Ferris State UniversityNURS 450Tracy Stark

Identify types of complementary and alternative medicine.

Declare why it is important to nursing.Discuss relevant evidence-based theories.Explore policies, resources, quality & safety

surrounding the use of complementary and alternative medicine in practice.

Reflection on assessment of health care environment.

Explore recommendations for improvement on quality & safety.

Complementary & Alternative Medicine abbreviated as CAM

Focuses on the person as a whole.It is not based on the patient’s physical symptoms

but also on the individual’s lifestyle, environment, diet, mental, emotional and sometimes even spiritual health.

This is why complementary and alternative medicine is often referred to as holistic medicine.

Traditional Alternative Medicine: Acupuncture Ayurveda Homeopathy Naturopathy Chinese or Oriental

MedicineBody

Chiropractic or Osteopathic Medicine

Aromatherapy Massage Tai Chi Yoga

Diet and Herbs Dietary Supplements

Herbal Medicine

External Energy Electromagnetic Therapy Kinesiology Reiki Qigong

Mind Meditation Biofeedback Hypnosis

Senses Art, Dance, and Music Visualization and Guided

Imagery

(Marcellin, L., Nelson, G. A.,2015)

Acupuncture: scientifically involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation.

University of Maryland completed one of the largest studies on validity of acupuncture. Randomized Controlled Trail followed 570

participantsConcluded that Chinese Acupuncture

significantly reduces pain and improves function for patients with osteoarthritis of the knee

(University of Maryland Medical Center, 2013)

Aromatherapy: Aromatherapy, also referred to as Essential Oil therapy, can be defined as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize and promote the health of body, mind and spirit.  It seeks to unify physiological, psychological and spiritual processes to enhance an individual’s innate healing process.

(National Association for Holistic Aromatherapy, 2015)

Dietary or Herbal Supplements: Usually taken by mouth in the form of tablets, capsules, powder, or liquid and contain one or more of the following: vitamins, minerals amino acids or other botanicals.

In 2007, U.S. adults spend $33.9 billion out of pocket on visits to CAM practitioners and purchases of CAM products, classes and materials!

In 2010, ONLY 43% of U.S. medical schools offered courses or electives in complementary & alternative medicine (CAM).

In 2013, 58 of the 120 members stated that a lack of education and training opportunities for traditional and complementary medicine providers was among their key concerns

Medical Tourism

(Academy of Integrative Health & Medicine, 2015)

https://www.youtube.com/watch?v=i1SlTGBpB2A

Betty Neuman’s Systems Model

Comprehensive holistic and system-based approach to nursing that contains an element of flexibility.

“The condition in which all parts and subparts, or variables, are in harmony with the whole of the client."

(Nursing Theory, 2013)

Betty Neuman’s Systems Model

(Nursing Theory, 2013)

Health Belief Model (HBM)The HBM derives from psychological and

behavioral theory with the foundation that individuals haveThe desire to avoid illness, or conversely get well if

already ill; The belief that a specific health action will prevent, or

cure, illness.Six Major Concepts

(Behavioral Change Models, 2013)

Current Practice Within Hospitals

Hospice

Lack of Education

Placebo EffectMind Over Medicine by Lissa Rankin

“Our minds can make us sick and our minds can make us well”

(Rankin, 2013)

ResourcesEvidence-Based Research!

The American Holistic Nurses Associationhttp://www.ahna.org/

The National Association for Holistic Aromatherapy http://www.naha.org/explore-aromatherapy/resources/

The National Center for Complementary & Integrative Health https://nccih.nih.gov/

Lack of KnowledgeLack of

EducationLack of Evidence

Lack of Interest

Lack of TrainingLack of Marketing

Other Causes?

Without proper education we will fall short of caring for our patients in a holistic way.

Florence NightingaleBe Resourceful!Choose to educate yourself: Get those

CEUs!

.{.Acupuncture.}.Encourage patients to discuss use of acupuncture with their PCP. Educate Yourself! Educate Your Patients!

Find a licensed acupuncturist to discuss treatment opportunities with!American Academy of Medical AcupunctureVisit http://www.medicalacupuncture.org/

National Center for Complementary & Integrative Health: AcupunctureVisit https://nccih.nih.gov/health/acupuncture

(American Academy of Medical Acupuncture, 2015)(National Association for Holistic Aromatherapy, 2015)(National Center for Complementary and Integrative Health, 2015a)

.{.Aromatherapy.}.Encourage patients to discuss use of aromatherapy with their

PCP. Educate Yourself!

Visit http://www.naha.org for information, safety guidelines and research.Important factors that influence the safety of essential oils include:• Quality of essential oil being utilized• Chemical composition of the oil• Method of application• Dosage/dilution to be applied• Integrity of skin• Age of client

(National Association for Holistic Aromatherapy, 2015)

.{.Herbal & Dietary Supplements.}.How Do I Educate My Patients: Recommend they speak with their health care provider AND

suggest they visit: National Institutes of Health: Office Of Dietary Supplements

http://www.ods.od.nih.gov https://www.youtube.com/watch?v=bj8FK63nFio

Educate Yourself! Visit the American Holistic Nurses Association website to complete

your CEUs! (Continuing Education Credits) http://www.ahna.org/About-Us/What-is-Holistic-Nursing

Which of these over-the-counter drugs may interact with herbal supplements?

