2. Define the terms: holism, holistic therapy, alternative therapy, complementary therapy, integrative therapy & holistic nursing  Note examples of :complementary, alternative and integrative therapies  Describe the principles of complementary therapies  Relate complementary therapies to nursing practice and the NCNZ Code of Conduct

3.  Mind / body / spirit / …within the environment  Interconnectedness  Relate to The Te Whare Tapa Wha Maori health model  What Nursing theory complements this philosophy?

4.  “delivering knowledgeable, skilful and human centred nursing care which considers that people are greater than the sum of the parts” Crisp and Taylor (2013)  Explain this statement in your own words

5.  When treatment or therapy occurs alongside or in addition to conventional medicine  The therapies complement each other Examples include: -therapeutic touch, -guided imagery, -reflexology, -exercise

6. Natural products : herbs (botanical), vitamins, minerals, probiotics / Fish oil / omega 3  Mind body practices:  Acupuncture  Massage  Meditation / mindfullness  Movement therapies  Relaxation  Yoga  Tai Chi  Osteopathy  Healing touch  Aromatherapy

7.  List the complementary health therapies that you or members of your family use.  Choose 2 of the therapies from the list and identify 5 points about each.

8.  Alternative medicine or therapy is used alone or instead of conventional medicine  Alternative medicine or therapy is outside the realm of conventional modern medicine  Eg: Chinese medicine  Traditional Chinese medicine  Homeopathy

9.  Reflect What is your opinion about individuals choosing alternative therapies as opposed to conventional medicine.

10. A 50 year old man has a basal cell carcinoma on his left shoulder. He chooses to treat it with spices and herbs. The carcinoma spreads and grows into his tissue……..1 year later he dies from septicaemia as the tumour had invaded his circulatory system

11.  Most complementary / integrative therapies could be regarded as holistic  Explain this statement

12. Aim to treat the whole person  Use a multi-disciplinary approach  Health professionals need to work together

13.  The human body is capable of healing and adaptation  Energy is needed for the body systems to reorder itself  Treat the whole person  Disease affects the whole person  Do no harm  Educate the client

14.  “Everyone can :create an environment conducive to healing eg considering colour, noise, odours, music, exercise, nutrition, education, relaxation… “ Crisp and Taylor (2013) Think about which of these you could include while in clinical

15.  The Nursing Council of New Zealand is clear about Complementary and Alternative therapies and the nurses’ responsibility  Refer to the Code of Conduct (2013)

16.  Principle 4. Maintain health consumer trust by providing safe and competent care: 4.11 You must ensure the use of complementary or alternative therapies is safe and in the best interests of those in your care. * Nurses who practice complementary or alternative medicines should refer to appropriate professional standards Eg.College of Nurses Aotearoa NZ (2011) Complementary and Alternative Therapies Policy

17.  A comprehensive and holistic Health Assessment ……….Needs to include ….” are you taking any other over the counter medicines or using any other therapies?” Reasons include…..  - there can be interactions with prescription medications.

18.  Over the holidays you might like to try out one of the “complementary therapies” to include it in your every day life.  Eg. Meditation mindfullness / exercise

19.  Josephine is 18 years old. She has been admitted for a review of analgesia for chronic pain following a fractured hip and femur after a motor vehicle accident.  She wants to cut down her use of medication and try other means.  What are some options for Josephine regarding complementary and alternative therapies.

20.  A couple of You tube segments that may interest you.  http://www.youtube.com/watch?v=wjXXvtGE ZQQ http://www.youtube.com/watch?v=wjXXvtGE ZQQ The benefits of meditation-Jon Kabat-Zinn  http://www.youtube.com/watch?v=RxBVWPz O8Kc http://www.youtube.com/watch?v=RxBVWPz O8Kc  Mindfullness, meditation and mental health

21.  Please go back to the learning outcomes and check if you can respond to them  Have a great holiday