mother's fundus on the medical record. c) A nurse provides music therapy along with relaxation techniques for residents of a long-term facility. d) A nurse instructs a laboring woman to use breathing exercises, and assists with the administration of an epidural for her pain. A nurse instructs a laboring woman to use breathing exercises, and assists with the administration of an epidural for her pain. A nurse who uses integrative care uses some combination of allopathic medicine and CAM as seen with the nurse helping the woman in labor. Which is the most important role of the nurse in using complementary and alternative therapies? a) Practicing guided imagery prior to surgery b) Providing nutrition supplements for weight gain c) Administering herbal supplements for anxiety d) Educating the public about safety and effectiveness Educating the public about safety and effectiveness\ The most important role of the nurse in using CAT is educating the public about the safety and effectiveness of using the therapies. Herbal supplements for anxiety and nutrition supplements may b Continue reading >>
Food And Culture Test 1
What is the fastest growing ethnic group in the US? Values, beliefs, attitudes and practices accepted by members of a group or community The multiplicity of ways in which humans use food is termed.... The need for humans to experiment with food choices but at the same time be conservative is called... The process of handing down manners and understandings in common to a culture from one generation to the next is a good definition of... Children learn food preferences from trusted or valued others. Who has the least long lasting influence? Culturally specific preferences become apparent around what age? Rules regarding who can dine together are called.... Following the flavor principles model, herbs and spice.... to help palatability, disguise spoiled meats and produce physiological responses. Cultural membership or social identity is defined by According to the Consumer Food Choice Model, what factors influence food selection? Complex rules that define how humans eat meals are called.... Examples of incorporation of food associations Rare meat to build muscles, walnuts to improve brain function, insects as a protein source. association with a religious value, status Foods that satisfy the basic need for food familiarity eaten during personal events or times of stress are called An example of renaming a food in order to assert a new cultural identity is As peoples become acculturated, which habits are likely to be the last to change? According to the Core and Complementary Foods Model, foods that are eaten sporadically and are an indicator of individual food preference are: Two main protein foods eaten by Greeks virtually daily include lamb and legumes. These would be examples of Changes in food behavior happen most often with The soil, texture, minerals, drainage, sour Continue reading >>
Chapter 6 - Complementary And Alternative Therapies
There is scientific evidence that fish oil is helpful in treating hypertriglyceridemia. The other therapies will not be helpful to lower the triglyceride levels in this patient. The nurse assesses a patient with fibromyalgia and osteoarthritis. Which finding would indicate a need for patient teaching? a. The patient takes glucosamine daily for knee and hip pain. b. The patient attends a weekly yoga class to improve flexibility and balance. c. The patient states that prayer helps improve the pain and her ability to function. d. The patient obtains information about herbs from a salesperson at a health food store. The sales personnel at a health food store are not necessarily a reliable source of information. The patient may need some teaching about the safe use of herbal remedies. The other information given by the patient indicates appropriate use of complementary and alternative therapies. The nurse teaches a patient about Healing Touch. Which statement by the nurse is the most appropriate? a. "This therapy will realign your energy flow." b. "I will start by manipulating your muscles and soft tissues." c. "Pressure will be applied to body points where energy is obstructed." d. "The treatment consists of passively moving joints through full range of motion." Healing Touch involves the use of the practitioner's hands to realign the patient's energy flow. The other options describe other complementary and alternative therapies (CATs) such as massage, chiropractic therapy, and acupressure. A patient undergoing chemotherapy complains of nausea and asks the nurse whether there are any complementary and alternative therapies that may help. Which therapy should the nurse recommend to the patient? Echinacea may have some benefit in reducing the incidence and duration of the co Continue reading >>
Chapter 11 Sdp Flashcards | Quizlet
