After reviewing the NCCIH website discuss your own experienc

After reviewing the NCCIH website, discuss your own experience with complementary and integrative health modalities including what conditions you have seen CIH be beneficial with. Which therapies would you feel comfortable suggesting to a client with chronic pain and why? What do you feel are the barriers, risks, and benefits associated using CIH with clients having chronic pain?

Solution

CAM services in high demand, high rates of satisfaction with care, and improvements in physical and mental health symptoms.

The Integrative Health Services :

1. Stress Management Relaxation Therapy (SMRT)

2. Mindfulness

3. Guided Imagery

4. Yoga

5. Progressive Muscle Relaxation Therapy (PMRT)

6. Art Therapy

7. Acupuncture

8. Music Therapy

9. Biofeedback

10. Animal Assisted Therapy

Complimentary Health Practices

- Homeopathy

- Accupuncture

- Naturopathy

- Guided Imagery

- Healing Touch

- Biofeedback

- Yoga

- Sweat Lodges

Therapies comfortable for patient with chronic pain

For more information on these modalities,refer - http://cdn.intechweb.org/pdfs/26152.pdf

Nurses have used complementary therapies for many years to relieve anxiety, promote comfort, and reduce or alleviate pain. The therapies described in this article are examples of the many therapies available for nurses to consider when planning care for patients with chronic pain. The increasing body of scientific knowledge is providing more guidance about the efficacy of specific therapies. As with all interventions, ongoing evaluation about the effectiveness of a therapy for each patient is an important component of quality nursing care. Complementary therapies provide an avenue for nurses to be autonomous in furthering the relief of chronic pain, as many of these therapies fall within the domain of nursing. Incorporating selected therapies into the plan of care provides multiple opportunities for nurses to demonstrate caring, a premier characteristic of nursing. A number of the complementary therapies, such as journaling, hand massage, and imagery, can be taught to patients and their families, thus promoting self-care. Anecdotal evidence and findings from numerous smaller studies provide some support for the use of many complementary therapies to manage chronic pain or their use as adjuncts in the treatment regimen. Still, the nurse must weigh the risks and benefits before suggesting a therapy to a patient. Evaluating the effectiveness of the complementary therapy to promote comfort in patients with chronic pain is essential. Obtaining this information is not only critical to the care of a particular patient, but these data will assist nurses in learning more about specific therapies. Most importantly, nurses need to pursue research to further the scientific basis for many of the complementary therapies.

Barriers, Risks, and Benefits associated using CIH with clients having chronic pain

Barriers to pain self-management included:

1) lack of support from friends and family;

2) limited resources (e.g. transportation, financial);

3) depression;

4) ineffectiveness of pain-relief strategies;

5) time constraints and other life priorities;

6) avoiding activity because of fear of pain exacerbation;

7) lack of tailoring strategies to meet personal needs;

8) not being able to maintain the use of strategies after study completion;

9) physical limitations; and 10) difficult patient-physician interactions.

Facilitators to improve pain self-management included

1) encouragement from nurse care managers;

2) improving depression with treatment;

3) supportive family and friends; and

4) providing a menu of different self-management strategies to use.

Mind and body approaches, such as acupuncture, hypnosis, massage therapy, mindfulness/meditation, relaxation techniques, spinal manipulation, tai chi/qi gong, and yoga, are generally safe for healthy people if they’re performed appropriately.