Integrative and Complementary Medicine Lecture Powerpoint

Question 1

Complementary vs alternative medicine

Answer 1

Complementary is used along with conventional allopathic medicine, alternative is used in place of conventional medicine

Question 2

Integrative medicine

Answer 2

Healing oriented medicine that takes into account the whole person (body, mind, spirit) including all aspects of lifestyle and emphasizes making use of both conventional and alternative therapies as well as the partnership between patient and practitioner

Question 3

Integrative oncology

Answer 3

Based on using western as well as complementary and alternative medicine to evaluate and treat the person

Question 4

Primary vs secondary vs tertiary disease prevention

Answer 4

Primary - not get the disease
Secondary - detect the disease and treat it
Tertiary - alleviate the symptoms of a chronic disease

Question 5

Why do patients seek alternatives to traditional western medicine? (4)

Answer 5

• Loss of therapeutic relationship with provider
• mistrust of medical establishment
• comfort themselves
• try to treat and cure their own cancer

Question 6

Hoxsey therapy

Answer 6

Alternative medicine technique that was promoted as being capable of curing cancer that ultimately led to persecution by the AMA for being baseless despite still being used in some populations in mexioc

Question 7

Ayurveda

Answer 7

System from India emphasizing balance among body mind and spirit

Question 8

Naturopathy

Answer 8

Emphasizes prevention, treatment, and optimal health through use of therapeuic methods and substances that encourage individuals inherent self healing process

Question 9

Homeopathy

Answer 9

Use of small doses of substances to trigger the body to heal itself

Question 10

Traditional chinese medicine

Answer 10

Concept that excellent nutrioton, health, and living habits are crucial to maintaining the balanced flow of qi, or life energy, thru the body

Question 11

Mind body modality and examples (4)

Answer 11

Used complementary to traditional medicine to reduce anxiety, disturbance, and improve quality of life

Support groups, cognitive behavioral therapy, yoga, creative outlets

Question 12

Spirituality

Answer 12

A powerful coping tool that is the most underutilized due to patient/provider ambivalence, evidence suggests it improves QOL thru creation of positive mental attitude and sense of inner peace

Question 13

Manipulative/body based therapies examples (3)

Answer 13

• Therapuetic massage
• Chiropractic
• exercise/physical activity

Question 14

Energy therapies examples

Answer 14

• Tai chi (purposeful movements)
• Reiki (hands over or on patient)
• Therapeutic touch (Hands used to direct human energy for healing purposes, no actual physical contact)

Question 15

Chakras

Answer 15

Energy centers of the body that are like valves thru which conscious energy flows, blockage of the chakras results in disease

Question 16

Acupuncture***

Answer 16

Evidence that it can decrease chemo related nausea and vomiting, can be recommended by medical practitioners and very safe generally unless bleeding tendencies

Question 17

Patients who have cancer or are survivors should be referred to a ___ to correct any deficits incurred from treatment

Answer 17

Nutritionist

Question 18

Strong evidence shows that a diet filled with plant foods helps lower the risk of…

Answer 18

…many cancer

Question 19

Fiber digestive function***

Answer 19

Provides the bulk to help move waste along in the GI tract by sliding it along and away from the walls of the intestine encouraging passage of stool

Question 20

Butyrate***

Answer 20

A bacteria breakdown product from ingested fiber in the intestines that has evidence to inhibit growth of tumors in colon and rectum

Question 21

Antioxidants***

Answer 21

Molecules ingested that protect the body against free radicals (formed from normal metabolism or tobacco smoke) that damage cells, mitochondria, and DNA which can lead to cancer or disease

Question 22

Dietary supplements

Answer 22

Many are “proprietary blend” which can have substances inside that isn’t researched or regulated under FDA, however some have demonstrated advantages to consumpion

Question 23

Vit D supplements***

Answer 23

A dietary supplement that is one of the most studied supplements for cancer prevention and treatment (is found in higher levels in people with cancer or obese who cannot get outside), mixed evidence if it should be supplemented

Question 24

Vit D is an indicator of…***

Answer 24

…overall health

Question 25

Garlic supplementation***

Answer 25

Many studies have found that those that eat garlic are less likely to develop certain cancers, however supplements have not found the same benefit to immune boosting properties

Question 26

Green Tea supplementation

Answer 26

Green tea contains a substance called polyphenols that are antioxidants and best taken by drinking

Question 27

Mushroom product supplementation***

Answer 27

Polysaccharide (phytochemicals) from ganoderma lucidum mushroom* has been shown to inhibit growth and invasiveness of some cancer cells in the lab including some forms of breast cancer*

Question 28

Ginger supplementation***

Answer 28

Found to help with nausea and vomiting often a side effect of chemotherapy for cancer

Question 29

L-glutamine supplementation**

Answer 29

Shown in some studies to reduce peripheral neuropathy associated with some chemo drugs

Question 30

Cannabinoids supplementaiton

Answer 30

THC has evidenced ability to decrease nausea and vomiting as a side efffect of chemo, absorbed best by smoking than oral

Question 31

Precautionary principle

Answer 31

The idea that a lack of scientific certainty shall not be used as a reason fro not acting in a way that prevents harm to human health or the environment (use when data is limited or non-existent with informed consent to let the patient make a judgement call)

Question 32

Red flags of alternative medicine (5)

Answer 32

• Using the word cure improperly
• evidence based data not provided when available
• FDA not approved
• refuses insurance
• testimonials