Drug-Supplement Interactions Are

Especially Important When…

QSEN COMPETENCIESPatient-Centered Care: Knowledge about complementary and

alternative medicines is caring for the whole personTeamwork & Collaboration: Crucial conversations can take

place with patient, nurse and doctor to discuss alternative therapies to create higher patient satisfaction

Evidence Based Practice: Quality research used to educateQuality Improvement: Improve the quality in care of patients

can be utilized when exploring all health practices.Safety: Educate yourself and properly educate your patientsInformatics: The use of information in health care by

clinicians.

Standard 5A. Coordination Of Care. “The registered nurse coordinates care delivery”

Standard 5B. Health Teaching and Health Promotion“The registered nurse employs strategies to promote

health and a safe environment”Standard 8. Education

“The registered nurse attains knowledge and competence that reflects current nursing practice”

Standard 9. Evidence-Based Practice and Research“The registered nurse intgrates evidence and research

findings into practice”Standard 15. Resource Utilization

“The registered nurse utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible”

(ANA, 2010)

Academy of Integrative Health & Medicine. (2015). What is integrative health & medicine. Academy of Integrative Health & Medicine. Retrieved from http://aihm.org/about/what-is-integrative-medicine/

Ahmad, Hadhrat Mirza Tahir. (2005). Homepathy: Like cures like. Islam International Publications Ltd. Retrieved from https://www.alislam.org/library/books/homoeopathy.pdf

American Academy of Medical Acupuncture. (2015). Welcome. American Academy of Medical Acupuncture. Retrieved from http://www.medicalacupuncture.org/

American Nurses Association [ANA]. (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD.

American Nurses Association (ANA). (2015). What is nursing? American Nurses Association, Inc. Retrieved from http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing

Behavioral Change Models. (2013). The Health Belief Model. Boston University School of Public Health. Retrieved from http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/SB721-Models/SB721-Models2.html

Frisch, N. C. (2001). Nursing as a context for alternative/complementary modalities. Online Journal of Issues in Nursing. 6 (2). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ ANAPeriodicals/OJIN/TableofContents/Volume62001/No2May01/ AlternativeComplementaryModalities.html

John Hopkins Medicine. Health library: Electromagnetic therapy. The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. Retrieved from http://www.hopkinsmedicine.org/healthlibrary/conditions/complementary_and_alternative_medicine/

electromagnetic_therapy_85,P00179/ Marcellin, L., Nelson, G. A. (2015). Types of complementary and alternative medicine. The

University of Rochester Medical Center. Retrieved from http://www.urmc.rochester.edu/encyclopedia/ content.aspx?ContentTypeID=85&ContentID=P00189

National Association for Holistic Aromatherapy. (2015). Exploring aromatherapy. National Association for Holistic Aromatherapy. Retrieved from https://www.naha.org/explore-aromatherapy/about- aromatherapy/what-is-aromatherapy

National Center for Complementary and Integrative Health (March 2015a). Acupuncture. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/acupuncture

National Center for Complementary and Integrative Health. (Aug 2013). Ayurvedic medicine: An introduction. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/ayurveda/introduction.htm

National Center for Complementary and Integrative Health (June 2011). Botanical dietary supplements. U.S. Department of Health & Human Services: National Institutes of Health: Office of Dietary Supplements. Retrieved from http://ods.od.nih.gov/factsheets/BotanicalBackground- HealthProfessional/

National Center for Complementary and Integrative Health. (Feb 2012). Chiropractic: An introduction. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/chiropractic/introduction.htm?lang=en

National Center for Complementary and Integrative Health. (May 2013). Homeopathy: An introduction. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/homeopathy

National Center for Complementary and Integrative Health. (March 2012). Naturopathy: An introduction. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/naturopathy/naturopathyintro.htm

National Center for Complementary and Integrative Health. (Nov 2014). Meditation: What you need to know. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/meditation/overview.htm

National Center for Complementary and Integrative Health. (Sept 2014). Reiki: What you need to know. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/reiki/introduction.htm

National Center for Complementary and Integrative Health. (Aug 2010). Tai chi: An introduction. U.S. D epartment of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/taichi/introduction.htm

National Center for Complementary and Integrative Health. (March 2015a). Traditional chinese medicine. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https:// nccih.nih.gov/health/chinesemed

National Center for Complementary and Integrative Health. (March 2015b). Understanding Drug Supplement Interactions. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/herbs/understanding-interactions

National Center for Complementary and Integrative Health. (June 2014). Using dietary supplements wisely. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/supplements/wiseuse.htm

National Center for Complementary and Integrative Health. (June 2013). Yoga for health. U.S. Department of Health & Human Services: National Institutes of Health. Retrieved from https://nccih.nih.gov/health/ yoga/introduction.htm

Nursing Theory. (2013). Systems theory. Nursing Theory. Retrieved from http://www.nursing-theory.org/ theories-and-models/neuman-systems-model.php

Tabish, S.A., (2008). Complementary and alternative healthcare: Is it evidence-based? International Journal of Health Sciences Qassim University. 2 (1).

University of Maryland Medical Center. (2013). Acupuncture provides added benefits for people with osteoarthritis of the knee. University of Maryland Medical Center. Retrieved from http://umm.edu/news-and-events/news-releases/2004/acupuncture-provides-added-benefit-for-people-with- osteoarthritis-of-the-knee