Health Promotion Chapter 14
Destiny practices meditation to increase relaxation, quiet the mind, and reduce stress. The relaxation technique concentrating on vital functions such heart rate, breath rate, and blood pressure is called _____________.
Biofeedback
What are the additional energy therapy modalities?
Healing touch (similar to therapeutic touch) •Adds full-body techniques for moving energy and disorder-specific energy interventions to modulation phase Qigong (Chinese) Pranic (East Indian) Reiki (Japanese): attunement opens energy channel; brings universal energy through body to recipient Polarity therapy: Clearing energy blockages and rebuilding health Jin Shin Jyutsu: finger pressure to healing points
Which of the following statements are correct concerning reflexology? (Select all that apply.) It is a form of mind-body therapy. It involves pressure to hands, feet, or both. It involves energy fields. Pressure is thought to stimulate organs to heal. The benefits stem from simple therapeutic massage
It involves pressure to hands, feet, or both. It involves energy fields. Pressure is thought to stimulate organs to heal.
How does holistic compare to allopathic?
Holistic •encompasses emotional, spiritual, and relational well-being •Combine with the physical body •Together they define a whole person Allopathic medicine •focus is on identifying and treating disease •Care by physician or midlevel provider •Drugs, surgery, procedures to ailments
What are the movement arts?
Qigong (Chinese) •Relaxed movement with meditation, •Controlled breathing to move qi energy and increase vital energy Tai chi (from Chinese martial art) •Combined physical movement, breath control, meditation •Sequence of poses flows in unbroken rhythm to balance energy flow •Brings awareness moment-to-moment state of body •Produces meditative state Yoga (Hindu)—many forms •Origins as spiritual practice •Hatha yoga—most familiar in Western culture •Involves positions and breath control •Positions relaxing or may require strength •Documented health benefits •Improves flexibility, promotes relaxation, decreased stress, improves pain management Dance therapy •mind and body move in response to music
How does safety and effectiveness play a role in CAM interventions?
They lack a strong scientific evidence base, as many have not been studied with rigorous, well-designed clinical trials. Some CAM providers are not credentialed in a standardized national system (credentialing regulations and standards vary nationally) Safety issues for some CAM; caution needed
The energy modality that manipulates life energy by stimulating precisely mapped points on the skin surface is called A. Reiki B. reflexology C. acupuncture D. Jin Shin Jyutsu
acupunture
The nurse understands that holistic health care practice: has no scientific basis. is not covered by health care insurance. treats the symptoms that the client demonstrates. considers mind, body, spirit, and interaction with environment.
considers mind, body, spirit, and interaction with environment.
The scientific, evidence-based use of combined complementary and alternative medicine (CAM) and traditional medicine with an emphasis on safety and effectiveness is known as: complementary therapy. alternative therapy. integrative therapy. allopathic medicine.
integrative therapy.
What is the nursing presence relating to healing?
•Being available in a situation with the wholeness of one's individual being •Nurse's presence can contribute to healing •"Being with" rather than "being there" or "doing to"
What are the three elements involved with therapeutic touch?
•Centering of practitioner (calm, present in moment, connected) •Assessment (sensing disturbances/imbalances by moving hands over body) •Treatment: methods to change patterns of energy field (unruffling), or direct energy to person/redistribute energy (modulation)
What are the cultural energy name variations?
•Chinese: Chi or qi •Japanese: Ki •East Indian: Prana •Western civilization: subtle energy, life energy, or universal energy
What is naturopathy?
•Combo of traditional and 19th century European modalities based on healing power of nature •No RX, injections, x-rays or surgery •Healthy lifestyle, cleansing regimens, diets, manipulation, exercise
What is the energy therapy modality therapeutic touch?
•Conceptualized by Martha Rogers •Human energy fields interact with environmental energy fields
What is the energy therapy reflexology?
