Complementary and Alternative Medicine

Question 1

Evolution of US Health System

Answer 1

Conventional Medicine, or traditional or western, is evidence-based medicine

Conventional medicine is regarded as practiced by a MD/DO or other healthcare professionals

Question 2

Complementary Medicine

Answer 2

nontraditional approach used TOGETHER with conventional medicine (Western)

Question 3

Alternative Medicine

Answer 3

nontraditional approach used IN REPLACE OF conventional medicine

Question 4

Integrative Medicine

Answer 4

coordinated patient-centered care between patients, providers, and institutions

Question 5

Reasons for using CAM

Answer 5

• natural (people believe this is safer however it has its own toxicities and interactions)
• easy access (no wait times, lower cost, no insurance coverage)
• Hope in a time of desperation as they may have tried everything else
• dissatisfaction
• adjunctive therapy
• INDEPENDENCE from HC providers, pharmacists, and doctors
• cultural traditions

Question 6

Prevalence of CAM in US

Answer 6

33.2% of US adults
11.6% children aged 4-17

Women were more likely to use than men

18-44 years were higher than 45-64 years old

Question 7

Most common CAM

Answer 7

natural products (nonvitamin/nonmineral)

Question 8

Most common tradition treated by CAM

Answer 8

pain

Question 9

Prevalence based on race, education, poverty, and health insurance

Answer 9

Non-Hispanic: 37.9%
Hispanic: 22%
Black: 19.3%
Other: 37.3%

College Degree or Higher: 42.6%
Some College: 36.5%
HS Diploma/GED: 24.4%
Less than HS diploma: 15.6%

Not Poor: 38.4%
Near-Poor: 25.5%
Poor: 20.6%

Private Insurance: 38%
Public Insurance: 24.8%
Uninsured: 22.9%

MOST COMMON IN NON-HISPANIC, COLLEGE DEGREE, NOT POOR, PRIVATE INSURANCE

Question 10

Top Dietary Supplements

Answer 10

1. Fish Oil
2. Glucosamine/Chondroitin
3. Probiotics
4. Melatonin
5. CoQ10
6. Echinacea
7. Cranberry
8. Garlic
9. Ginseng
10. Ginkgo

Question 11

Popular Supplements

Answer 11

Turmeric/Curcumin
Vitamin C,D,K,B-12
Magnesium, Calcium, Zinc
Multivitamins
Probiotic
Melatonin
Apple Cider Vinegar
Green Tea
Collagen
Protein Powders
Coconut Oil

Question 12

Other CAM Practices

Answer 12

Movement Therapies
- Feldenkrais
- Alexander techniques
- Pilates
- Rolfing Structural Integration
- Trager

Traditional Healers: Native Americans

Question 13

Manipulative/Body-Base Practice

Answer 13

manipulations and movement of one or more body parts (chiropractic and massages)

focus on structures and systems of the body including joints, bones, soft tissue, circulatory, or lymphatic systems

Question 14

Mind & Body Medicine

Answer 14

enhance the mind’s ability to affect physical functioning and promote health
- therapy
- meditation
- prayer
- mental healing
- art, music, dance

focus on interactions among brain, mind, body, and behavior

Question 15

Energy Medicine

Answer 15

involves the use of energy fields

Question 16

Biofield

Answer 16

affects energy that surround and penetrate the body (qi gong, Reiki, healing touch)

Question 17

Bioelectromagnetic

Answer 17

uses electromagnetic fields (magnetic therapy or light therapy)

Question 18

Homeopathy

Answer 18

• developed in Germany
• regulated by FDA but not evaluated for safety and efficacy
• based on “like cures like” and “law of minimum dose”
• many remedies are so diluted that no molecules of original substance remain –> placebo effect