Exam 29: Integrated Health Practices:Complementary and Alternative Therapies

Herbal,orthomolecular,individual biologic therapies and special dietary treatments are encompassed in biologically based therapies.Which of the biologically based therapies listed below are classified as therapeutic nutrition?

Anesthesia providers are concerned about the potential increased risk of instability intraoperatively resulting from inhibition of coagulation.Which herbal supplement,from the list below,would be implicated in a coagulation interaction?

Select the herbal supplement that may cause potential adverse cardiac effects such as palpations and hypertension.

What therapeutic and healing therapy can the patient use throughout the perioperative experience (e.g.,preoperative,intraoperative,and postoperative phases)?

As a result of the Dietary Supplement Health and Education Act (DSHEA),the Food and Drug Administration (FDA)can restrict a marketed supplement only if its use has shown the product is unsafe.New supplements no longer subject to premarket safety evaluations by the FDA.Because herbal products are so readily available and have such widespread media attention,many people think that they can safely self-medicate.Why should the public be aware and educated about dietary supplements and potential harmful effects?

Many alternative medical therapies are culturally,ethnically,spiritually,or religiously derived and have a wide range of applications from health promotion to the treatment of illness.Key foundations of several therapies are a focus on universal connectedness (e.g.,that all living and nonliving things are joined together;health will be good if one's mind and body are in harmony and balance;disease arises when a person is out of harmony with the universe).Which of the therapies listed below prescribe to this belief system?

Patients may be reluctant to communicate information about their use of herbal products,botanicals,or dietary supplements,because they may be unsure of the reaction of healthcare professionals to their use of alternative substances.Many herbal products have actions that could be dangerous during surgery.Select all the true statements about herbal supplements and perioperative drugs.

A dietary supplement,as defined by the Dietary Supplement Health and Education Act (DSHEA),is a product that contains a number of ingredients that are intended to supplement the individual's diet.What ingredient is considered an appropriate additive to classify a product as a dietary supplement?

Naturopathic medicine emphasizes health restoration as well as disease treatment based on the belief that disease is a manifestation of alterations in the body's natural healing processes.What modalities from the list below are considered within the scope of naturopathic medicine?

Progressive relaxation techniques,biofeedback,meditation,and cognitive-behavioral approaches have a well-documented theoretical basis with supporting scientific evidence.What is the theoretical clinical justification for this relationship categorized as mind-body medicine?

Select the true statement that best differentiates biofields from electromagnetic fields.

Postoperative nausea and vomiting (PONV)are significant problems for many patients administered general anesthetics.This complication not only is distressing for the patient but also,if uncontrolled,can result in additional complications such as wound dehiscence,fatigue,dehydration,and electrolyte imbalances.What herbal substance was studied by researchers in Thailand and found to be an effective option in the prevention of PONV?

The anesthesia provider asks the pediatric patient for a favorite flavor from a short list of banana,strawberry,bubble gum,mint,or tutti-fruiti,and then proceeds to place a drop of the chosen flavor into the inhalation mask before anesthesia induction.The child inhales the favorite flavor while drifting off to sleep.This complementary therapy falls within the category of:

What therapy is guided by the principle that dysfunction of one part of the body often affects secondarily the function of other discrete,possibly indirectly connected body parts?

Trina Gasterson,a 7-year-old girl recovering from a successful kidney transplant,is visited by her perioperative nurse on her day of discharge.While they conversed,Trina's mother opened a bottle of herbal supplement tablets from a local nutrition and dietary supplement store,whose label the nurse recognized.The mother proceeded to offer the supplement to Trina,but the nurse intervened and questioned the mother about the supplement.After reading the label,the nurse explained that the tablets could have an adverse interaction with Trina's immunosuppressive drugs that she must take to prevent transplant rejection.What herbal supplement was in the bottle?

Therapeutic touch (TT)is a contemporary interpretation of several ancient healing modalities now used in perioperative practice.Why does the title therapeutic touch sound like a misnomer?

Palpation during the nursing assessment is considered a "laying on of hands," and may be interpreted as therapeutic by the patient.Select the statement that best reflects the nurse-patient relationship during nursing assessment.

Select the alternative or complementary therapy that would be appropriate to integrate into the plan of care in the perioperative setting.

Herbal supplements may have a role in the perioperative setting and are an important consideration for nurses.A mistaken assumption is that botanical dietary supplements are safer than prescribed or over-the-counter drugs.What assumption should the nurse make,during the nursing assessment,when the patient describes the use of dietary supplements and herbal products?

Which of the manipulative therapies uses many different hands-on techniques aimed at helping the body heal itself through the manipulation of the soft body tissues?