SM_247a: Integrative Medicine Flashcards
Describe guiding principles of integrative medicine
Guiding principles of integrative medicine
- Involving the patient in his/her own health
- Compassion and caring are very important
- Willingness to entertain non-conventional approaches
- Importance of scientific evaluation of all treatments (conventional and alternative)
- Need to address all aspects of a patient’s life: physical, social, spiritual, emotional, environmental, community
Describe use of complementary and alternative medicine in the United States
Complementary and alternative medicine in United States
- 36% of adults: women > men, higher education levels, hospitalized within the last year, former smokers, painful conditions, gastrointestinal disorders, and sleep problems
Best way to administer a botanical is ____
Best way to administer a botanical is unknown
(also inconsistent quality)
Alternative medicine alone is ____
Alternative medicine alone is ineffective and potentially harmful
Describe knee ostoearthritis integrative medicine treatment
Knee ostoearthritis integrative medicine treatment
- Motivational patient interviewing
- Nutrition and weight loss
- Exercise / movement
- Patient education
- Quitting bad habits?
- Thermal therapy (ice or heat)
- Medications and supplements
- Mind-body approaches
- Orthotic devices
- Injections
- Surgeries
- Alternative therapies
- Environment
____ should but not ____ should avoided to prevent/decrease OA
Red meat but not fruits should not to prevent/decrease OA
____ diet is helpful for OA
Mediterranean diet is helpful for OA
Obesity worsens knee OA by _____ and _____
Obesity worsens knee OA by increasing adiposity, which spurs low grade inflammation due to increase pro-inflammatory cytokines and adipokines, and leading to abnormal joint loading, which alters cellular mechanotransduction
Running is ____ than walking for preventing knee OA
Running is better than walking for preventing knee OA
Patient self management is _____ for knee OA
Patient self management is helpful for knee OA
Quitting smoking or tobacco ____ OA symptoms
Quitting smoking or tobacco does NOT reduce OA symptoms
____ is beneficial for knee OA, while ____ packs are not
Ice is beneficial for knee OA, while hot packs are not
Medication for knee OA with greatest risk of side effects is ____ > ____ > ____
Medication for knee OA with greatest risk of side effects is acetaminophen > celecoxib > glucosamine and chondroitin
____ deficiency is associated with knee OA progression
Vitamin D deficiency is associated with knee OA progression
____ or ____ supplementation is effective for knee OA
Curcumin / turmeric and avocado soybean unsaponifiables supplementation is effective for knee OA
(S-adenosylmethionine is unclear)
Steroids have ___ cartilage volume loss and ___ adverse events compared to saline for knee OA treatment
Steroids have greater cartilage volume loss and more adverse events compared to saline for knee OA treatment
(PRP injections help, orthotic devices help, canes uncertain)
____ is an alternative treatment to knee replacement surgery for knee OA
Tai Chi is an alternative treatment to knee replacement surgery for knee OA
(homeopathy, energy medicine, chiropractic, and acupuncture are not)
____ reduces postoperative nausea after knee OA surgery
PC6 acupressure reduces postoperative nausea after knee OA surgery
Describe the effectiveness of various integrative medicine interventions
Effectiveness of various integrative medicine interventions
