A lternative medicine is here to stay. It is no longer an option to ignore it or treat it as something outside the normal processes of science and medicine. The challenge is to move forward carefully, using both reason and wisdom, as we attempt to separate the pearls from the mud," according to Jonas (1998). Individuals are looking to health care professionals for information and guidance about alternatives to conventional health care. This creates an opportunity, but also a burden for some occupational health nurses to obtain the most current and accurate information in the constantly changing field commonly known as complementary and alternative medicine (CAM). Every day the media shares new studies about this topic. Is the correct term natural therapies; or natural, holistic, integrative, alternative, complementary, traditional, nonconventional, or Eastern medicine? At times, current information negates previous research. Daily reports describe new herb and drug warnings including interactions, side effects of herbs, and poor quality of many herbal products. Occupational health nurses with even a basic knowledge of CAM are in a position to guide employees as they sort through information and find ways to promote health and prevent disease. This article informs occupational health nurses about various aspects of CAM, including ways to begin integrating some therapies into the occupational health setting. USE OF CAM "CAM is based on the belief that human beings are living energy systems rather than an arrangement of parts.

Primary tenet of nursing is the promotion of informed, effective self care" (Lowe, 1999). Many complementary and alternative medicine (CAM) therapies promote self care, such as relaxation techniques, aromatherapy, massage, herbal supplements, and homeopathic remedies that can be purchased over the counter by employees. Occupational health nurses need to be open and unbiased about the use of CAM therapies among employees, but also must have the knowledge to inform and educate employees about the appropriate use of CAM therapies and the importance of when to seek health care (see Appendix on page 475 for additional resources). This article, the second in a two part series (Part I appeared in Vol. 50, No.9, pp. 418-425), outlines a variety of CAM therapies for common illnesses and injuries encountered in the workplace. ANXIETY AND STRESS Anxiety is defined as "the distressing experience of dread, foreboding, or panic, accompanied by a variety of autonomic-primarily sympathetic-bodily symptoms" (Goroll, 1995). Symptoms of anxiety may include an increase in heart rate and blood pressure, chest pains, inability to take a deep breath, headache, and tense muscles. Tense muscles often are located in the shoulders, neck, and back (Bratman, 2000; Pettinati, 2001). The