Chapter 35

Integrative Care

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Conventional health care system Allopathic Mainstream Orthodox Regular medicine Biomedicine

Based on highly controlled and federally regulated scientific research

Integrative Care in the United States

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38% of adults, 12% of children use some type Greater use among women and those with

higher levels of education and income Most common therapies are nonvitamin or

nonmineral products Adults most likely to use for musculoskeletal

problems Decrease in CAM therapies for head or chest

colds −2008 Study

Use of CAM in the United States

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Safety and efficacy Cost Reimbursement Placebo effect

Consumers and Integrative Care

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Nurses need basic knowledge of treatments used so they can Provide safe and effective care for patients who use a

variety of unconventional modalities to meet health needs

Fully understand the health needs of patients and ask questions about the use of CAM as part of a holistic assessment

Integrative Nursing Care

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Natural products Mind and body medicine Manipulative practices Body-based practices Other CAM therapies

Integrative Care Classifications

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Diet and nutrition Herbal therapy

St. John's Wort Ginkgo biloba Black cohosh Valerian Herbal teas

Natural Products

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Meditation Yoga Acupuncture Deep breathing exercises Guided imagery Hypnotherapy

Mind and Body Practices

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Spinal manipulation Massage therapy

Manipulative and Body-Based Practices

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Homeopathy Naturopathy Aromatherapy Energy therapies Therapeutic touch Healing touch

Complementary Therapies

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Reiki Thought field therapy and emotional freedom

technique Bioelectromagnetic-based therapies Prayer and spirituality

Complementary Therapies (Cont.)

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One advantage of alternative medicine is that it:

A.allows companies other than pharmaceutical manufacturers to profit.

B.offers a more cost-effective alternative for persons without health insurance.

C.gives the patient more control over his or her treatment.

D.enables people to use the Internet to research treatments before using them.

Question 1

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1. Allopathic, mainstream, or orthodox medicine; regular medicine; and biomedicine are terms that refer to

A. manipulative and body-based practices.

B. the conventional health care system.

C. mind and body practices.

D. integrative health care.

Audience Response Questions

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2. In traditional Chinese healing, which event occurs first?

A. Attainment

B. Awakening

C. Empowerment

D. Transformation

Audience Response Questions

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3. How often do you personally use complementary or alternative practices?

A. Daily

B. More than once a month

C. Rarely

D. Never

Audience Response Questions

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