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Flashcards in L3-Naturopathic Medicine Deck (24)
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1
Q

Define naturopathic medicine.

A

Naturopathic medicine is a distinct system of primary health care that addresses the root causes of illness, and promotes health and healing using natural therapies.

2
Q

What is the Dx, Tx & care for the pts based on?

A
  • Uses a system of practice that bases the Tx on natural laws governing the human body.
  • Uses natural methods/modalities such as natural foods, nutrients, herbs, and remedies to support and stimulate a patient’s own healing process.
3
Q

What does it exclude?

A

Major surgery, therapeutic use of x‐ray and radium, and use of most pharmaceutical drugs (each province varies).

4
Q

Which two provinces have granted naturopathic doctors prescribing authority?

A
  1. BC - approved in April 2009

2. Ontario - approved in 2015

5
Q

T/F: Doctors cannot change other doctors prescriptions - naturopathic doctors cannot change other doctors rxs, and medical doctors cannot change naturopathic doctors rxs.

A

TRUE!

6
Q

Describe the training process.

A
  1. Bachelor degree – including pre‐medical science courses
  2. 4-year degree at an accredited naturopathic medical school
  3. National board exams (NPLEX) - tests: basic medical sciences & case-based practical competency
    >i.e. Diagnostic laboratory testing, diagnosis, prognosis, treatments, etc.
  4. Clinical rotations
  5. Canadian licensing
  6. Provincial licensing exams
  7. CME credits & yearly provincial licensing requirements
7
Q

Licensed NDs can routinely run diagnostic tests to help in the diagnosis of disease or management of conditions.
List the 6 tests they can order.

A
  1. Blood chemistry – Liver enzymes, cholesterol, hemoglobin
  2. Nutrient levels – ferritin, vitamin B12, vitamin D
  3. Blood immunoglobulin levels to certain allergens (food, environmental)
  4. Stool samples/cultures – for bacteria, parasites
  5. Lipoprotein cholesterol analysis ‐ LDL (types 1‐4), Apo‐E, Lpa
  6. Salivary hormone levels – estradiol, testosterone, progesterone, etc.
8
Q

Can NDs run pap tests, physicals in addition to running lab tests?

A

Yes - however services NOT covered SO expensive.
>Annual physical done through a naturopathic doctor- runs at about 300 dollars a year
>220 dollars a year- comprehensive cholesterol panel

9
Q

Lipoprotein testing with Naturopathy

A
  • also test for inflammation, insulin, ect
  • look for most risk factors to see risk on stroke, heart attack
  • many pts may be at low chol but high inflam/ other risks and still be high risk
  • this is not accepted by conventional medicine (yet- dont know personally if its legit) therefore pt would have to pay for this out of pocket
10
Q

What has research revealed regarding its safety?

A
  • assumes that naturopathic medicine that has been used safely for hundreds of years are okay to use because they do not have to be proven as being safe
11
Q

List the 7 treatment modalities.

A
  1. Lifestyle and psychological counselling
  2. Nutritional counselling
  3. Clinical nutrition
  4. Botanical medicine
  5. Homeopathic medicine
  6. Acupuncture – Traditional Chinese Medicine
  7. Physical medicine
12
Q

List examples of NHPs.

A
  1. Nutritional supplements – vitamins, minerals, anti‐oxidants, amino acids, fatty acids, fibre
  2. Herbal medicines – tinctures, glycerites, solid extracts, teas, granules, standardized encapsulated forms
  3. Probiotics – oral and/or vaginal delivery
  4. Glandular extracts – bovine/pig source
  5. Enzymes – digestive, fibrolytic, proteolytic
  6. Topical – salves, ointments, creams
  7. Intravenous – vitamins and minerals
  8. Intramuscular – vitamins, iron
13
Q

List the 7 principles.

A
  1. Do no harm
  2. Understand the healing power of nature
  3. Recognize/remove barriers to healing
  4. Tx underlying cause
  5. Tx whole person
  6. Educate about their illness and empower them
    make necessary steps.
  7. Prevent
14
Q

Principles.

1. First do no harm - describe re Tx.

A
  1. Use low-AE substances
  2. Avoid Sx suppression
  3. Do NOT give false hope.
  4. Recognize the limitations of natural medicine.
  5. Refer if needed.
15
Q

Principles.

2. Describe the healing power of nature & ND’s role in facilitating this process.

A
  • Belief in inherent self‐organizing & healing process of living systems which establishes, maintains and restores health
  • role to support, facilitate and augment this process by identifying & removing obstacles to health and recovery and by supporting the creation of a healthy environment.
16
Q

Principles.

4. What kinds of questions would you ask to get to the root of the problem?

A

-What are the underlying physiological processes that contribute to disease?
-Where there are imbalances, look below the surface to find unifying themes;
>Digestive? Toxicity? Endocrine? Mitochondrial dysfunction?

17
Q

Principles.

5. Why is it essential to treat the person as a whole?

A

-Health is multi-factorial & disease requires a personalized/patient-centered care is essential
>Multifactorial as a complex of physical, mental, emotional, genetic, environmental, spiritual, social and other factors.

18
Q

Principles.

6. T/F: Partership with patient (with the pt being the co-learner) is important.

A

TRUE

  • OG meaning of Dr.= teacher
  • Educate & emphasize self‐responsibility for health
19
Q

Principles.
7. T/F: The prevention of disease AND the attainment of optimal health in patients is a primary objective of naturopathy.

A

True lol.

-NDs assess risk factors to disease & make pt-centered Px plan.

20
Q

Principles.

3. Describe therapeutic order.

A
  1. Re‐establish basis of health
  2. Stimulate healing power of nature
  3. Tonify weakened systems
  4. Prescribe specific natural substances for pathology
  5. Advise pharmacological substances for pathology
21
Q

Describe a typical NP visit.

A
  • First visit length ~1- 2 hours
  • Wherein ND:
    1. Takes Hx
    2. Reviews Rx medications
    3. Performs physical exam
    4. Lab tests if required (urine, blood, saliva, stool)
    5. Requests records release
    6. Delivers Tx plan/options
22
Q

Describe a typical NP visit.

With regards to lab tests, what are NDs goal?

A

-for conventional, if just over level to be HTN, may just suggest life mods and monitor
-for naturopath, not looking at abnormal but they are looking at optimal (how are they trending on a lab result and what other sx they are experiencing)
>ie for VitB12, below level in canada=220, but if they are at 350 but still tired and have other sx, NP would treat this to get to optimal level (there are 4 diff types of injectable B12s… we typically use cyano (but apparently does not have that good of efficacy behind it; methyl, adeno, hydroxy have better……….)

23
Q

Describe types of pts that seek this therapy.

A
  1. Interested in natural/complementary care
  2. Seeking more info/support/counselling on disease management, in addition to conventional protocols
  3. Self‐prescribers (of herbs and nutritional supplements) who are concerned about interactions
  4. Illness prevention
  5. Dx with chronic illnesses
  6. No resolution of Sx w current HCPs
24
Q

Look at 3 cases.

A

Actually do it..