Ductless glands secrete hormones into bloodstream to Target tissues Regulates and integrates the body's metabolic activities Has billions of nerve cells that regulate and coordinate body activities Links the nervous system to the endocrine system via the pituitary gland. Function: hormones of this gland help regulate the functions of other endocrine glands. Two parts: anterior lobe and posterior lobe. Gigantism results from hypersecretion of hGH during the growing years Acromegaly results from hypersecretion of hGH in adulthood Incision through the nose to remove tumor Causes serious complications and can be life shortening due to overgrowth of bones and soft tissue What hormones are deficient in Hypopituitarism? Depend on age of client, deficient hormones Slow emergence of secondary sexual characteristics What hormone are deficient in diabetes insipidus? Polyuria (4 to 16 liters of urine in 24 hours) What are the physicians looking for when they palpate the neck during a patient's exam? Thyroid enlarges when it cannot secrete enough of thyroid hormones T3, T4 Serious complication of untreated Graves Disease can cause it Cretinism result of congenital deficiency of hormones Myxedema result of deficiency of hormones in later childhood or adulthood Signs and Symptoms of Hypothyroidism in adulthood Fatigue, constipation, intolerance to cold, muscle cramps, mental clouding Later symptoms include mental clouding, diminished appetite and weight gain, dry skin, brittle hair and nails What are the results of the blood test performed to diagnose Hashimoto thyroiditis? Can a patient with thyroid cancer who has radioactive therapy be in close contact with children and pregnant women? Signs and Symptoms of hyperparathyroidism Continue reading >>
4-10 Complementary Therapies And Spirituality
Which hormones are known to inhibit the immune system when a person is stressed? You are caring for a Jehovah's Witness patient who is experiencing great anxiety because he needs a blood transfusion to survive but his religion forbids him from having it. Which of the following would be the most appropriate nursing diagnosis for this client? Anxiety related to deciding whether to accept a blood transfusion and violate one's religious beliefs or to die A client is halfway through her 6 weeks of chemotherapy for breast cancer. You ask her how she is doing and she replies, "Awful at the moment, but in another month or so I expect to be outstanding." Which of the following aspects of spirituality is this client most exhibiting? an evolving pattern of believing that grounds and guides us and helps us make sense of the world and confront the challenges we face. a dynamic process that reflects a positive orientation toward future outcomes. A patient who is near death asks you whether you believe in an afterlife. Which of the following would be the most appropriate response to the patient? Engage in conversation with the patient, attempting to learn what his spiritual needs and concerns are. A patient asks the nurse to pray for her. The nurse is willing to pray but uncertain how to proceed. Which of the following should the nurse do? Ask what the patient would like prayer for. You are caring for a client who suffered third-degree burns over much of his body. He is in excruciating pain, despite being on a heavy dose of morphine. He says to you, "I don't believe there is a god anymore. No god would let anyone suffer this much." Which of the following would be the most appropriate nursing diagnosis for this client? Spiritual Distress related to unremitting pain and loss of hope fo Continue reading >>
Dietary Management For Feline Type 2 Diabetes
Insulin resistance and secondary B-cell failure. May be managed using oral hypoglycemic agents, diet, or insulin. DM is one of the most common Feline endocrinopathies... Can be challenging, particularly in the early stages when the cats are non-insulin dependent. However, when clinical signs of diabetes is observed, (polyuria, polydipsia), many cats may still benefit from alternatives to insulin therapy. The primary abnormalities associated with type 2 DM, such as obesity and insulin resistance, are reversible. Insulin secretory ability,however, may be reversible(glucose toxicity) or irreversible(pancreatic amyloid deposition). In cats the differentiation of insulin dependent (type 1) DM and non-insulin-dependent (type 2) DM is virtually impossible before treatment; therefore the clinician may have to rely on the response to oral hypoglycemic agents as a guide to whether the cat has sufficient B-cell function to be managed with oral hypoglycemic agents. Goals of therapy for DM include restoration of normal fasting serum glucose concentrations, normalization of serum fructosamine, and reversal or attenuation of chronic complications, such as diabetic neuropathy and neuropathy. As in humans patients with Type 2 DM, the best approach to cats is a stepwise progression from dietary management to oral hypoglycemic and finally to insulin therapy when "islet burnout" occurs. Exercise and diet is the cornerstone of therapy in human patients with type 2 DM. In most diabetic cats, exercise is not a reasonable option. One mechanism by which cats may be encouraged to jump up on the refrigerator or counter to find small amounts of food and then have to hunt for the rest of the food at the opposite end of the house. In humans, diabetic patients, fiber supplementation is beneficial in Continue reading >>
