Complementary and Alternative Medicine

Question 1

Conventional Medicine

Answer 1

MD or DO

ALlied health professions: PT, Psychologist, RN

Allopathy and allopathic medicine

western medicine

Mainstream medicine

Orthodox medicine

Regulat medicine

Biomedicine

Question 2

Complementary Medicine

Answer 2

describe preactices used in conjunction with or to complement conventional medical treatments

Question 3

Alternative Medicine

Answer 3

describe practives used independently or in place of conventional medicine

Question 4

Holistic MEdicine

Answer 4

not itself a method of treatment, but is an approach to how treatment should be applied

Focus on health and fitness

Physical, Mind, Body and spirit

The goal is a wellness that encompasees the entire person, rather than just the lack of physical pain or disease

Question 5

Integrative Medicine

Answer 5

combinations of conventional and alternative medicial treatment which have some scientific proof efficacy

such practices are view by advocates as the best examples of complementary medicine

Ralph syndeman and Andrew Weil go so far as to clain that “integrative medicine is not synonymous with complementary and alternative medicine. It has a far larger menaing and mission in that it calls for restorationof the focus of medicine on health and healing and emphasizes the centrality of the patient-physician relationship

Question 6

Functional Medicine

Answer 6

is a systems biology-based approach that focuses on identifying and addressing the root causes of dieasea. Each symptom or differential diagnosis may be one of many contributin to an indivdual’s illness

Question 7

Physioology abd Function: Organizing the Patients Clinical Imbalance

Answer 7

Mental - Sprititual - emotion

Assimilation

Defense and repair

Structural Integrity

Energy

Communication

Transport

Biotransformation and elimination

Transport

Question 8

Retelling the patients story

Answer 8

Antecedents (Preconception/prenatal)

Triggering Events

Mediators/Perpertuators

(birth/current concerns/signs, smptoms or disease reported)

Question 9

Go to it steps for practicing functional medicine

Answer 9

Gather

Organize

Tell

Order

Initiate

TRack

Question 10

Gather

Answer 10

Gather onself: mindfulness, optimizing the therapeutic relationship

Gather information: throughHealth history and intake forms, questionaires (medical symptoms), the intial consultation, phsical eams, objective date. A detailed functional medicine history taken appropriate to age, gender, and nature of presenting problem

Timeline

Chronological story

ATM and the patient’s stoiry

ABCDs of nutrition eval

Nutrition Physical Exam forms

Question 11

Organize

Answer 11

the subjective and objective details from the patients story within the functional medicine paradigm. Position the patien’s presenting signs, symptoms, and ATMs, along with the details of the case history on the timeline and functional medicine matrix.

Matrix

Antecedents, Triggers, medication

Modifiable lifestyle factors

Clinical imbalances

Organizing the functional nutrition evaluation

Question 12

Tell

Answer 12

Tel the story back to the patient in your own words to ensure accuracy and understanding. Dialogue about the case highlights (Matrix timeline)

Acknowledge patient goals

Identify the predisposing factors (antecedents)

Identify the triggeres

Identify the perpetrating factor (mediator)

explore the effects of lifestyle factors

Identify clinical imbalances or disruptionin the organizinf physiological systems of the matrix

Ask the patient to join in corecting and amplifying hte story

Personal development exercise to create and strengthen the Theraputic relationship:

Reflective listening

Motivational Interviewing

Coaching and Behavioral modifications

Question 13

Order

Answer 13

Order and prioritize emerges from the dialogue of profession and patient. The patients mental, emotional, and spiritual perspective is of primary importance for prioritizing the next steps

Question 14

Initiate

Answer 14

further functional assesment and intervention based upon the above work.

Perform further assesment

Intitiate patient education and therapeutic intervention

Referral to adjunctive care (Nutrional professional, lifestyle education, healthcare provider, specialist

Prescription

Referral:

ABCD order form, physical exam form, PFC-MVP Biomarkers, Diet, Nutrition, and Lifestyle journal

Patient education handouts:

Mindful eating, relaxation response, function nutrition fundamentals, core food plan and therapeutic suites

Question 15

Track

Answer 15

Further assesment, nothe the effectiveness of the therapeutic approach, and identify clinical outcomes at each visit - in partnership with the patients

Medical symptoms questionaire

Body composition tracking

Question 16

Osteopathy

Answer 16

• approach to health care that emphasized the role of the MSK system in health and disease
• form of medicine where conventionally trained physicians use complementart medicine, emphasizing a holistic approach
• Practioners are considered convetional medicine physicians. They attend osteopathetic school and recieve a doctorate in Osteopathy
• D.O train in traditional medicine and ostheopathic
• D.O Physicians may use a range of manual and physical treatment interventions (ostheopathic manipulativemedicine, or OMM in the US) in prevention and treatment of disease

Question 17

Chiropractic

Answer 17

• a health care profession that focuses on diagnosis, treatment and prevention of mechanical disorders of the MSK system, with special emphasis on the spine, under the hypothesis that these disorders affect general health via the nervous system
• generally considered to be complementaty and alternative medicien a characterization may chiropractors reject
• treatment emphasizes manual therapy including spinal manipulation and other joint and soft tissue maipulations, and includes exercise and health and lifestyle couseling
• assumes that a vertebral subluxation or spinal joint dysfuntion can interfere with the body function and its innate ability to heal itseld

