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Complementary & Alternative Medicine

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JoAnne Bullard

on 18 October 2016

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Transcript of Complementary & Alternative Medicine

Complementary & Alternative Medicine
Popularity in US
*38.1 million adults made 354.2 million CAM visits

*Both adults and children
Three types of therapy
1. Alternative
2. Complementary
3. Integrative
Types of CAM
Main focus: Prevention & Treat the whole person

5 domains:

1. Whole medical systems
2. Mind-body intervention
3. Biological based therapies
4. Manipulative and body-based therapies
5. Energy therapy/medicine

*Regulated by FDA similar to non-prescription drugs

*Difficult to prove safe & determine ingredient amounts

*If claimed to cure a serious disease, must be sold by prescription

*Only 3 states license medical doctors to practice
Problems with Homeopathy
*Lack tamper resistant packaging

*Lack proper labeling

*Lack of requirement that remedies meet certain legal standards

*Vague indications that could encompass serious disease conditions
"Natural medicine"
*Stimulate natural healing process & remove underlying cause of disease

*Based on nature of disease and health, instead of clinical trials

*Focuses on vitalism or "life force"

*Combines traditional therapies with advances in modern medicine

*Examples: fasting, "natural food" diets, manipulation, massage, exercise, natural childbirth, application of water, heat, sunlight, etc.

*Combines senses, mind, body & soul to provide knowledge regarding mental, emotional & spiritual health

*Viewed as a way of life instead of treatment

*5 elements: water, fire, ether, air & earth

*No governmental regulation in US
Universal Life Force Energy
Directs universe's energy to people, places & things
Energy flows from practitioner's hands to the patient
Some evidence of relieving stress, depression and pain
Mind-body philosophy
Composed of 6 branches
West uses it for relaxation, stress relief & flexibility
Controlled breathing; controlled mind-body
Complementary therapy for:
Asthma, memory, carpel tunnel, heart disease, osteoarthritis, etc.
Key to health is properly functioning nervous system
Spinal manipulation technique:
Focus on subluxations, nutrition, fitness, lifestyle

Encourage use of reflexology over medications
Referrals to physicians and vice versa
Licensed & regulated in each state
Energy flow through meridians of the body
Keep flow of chi clear & unblocked to balance ying/yang
Use needles, manual pressures, electricity, etc. to stimulate meridians
No correlation between organ location and meridians
Used mostly for pain relief in U.S.
Thought to stimulate CNS to release chemicals in spinal cord, brain & muscles
Needles regulated by FDA for single use
Belief that parts of the body correspond with areas in the feet, hands & ear
Pressure & massage promotes healing
Can cleanse body of toxins, increase circulation, improve organ health, help with weight loss, etc.
Faith Healing
Prayer, divine intervention, or ministrations of the healer can cure illness
Christian Science
Spiritual, prayer based healing
Reject medical treatments & vaccinations
"Auditing"- discover destructive elements
Work on eliminating those elements
Expensive & provides organization income
Believes asthma, arthritis & ulcers to be psychosomatic
Operates a chain of clinics to purge drugs/toxins
Utilizes saunas, exercise & vitamins
Herbs & Dietary Supplements
Not treated as drugs
Can be marketed without testing truth of claims
"Natural" does not ensure safe/effective
Considering CAM?
Locate safety & effectiveness from physician, scientific studies & National Center for Alternative & Complementary Medicine
Consumer Use of CAM
CAM and Cancer
CAM and Chronic Pain

*63% used at least 1 CAM other than spiritual practice
*Surgery, chemo or both= more likely

*Study of tumor patients
-75% used at least 1 CAM
-Nutritional, massage & herbs
Chronic Pain
Most common: back and neck pain

Chiropractors provide 40% of back pain care
-Retention rate of 92%

RA patients: 20-60% use CAM
Most common CAM in addition to convectional meds:

- Vitamin C, Vitamin E, garlic, mineral/vitamin supplements
-Massage, acupuncture, nutritionists
-Aerobic exercise, prayer, massage, meditation

-Findings from one study:
-45% used CAM
-2/3 used supplements
-81% found assistance with these supplements
-24% used medical marijuana and found relief
Evidence Based CAM
Low-fat or modified fat diets for preventing CVD
Acupuncture in the management of low back pain and recurrent headaches
St John's Wort to treat mild to moderate depression
Herbal & glucosamine therapy for treating osteoarthritis
Nutritional supplements for neurological conditions

Reasons Why People Choose CAM
*An interest in spirituality and personal growth
*Commitment to environmentalism
* Belief in a holistic approach to health
*Strong internal locus of control
*Transformational life experiences
Side Effects
Herbal Products
-Complications for surgery patients
-Bleeding, cardiovascular instability, hypoglycemia, may increase the strength of anesthetics or the metabolism of many drugs used during and after surgery

Amount of Spending
-$14.9 billion out-of-pocket per year
-Highest estimated out-of-pocket spending ($13.7 billion):
back pain, neck pain, joint pain, and arthritis
-Back pain was the number one condition by far ($8.7 billion)
Responsibility of the Consumer
1. Check with your doctor or other health care provider
2. Find out as much as you can about the practitioner
3. Is the practitioner willing to work together with your conventional health care providers?
4. Find out about the practitioner’s training/experience in working with people who have your conditions
5. Health insurance coverage
6. Share with health care providers
Full transcript