Massage with aromatherapy is useful for persons diagnosed with: ...

[AEWBW]

Massage with aromatherapy is useful for persons diagnosed with:
 
  1. Alzheimer's disease.
  2. Mania.
  3. Acute psychosis.
  4. Dementia.

Question 2

The nurse's evaluation of the outcomes of care for an older adult mentally ill client should be guided by the knowledge that:
 
  1. Cultural preferences that conflict with treatment goals take precedence.
  2. Complete absence of psychiatric symptoms is the gold standard.
  3. Client's values and preferences should be honored whenever possible.
  4. Families and significant others are not routinely involved in this process.

[tdewitt]

Answer to Question 1

4
Rationale: There are several CAM modalities that involve the use of touch for healing. Massage is one of the best known. Massage, probably because it releases endorphins, has been helpful for persons with cancer, autistic children, people who are depressed or addicted, and, in combination with aromatherapy, for persons with dementia. Persons who are suffering a psychotic episode as well as those who are experiencing mania are not good candidates for receiving CAM therapies that incorporate touch. Individuals diagnosed with Alzheimer's disease have varying personality characteristics so one should not assume that massage (touch) with or without aromatherapy would be an appropriate adjunctive therapy for a person with this diagnosis.

Answer to Question 2

3
Rationale: The client's values and preferences, particularly in later stages of life should be honored whenever possible to empower the client in the face of other losses. Some cultural preferences may directly conflict with treatment goals; therefore, risks should be weighed carefully before honoring those requests. The complete elimination of psychiatric symptoms is not realistic particularly with chronic mental illness. Families and significant others should always be invited to participate in evaluation of care.