module 4 complementary and alternative therapies Flashcards
complementary
used in conjunction with western medicine
alternative
used instead of western medicine
integrative
combined approach of complementary and alternative medicine ( western and eastern)
- biologic
- psychological
- sociological
- spiritual
natural products
herbs
supplements
other medicine
traditional healers
chiropractic
spinal manipulation
- PR, osteopathy DO
prolotherapy
injection for ligament strength
acupuncture
part of traditional Chinese medicine
- helps with pain
Cranberry
Uses: UTI prevention or Tx
Interactions: warfarin, statins
Saw palmetto
Uses: BPH
Interactions: other BPH, blood thinners
AE: Ha, abdominal upset
Soy
Uses: cholesterol, T2DM
Safety: inc. endometrial CA? breast CA?
AE: GI upset
Garlic
Uses: HTN, cholesterol, heart disease, common cold
Safety: dec. CA risk
Interactions: HIV drugs, warfarin
AE: heartburn
Ginkgo
Uses: improve cognition, PAD
Safety: poisonous raw
Interactions: DM meds, other supplements
AE: HA, nausea, dizzy
Echinacea
Uses: antibacterial/antiviral
Safety: asthma, atopic dermatitis
Interactions: low
AE: low
Milk thistle
uses: liver/gallbladder disease
Safety: allergy
Black Cohosh
Uses: dysmennorhea, PMS, hot flashes
Safety: liver damage
AAP standard regarding youth and complementary medicine
IF evidence supports both safety and efficacy, physician should recommend the therapy
-continue to monitor the patient conventionally
IF evidence supports safety but not efficacy
- treatment should be cautiously tolerated and monitored
IF evidence supports efficacy but inconclusive about safety
- therapy could be tolerated but monitored very closely
IF evidence does not support safety or efficacy
- avoid treatment
complementary medicine and law
understand local and state law and regulations governing licensure of non-conventional providers and specific therapies
- naturopathic medicine
- acupuncture
- chiropractic
- massage
Understand state statues regarding child abuse and neglect
- knowledge of complementary medicine being used instead of conventional for tx of children with life-threatening illnesses may be reportable
Common principles of integrative care practice model
- Focus on wellness that, in turn, prevents illness
- Belief in the bodys ability to heal itself
- -external interventions that stimulate body’s internal healing processes
- Understanding that health is a result of rebalancing the biologic systems
- Emphasis on using nutrition, plants, and other natural products to maintain or return to health
- Recognition of the individuals unique constitution and inner resources to achieve health
Common CAM therapies
nutritional recommendations dietary supplements environmental health recommendations essential oils/aromatherapy cognitive behavioral therapy biofeedback yoga/tai chi/ exercise hypnosis music therapy acupuncture massage
