2019

ComplementaryNursing Therapy

Herbal as A Therapeutic Approach for Chronic Disease in The Community

Chlara Yunita Prabawati., S.Kep., Ns., MSN

ComplementaryNursing TherapyHerbal as A Therapeutic Approach for Chronic Disease in The Community

Penulis : Chlara Yunita Prabawati., S.Kep., Ns., MSNReviewer : Arum Pratiwi.,S.Kp.,M.Kes.,PhD Sri Rahayu.,S.Kep.,Ns.,MSNLayouter : Amirul IhsanDesain Cover : Ali Himawan

ISBN: 978-602-361-265-9Cetakan 1, November 2019.

©2019 hak cipta pada penulis dilindungi undang-undang.

Penerbit: Muhammadiyah University Press.Kampus 1, Gedung I, Lantai 1, Universitas Muhammadiyah Surakarta.Jawa Tengah - Indonesia.Telp : (0271) 717417 ext. 2172.Email : muppress@ums.ac.id

Chlara Yunita Prabawati iii

Alhamdulillah, all praises to Allah that we had the opportunity to write and finish the book entitled “Complementary Nursing Therapy: Herbal as a Therapeutic Approach for Chronic Disease in the Community”.

This book is especially written for nursing students who are still in the early stage of understanding the theories of complementary nursing before they implicate the soft skill and practical levels. Besides, this book also addresses any reader seeking more knowledge values related to the complementary nursing that might develop to gain analysis thinking from this book.

There are many information contained in this book that was written in detail and specific way. The content of the book was also reliable and up-to-date based on evidence regarding the complementary nursing skills, especially herbal approach, that can be implemented by nurses and learned by students in Indonesia. It also provides knowledge related to the development of specified complementary therapy based on herbal in medicine approach. Moreover, this book was also available in simple English which helps students enhance their English language capability to fully understand the book.

The readers should read each chapter of the book – from the beginning to the end of the chapter – aimed at understanding the theories of each chapter and the whole complete version of the book. The students should be able to understand, analyze, and complete the task properly in each chapter for better learning outcome.

In addition, this book is the very first edition and is the beginnning; hence, there might be some gaps. As the author, I am so genuinely respect and grateful if the readers would like to give some suggestions, and innovation idea related to the progress of this book to be more perfect in the future.

AuthorChlara Yunita Prabawati., S. Kep., Ns., MSN

PREFACE

Complementary Nursing Therapyiv

This book provides numerous pedagogical structures that are determined to assisst the students learning:1. Learning goals focus on the student aim to maximize in reading

and learning.2. The keyword introduces recent, medical, and special term that

will be maximized in this chapter – every term is defined within the text.

3. The implementation and demonstration of nursing process framework are presented in chapter 8. In addition, students might able to differentiate the numerous cases easily.

4. Case, discussion, and case exercise enhance the students’ further thinking to be deeper related to current issues and problem in the complementary nursing field.

5. The summary of each point in the section of chapter will help the students to study about the key essence of the materials.

6. The main map of the key word and essence information is also provided completely to help students get the easier learning process.

PEDAGOGICAL FEATURE

SPECIAL FEATURE

1. Clinical vignettes provided in each chapter will lead to deep understanding.

2. Consideration about culture and social aspects approach in each section of the chapter aimed at maximizing the nurse’s approach in delivering the caring.

3. Self-reflection structures provided in the end of each chapter motivate the students to review, make their further thinking process, and manage their attitudes in order to enhance personality and learning outcome.

Chlara Yunita Prabawati v

I am sincerely grateful for the nursing faculty for the contribution in each chapter of the book. I highly appreciate the suggestion of Mrs. Arum Pratiwi., Ph.D and Sri Rahayu MSN as my reviewers from Department of Nursing, Faculty of Health, Universitas Muhammadiyah Surakarta Indonesia for their guidance in the writing process of this textbook.

I would like to thank the prior sponsor: Lembaga Pengembangan Publikasi Ilmiah (LPPI) UMS and Muhammadiyah University Press (MUP) for their huge support and assistance in the making of this book to be realized.

I would like to thank Allah, my parents, my brothers, mas Aul, and my friends for their contributions and support in finishing this book––their support is greatly appreciated.

