Natural health product use and management in pediatrics: An integrative review

Gutierrez, Emily; Silbert‐Flagg, JoAnne; Vohra, Sunita

doi:10.1016/j.eujim.2013.12.020

Cited by 7 publications

(4 citation statements)

References 42 publications

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“…In addition to providing continuing education on CHA, educators and policy makers should include and require more CHA content in the nursing and nurse practitioners curricula, which is necessary to impart knowledge, and skill needed to safely and effectively integrate CHA into clinical practices. Practice guidelines for CHA clinical management have been developed for other populations (Gutierrez et al, 2014) but still need to be developed for older adults.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and clinical dialogues about complementary health approaches among nurse practitioners specialized in geriatrics

Geisler

Cheung

Steinhagen³

et al. 2021

J Am Assoc Nurse Pract

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Background: In the United States, people over the age of 65 years will account for 20% of the population by 2030, and these elders are more likely to have chronic comorbid complex health problems. Sixty-three percent use complementary health approaches (CHAs) but less than half disclose their use to their health care providers. Nurse practitioners (NPs) are the fastest growing population of primary care health providers. Purpose: This study identifies to what degree NPs with specialized training in geriatrics understand CHAs, use them themselves, encourage their patients to access them, and engage in CHA clinical dialogue. Methods: Cross-sectional online survey collecting quantitative and narrative data; US NPs with specialized training in geriatrics (n = 170, mean age 52 years, SD: 9.0, range: 29–73). Results: Although NPs are knowledgeable about some CHA and believe they are beneficial for older adults to use, they want more education to help understand the effects of a variety of CHA, be more aware of possible treatment interactions, and to integrate CHA into the current health care system. Patient factors (impaired cognitive function, acute health problems, and not open to CHA), provider factors (inadequate CHA knowledge, limited referral paths and resources), and system factors (limited accessibility and availability of CHA in in-patient setting, CHA not covered by insurance, and limited clinical time) disrupt NPs from assessing and discussing CHA with their patients. Implications for practice: There is a need to develop and implement NP practice guidelines for CHA clinical management for older adults and provide educational opportunities to incorporate CHA into clinical practice.

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Section: Discussionmentioning

confidence: 99%

Knowledge and clinical dialogues about complementary health approaches among nurse practitioners specialized in geriatrics

Geisler

Cheung

Steinhagen³

et al. 2021

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

show abstract

“…However, this poses an inevitable risk for misinformation and an overwhelming amount of case studies that usually provide miracle testimonials and report benefit outcomes of various CAM therapies for children with ASD with limited consideration for the biological rationale, scientific rigor or safety of these treatments [52]. This is coupled with some CAM users having a misconceived notion that CAM is a safer option when compared with conventional medication because CAM is thought to be naturally derived [53]. Although an enhanced therapeutic effect is desirable for any drug or therapy, in some cases certain combinations of medications are likely to have an adverse effect [54] and are contraindicated as in drug-herb interaction such as those found between St John's Wort and psychotropic medication [55].…”

Section: Discussionmentioning

confidence: 99%

High use of complementary and alternative medication among children with autism is not associated with the severity of core symptoms

Granich¹,

Hunt²,

Ravine³

et al. 2014

J Autism

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Background: Complementary and alternative medicine (CAM) is commonly used by individuals with autism spectrum disorder (ASD). No study has examined individual, family and clinical characteristics associated with CAM use. Methods: Parents of 169 Australian children with a clinical diagnosis of ASD completed a questionnaire about socio-demographics, medical history and CAM use. Children were administered the Autism Diagnostic Observation Schedule. Results: The majority (54%) of this sample had used CAM. Fish oil was the most common type of CAM administered (48% of total sample) and the most common reason for CAM use was to ameliorate noncore ASD symptoms such as hyperactivity and irritability. Chi-square analyses identified no differences between CAM and non-CAM users in gender, age of child, age at diagnosis, parental age at birth, parental education, ethnicity or family income. No group differences in the proportion of children classified with different ASD, based on clinical diagnosis and ADOS severity scores were observed. CAM users (37%) were more likely than non-CAM users (22%) to take psychotropic medication (p<0.05). Conclusions: This study provided evidence for high rate of CAM use in an Australian paediatric ASD population, similar to other countries. CAM use was not associated with core ASD deficits. There is a clear need for robust evidence to determine complex influencing factors on CAM uptake and its efficacy on ASD core and non-core symptoms with a view to assist with parental informed decisions and clinical guidelines.

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“…An integrative review of the literature was conducted to determine how the evidence directs HCPs to manage NHPs (Gutierrez, Silbert-Flagg, & Vohra, 2014). Six key principles were synthesized: patient assessment, risk/benefit knowledge, patient resource knowledge, drug/herb interactions assessment/knowledge, clinical monitoring, and recognition of limitations and appropriate referral times (see Box).…”

Section: Planning the Interventionmentioning

confidence: 99%

Management of Natural Health Products in Pediatrics: A Provider-Focused Quality Improvement Project

Gutierrez¹,

Silbert‐Flagg²,

Vohra³

2015

Journal of Pediatric Health Care

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Natural health product use and management in pediatrics: An integrative review

Cited by 7 publications

References 42 publications

Knowledge and clinical dialogues about complementary health approaches among nurse practitioners specialized in geriatrics

Knowledge and clinical dialogues about complementary health approaches among nurse practitioners specialized in geriatrics

High use of complementary and alternative medication among children with autism is not associated with the severity of core symptoms

Management of Natural Health Products in Pediatrics: A Provider-Focused Quality Improvement Project

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