1. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 1 Chapter 6 Self-Care: Over-the-Counter Products, Herbal Therapies, and Drugs for Health Promotion

2. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 2 Chapter 6 Lesson 6.1

3. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 3 Learning Objectives List advantages and disadvantages of over-the-counter (OTC) medications Describe some of the precautions to think about when taking herbals or other alternative or complementary therapies

4. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 4 Overview Self-care and OTC drugs $6 billion spent on nonprescription remedies Common influences Friends Advertisements

5. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 5 Documenting Patient Health Care Practices Nursing knowledge of products OTC and prescription interaction Container labels Complementary and alternative medicine (CAM)

6. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 6 Over-the-Counter Medications Drug labels: OTC versus prescription Common OTC drugs used Availability Costs

7. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 7 Product Labeling Role of the FDA Label characteristics Hidden Ingredients: Table 6-1

8. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 8 Patient Teaching Key facts Childhood considerations Accurate measurement Safety: child-resistant caps

9. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 9 Complementary and Alternative Medicine, Including Herbal Therapies Alternative medicine Complementary medicine Integrative practices

10. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 10 Herbal Therapies and Supplements Safety Lack of scientific studies Dietary Supplement Health and Education Act of 1994

11. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 11 Product Labeling General statements about the products function in the body Folk acceptance Role of the healthcare provider

12. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 12 Pros and Cons Safety, purity, and effectiveness Natural estrogens – phytoestrogens (flaxseed, red clover sprouts, and soy flour) Time Variability in each dose Council for Responsible Nutrition Refer to Tables 6-2, 6-3, 6-4

13. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 13 Aromatherapy Oils Massage Inhalation

14. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 14 Chapter 6 Lesson 6.2

15. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 15 Learning Objectives Identify common agents taken for health promotion

16. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 16 Drugs for Health Promotion: Vitamins and Minerals Common use Self-care Costs

17. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 17 Pros and Cons Lifespan considerations Nutrition and deficiency Vitamins: 50% to 150% of RDA Dangers of overuse Antioxidants Lifestyles

18. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 18 Calcium Osteoporosis Recommendation Vitamin D and calcium absorption Administration considerations

19. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 19 Folic Acid, Vitamin B, and Vitamin B 12 Folic acid: prevention of fetal neural tube defects Homocysteine High-risk populations

20. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 20 Iron Anemia Female lifespan considerations Excessive iron Interactions

21. Elsevier items and derived items © 2010, 2006, 2003, 2000 by Mosby, an imprint of Elsevier Inc. 21 Nursing Responsibilities Ask about CAM and OTC drug use Advise patients to stop use of any preparations 2 weeks before invasive procedures