Ch. 27 Complementary And Alternative Therapies
Concentrative meditation is most familiar to people. The person focuses on an object such as prayer, a chant, or visualization. Martha Jimenez is a 32-year-old obese woman. She tells the nurse that she has been exercising and trying to eat healthier for the last 2 months and is feeling healthier. However, she is frustrated now because during the first month she lost 5 pounds and in the last month she only lost 1 pound. She is worried that the stress she is feeling over her frustration is going to lead her to overeat again. Martha is in which stage of behavior change? On the advice of friends, a client on a palliative care unit has requested acupuncture. What it is the goal of this form of CAM? a) allowing accumulated toxins to be released from the body b) altering the client's perception and acceptance of reality c) restoring a healthy flow of energy along the meridians of the body d) reconnecting the client's body, spirit, and emotions restoring a healthy flow of energy along the meridians of the body Acupuncture either increases or decreases the flow of qi along the meridians of the body. It does not directly address the relationships between body, spirit, and emotions, nor does it aim to release toxins or change an individual's perception of reality. Which of these assessment findings indicate a positive outcome for a client after acupuncture? a) The client has increased his or her flexibility and strength. b) The client has lost 8 pounds over the last 2 months. c) The client reports a reduction in pain level to 3 out of 10. d) The client has improved balance and coordination. The client reports a reduction in pain level to 3 out of 10. Acupuncture can help with reduction of pain and nausea with clients. It is not a treatment for balance and coordination, strength a Continue reading >>
Chapter 32 Flashcards | Quizlet
2. Insulin and vitamins. 3. Cough syrups and aspirin. 4. Antihypertensive and thyroid-regulating medications. Rationale: Mind-body techniques, including meditation, create physiological responses in the cardiovascular and respiratory systems. These responses may include decreased blood pressure, reduced heart rate, and slowed respirations. They decrease the need for antihypertensive and other cardiac regulators and thyroid-regulating medications. 9. A patient who has been using relaxation wants a better response. The nurse recommends the addition of biofeedback. What is the expected outcome related to using this additional modality? 3. To live longer with acquired immunodeficiency syndrome (AIDS) 4. To learn how to control some autonomic nervous system Rationale: Biofeedback is a mind-body technique that teaches self-regulation and voluntary control over specific physiological responses, including autonomic nervous system response. 10. A patient asks a nurse about therapeutic touch (TT). Which of the following does the nurse include when providing patient education about TT? Therapeutic touch: 1. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient's biofield 2. Intentionally heals specific diseases or corrects certain symptoms 3. Is overwhelmingly effective in many conditions 4. Is completely safe and does not warrant any special precautions Rationale: TT is focused on healing the whole person and providing energy to the body that supports innate healing responses. The research literature is questionable; systematic analyses claim that the research designs are too weak for any conclusive evidence to be identified with confidence. Although TT is relatively safe and there have been very few negative events associated with its use, all therap Continue reading >>
Diseases And Conditions Ch 1
Which of the following describe how a pathogen can cause disease? By releasing harmful toxins into the body. Invasion and destruction of living tissue. Systemic manifestations of severe allergic responses include: The concept of medical care that focuses on the needs of the whole person-spiritual, cognitive, social, physical, and emotional-is the: The concept of care that affirms life and neither hastens or postpones death is the : Which of the following is responsible for stimulating the immune system to produce antibodies? A new tissue growth or a tumor is called a: Predisposing factors related to lifestyle include: smoking, poor nutrition, lack of exercise, risky sexual behavior The degree of abnormal microscopic appearance of the tumor cells. The TNM system of staging a malignant tumor assesses for: Medications prescribed for pain are termed: An epinephrine kit for self administration may be prescribed for an individual known to have severe: Chemotherapy for cancer involves use of medicines to: Reye syndrome has been associated with the use of Loss of appetitie, vomiting, irritability, and ataxic gait are symptoms associated with: The leading cause of absenteeisim in school children is: The failure of the testicle(s) to descend into the scrotum is called: If a child is born with tetralogy of Fallot, how many actual heart defects are present? When a person is diagnosed with leukemia, there will be a/an: A sensitivity to iron or cow's milk may cause The most progressive form of muscular dystrophy is: One method of preventing epidemics of contagious diseases is to administer: Hypertension, hematuria, and pain are symptoms of The number one cause of death in children between the ages of 1 month and 1 year is: Rheumatic fever, kidney complications, and rheumatic heart d Continue reading >>
