A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

A. This plan incorporates both a complementary therapy (massage therapy) and a conventional treatment (corticosteroid medications). This combination aligns well with integrative health principles, as it aims to manage pain and improve well-being through both physical and pharmacological means.
B. This option focuses solely on conventional medical assessments. While monitoring these parameters is essential for managing rheumatoid arthritis, it does not incorporate any complementary or integrative health strategies. It is more about evaluating the disease process than addressing holistic care.
C. This option combines conventional medication with occupational therapy, which can be considered a supportive, rehabilitative approach. However, it does not include complementary therapies, which are often a key component of integrative health practices.
D. This plan emphasizes surgical and physical therapy interventions, which are conventional treatments. While physical therapy can be beneficial, this option does not include complementary therapies, making it less aligned with integrative health principles.

A. While it's important to use the PCA device responsibly, the device is designed to prevent overdose. The client should not be overly concerned about this.
B. This statement demonstrates an understanding of the PCA device's limitations and the importance of seeking additional pain relief if needed. The nurse is responsible for adjusting the medication dosage or providing alternative pain relief methods if the PCA device is not adequately controlling the client's pain.
C. Only the client should administer the medication through the PCA device. Family members or other individuals should not be allowed to use the device.
D. The PCA device is designed to provide pain relief as needed. The client should use it whenever they experience pain, rather than waiting until the pain becomes severe.