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Original Question

I WANT A PEER REVIEW FOR THIS DISCUSSION BOARD The National Center for Complementary Integrative Health defines a complementary health approach as a non-mainstream practice used alongside conventional medical treatments, while an alternative health approach refers to non-mainstream practice used instead of conventional medicine. These approaches can include products such as herbal supplements, probiotics, and vitamins and practices like meditation, acupuncture, and therapeutic touch. The key distinction lies in whether these methods are used in conjunction with or as a substitute for standard medical care (Rosenthal & Burchum, 2025). One Issue in integrating medication administration within holistic care is the challenge of polypharmacy, especially older adults with multiple chronic conditions. Holistic care emphasizes individualized treatment that considers the patients entire well-being, yet the use of numerous medications can complicate this approach. Many older adults with multiple chronic conditions are prescribed several medications, which can lead to adverse drug interactions, reduced adherence, and a diminished quality of life (Worldwide Integrative, 2025). When patients also turn to natural remedies such as supplements, essential oils, or traditional medications, their risk of interactions increases significantly (Rojas et al., 2023). For example, herbs like St. John’s Wort or ginkgo biloba can interfere with blood thinners, antidepressants, or blood pressure medications, sometimes with serious consequences. Nurses and healthcare providers often struggle to balance the necessity of pharmacological interventions within the principles of holistic care, which prioritize minimal intervention and natural healing when possible (Rojas et al., 2023). The article “Over-The-Counter Remedies in Older Adults: Patterns of Use, Potential Pitfalls, and Proposed Solutions” explored the widespread and growing use of over-the-counter medications among older adults in the United States (Safari et al., 2021). The article highlighted the benefits and significant risks associated with this trend. With over 300,000 over-the-counter products available, these medications are commonly used to self-treat conditions such as pain, respiratory issues, gastrointestinal discomfort, and dermatological concerns. Their accessibility and perceived safety makes them appealing, especially the older adults who may face barriers to access formal health care. The article emphasizes that this population is particularly vulnerable to adverse effects due to age-related physiological changes, polypharmacy, and the presence of multiple chronic conditions. A major concern discussed in the article is the lack of oversight and over-the-counter medication used among older adults. Many individuals do not consult a healthcare provider before using these products, leading to unrecognized drug interactions, duplicate therapies, and inappropriate dosing. This is compounded by cognitive decline, visual impairments, and low health literacy, which can impair an older adult’s ability to read and understand medication labels (Safari et al., 2021). The article also noted that over counter medications are often used in combination with prescription drugs, increasing the risk of serious drug-to-drug interactions and hospitalizations. The author proposed a solution that included patient education about the risks and proper use of over-the-counter medications, encouraging routine medication reviews, and including non-prescription products, and enhance global clarity to make instructions more accessible (Safari et al., 2021). Regular medication reconciliation and prescribing protocols could help minimize any unnecessary drug use and reduce the risk of adverse effects. Education and training and holistic principles for healthcare professionals further support and more balanced, patient-centered approach to care (Safari et al., 2021). Incorporating routine medication reviews that include over-the-counter products into standard care for older adults. This review should be conducted by healthcare professionals and should assess all the medications a patient is taking including vitamins, supplements, and herbal remedies. This practice will help identify any potential drug interactions, duplications, or inappropriate use, ultimately reducing the risk of adverse events.

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