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Which complementary therapies are most likely learned and applied by the nurse
Holistic health model in nursing
Nursing philosophy holistic
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Complementary and Alternative Medicine:
Integrating into the Nursing Practice
Complementary alternative medicines (CAMs) are not a new-fangled medical practice that has recently come out (Bennett, 2009). Several complementary alternative medicine therapies are; homeopathy, aromatherapy, touch therapy, and music therapy, these therapies named here is just a small number of therapies that are out there, and has been around for two decades according to (Matthew, Whedon, & Weeks, 2011). This paper will explore the Accountable Care Organization (ACO) and how the ACO could possibly benefit the healthcare system and nursing practice (Matthew et al., 2011). In the conclusion of this paper, it will point toward the fact that complementary and alternative medicine (CAM) does in fact, have a place in today’s nursing practice and healthcare systems.
With this in mind, our economy in the United States (U.S.), over the past decade has gone into a major decline. Furthermore, there has been an escalated cost in healthcare; new proposals that would reduce healthcare spending/cost and a continued growing trend involving the use of Cam (Matthew et al., 2011). Because of the economy, jobs and insurance benefits were lost. Employees were laid off and offered Cobra benefits in order to preserve their medical insurance. The only problem was that Cobra insurance was twofold what they were paying.
Legislation that supports the establishment of Accountable Care Organizations (ACOs, 2009) was recently enacted into law as part of the Patient Protection and Affordable Care Act, and in 2012 the Centers for Medicare and Medicaid Services will begin contracting with the ACOs (Matthew et al., 2011 pp. 669).
The ACO would have a larg...
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...tive medicine and the search for knowledge by conventional health care practitioners. Contemporary Nurse, 33(1), 41-49. doi: 10.1089/acm.2011.0364
McCreery, H. (2010). Integrative medicine: Combining conventional with complementary
to improve patient care. ONS Connect, 25(11), 6-9. Retrieved from http://cinahl.com/cgi- bin/refsvc?jid=3344&accno=2010881233
O'Regan, P., Wills, T., & O'Leary, A. (2010). Complementary therapies: a challenge for nursing practice. Nursing Standard, 24(21), 35-39, 5p. Retrieved from http.//cinahl.com/cgi- bin/refsvc?jid=530&accno=2010550203
Sharoff, L. (2008). Holistic nursing and medical-surgical nursing: A natural integration. MEDSURG Nursing, 17(3), 206-208. Retrieved from http://web.ebscohost.com.proxy025.nclive.org/ehost/detail?vid=3&hid=15&sid=6fd9027 6-71bf-4359-914c-447052b7b16f%40sessionmgr15&bdata=JnNpd
COBRA was passed in 1986 and provides guidelines for continuous health coverage in case of sudden loss of a job or even death among other situations that cannot be avoided. Employees as well as employers have to participate in the program to make it effective. The employees are guided by the “Employee Benefits Security Administration” and the “Employee Retirement Income Security Act” to fill out forms of compliance. The law was designed to find temporary solutions for continued medical insurance so that the unemployed can still enjoy and access healthcare facilities despite the financial misfortunes that may render them unable to support themselves as well as their families as they find a permanent solution (Magill, 2009).
Joos S.,(2008). The role of complementary and alternative medicine (CAM) in Germany - a focus group study of GPs. BMC Health Services Research,8,127–140.Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442431/
Mathews, Holly F. "Introduction: A Regional Approach and Multidisciplinary Persepctive." Herbal and Magical Medicine: Traditional Healing Today. Ed. James Kirkland, Holly F. Mathews, C. W. Sullivan, III, and Karen Baldwin. Durham: Duke UP, 1992. 1-13. Print.
The steady rise of healthcare costs and the ever increasing cost of health insurance premiums are making it harder and harder for employers to pay healthcare premiums for their employees. In the past, it was almost a given that employers picked up the tab for health insurance coverage. The health coverage was usually exceptional with little or no money paid out of pocket by the individual for the insurance premiums. Those appear to be the “good old days”, with fewer and fewer employers shelling out money for health insurance premiums and demanding a larger percentage to be paid by the employee. Other employers are simply unable to financially provide healthcare coverage for their employees and have stopped all together.
Complementary and alternative techniques are the new age of medicine. These techniques especially combined with mainstream medicine could create a medical revolution. Complementary and alternative medicine techniques are helping to solve medical problems for many people without the side effects of mainstream medicine.
Many employees must designate a health plan through their employer. These days, as HMOs (health maintenance organizations) and managed care plans continue to proliferate, that means a choice between bad and worse. As employees line up in the lunch-room for a process called open enrollment, they may be surprised to learn that managed care rates have gone up — again. The mirage that managed care is cheaper care is finally fading. And, for the first time in years, employees may also have the promise of free choice in medicine in the form of a new method of financing health care. Consumers are already aware of horror stories involving HMOs, but cheap rates persuaded many that managed care is less expensive. Recent rate hikes are proving otherwise. Many patients must go out of network for crucial care. Co-payments are rising. It's little wonder why. As HMO executive Randall Crenshaw, chief medical officer for Cariten Healthcare of Tennessee, recently told the Wall Street Journal, more managed care patients are becoming "frequent fliers;" they over utilize health care and drive costs up. The deterioration of managed care stems from a basic economic principle: health care subsidized by government and rationed by bureaucrats is doomed to failure. Canada's socialized medical system, which designates knee replacement an elective, is sending patients scurrying across the border and national health care in the United Kingdom restricts heart transplants to anyone under age 55. Managed care in America is no exception. Congress made health insurance premiums fully tax deductible to employers covering employees' health care in 1942. This discouraged individuals from buying insurance for themselves and encouraged emplo...