Nurs 3220 Exam 2 Flashcards | Quizlet
do pre diabetics have a higher chance of developing diabetes some months after metabolic disease resulting from relative or absolute insulin deficiency where does carbohydrate metabolism begin and what happens to monosaccharides involved in this process of metabolism carbohydrate metabolism begins with digestion in the small intestines, and the monosaccharides which are the simple sugars are then absorbed into the blood stream what areas of the body are primarily affected when one has low blood sugar storage and creation of glucose through 2 processes: *insulin allows the liver to break down glycogen and make in into glucose so that it can be put into your bloodstream what is the normal range for glucose in the body and what two things regulate this range the normal range for glucose in the body is 80-90(>100 is abnormal) and insulin and glucagon are responsible for maintaining this balance what structure in the body secretes the insulin and glucagon in the body glucagon and insulin are secreted by the pancreas, specifically by cells in the Islet of Langerhan's what happens when the blood glucose is too low brain and nervous system become affected and you start to see symptoms of disorientation, confusion, fatigue. You can become so sleepy that you actually fall asleep and get in a coma. (*when you get to this point you cannot be given something to eat to increase your blood sugar because you can aspirate) what are things that hyperglycemia is toxic to 4. hyper-osmotic effects such as in the kidneys what happens in the hyper-osmotic effect in the kidneys Glucose has an osmotic value, so with high sugar it tends to draw water into the blood stream to dilute the concentration of the sugar. So when it gets to your kidneys it cannot take all the sugar so it puts it into yo Continue reading >>
Np Diabetes Mellitus Type 2
A syndrome with disordered metabolism and inappropriate hyperglycemia due to either Combination of insulin resistance and inadequate insulin secretion to compensate. Higher than normal glucose levels but not yet high enough to be diagnostic for diabetes. Different terminology and criteria: Impaired Glucose Tolerance (IGT): 75 gm oral glucose tolerance test 140-199 mg/dl. WHO criteria: fasting plasma glucose level from 110 -125 mg/dL ADA criteria: fasting plasma glucose level from 100 - 125 mg/dL)IGT and IFG linked to insulin resistance and signal increased likelihood of progression to Type 2 diabetes due to destruction of pancreatic islet B cells. Immune-medicated: infection or toxic insult to persons whose immune system is genetically predisposed. Idiopathic or type 1 B diabetes: <10% of total diabetic population, often African American or Asian and have no evidence of autoimmunity to explain their insulinopenia. End result is absolute lack of insulin (lack of insulin happens first in Type 1 but occurs late in the course of Type 2) Prone to ketoacidosis. Only 1.4 million people have Type 1 compared to 14.6 million with Type 2. Multiple studies have clearly shown that improving glycemic control improves outcomes Heterogeneous disorder characterized by impaired Beta cell function (defective insulin secretion) and by diminished tissue (liver, muscle, adipose) sensitivity to insulin (insulin resistance). Not prone to ketoacidosis. Accounts for over 90% of all diabetes Insulin secretion is not absent early in the disease Generally has onset after age 40, but can occur at any age Growing epidemic of Type 2 in adolescents (Screening in schools for childhood obesity and Acanthosis nigricans helpful in early diagnosis) Progressive loss of B-cell function during course of Type Continue reading >>
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- Metabolic surgery for treating type 2 diabetes mellitus: Now supported by the world's leading diabetes organizations
Sc17 Lec9 Monitoring Control In Diabetes Mellitus