Question 18

Acupuncture

Answer 18

• is a technique of inserting and manipulating fine filiform nedles into specific points on the body with the aim of relieving pain and for therapeutic purposes
• according to traditional chinese acupunture theory, acupuncture points lie along meridinas along which qi, the vital energy flows
• There is no physical, verifiable anatomical or histological basis for the existence of accupuncture points or meridians
• acupuncturist tend to view them in functional rather than structural terms
• originated in China and is most commonly associated with traditional chinesse medicine
• Different types of accupunctute (Chinease, Japanese, Tibeton, Vietnemes, adn Korean) are practived and taught throughout the world
  *

Question 19

Neuropathy

Answer 19

• Emphasizes the body’s intrinsic ability to heal and maitain itself
• preferto use natural remidies such as hebs and food rather than surgery or synthetic drugs
• include many different modalities including homeopathy, herbals, supplements, dietsm neurofeedback, specialized labs and energy practices
• practioners emphazie a holistic approach to patient care and may recommend patients use conventional medicine alongside their treatments

Question 20

Homepathy

Answer 20

• form of alternative medicien first defined by samuel hahnemann in the 18th century
• a central thesis of homeopathy is that an ill person can be treated using a substance that can produce, in a healthy person, symptoms similar to those of illness.
• Like cures Like
• select treatments according to a patient consultation that explores the physical and psychological state of the patient. Both of which are considered important to selecting the remedy
• serial dilution, with shaking between dilutions, removes the toxic effects of the substance, while the essential qualites are retained by the diluent (water, sugar, or alcohol)

Question 21

Folk Medicine

Answer 21

decribes medical knowledge systems which developded over centuries within various societies before the era of modern medicine

Include: Herbal medicine, ayurvedic medicine, Unani medicine, accupuncture, spinal manipulation, siddha medicine, traditional chinese medicine, south african multi, youruba ifa, as well as other medical knowledge and practives all over the globe

Question 22

Ayuverda

Answer 22

system of traditional mediicne native to india and practiced in other parts of the world as a form of alternative medicine

Life and Science

evolving throughout its history. remains influential system of medicine in SOuth asia. The earliest literature of Ayuveda appeared during the vedic period in india.

Question 23

TRaditional Chinease MEdicine

Answer 23

includes a ranfe of traditional medical practives originating in China

it is considered a complementart or alternative medican system in much of the western world while remaining as a form of prinary care thorughtout most of asia

include treatments such as herbal medicine, acupuncture, dietary thereapy, Tui na and Shiatsu massagel often Qigong and Taiji are also strongly affiliated with TCM

Question 24

Mind Body Thrapy

Answer 24

• branch of complementary and alternative medicine, hold belief that a healer can channel healing energu into the perosn seeking help by different methods
  
  • hands on, hands off
  • fistant (or absent) where the patien and healer are in different locations
• Types
  
  • Reili
  • Therapeutic touch
  • Qigong
  • Contact healing
  • Distant healing
  • Diofuekd energy healing
  • Magnet therapy

Question 25

Biofeedback/ Energy Medicine

Answer 25

form of alternative medicien (complementary/integrative) that involves measuring a subjects quantifiable bodily function such as blood pressure, heart rate, skin temp, sweat gland activity, and muscle tension, conveying the infromation to the patient’s in real time

This raises the patient’s awarness and conscious contrl of their unconscious physiological activites

Thermal viofeedbakc

electromyographic biofeedback

computer based biofeedback

Question 26

CAM History Taking

Answer 26

• Ask about other providers: Naturopathis, homeopaths, chiropractors, traditional medicine, herbalist, massage therapists
• as about vitamins and supplements
• ask about neutraceutical or special food and or special diets
• ask about special procedures or therapies: colonics, body wraps, iridology, acupuncture

Question 27

Spirituality and MEdicine

Answer 27

• Consider spirituality as a potential component of every patient’s physcial well being and mental health
• Address spirituality at each complete physical exam and continue addressing it at follow-up visits if appropriate. In patient care, spirituality is an on-goin issue
• Respect a patient;s privacy regarding spiritual beliefs. Dont impose your beliefs on others
• make referrals to chaplains, spiritual directors, community resourses as appropriate
• be aware that your own spiritual beliefs will help you personaly and will overflow in your encounters with those for whom you care to make te doctor-patient encounter a moe humanistic one

Question 28

Spiritual Assesment toold - FICA

Answer 28

F - faith or beliefs (what things that you belief in that give you meaning to your life)

I - Importance and influnece (What influence foes it have on how you take care of yourself/How have your beliefes influenced in your behavior during this illness/what role do your beliefs play in regaining your health)

C - community (is this of suuport to you and how/Is there a person or group of people you really love or who are really important to you)

A - address (how would you like me, your healthcare provider to address these issues in your healthcare)