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Chapter 6Chapter 6

Self-Care: Over-the-Counter Products, Herbal Therapies, and Drugs for Health

Promotion

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Chapter 6

Lesson 6.1

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Learning ObjectivesLearning 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

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OverviewOverview

• Self-care and OTC drugs

• $6 billion spent on nonprescription remedies

• Common influencesFriendsAdvertisements

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Documenting Patient Health Care Practices

Documenting Patient Health Care Practices

• Nursing knowledge of products

• OTC and prescription interaction

• Container labels

• Complementary and alternative medicine (CAM)

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Over-the-Counter MedicationsOver-the-Counter Medications

• Drug labels: OTC versus prescription

• Common OTC drugs used

• Availability

• Costs

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Product LabelingProduct Labeling

• Role of the FDA

• Label characteristics

• “Hidden” Ingredients: Table 6-1

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Patient TeachingPatient Teaching

• Key facts

• Childhood considerations

• Accurate measurement

• Safety: child-resistant caps

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Complementary and Alternative Medicine, Including Herbal Therapies

Complementary and Alternative Medicine, Including Herbal Therapies

• Alternative medicine

• Complementary medicine

• Integrative practices

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Herbal Therapies and Supplements

Herbal Therapies and Supplements

• Safety

• Lack of scientific studies

• Dietary Supplement Health and Education Act of 1994

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Product Labeling Product Labeling

• General statements about the product’s function in the body

• Folk acceptance

• Role of the healthcare provider

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Pros and Cons 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

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AromatherapyAromatherapy

• Oils

• Massage

• Inhalation

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Chapter 6

Lesson 6.2

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Learning ObjectivesLearning Objectives

• Identify common agents taken for health promotion

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Drugs for Health Promotion: Vitamins and Minerals

Drugs for Health Promotion: Vitamins and Minerals

• Common use

• Self-care

• Costs

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Pros and Cons Pros and Cons

• Lifespan considerations• Nutrition and deficiency

• Vitamins: 50% to 150% of RDA• Dangers of overuse

• Antioxidants• Lifestyles

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Calcium Calcium

• Osteoporosis

• Recommendation

• Vitamin D and calcium absorption

• Administration considerations

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Folic Acid, Vitamin B, and Vitamin B12

Folic Acid, Vitamin B, and Vitamin B12

• Folic acid: prevention of fetal neural tube defects

• Homocysteine

• High-risk populations

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Iron Iron

• Anemia

• Female lifespan considerations

• Excessive iron

• Interactions

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Nursing ResponsibilitiesNursing Responsibilities

• Ask about CAM and OTC drug use

• Advise patients to stop use of any preparations 2 weeks before invasive procedures