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St John's Wort
- Depression
- Infection
- Wound healing
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Gingko Biloba
- Circulation
- Alzheimers (memory)
- Heart Disease
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For who is Gingko Biloba contraindicated?
Anticoagulants
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Echinacea
- Allergies
- Wound Healing
- URI
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When is accupuncture contraindicated?
- Bleeding disorders
- Infection
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What does Ginger interact with?
Anticoagulants
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Ephedra is contraindicated in which patients?
Hypertensive patients
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Ginseng
- Increase physical endurance
- Increase resistence to stress
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Acupuncture
is the procedure of inserting and manipulating needles into various points on the body to relieve pain or for therapeutic purposes
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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
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Transduction
Process that begins in the periphery when a pain-producing stimulus sends an impulse across a peripheral nerve fiber
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Feldenkrais Method
Alternative therapy based on establishment of good self image through awareness and correction of body movements
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Define Complimentary Therapy
Therapies used in addition to conventional treatment recommended by the person's health care provider
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Which clients should therapeutic touch be used for?
- Headaches
- Psych patients
- Pregnant
- Premature Babies
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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.
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Pain threshold
The point at which a person feels pain
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Pain Tolerance
The level of pain that a person is willing to put up with.
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Modulation
The inhibition of the pain impulse
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Perception
The point at which the person is aware of pain
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Neuromodulators
- Body natural supply of morphine like substances
- Activated by stress
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Endorphins
The hormone that acts on the mind like morphine and opiates, producing a sense of well being and reducing pain.
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Sertonin
Inhibits pain transmission
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Prostaglandins
- Increase sensitivity to pain
- Excitatory neurotransmitter
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Bradykinin Scale
- Excitatory Neurotransmitter
- Binds to receptors on peripheral nerves
- Increasing pain stimuli
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Chiropractic Medicine
Therapy that involes manipulation of spinal column and includes physiotherapy and diet therapy
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Tai-Chi
Techniques that incorporates breath, movement, and mediation to cleanse, strengthen, and circulate vital life energy
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Which patients should use tai chi?
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Massage Therapy
Manipulation of soft tissue to increase circulation and improve muscle tone and relaxation
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Simple touch
Touching the client in appropriate and gentle ways to make connection, display acceptance, and give appreciation
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Braden Scale
- 6 subscales:Sensory perception
- Moisture
- Activity
- Nutrition
- Friction
- Shear
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Range of the braden scale
- 6-23
- lower=higher risk for pressure ulcers
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Norton Scale
- Score 5 risk factors:
- Physical condition
- Mental condition
- Activity
- Mobility
- Incontinence
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Range of Norton scale
- 5-20
- lower = high risk of pressure ulcer development
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Stage I Ulcer
- Red
- Intact skin
- Nonblanchable
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Stage II Ulcer
- Partial thickness skin loss
- Both layers
- Blister
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Stage III Ulcer
- Full thickness tissue loss
- Subcutaneous tissue showing
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Stage IV Ulcer
- Full-thickness tissue loss
- Exposed bone, tenson, muscle
- Slough and eschar present
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Granulation
Soft, pink, fleshy projections of tissue that form during the healing process in a wound that is not healing by primary intention.
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Mongolian spot look like but are not what?
Pressure Ulcers
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How to prevent pressure ulcers
Rotate patient every 2 hours
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Types of dietary supplements are not FDA approved?
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Therapeutic Touch
- Use of the hands to provide comfort to the client
- Touch can communicate caring and thus help clients relax
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Relaxation Therapy
- Decrease conumption of O2Decrease HR
- Decrease respirations
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Which patient should use relaxation therapy?
- Stress
- Gives control over their lives
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Main focus ofTraditional Chinese medicine?
Ying Yang
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Meditation And Breathing
- Self-directed activity that limits stimulus input by directing attention to a single unchanging or repetitive stimulus.
- Positioning
- Environment
- Temperature
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Vegan macrobiotic diets consist of?
- Whole grain
- Vegetable
- Fish
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Western medicine focuses on what?
(Allopathic)
Physical Illness
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Alternative chinese Therapy
- Incorporates
- mind
- body
- spirit
- Accupuncture
- pressure
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Reason people choose alternative therapies?
Because western medicine doesn't work for them
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Best way to get update on alternative medicine?
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Best way to teach child about painful procedure?
Role Play
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Objective pain is rated how?
1-10 pain scale
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How often do you check VS for patient with Epidural analgesia?
Every 15 minutes
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Describe Purulent fluid?
- Thick
- Yellow, Green, Tan, Brown
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Describe sersanguineous fluid?
- Pale, red, watery
- Mixture of clear and red fluid
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Describe Sanguineous fluid?
- Bright red
- Indicates active bleeding
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Main intervention to prevent pressure ulcers?
Reposition patient every 2 hrs
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When do Friction injuries occur?
- Affect epidermis or top layer of skin
- Client who is restless or unomfortable movements
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When does blanching occur?
- When it blanches it is not a pressure ulcer
- If it does not it is a pressure ulcer
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What is citrus fruit good for?
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How to maintain dressings?
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Best dressing for an infected wound?
Foam
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How to cough with sutures?
Tell patient to put a pillow at the sutures
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When to apply cold packs?
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When to apply hot packs?
- Menstral cramps
- Degenerative joint disease
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How does tobacco affect a wound?
- Decrease wound healing
- Tissue oxygenation
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What is the function of skin?
Protective barrier against disease
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Elderly skin characteristics
Decrease skin integrity b/c less body fat on bony prominence
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What is wound debriment
Removing necrotic tissue to expose the wound bed
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Irrigating a wound
To debris the wound with saline
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How to assess pain of patient who is cognitively impaired?
- Facial movement
- Body movement
- Behavior
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When to check on pain patients?
- Every 30 mins
- Assess pain as well
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What type of medicine is given to patients with severe pain?
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Acute pain S/S
- Increased
- HR
- BP
- RR
- Sweating
- Muscle flexed
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What med is given to control muscle pain?
NSAID
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When to use a PCA pump?
- Post Op
- Patient Controlled Analgesia
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When to use TENS unit?
- Used when patient experiences pain
- Not all day
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Pain Management
- Go by what the patient says
- Use distraction
- Do not wait for pain to become untolerable
- Pain exhausts patient energy and emotion
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Acute wound characteristics
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Chronic wound
Pressure ulcer
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Corticosteroids use
- Combine with Vitamin A
- Makes healing worse
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How does gastric fluid affect?
- Keep clean and dry
- Especally pancreatic fluid
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Anticipatory response
Prepares patient for what is going to happen
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Extreme pain
- Not totally diminished
- Ask whats tolerable
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