Author Question: An elderly Chinese woman is interested in biologically based therapies to relieve osteoarthritis ... (Read 54 times)

CBme · **on:** Jul 22, 2018

An elderly Chinese woman is interested in biologically based therapies to relieve osteoarthritis (OA) pain. You are preparing a plan of care for her OA. Options most conducive to her expressed wishes may include which actions or activities?

a. Pilates, breathing exercises, and aloe vera
b. Guided imagery, relaxation breathing, and meditation
c. Herbs, vitamins, and tai chi
d. Alternating ice and heat to relieve pain and inflammation

Question 2

A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis.

What options should you consider in her plan of care considering her expressed wishes?
a. Stationary exercise bicycle, free weights, and spinning class
b. Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy
c. Chamomile tea and IcyHot gel
d. Acupuncture and attending church services

trampas · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Nonpharmacologic strategies encompass a wide variety of nondrug treatments that may contribute to comfort and pain relief. These include the body-based (physical) modalities, such as massage, acupuncture, and application of heat and cold, and the mind-body methods, such as guided imagery, relaxation breathing, and meditation. There are also biologically based therapies which involve the use of herbs and vitamins, and energy therapies such as reiki and tai chi. Pilates, breathing exercises, aloe vera, guided imagery, relaxation breathing, meditation, and alternating ice and heat are multimodal therapies for pain management. They are not exclusively biologically based, which involves the use of herbs and vitamins.

Answer to Question 2

ANS: B
Mind-body therapies are designed to enhance the mind's capacity to affect bodily function and symptoms and include music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy, among many others. Stationary exercise bicycle, free weights, and spinning are not mind-body therapies. They are classified as exercise therapies. Chamomile tea and IcyHot gel are not mid-body therapies per se. They are classified as herbal and topical thermal treatments. Acupuncture is an ancient Chinese complementary therapy, while attending church services is a religious prayer mind-body therapy capable of enhancing the mind's capacity to affect bodily function and symptoms.