SM 247: Integrative Medicine Flashcards
What is traditional medicine?
Indigenous to cultures
What is conventional medicine?
Mainstream: MD and DO
What is alternative medicine?
Medicine that replaces mainstream practices - ie anti vaccination
What is complementary medicine?
Using conventional and alternative medicine
What is functional medicine?
Optimize body function
What is integrative medicine?
Licensed conventionally traiend providers with additional training that cobines EBM and alternative medicine therapies
What are the guiding principles of integrative medicine?
Involving the patient in his/her health, compassion and caring, entertain non-conventional approaches, evaluate all treatments and consider all aspects of health
How should effectiveness be weighed against harm?
Greater the risk of harm of a treatment, need greater evidence that treatment will be beneficial
What patient characteristics seek CAM?
Women, higher education, hospitalized and painful conditions
Why do most people use alternative treatments?
Not conspiracy theorists, most people combine with traditional medicine and think normal medicine is too expensive
What is the approach of homeopathy?
Like cures like: small microdoses of things are very effective in treating dissease
What are the challenges of giving botanicals?
Many ways to administer: infusion, powder, ointment, syrup, extract, etc.
What are the regulatory issues with botanicals?
Inconsistent quality due to poor regulation, potential for contamination with heavy metals/placebos, can be expensive and effective dose is unknown
What’s better: healthy food or a supplement?
Healthy food
Do environments and space matter in health?
Yes, may improve recovery after surgery
What are the outcomes of patients who use just alternative medicine?
Worse than normal medicine
What should be considered in an integrative medicine approach to knee osteoarthritis?
Motivational patient interviewing, nutrition/weight loss, exercise/movement
What should a person with knee osteoarthritis eat to improve/prevent symptoms?
Mediterranean diet
What foods are in the Mediterranean diet?
Vegetables > Fruits, whole grains, fish, dairy
Should you avoid red meat to prevent OA?
Yes
Should you avoid fruit to prevent OA?
No - avoid red meat instead
Does losing weight help OA symptoms?
Yes
How does obesity worsen OA?
Obesity leads to abnormal joint leading and mechanotransduction, as well as increased adiposity and low grade inflammation
Does exercise help treat OA?
Yes
