module 4 complementary and alternative therapies

Question 1

complementary

Answer 1

used in conjunction with western medicine

Question 2

alternative

Answer 2

used instead of western medicine

Question 3

integrative

Answer 3

combined approach of complementary and alternative medicine ( western and eastern)

• biologic
• psychological
• sociological
• spiritual

Question 4

natural products

Answer 4

herbs

supplements

Question 5

other medicine

Answer 5

traditional healers

Question 6

chiropractic

Answer 6

spinal manipulation

- PR, osteopathy DO

Question 7

prolotherapy

Answer 7

injection for ligament strength

Question 8

acupuncture

Answer 8

part of traditional Chinese medicine

- helps with pain

Question 9

Cranberry

Answer 9

Uses: UTI prevention or Tx
Interactions: warfarin, statins

Question 10

Saw palmetto

Answer 10

Uses: BPH
Interactions: other BPH, blood thinners
AE: Ha, abdominal upset

Question 11

Soy

Answer 11

Uses: cholesterol, T2DM
Safety: inc. endometrial CA? breast CA?
AE: GI upset

Question 12

Garlic

Answer 12

Uses: HTN, cholesterol, heart disease, common cold
Safety: dec. CA risk
Interactions: HIV drugs, warfarin
AE: heartburn

Question 13

Ginkgo

Answer 13

Uses: improve cognition, PAD
Safety: poisonous raw
Interactions: DM meds, other supplements
AE: HA, nausea, dizzy

Question 14

Echinacea

Answer 14

Uses: antibacterial/antiviral
Safety: asthma, atopic dermatitis
Interactions: low
AE: low

Question 15

Milk thistle

Answer 15

uses: liver/gallbladder disease
Safety: allergy

Question 16

Black Cohosh

Answer 16

Uses: dysmennorhea, PMS, hot flashes
Safety: liver damage

Question 17

AAP standard regarding youth and complementary medicine

Answer 17

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

Question 18

complementary medicine and law

Answer 18

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

Question 19

Common principles of integrative care practice model

Answer 19

• 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

Question 20

Common CAM therapies

Answer 20

nutritional recommendations
dietary supplements
environmental health recommendations 
essential oils/aromatherapy 
cognitive behavioral therapy
biofeedback
yoga/tai chi/ exercise
hypnosis
music therapy
acupuncture
massage