NUR 410 Unit Exam 1 Concepts SynthesisComplementary and alternative medicine strategies for nursing. (FUND ATI, pg. 234)
Guided imagery/visualization therapy-Encourages healing and relaxation of the body by having the
mind focus on images.
Healing intention- uses caring, compassion and e...
Unit Exam 1 Concepts Synthesis Summer 2018
Complementary and alternative medicine strategies for nursing. (FUND ATI, pg. 234)
Guided imagery/visualization therapy-Encourages healing and relaxation of the body by having the
mind focus on images.
Healing intention- uses caring, compassion and empathy in the context of prayer to facilitate healing
Breathwork- reduces stress and increase relaxation through various breathing patterns
Humor- Reduces tension and improves mood foster coping
Meditation- use rhythmic breathing to calm the mind and body.
Simple touch- communicates presence, appreciation and acceptance.
Music and therapy- provides distraction from the pain allow the client to express emotions, earphones
improve concentration.
Therapeutic communication- allows the clients to verbalize and become aware the emotions and fear in
a safe nonjudgmental environment.
Relaxation Techniques- promotes relaxation using breathing techniques while thinking peaceful
thoughts (passive relaxation) or while tensing and relaxing specific muscle groups (progressive
relaxation)
Aloe: wound healing
Chamomile: Anti-inflammatory
Echinacea: enhances immunity
Garlic: inhibits platelet aggregation
Ginger: antiemetic
Gingko: improves memory
Ginseng: increases physical endurance
Valerian: promote sleep and reduces anxiety
Patient teaching with arterial disease and/or neuropathy (AMS, pg. 216)
Encourage the client to exercise to build up collateral circulation
Initiate exercise gradually and increase slowly
Instruct client to walk until the point of pain, stop and rest, walk little farther.
Promote vasodilation and avoid vasoconstriction.
Provide warm environment, never apply direct heat such as heating pad because sensitivity decreased,
and this cause a burn.
Avoid cold can cause vasoconstriction and decreased arterial flow.
Instruct client to wear insulated socks
avoid stress, caffeine and nicotine can cause vasoconstriction
Positioning: instruct client to avoid crossing legs
Tell client to refrain from wearing restrictive garments
Tell client to elevate the legs to reduce swelling, BUT not to elevate them above the level of the heart
extreme elevation slows arterial blood flow to the feet.
Neuropathy- (no sensation or feeling)
Patient teaching with types of arthritis, rheumatoid, osteoporosis and gout
Arthritis-
Rheumatoid (AMS pg. 566)
o Apply heat and cold (morning stiffness, hot shower), (pain in hands and fingers, heated
paraffin), (edema, cold therapy)
o Assist with and encourage physical activity to maintain joint mobility
, o Conserve energy (space out activities, take a rest periods ask for additional assistance when
needed)
o Promote coping strategies and routine health screenings
o Provide safe environment (physical and occupational therapy, remove unnecessary equipment
or supplies, use assistive device)
o Teach client regarding sign and symptoms that needed to report immediately (fever, infection,
pain upon inspiration, pain in the substernal area of the chest)
o Encourage foods high in vitamins, protein and iron
o Eat small frequent meals
o If taking NSAIDs take it with food and full glass of water or milk, avoid alcohol and instruct client
to observe for GI bleeding (coffee ground, emesis and tarry stool)
o If taking Corticosteroids instruct client to observe changes in vision, blood glucose and impaired
healing, avoid crowds, follow prescription such as alternative day dosing, tapering and
discontinuing medication.
Osteoporosis (AMS pg. 445)
o Encourage weight bearing exercises as tolerated. (30 minutes 3 to 5 times a week) improve
strength and reduce bone loss.
o Instruct client and family regarding dietary calcium food sources. Provide information regarding
calcium and vitamin D supplementation (take with food)
o Reinforce vitamin D (moderate sun exposure using sunscreen, fortified milk
o Instruct client need adequate amount of protein, magnesium, vitamin K and trace minerals.
o Limit caffeine, alcohol, and carbonated beverages, which can increase bone loss.
o Assess home environment for safety (remove throw rugs, provide adequate lightning and clear
walkways) to prevent falls.
Gout (AMS pg.561)
o Stay on low purine diet (includes no organ meat and shellfish)
o Teach client to limit alcohol intake
o Avoid starvation diets, aspirin and diuretics
o Limit physical stress and emotional
o Remind client increase fluid intake
o Encourage medication adherence.
Patient teaching and nursing care of patients following hip replacement (AMS pg.437)
Nursing Care
o Provide post-operative care and prevent complications
o Check dressing site frequently, noting any evidence of bleeding, monitor drainage from surgical
drains.
o Monitor labs values, including HGB and HCT levels.
o Monitor the neurovascular status of the surgical extremity (movement, sensation, color, pulse,
capillary refill and compare with contralateral extremity every 3 to 4 hr.)
o Provide medications (antibiotic, analgesics, anticoagulant)
o Provide early ambulation (apply ice as non-pharmacological to decrease pain)
o Place the client supine with head slightly elevated and affected leg in neutral position
o Place pillow or abduction device to between legs when turning to unaffected side. Patient
should not be turned to the operative side it could cause hip dislocation.
o Monitor new onset hip dislocation: acute pain, report hearing a “POP”, internal rotation in
affected extremity and shorten affected extremity.
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