Chlara Yunita Prabawati., S. Kep., Ns., MSN

ACKNOWLEDGMENT

Complementary Nursing Therapyvi

PREFACE iiPEDAGOGICAL FEATURES iiiACKNOWLEDGMENTS ivCONTENTS vLIST OF FIGURES xiiiINTRODUCTION xvi

CHAPTER 1 THE CONCEPT OF COMPLEMENTARY NURSING APPROACH: HERBAL AS A THERAPEUTIC APPROACH FOR CHRONIC DISEASE IN THE COMMUNITYChapter overview 1Objectives 11.1 Introduction of complementary nursing 11.2 Mind and mapping 41.3 Introduction of Herbs 41.4 Introduction of Traditional Chinese Medicine (TCM) 51.5 Introduction of application of herbs as complementary nursing 71.6 Introduction of Therapeutic approach for chronic disease in the community 11The Concept in Islamic Perspective 12Reflection 12Case 13Discussion 13References 14

CHAPTER 2 COMPLEMENTARY NURSING Chapter overview 15Objectives 152.1 Definition of Complementary Nursing 152.2 Mind and mapping 162.3 Type of Complementary Nursing 162.4 Choose the right complementary 21Resume 23The Concept in Islamic Perspective 23Reflection 23References 25

CONTENTS

Chlara Yunita Prabawati vii

CHAPTER 3 HERBS THERAPY IN COMPLEMENTARY NURSING Chapter overview 27Objectives 273.1 Definition of Herbs 273.2 Mind and mapping 293.3 History herbs in nursing: Legal nursing aspects of herbal 303.5 Delivery the Herbal Nutrition Recipes as an Effort to Improve Community Health 31

- Hypertension 35- Rheumatoid Arthritis 35- Constipation 39- Diarrhea 40- Dengue Hemorrhagic Fever (DHF) 41- Premenstrual Syndrome (Dysmenorrhea) 43- Osteoporosis 44- Obesity 46- Hyperlipidemia 48- Cancer 49- Stroke / CVA 51- Anemia 53

3.6 Complementary Approach in Communities Setting 55- Effective cough 55- Chest Physiotherapy 56- Decubitus prevention with Utilization of Pure Coconut Oil (VCO) 58- Oral hygiene without toothbrush with Utilization of Betel Leaves 60- Chapped skin care with Utilization of Olive Oil 61- Treatment of diabetic wounds with Utilization of Mimba Leaves 62

3.7 Procedure deliver of herbs 651. Authority of Giving Herbal Medicine for Nurses 652. Classification of Herbal Medicines 653. Forms of Herbal Medicines 664. Rules of Use of Herbal Medicines 67

Resume 67The Concept in Islamic Perspective 68Reflection 68Cases 68Discussion 69

Complementary Nursing Therapyviii

References 70

CHAPTER 4 TRADITIONAL CHINESE MEDICINE IN HERBS THERAPY AS A COMPLEMENTARY NURSING Chapter overview 71Objectives 714.1 Definition of Traditional Chinese Medicine 714.2 Mind and mapping 724.3 Type of traditional Chinese Medicine 724.3.1 Massages 724.3.2 Acupressure 794.3.3 Acupuncture 86 4.3.4 Aromatherapy 934.4 Enhancing Comfort 97Resume 99The Concept in Islamic Perspective 99Reflection 100Case 100Discussion 101References 102

CHAPTER 5 COMPLEMENTARY IN NURSING CARE PROCESS Chapter overview 105Objectives 1055.1 Mind and mapping 1055.2 Assessments 1065.3 Diagnose of nursing 1105.4 Planning 1145.5 Nursing Intervention 1155.6 Nursing Evaluation 1165.7 Case Example & Discussion 117Resume 119The Concept in Islamic Perspective 120Reflection 121References 122

CHAPTER 6 HOW APPLICATED COMPLEMENTARY NURSING CARE IN THE COMMUNITIESChapter overview 123Objectives 123