•Deeply applied pressure to mapped points on feet and/or hands •Pressure applied with thumbs •Pressure points correspond to organs of the body that will be stimulated by pressure
How does Prayer assist in healing?
•Different meanings to different people •Common belief aids in recovery •Research mixed on therapeutic benefit
What is energy therapy?
•Energy flows through the body •Energy nourishes organs/promotes optimal functioning Goal: energy work releases blockages to energy flow, rebalances life energy
What is traditional Chinese medicine?
•Evolved over thousands of years •Herbs, CAM treatments, acupuncture •Balance yin and yang life forces •Describes organs via fire, earth, metal,H2O, wood
What is ayruvedic medicine (India)?
•Evolved over thousands of years •Herbs, massage, diet, drugs •Tx: eliminating impurities, decreasing s/s, increasing resistance to disease, reducing worry, increasing harmony •Goal is mind-body harmony
What is homeopathy?
•Founded by Hahnemann 1807 •Administers small amounts of dilute pathogenic substances to stimulate body's healing abilities •FDA hearings 2015—unfavorable findings
What is the energy therapy acupuncture?
•Manipulates chi or qi by stimulating (fine needles) precisely mapped points on the skin points overlie channels (meridians) through which chi travels •Acupuncture points act as valves in meridians •Stimulation via needles, electrostimulation, laser, light, burning herbs (moxibustion) •Effective: substance abuse, depression, insomnia, nausea/vomiting, pain
What is distant healing?
•Prayer for others •Method: praying circle •Sharing of energy and sending of energy to person in need •Research did not validate this therapy
What is the energy therapy acupressure?
•Stimulation of meridian points by hand pressure •No oil needed; can be done with person clothed
What is pet therapy?
•Two-thirds of three US households have at least one pet •Half of older Americans have a pet •Pets may improve depression, loneliness •Improve physical activity
What is music therapy?
•Use music/sounds to produce desired changes in behaviors, emotions, physiological processes •Influences limbic system (involved with emotions/feelings)
What are the types of holistic therapy?
-Biologically based practices -Mind and body techniques and practice -Manipulative body-based practices -Energy therapies -Ancient medical systems -Whole medical system (includes all domains) *Domains are neither mutually exclusive nor inclusive—considerable overlap
What is holistic practice?
-Health defined as more than the absence of disease -Health: optimal wellness in all aspects of being
What are the goals of holistic practice?
-Support a person's natural healing systems -Consider the whole person -Consider the environment surrounding person
What is the energy modality touch therapy?
-Touch therapies fall under umbrella of energy therapies -Practitioners use their hands to direct energy (from environment) to individual -Goal is to restore balance and harmony -Examples: therapeutic touch Reiki, attunement, Jin Shin Jyutsu, polarity therapy, healing touch
How does the AHNA define holistic nursing?
-nursing as nursing practice that heals the whole person
According to the American Nurses Association, which of the following statements are true regarding a holistic nurse? (Select all that apply.) Holistic care is usually limited to private practice. Holistic nursing care may be delegated to nursing assistants. A mind-body-spirit-emotion approach is taken in holistic nursing care. Holistic nursing serves as a bridge between conventional and complementary alternative healing practices. A holistic nurse may specialize in one or more modalities
A mind-body-spirit-emotion approach is taken in holistic nursing care. Holistic nursing serves as a bridge between conventional and complementary alternative healing practices. A holistic nurse may specialize in one or more modalities
Some of Destiny's clients use traditional healers as part of a whole medicine system. Treatment practices of Ayurvedic medicine include (Select all that apply.) A. reducing worry B. increasing harmony C. reducing symptoms D. eliminating impurities E. balancing yin and yang
A. reducing worry B. increasing harmony C. reducing symptoms D. eliminating impurities
The nurse is asked about aromatherapy. Which of the following statements is correct concerning this modality of complementary and alternative therapies? Aromatherapy involves essential oils which are used in a variety of ways to include massage. Aromatherapy is a component of homeopathy. One advantage of aromatherapy is that little training is needed to implement it. Aromatherapy is a form of herbal therapy used to boost the immune system.
