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LEARNING OUTCOMES
Define the terms: holism, holistic therapy, alternative therapy, complementary therapy, integrative therapy & holistic nursing
Note examples of :complementary, alternative and integrative therapies
Describe the principles of complementary therapies
Relate complementary therapies to nursing practice and the NCNZ Code of Conduct
HOLISM
Mind / body / spirit / …within the environment
Interconnectedness
Relate to The Te Whare Tapa Wha Maori health model
What Nursing theory complements this philosophy?
HOLISTIC NURSING
“delivering knowledgeable, skilful and human centred nursing care which considers that people are greater than the sum of the parts” Crisp and Taylor (2013)
Explain this statement in your own words
COMPLEMENTARY THERAPY When treatment or therapy occurs
alongside or in addition to conventional medicine
The therapies complement each otherExamples include: -therapeutic touch, -guided imagery, -reflexology, -exercise
OTHER EXAMPLES
Natural products : herbs (botanical), vitamins, minerals, probiotics / Fish oil / omega 3
Mind body practices: Acupuncture Massage Meditation / mindfullness Movement therapies Relaxation Yoga Tai Chi Osteopathy Healing touch Aromatherapy
List the complementary health therapies that you or members of your family use.
Choose 2 of the therapies from the list and identify 5 points about each.
ALTERNATIVE THERAPIES Alternative medicine or therapy is used
alone or instead of conventional medicine
Alternative medicine or therapy is outside the realm of conventional modern medicine
Eg: Chinese medicine Traditional Chinese medicine Homeopathy
Reflect What is your opinion about individuals choosing alternative therapies as opposed to conventional medicine.
REFLECT ON THISA 50 year old man has a basal cell carcinoma on his left shoulder.
He chooses to treat it with spices and herbs.
The carcinoma spreads and grows into his tissue……..1 year later he dies from septicaemia as the tumour had invaded his circulatory system
INTEGRATIVE MEDICINE
Aim to treat the whole person
Use a multi-disciplinary approach
Health professionals need to work together
PRINCIPLES OF COMPLEMENTARY MEDICINES
The human body is capable of healing and adaptation
Energy is needed for the body systems to reorder itself
Treat the whole person Disease affects the whole person Do no harm Educate the client
COMPLEMENTARY THERAPIES AND NURSING
“Everyone can :create an environment conducive to healing
eg considering colour, noise, odours, music , exercise, nutrition, education, relaxation… “ Crisp and Taylor (2013)
Think about which of these you could include while in clinical
The Nursing Council of New Zealand is clear about Complementary and Alternative therapies and the nurses’ responsibility
Refer to the Code of Conduct (2013)
NURSING COUNCIL CODE OF CONDUCT Principle 4. Maintain health consumer trust by providing safe and competent care:
4.11You must ensure the use of complementary or alternative therapies is safe and in the best interests of those in your care.*Nurses who practice complementary or alternative medicines should refer to appropriate professional standards
Eg.College of Nurses Aotearoa NZ (2011) Complementary and Alternative Therapies Policy
A comprehensive and holistic Health Assessment
……….Needs to include ….” are you taking any other over the counter medicines or using any other therapies?”
Reasons include….. - there can be interactions with
prescription medications.
Over the holidays you might like to try out one of the “complementary therapies” to include it in your every day life.
Eg. Meditation mindfullness / exercise
EXERCISE…………..
Josephine is 18 years old. She has been admitted for a review of analgesia for chronic pain following a fractured hip and femur after a motor vehicle accident.
She wants to cut down her use of medication and try other means.
What are some options for Josephine regarding complementary and alternative therapies.
A couple of You tube segments that may interest you.
http://www.youtube.com/watch?v=wjXXvtGEZQQ
The benefits of meditation-Jon Kabat-Zinn http://www.youtube.com/watch?v=RxBV
WPzO8Kc Mindfullness, meditation and mental
health