complementary and alternative medicine Flashcards
what is the classification of CAM
alternative medical systems mind body interventions biologically based therapies manipulative and body based methods energy therapy
what is the principle behind homeopathic preparations
similar
serial of dilutions of a mother tincture- potentisation
what are the harms of homeopathy
no risk of interactions with other medicines
however a delay in receiving appropriate treatment
how is homeopathy regulated in the uk
society of homeopaths, faculty of homeopaths, british homeopathic association
regulated by EU directive
what drugs can st johns wort interact with
hormonal contraception anti depressants anti coagulants anti epileptic heart medication anti cancer anti virals and more
what are the risks of herbal medicines
adverse drug reactions and interactions
quality control
delay in receiving treatment
what body regulates herbal medicine
medicines and healthcare regulatory agency
what are the principles of chiropractice
disease is caused by displaced vertebrae
subluxations
x rays
spinal manipulations
what are the risks of chiropractice
– 50% of chiropractic patients suffer an adverse reaction
– Tearing of artery wall leading to stroke
– Injury to the spinal cord
– Chiropractic X rays
what are the principles of acupuncture
chi flows through medidians associated with major organs illness is due to disrupted chi needles are inserted along meridians restores flow of chi
what are some theories of how placebos work
endogenous opiates release (test with naloxone)
pavlovian conditioning
expectancy
motivation
what are some problems with testing complementary therapies
difficulty in blinding for the patient and practitioner
may be able to use comparative treatments eg physiotherapy or massage
why do people use CAM
health promotion exhausted conventional options desperation side effects and risks of conventional medicine no conventional therapy available more attention from practitioner may not know its CAM
What are some impediments to making inferences about treatment
placebo natural history of disease causal inferences reluctance to admit when wrong respect for authority conspiracy view of the world
what are some ethical considerations of CAM
if its nothing more than a placebo, is that a bad thing? do we need to know how a treatment works is it safe? direct/ indirect harm balancing patient choice around non maleficence should it be researched or funded undermines public trust? exploration of the limits of EBM