Aromatherapy involves essential oils which are used in a variety of ways to include massage.
Destiny seeks to promote her clients' well-being by focusing on them as whole beings rather than just as a disease. Dimensions of whole health include (Select all that apply.) A. social. B. physical. C. spiritual. D. financial. E. emotional.
B. Physical C. Spiritual E. Emotional
What is mind body medicine?
Guided imagery: directs the imagination •Focuses on calming thoughts or experiences •Promotes sense of well-being, relaxation •Randomized controlled study shows improved quality of life and some impact on laboratory values Meditation—focused attention, mindfulness •Quiets the mind, reduces stress •Part of some religions but not a religious activity •Variable formats: breath, chosen word, walking Hypnotherapy •Focused attention of unconscious mind •Recall of suppressed events and behavior change •Commonly used for tobacco cessation Biofeedback—relaxation technique •Focus on vital functions: HR, BP, breathing rate •Visualizations to bring about change Neurolinquistic programming (NLP) •Changes behavior via change in thinking/speaking
Which of the following statements are accurate regarding the safety and effectiveness of complementary and alternative medicines (CAM)? (Select all that apply.) CAM therapies carry a strong scientific evidence base. CAM therapies are regulated by the FDA. Many CAM therapies have not been studied with clinical trials. FDA regulations are less strict for over-the-counter medications. Most CAM providers are not credentialed.
Many CAM therapies have not been studied with clinical trials. FDA regulations are less strict for over-the-counter medications. Most CAM providers are not credentialed.
What are the manipulative and body-based modalities?
Spinal or bone manipulation •Application of controlled force on bone or joint •Performed by chiropractors, physical therapists, and osteopathic physicians •Chiropractic focuses as spinal alignment Cranial and cranio-sacral therapy •Focus on skull and flow of CSF •Gentle pressure cranium, spine, sacrum •Goal to restore free movement of CSF Physical therapy: variety of modalities •Manipulation, massage, heat or cold, movement, electrical impulse •Treat pain and restore function and ROM Massage—various techniques •Manipulation of muscle and soft tissue •Reduce stress; enhance relaxation Reflexology—manipulation and energy fields •Pressure to hands and feet •Pressure points correspond to body organs
Which of the following elements might be utilized with movement therapy? (Select all that apply.) Tai chi Yoga Imagery Qigong Hydrotherapy
Tai chi Yoga Qigong
Which of the following statements are correct concerning reiki therapy? (Select all that apply.) The practitioner's hands may be placed at a distance from the body. Reiki is a form of movement therapy. Symbolic gestures are used during therapy. Attunement opens energy channels allowing the flow of universal energy. The practitioner's hands may be placed on the person's body.
The practitioner's hands may be placed at a distance from the body. Symbolic gestures are used during therapy. Attunement opens energy channels allowing the flow of universal energy. The practitioner's hands may be placed on the person's body.
Which of the following statements is correct concerning energy therapy? It centers about reading auras. The underlying philosophy is to rebalancing life energy. It is limited to placing the hands on or near the body and making symbolic gestures. It requires inserting fine needles into precisely mapped points on the skin surface.
The underlying philosophy is to rebalancing life energy.
What are the biologically based practices?
Use of natural products—historic roots •Medicinal herbs found in prehistoric man •Botanical herbs inventoried in Middle Ages Current modalities: •Nutritional counseling: good efficacy data •Herbs, vitamins, minerals (not multivitamins or CA++) •Probiotics ("friendly" bacteria) •Aromatherapy aka essential oil therapy •Uses naturally extracted plant oils to promote health •Hydrotherapy: ice, steam, sauna, compresses
Acupuncture manipulates life energy by stimulating precisely mapped points which overlay channels called: chi or qi. moxibustion. meridians. attunements.
meridians