Handbook of Integrative Oncology Nursing

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Section I. Introduction 1
Defining Complementary and Alternative Medicine 1
Contemporary Complementary and Alternative Medicine Use 1
Surveys of Complementary and Alternative Medicine Use 2
Guidelines for Complementary and Alternative Medicine Use 2
Integrative Oncology Nursing Role 3
Section II. The Integrative Assessment: A Cornerstone for Integrative Oncology Nursing 7
Section III. Defining and Describing Commonly Used CAM Therapies 15
Categorizing CAM Therapies 15
Licensure of CAM Practitioners 15
Certification of CAM Practitioners 15
Efficacy and Safety of CAM Therapies 17
Levels of Evidence in CAM 17
Section IV. Herbs and Herbal Extracts 45
Section V. Symptom Management: Evidence of Efficacy and Safety of Commonly Used CAM Therapies by Symptom 69
Introduction 69
Symptom Clusters 69
Application to Practice: Examples of Efficacy and Safety of CAM Therapies by Symptom 70
Anorexia-Cachexia Syndrome 73
Anxiety 77
Cognitive Dysfunction 83
Constipation 87
Depression 91
Diarrhea 97
Fatigue 101
Hormonal Changes and Hot Flashes 105
Insomnia (Sleep-Wake Disturbances) 111
Mucositis 115
Myelosuppression 119
Nausea and Vomiting 123
Pain 127
Sexuality Alterations 133
Taste Changes 141
Xerostomia 145
Nutritional Considerations 149
Section VI. CAM Regulation and Adverse Event Reporting 153
Appendix I. Glossary of Terms 157
Appendix II. Society for Integrative Oncology Evidence-Based Clinical Practice Guidelines for Integrative Oncology 163
Appendix III. Oncology Nursing Society Position: The Use of Complementary and Alternative Therapies in Cancer Care 169
Appendix IV. The Ten Cardinal Rules of Herb Use 173
Appendix V. Resources for Reliable Information 175
Index 183
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