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PA Prof Midterm & Final > Complementary & Alternative Medicine > Flashcards

Complementary & Alternative Medicine Flashcards

1
Q

Definition of complementary medicine

A

therapies used IN CONJUNCTION with conventional medicine

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2
Q

Definition of alternative medicine

A

therapies used IN PLACE OF conventional medicine

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3
Q

How often do patients use some sort of alternative/complementary medicine?

A

Approx. 40% of patients

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4
Q

Office of Alternative Medicine does what?

A

Evaluate and research of alternative methods and their effectiveness

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5
Q

What is NCCAM aned what do they do?

A

National Center for Complementary & Alternative Medicine

Evaluate and Research. Provide information to patients and providers

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6
Q 
CAM users demographics:
Male vs. female
Income
Disease State
Race
A 
More lirkely:
Females
Higher education & income
Chronic disease states
American Indian/Eskimo, White, Asian, Black, Hispanic
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7
Q

Top reasons of use of CAM?

A
  1. Back Pain
  2. Neck Pain
  3. Joint Pain
  4. Anxiety
  5. Migraines
  6. Insomnia

Others: digestive, fatigue, allergies, cholesterol, URI, CA, HIV/AIDS

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8
Q

Top 3 most commonly used herbals:

A

Omega 3 Fish Oil
Glucosamine
Echinacea

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9
Q

Uses of omega 3 fish oil?

Safety?

A

Decrease triglycerides
+/- Heart Disease
Generally safe

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10
Q

Uses of glucosamine?

Safety?

A

osteoarthritis
often combined with chondroitin
Generally safe

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11
Q

Uses of Echinacea?

Safety?

A

Immune booster/common cold
Generally safe
-concern with immunosuppressive meds

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12
Q

Uses of Flaxseed Oil?

Safety?

A

Laxative, hot flashes, OA, cholesterol

Generally safe

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13
Q

Uses of Ginseng?

Safety?

A

Thinking/memory (combined with ginko)
Decrease blood sugar in type II DM
Generally safe
-caution w/ warfarin, antiplatelet, immunosuppressive meds

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14
Q

Uses of Gingko Biloba ?

Safety?

A

Memory & Dementia
Claudication

Interacts with many meds, increased bleeding risk
Side effects: allergic rxns, nausea, HA, dizziness

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15
Q

Uses of Garlic?

Safety?

A

Reduce blood pressure
Decrease rate of atherosclerosis
Reduce cholesterol?

Generally safe, caution with blood thinners

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16
Q

Uses of Coenzyme Q?

Safety?

A

Post MI
HTN
Migraine prevention
Early Parkinson’s (Ubiquinol)

Generally safe
-caution with Warfarin

17
Q

Uses of St. Johns Wort?

A

Depression, somatization disorder

Interacts with SSRIs= serotonin syndrome

18
Q

Uses of Saw Palmetto?

A

Benign prostatic hypertrophy

Generally safe

19
Q

Uses of Black Cohash?

A

Menopause symptoms
Generally safe
-rare causes of hepatitis/jaundice

20
Q

What would you educate your patients about on use of herbals?

A 
Efficacy
Not inherently safe
Slower onset 4-6 weeks
Purchase from reputable source
Caution in children and prego
21
Q

What case was brought against the AMA by chiropractors?

A

Wilke Case:

rule against AMA, did not condone chiropractic use

22
Q

Are chiropractic services generally covered under most insurance policies?

A

Yes

HMO may require in system provider

23
Q

Who started the osteopathic route of medicine?

A

Andrew Taylor Still

24
Q

Cornerstone of osteopathic medicine is?

A

manipulation to restore structure and function

focus on “whole” patient

25
Q

What is Qi?

A

Chinese Medicine
Use in acupuncture
Energy flow through 14 meridians
disruption of flow results in disease/symptoms

26
Q

When is acupuncture shown to be effective?

A

Post-op nausea, chemo related nausea and pain

Maybe: insomnia, anxiety, depression

Coverage: Aetna, Blue cross/blue shield, United HC, Metlife
No coverage for Medicare/Medicaid

27
Q

What is Moxabustion?

A

Herb moxa is rolled into cigar shape and burned, applied of acupuncture meridians

28
Q

What is tuina?

A

Manipulation

29
Q

Do patients generally disclose use of CAMs?

A

No, only around 38% do

30
Q

Reasons why patients might not disclose use of CAMs?

A

Fear of disapproval
Pt perceives it is not important
Not enough time
Pt perceives provider would disapprove/not understand

31
Q

A 48 y/o man who is having a course of chemotherapy and is having trouble with nausea and vomiting plans to see an acupuncturist.
Do you as a provider consider this okay?

A

Yes, it is generally safe and effective.

Have patient check with insurance

32
Q

A 52 y/o woman who is otherwise healthy reports to you that since her mother died of stomach CA she has started taking garlic supplements she buys from the drug store. What do you tell her?

A

This is generally safe, but the effectiveness is still not known.

33
Q

A 27 y/o female is in your office. She suffers from depression and is on Paxil and Xanax. She mentions that she added St. John’s Wort to her daily meds. What do you tell her?

A

Stop taking the St. John’s Wort. It can increase the metabolism of Xanax( making it less effective) and can increase serotonin too much leading to serotonin syndrome

PA Prof Midterm & Final (9 decks)

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