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HS 200

•Summary, Assessment, and Reflection of Behavior change Project due today.

Rubric must be attached to the front.

Tues, Dec. 5: Last day to accept the Health-Related Community Activity/Event (for those who did not do the 12-Step assignment)

Conventional and Complementary Medicine: Skills for the Health Care Consumer

Chapter 15

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Self-Assessment: Managing Medical Problems

• Effectively managing medical problems.

• Self-Assessment.– Observing symptoms.– Medical self-tests.

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Decision Making: Knowing when to See a Physician

• Evaluating Symptoms– Severe– Unusual– Persistent– Recurrent

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When to Get Professional Assistance

Any Medical Emergency such as• Major trauma.• Uncontrollable bleeding.• Intolerable pain.• Severe shortness of breath.• Persistent abdominal pain.• Poisoning or drug overdose.• Loss of Consciousness.• Severe or worsening reaction to an bite, sting or medication.

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Self-Treatment: Many options

• Watchful waiting.

• NonDrug options

• Self-medication– OTC– Generic

• The home pharmacy

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P. 372 Text

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Conventional Medicine

• “Standard Western Medicine”

• “Bio-medicine”– Based on the findings of a variety of biological

sciences.

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Premises and Assumptions of Conventional (Western) Medicine

• Every disease is defined by a certain set of symptoms

• Pharmaceuticals

• Scientific explanation– Empirical– Rational– Testable

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Providers of Conventional Medicine

• Medical doctors (M.D.)• Doctors of osteopathic medicine (D.O.)• Podiatrists (D.P.M.)• Optometrists (O.D.)• Dentists (D.D.S.) or (D.M.D.)• Allied health care providers

• Registered nurses (R.N.), licensed vocational nurses (L.V.N.), physical therapists, social workers, registered dietitians (R.D.), physician assistants (P.A.), nurse practitioners, and certified nurse midwives

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Getting The Most Out Of Your Medical Care

• Knowing when to seek professional care.

• Good communication

• The Physician-Patient Partnership

• The Diagnosis Process

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Complementary and Alternative MedicineBalance is the Expression of Health

Guiding Principles

– Treat Whole Person

– Do no Harm

– Remove Barriers to healing

(recognize the natural tendency of the body to heal itself)

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Alternative medical systems

• Traditional Chinese medicine (TCM).– Acupuncture– Herbal therapies

• Homeopathy• Hypnosis• Biological-based

therapies

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Complementary and Alternative Medicine

• Manipulative and Body-Based Methods.– Touch and body manipulation– Massage acupressure– Rolfing– Chiropractic

• Energy Therapies– Therapeutic touch– Reiki

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Traditional Chinese Medicine (TCM)-

• The top two causes of disease:1. Emotions2. Rich Diet

• Two primary treatments in TCM • herbal remedies • acupuncture.

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Herbal Remedies ~ yin and yang

~ balanced ~ interconnected.

Acupuncture Qi: ~ excess or deficiency~ regulates spiritual, emotional, mental,

~ physical balance~ keep normal flow of energy unblocked

12 main energy pathways in the bodyMeridians in Balance= Expression of Health

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Homeopathy

• Based on 2 principles:1. “like cures like” 2. “remedies become more effective with greater dilution”

• Highly individualized form of therapy.

• Treatment is determined by the overall condition of the patient rather than by specific symptoms.

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Mind-Body Interventions

• Integral connection between mind and body

• Meditation; yoga; visualization; tai chi; biofeedback; psychotherapy; support groups; prayer; and art, music, and dance therapy.

• The placebo effect is one of the most widely known examples of mind-body interdependence.

• Hypnosis

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Biological Based Therapies

• Herbal Remedies, Botanicals, Dietary Supplements

• For the vast majority of botanicals, there are almost no reliable research findings on efficacy and safety.

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Manipulative and Body Based Therapies

• The most commonly accepted CAM manual healing method is chiropractic

• Chiropractic (spinal manipulation) has been shown to be effective in acute low back pain and has shown promising results neck pain and headaches

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Energy Therapies

• Therapeutic touch

• Reiki

• Bioelectromagnetics

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National Center for Complementaryand Alternative Medicine NCCAM

• http://nccam.nih.gov/

• Health Information

• CAM Clinical Trials

• Treatment Information

• News and Events

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Integrative Medicine

• Employs rigors of modern science with

most beneficial CAM procedures

• Customized approach

• Collaboration of both disciplines

• National Center for Complementary Medicine (NCCAM)

Created in 1998 under the auspices of National Institutes of Health Projected 2005 budget exceeds $121. million.

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Models of Integrative Medicine

• University of Arizona’s Medical SchoolProgram in Integrative Medicine established in 1994. ‘Prospective’ Health Care Model

‘Health Coach’

• Duke University Center for Integrative Medicine

• Weill -Cornell Center for Integrative Medicine (NY)

• Strang-Cornell Cancer Prevention Center

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Thank You!