14) Complementary Therapies Flashcards Preview

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Flashcards in 14) Complementary Therapies Deck (13)
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1
Q

What are complementary and alternative medicines?

A

Medical system based on a theory of disease or method of treatment other than the orthodox science of medicine taught at med school

2
Q

What CAMs are closely related to conventional medicines?

A

Osteopathy

Acupuncture

3
Q

Give some examples of CAMs:

A

Acupuncture, aromatherapy, hypnotherapy, relaxation and visualisation etc.

4
Q

Why do people use CAMs?

A

Persistent symptoms
Real or perceived adverse effects of conventional treatment
Holistic approach
More time and attention from therapist

5
Q

What are some of doctor’s concerns about people using CAMs?

A
Unqualified and unregulated practioners 
Missed or delayed diagnosis (especially if use CAM first)
Wasting money 
May refuse conventional treatment 
Mechanisms implausible
6
Q

What are the implications for the patient using CAMs and seeing HCPs?

A

Symptom iceberg
Poor communication
Treatment interactions

7
Q

What is aromatherapy?

A

Controlled use of essential oils with therapeutic properties by topical massage or inhalation

8
Q

What can aromatherapy be used for?

A

Relieve stress, ease tension and improve health and wellbeing

9
Q

What is acupuncture?

A

Stimulation of special points on body by insertion of fine needles

10
Q

What are some of the challenges in conducting trials into CAMs?

A
Obtaining funding 
Complex
Finding placebos 
Double blinding 
Trial of single intervention may not reflect reality
11
Q

What are some reasons for why NICE should evaluate CAMs?

A
High public interest
GPs provide access 
Addresses inequalities in access 
Same standard should apply 
Stimulates more research
12
Q

What are some reasons against why NICE should evaluate CAMs?

A

Money in NHS limited
NICE has higher priorities
Poor quality evidence

13
Q

What are some issues about applying evidence based medicine to CAMs?

A

Healing potential not grasped by EBM
Forced into biomedical rules
What evidence counts e.g. patient feedback