What you need to know about dietary supplements.

Herbs and botanicals are used by a large number of people in the United States and have been used therapeutically in Europe for decades. Consumers are becoming more interested and subsequently better informed on the use of herbs to self-treat minor illness. Unfortunately, because of conflicting and anecdotal information, variable potency, and the widespread availability of herbs, many home care patients are left vulnerable to potentially life-threatening situations. A neutral discussion of alternative medical treatment should occur with all home care patients. Carefully worded questions should be asked and documented in the medical record. Finally, science-based teaching tools outlining the risks and benefits of botanicals must be available. A registered dietitian or pharmacist should be able to help nurses and agencies locate appropriate teaching tools on dietary supplements, including commonly used herbs and meal replacements.