Chlara Yunita Prabawati ix

6.1 How implicated herbal and complementary nursing care in the communities 1236.2 Mind and Mapping 1246.3 Herbal in Family Nursing Services 124 - Purpose of Delivery Herbal in Family Nursing Services 124 - Target of Herbal in Family Nursing Services 125 - Scope Herbal in Family Nursing Services 126 - Strategies of Herbal on Family Nursing Services 1266.4 Implicated herbal in community 129

a. Human desire in patients is whole systems that influence by their environment, include 129b. Nurses aware in attitudes, actions, caring and body language when deliver the herbal, at that moment nurses become the part of patient environment. Nurses recognize the mind and body approach for become relax, calm and full present 130c. Patients as human in part of capacity of health and wellbeing 130d. Deliver based on patients’ perspective is person centered and relationship based 130e. The perspective of using the evidence, using of modalities of healing process, moving from intensive and invasive need. 130f. Focused on maintenxance the level of health and level of wellbeing of family caregivers 130

Resume 131The Concept in Islamic Perspective 131Reflection 131References 133

CHAPTER 7 ETHICAL IN COMPLEMENTARY NURSING CARE Chapter overview 135Objectives 1357.1 Definition ethic in general 1357.2 Mind and mapping 1377.3.1 Concept of ethical in complementary nursing 1377.3.2 Strategies: Policy, Laws and Regulation 1387.4 Ethic Case in Complementary 1407.5 Islamic perspective in complementary nursing 140

Complementary Nursing Therapyx

Ethic Case Example 141Discussion 141Resume 141The Concept in Islamic Perspective 142Reflection 142References 143

CHAPTER 8 COMPLEMENTARY THERAPY IN CASES OF PAINChapter overview 145Objectives 1458.1 Definition of Pain 1458.2 Definition of pain management 1468.3 Mind and mapping 1498.4 Characteristic of Pain in complementary nursing 1508.5 Implicated complementary nursing approach as a pain management 152

a. Management of pain 152b. Distraction 154c. Thought Stopping 155d. Hypnosis 155e. Aromatherapy and Essential Oils 155f. Music Therapy 155g. Yoga and Meditation 156h. Acupuncture 156i. Herbal Therapies 156j. Therapeutic Touch and Massage 156k. Heat or Cold Application 157

8.6 Case Example & Discussion 157Resume 157The Concept in Islamic Perspective 158Reflection 158References 159

CHAPTER 9 EVIDENSE BASE FOR STUDY COMPLEMENTARYChapter overview 161Objectives 1619.1 Background 1619.2 Mind and mapping 1629.3 Introduction of Evidence Base 1629.4 Search the Complementary evidence 163

Chlara Yunita Prabawati xi

9.5 Analyse and demonstrate evidence base for study complementary 1659.6 Evidence Base For Study Complementary Cases 1659.5 Case Example & Discussion 1669.6 Case Exercise 166Resume 167The Concept in Islamic Perspective 167Reflection 167References 168

CHAPTER 10 COMPLEMENTARY NURSING FOR MENTAL HEALTHChapter overview 171Objectives 17110.1 Evidence of Mental Health Cases 17110.2 Mind and mapping 17510.3 Prevention Strategies: 175

1) Community Mental Health Centers (CMHC) 1752) CMHC: Psychiatric Home Care 1763) Complementary care in community setting to establish maximum level of care 1764) CMHC: Assertive Community Treatment (ACT) 1765) Prevention in community care 1766) Rehabilitation 176

10.4 Analyze and demonstrate the Complementary Nursing for Mental Health 177

a. Bio psychosocial assessment 177b. Treatment goals and intervention 177c. Promoting continuation of treatment in community setting 177d. Health promotion in Scientific Herbal 177

10.5 The Role of Complementary Nursing Promotion and Wellbeing Community with Mental Health Problems 178 - Research, education & counseling 17810.6 Recommendation for Communities 178 Healthy public policy 179 Supportive environments 179 Community action 179 The PEOPLE (Planning and Evaluation of People-Led Endeavors) System enhancing Herbal 180 Personal Skills enhancing Herbal 180

Complementary Nursing Therapyxii

Reorientation of health services of herbal and natural complementary 18010.7 Discussion 18010.8 Case Exercise 182Resume 182The Concept in Islamic Perspective 183Reflection 183References 184

GLOSARIUM 187INDEXS 198ATTACHMENTS 1 : Picture of Herbal Plants 207ATTACHMENT 2 : Acupressure Point 209