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St John's Wort
- Wound healing
- Alzheimers (memory)
- Heart Disease
For who is Gingko Biloba contraindicated?
- Wound Healing
When is accupuncture contraindicated?
- Bleeding disorders
What does Ginger interact with?
Ephedra is contraindicated in which patients?
- Increase physical endurance
- Increase resistence to stress
is the procedure of inserting and manipulating needles into various points on the body to relieve pain or for therapeutic purposes
What is Accupressure?
An ancient healing art that uses the fingers to press key points on the surface of the skin to stimulate the body's natural self-curative abilities
Process that begins in the periphery when a pain-producing stimulus sends an impulse across a peripheral nerve fiber
Alternative therapy based on establishment of good self image through awareness and correction of body movements
Define Complimentary Therapy
Therapies used in addition to conventional treatment recommended by the person's health care provider
Which clients should therapeutic touch be used for?
- Psych patients
- Premature Babies
Define Alternative Therapy
Any of the systems of medical diagnosis and treatment differing in technique from that of the allopathic practitioner's use of drugs and surgery to treat disease and injury.
The point at which a person feels pain
The level of pain that a person is willing to put up with.
The inhibition of the pain impulse
The point at which the person is aware of pain
- Body natural supply of morphine like substances
- Activated by stress
The hormone that acts on the mind like morphine and opiates, producing a sense of well being and reducing pain.
Inhibits pain transmission
- Increase sensitivity to pain
- Excitatory neurotransmitter
- Excitatory Neurotransmitter
- Binds to receptors on peripheral nerves
- Increasing pain stimuli
Therapy that involes manipulation of spinal column and includes physiotherapy and diet therapy
Techniques that incorporates breath, movement, and mediation to cleanse, strengthen, and circulate vital life energy
Which patients should use tai chi?
Manipulation of soft tissue to increase circulation and improve muscle tone and relaxation
Touching the client in appropriate and gentle ways to make connection, display acceptance, and give appreciation
- 6 subscales:Sensory perception
Range of the braden scale
- lower=higher risk for pressure ulcers
- Score 5 risk factors:
- Physical condition
- Mental condition
Range of Norton scale
- lower = high risk of pressure ulcer development
Stage I Ulcer
- Intact skin
Stage II Ulcer
- Partial thickness skin loss
- Both layers
Stage III Ulcer
- Full thickness tissue loss
- Subcutaneous tissue showing
Stage IV Ulcer
- Full-thickness tissue loss
- Exposed bone, tenson, muscle
- Slough and eschar present
Soft, pink, fleshy projections of tissue that form during the healing process in a wound that is not healing by primary intention.
Mongolian spot look like but are not what?
How to prevent pressure ulcers
Rotate patient every 2 hours
Types of dietary supplements are not FDA approved?
- Use of the hands to provide comfort to the client
- Touch can communicate caring and thus help clients relax
- Decrease conumption of O2Decrease HR
- Decrease respirations
Which patient should use relaxation therapy?
- Gives control over their lives
Main focus ofTraditional Chinese medicine?
Meditation And Breathing
- Self-directed activity that limits stimulus input by directing attention to a single unchanging or repetitive stimulus.
Vegan macrobiotic diets consist of?
- Whole grain
Western medicine focuses on what?
Alternative chinese Therapy
Reason people choose alternative therapies?
Because western medicine doesn't work for them
Best way to get update on alternative medicine?
Best way to teach child about painful procedure?
Objective pain is rated how?
1-10 pain scale
How often do you check VS for patient with Epidural analgesia?
Every 15 minutes
Describe Purulent fluid?
- Yellow, Green, Tan, Brown
Describe sersanguineous fluid?
- Pale, red, watery
- Mixture of clear and red fluid
Describe Sanguineous fluid?
- Bright red
- Indicates active bleeding
Main intervention to prevent pressure ulcers?
Reposition patient every 2 hrs
When do Friction injuries occur?
- Affect epidermis or top layer of skin
- Client who is restless or unomfortable movements
When does blanching occur?
- When it blanches it is not a pressure ulcer
- If it does not it is a pressure ulcer
What is citrus fruit good for?
How to maintain dressings?
Best dressing for an infected wound?
How to cough with sutures?
Tell patient to put a pillow at the sutures
When to apply cold packs?
When to apply hot packs?
- Menstral cramps
- Degenerative joint disease
How does tobacco affect a wound?
- Decrease wound healing
- Tissue oxygenation
What is the function of skin?
Protective barrier against disease
Elderly skin characteristics
Decrease skin integrity b/c less body fat on bony prominence
What is wound debriment
Removing necrotic tissue to expose the wound bed
Irrigating a wound
To debris the wound with saline
How to assess pain of patient who is cognitively impaired?
- Facial movement
- Body movement
When to check on pain patients?
- Every 30 mins
- Assess pain as well
What type of medicine is given to patients with severe pain?
Acute pain S/S
- Muscle flexed
What med is given to control muscle pain?
When to use a PCA pump?
- Post Op
- Patient Controlled Analgesia
When to use TENS unit?
- Used when patient experiences pain
- Not all day
- Go by what the patient says
- Use distraction
- Do not wait for pain to become untolerable
- Pain exhausts patient energy and emotion
Acute wound characteristics
- Combine with Vitamin A
- Makes healing worse
How does gastric fluid affect?
- Keep clean and dry
- Especally pancreatic fluid
Prepares patient for what is going to happen
- Not totally diminished
- Ask whats tolerable
What would you like to do?
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