1. Nursing Management of Clients Utilizing ALTERNATIVE THERAPIES NUR101 Fall 2008 Lecture # 25 K. Burger, MSEd, MSN, RN, CNE Revised: J Borrero 12/08

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

5. Integrative Medicine Combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and efficacy.

6. Complementary or Alternative Therapies in Health Care Complementary These therapies are used in addition to conventional treatment: Therapeutic touch Imagery Relaxation Exercise Reflexology Art, music, dance Biofeedback Alternative These therapies replace allopathic medical care: Chiropractic Feldenkrais Chinese medicine Ayurvedic medicine CAM

7. Nursing-Accessible Therapies Relaxation therapy Meditation and breathing Imagery

8. Training-Specific Therapies BiofeedbackTherapeutic touch Chiropractic therapyTraditional Chinese medicine AcupunctureHerbal therapies

9. Nursing Role in Complementary and Alternative Therapies Multiple practitioner approach Holistic in nature Follow Nurse Practice Act Scope of Practice Work closely with client

10. 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

11. Alternative Medical Systems Complete systems of theory & practice Based on older systems than today’s conventional medical system Ayurveda Traditional Chinese medicine Homeopathy

12. Mind-Body Interventions Utilizing the power of the mind to promote healing and alleviate symptoms Meditation Guided Imagery Hypnotherapy Bio-feedback

13. Biologically Based Therapies Utilize natural substances and dietary supplements to improve health Herbs Mega vitamins Macrobiotic diet

14. Manipulative and Body-Based Manipulation and movement of body parts promotes health and relieves symptoms. Massage Acupressure Chiropractic / Osteopathic manipulation

15. Energy Therapies Energy fields that exist within the body can be manipulated to benefit health Reiki Therapeutic Touch Bio electromagnetics

16. 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).