Other - lipid profile, renal function etc. measures circulating glucose level in a patient who has fasted at least 8 hours blood test to measure the body's response to a concentrated glucose solution. may be used to diagnose diabetes mellitus. test that measures the average blood sugar concentration over a period of time is: long term benefit of controlling blood glucose Prevention of long-term complications e.g. cardio-vascular disease (CVD) Point of Care Test -These are simple medical blood tests which can be performed at the bedside. Essential part of self management / empowerment More frequent testing is associated with better control More accurate but have to spin down in a centrifuge and separate plasma - lab glucose Whole blood glucose is 10-15% lower than in plasma (affected by haematocrit) why does blood glucose decrease if you leave it over night Glucose concentration falls by about 0.5 mmol over 3 hours due to glycolysis in RBC- need to prevent this-Inhibiting glycolysis (with fluoride oxalate) can reduce this - there is still a 0.2-0.3 mmol/L drop in glucose over 2-3 hours Small amount of glucose in the urine during pregnancy can be normal Renal threshold reduced during pregnancy (increased renal flow) However, consistent glycosuria indicates gestational diabetes glucose goes into kidney- absorbs lots - but there is reabsorption Dried pads of reagent on a strip - dipped into urine & colour intensity = concentration - coloured strips measured electronically to reduce human error -Strip readers - now standard in labs blood glucose in T1DM children- is a very variable result- can't use for diagnosis Renal threshold may differ between patients HBA1c reflects glycemic control over the preceding 8 to 12 weeks. but this reflects control over preceding 1 to 2 weeks Continue reading >>
Complementary And Alternative Therapies
-promotes health and assist in healing and injury -Treat or answer problems from chronic illnesses What are some complementary and alternative therapies Guided imagrey, breath work, relaxation, massage, biofeedback, music, art, dance, meditation, chiropractic, herb supplements GEORGIA BROUGHT RELAXATION MASSAGES BEFORE MY ANXIETY DETERMINED MY COMMUNITY HEALTH use surgical interventions, pharamacuadical, diagnostic tools to manage chronic illness Alternative includes same interventions as complementary therapies Complementary alternative medications-CAM An array of health care approaches with a history of use or origins outside of mainstream medicine -hollistic approaches look at more natural approaches Used in addition to conventional treatment (aka integrative therapies) Therapies that replace allopathic medical care Based on different philosophies and life systems Regards and treats the mind-body-spirit of the patient Maintains standards of Holistic Nursing Practice - Advances health and well-being through caring- healing relationships - Uses evidence to inform traditional and emerging interventions that support whole-person/whole-systems healing *A way of being knowing and doing that advances health- limited data make it difficult to establish benefits of complementary Recommend the following when contemplating using complementary history of each therapy, cultures and cultural influences, nursing history and experience, outcomes and safety data When recommending complementary therapies... Weigh risks and benefits of each intervention - Progressive relaxation: requires energy and not recommend for weak patients -Passive relaxation: still the body and mind w/o muscle tension -Reduce negative ways in which people respond Relaxation therapy elongates muscle fibers, red Continue reading >>
Chapter 28 Complementary And Alternative Therapies
Ayurvedic medicine has its roots in India. 705 The client is postoperative. The nurse is practicing healing touch with the client. Which of the following would the nurse evaluate as an expected outcome of healing touch? a) The client states that his anxiety following surgery has decreased. b) The wound is not approximated three days following surgery. c) The client's temperature has remained at or below 100.4F d) The client reports pain as a "6" on a 0 to 10 pain scale. The client states that his anxiety following surgery has decreased. Healing touch may reduce the client's anxiety, stimulate wound healing, relieve pain, and promote health. The wound not being approximated, pain level of "6", and temperature of 100.4F are not expected outcomes of healing touch 714 A client is asking for the nurse to explain acupuncture. What would you tell the client? a) Acupuncture is a dangerous option for the treatment of disease b) Acupuncture is only done in Eastern countries c) Acupuncture is used to correct disharmony d) Acupuncture is beneficial to creating a mood of distraction Acupuncture is used to correct disharmony Acupuncture can be used to correct disharmony or prevent disharmony from developing. 705 Which of the following common types of yoga is done in a 105-degree studio and includes 26 set postures? Allopathic medical care is particularly effective when aggressive treatment is needed in emergency or acute situations but has not been effective in dealing with chronic illnesses, the current primary health problem. 699 While interviewing a client during a routine health visit, the client informs the nurse that he meditates regularly to combat stress. The nurse demonstrates understanding of this technique as involving which of the following? c) Engaging in deep personal Continue reading >>