National Center for Complementary and Alternative Medicine.”The Use of Complementary and Alternative Medicine in the Uniteed States”. NIH. Dec. 2008. Web. 27 May 2011.
In today’s world, many people assume that the latest medical technology and treatments are always the best option. However, all over the world, different techniques for curing diseases and aliments are being used. These methods fall under the category of complementary and alternative medicine.
Like any other strategy, evidence-based practice has introduced challenges in the nursing profession that evoke different interpretations. For example, there is a problem in defining the best method to evaluate the ideal research to suit particular situations and patients. Similarly, evidence-based research seems to encourage novel clinical and medical strategies. The most notable of these is the use of alternative and complementary medicine. The use of alternative medicine has in the past few decades become increasingly controversial as it lacks the foundation of research required to demonstrate its efficacy (Ruben, 122). It should be noted that drug regulatory bodies require extensive research into a particular drug before they can be approved. On the other hand, the growing body of knowledge developing as a result of strategies such as the evidence-based practice has continued to identify new solutions to patient’s needs. The use of these new solutions, however, raises ethical conflicts as it puts the nurse
If we look back to the 2007, three years before the Affordable Care Act (ACA) was signed, the rate of uninsured Americans was at it’s highest and constantly rising (Zamosky, 2016). The plan for the ACA was decreasing the number of uninsured
There are a few population trends that are particularly important in regards to the planning, financing, and delivery of healthcare in the United States. The first of these trends, which likely has the greatest impact on our health care system for obvious reasons, is the aging of the U.S. population (Williams & Torrens, 2008). The aging Baby Boomer generation is beginning to enter the 65+ age group, and this age group is expected to continue to grow in number at a disproportional rate compared to other age categories in the coming decades (Colby & Ortman, 2015). According to the U.S Census Bureau, approximately 66% of individuals in the United States had private insurance coverage during some part of 2014, while 36.5% had some form of governmental
Over the past twenty years an increasing number of people are turning to complementary and alternative medicine (CAM), even though there are fewer evidence based studies, compared to traditional medicine. Although CAM is difficult to define as it covers such a broad range of practices, CAM can promote a patient-centred, self-help, holistic approach to health care (Cant, et al. 2011: 529). CAM is often categorised as natural and holistic, as opposed to scientific, evidence-based and invasive. However, CAM overlaps with many biomedical models, which is another reason as to why CAM is becoming more socially acceptable and legitimate (Broom 2014: 425).
The most common reason for complementary and alternative medicine (CAM) in the United States is the cause of back pain (Kanodia et al, 2010). Patients who experience back pain and lower back pain are familiar with regular office visits to complementary and alternative medicine practitioners than to primary care physicians. In 2007 the American College of Physicians and the American Pain Society published updated clinical guidelines for the diagnosis and treatment of lower back pain based on high-quality meta-analysis for acupuncture, massage, and spinal manipulation and moderate evidence of yoga for low back pain (Kanodia et al, 2010). These guidelines recommended that physicians consider referring patients who do not improve with self-care, for acupuncture, massage therapy, spinal manipulation, and/or yoga (Kanodia et al, 2010). Despite the high occurrence of back pain, the large number of patients with back pain using complementary and alternative medicine therapies, and CAM's potential ability for treatment of back pain. They know little about the pattern of CAM use, the reasons for its usage, and the perceived benefit of CAM nationally among patients with back pain. With CAM therapies being included in the most recent lower back pain guidelines and the large number of patients using complementary and alternative medicine for back pain, a more complete picture of use is needed (Kanodia et al, 2010). The availability of data from the 2002 National Health Interview Survey included many variables in Andersen's Model of Health Services Use; they created an opportunity to examine complementary and alternative medicine so patients who have back pain can utilization from the treatments. Information provided by the analysis may help guide future research in identifying populations, CAM modalities, and factors associated with
Some population trends that is most important to the planning, financing, and delivery of health care are strong head winds will force change. The numbers say it all. Intense funding pressure on Medicare and Medicaid, decreasing commercial reimbursement, declining volume trends, federal budget deficits, and growing uncompensated care. Employer based commercial insurance will undergo a major change. Whether it's an employer mandate or widespread exchanges, companies will have an entirely new relationship with employees when it comes to health care coverage (Wilensky, 2008).
Di Sarsina, R., Alivia, M., & Guadagni, P. (2012). Traditional, complementary and alternative medical systems and their contribution to personalisation, prediction and prevention in medicine-person-centered medicine. EPMA Journal, 3(1), 15.