Nevada RNFormation - August 2019
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Page 12 • <strong>Nevada</strong> RNformation <strong>August</strong>, September, October <strong>2019</strong><br />
Is that Coumadin or Cupping?<br />
By Tracey Long PhD, RN, APRN<br />
You are working in a hospital and see<br />
large circular bruising on the back of your<br />
adult patient. Could this be physical abuse,<br />
a skin disorder or bruising from excessive<br />
coumadin? None of the above. It may be from<br />
a Traditional Chinese Medicine practice called<br />
cupping that is used to stimulate deep energy<br />
flow across meridians for pain, inflammation<br />
or illness. Many times, patients have been<br />
referred to social services for alleged abuse,<br />
when the bruising was caused as a curative<br />
therapy, with often very positive outcomes for<br />
the patient. Cupping was brought to American<br />
attention when Olympic champion Michael<br />
Phelps was seen with the classic cupping<br />
bruises on his shoulders.<br />
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Seeking Adventurous, Compassionate Nurses<br />
With the increasing population diversity in<br />
the United States, nurses need to be more<br />
educated about integrative and alternative<br />
therapies. The National Institutes of Health<br />
have developed the National Center for<br />
Complementary and Integrative Health to<br />
examine alternative medicines being used in<br />
the United States. For more information about<br />
research, training and news go to: https://<br />
nccih.nih.gov/<br />
Many of these treatments are brought<br />
by other cultures including Traditional<br />
Chinese Medicine (TCM), Ayurvedic Medicine,<br />
Curandismos from Latin America and Native<br />
American holistic medicine. Understanding<br />
the philosophical definitions of health, disease,<br />
balance and healing by other cultures is<br />
the beginning to working more effectively<br />
with patients who are using non-western<br />
approaches to health. It is estimated that as<br />
many as 63% of Americans are using health<br />
practices not endorsed by allopathic Western<br />
medicine. Such approaches include herbal<br />
remedies and aromatherapy, but also include<br />
biomedicine, supplements, and even yoga<br />
and meditation. The lack of endorsement of<br />
these modalities is not for lack of efficacy but<br />
of the sparsity of evidence-based research<br />
to confirm their effectiveness. There are not<br />
a lot of pharmaceutical companies willing to<br />
invest in the power of prayer and nutritional<br />
supplements to help cancer patients.<br />
A group of nurses and nursing students<br />
from Las Vegas, <strong>Nevada</strong> learned about<br />
Traditional Chinese Medicine in April in<br />
Shanghai and Hangzhou China, headed by<br />
Professor Tracey Long, who takes nurses and<br />
nursing students internationally on medical<br />
trips each year to learn about global health<br />
and world culture related to nursing. In<br />
addition to teaching over 1000 Middle and<br />
High School students first aid and CPR, this<br />
group studied at the Zhejiang Chinese Medical<br />
University with other international students.<br />
They learned about the core principals of yin<br />
and yang and chi, and how it is implemented<br />
in the modalities of cupping, auricular<br />
acupressure, acupuncture, moxibustion,<br />
Tuina massage, and biological herbal teas for<br />
healing. All Chinese modalities are focused on<br />
restoring the natural energy flow, known as<br />
chi. A foundational concept in TCM is that the<br />
body is a garden and how we feed it with light,<br />
food, rest and chemicals determines what<br />
grows, for good or bad.<br />
Team member RN learning first-hand about<br />
cupping for lower back pain.<br />
TCM also teaches practitioners how to<br />
diagnose the internal energy balance by<br />
identifying 22 different levels of the pulse<br />
and examining the color, thickness, coating<br />
and health of the tongue. Perhaps American<br />
nurses can learn to improve our own physical<br />
assessment skills by observing more closely<br />
what the body is showing us.<br />
Nursing students Victoria Church-Gandy and<br />
Briana Puentes teaching CPR to students.<br />
Learning about different approaches to<br />
medicine, wellness and healing from other<br />
cultures can open our minds and eyes to<br />
the power of the body to heal and how to<br />
promote better health for ourselves and<br />
our patients. To learn more about future<br />
international medical trips contact Dr. Long at<br />
longforhome@gmail.com<br />
Primary<br />
Stroke Center<br />
Knee<br />
Replacement<br />
Hip<br />
Replacement<br />
Spine<br />
Surgery<br />
Pain Chest Pain<br />
Management Center<br />
Looking for Exceptional Nurses...<br />
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For more information, please call Leah Webb at<br />
775-356-4085 or visit www.nnmc.com/careers.<br />
2375 E. Prater Way, Sparks, NV 89434<br />
Nursing team (left to right): Katie Anderson, Joshua LoMonaco, Victoria Church-Gandy, Briana<br />
Puentes, Chief Nurse, Dr. Tracey Long, Cindy Reedy, Paris Gonzales and Barbara Stenstrom