Transcript Access Document

23
Complementary and
Alternative
Medicine:
New Choices and
Responsibilities for
Healthwise
Consumers
PowerPoint® Lecture Slide
Presentation prepared by
Michael Hall
Copyright © 2006 Pearson Education, Inc.,
publishing as Benjamin Cummings
Objectives
• Describe complementary and alternative medicine
(CAM); explain why it is growing in popularity and who
is most likely to use it.
• Describe major types of CAM providers and common
treatments they offer.
• Discuss various types of CAM being used in America
today.
• Explain how to evaluate testimonials and claims related
to CAM products and services.
• Discuss challenges and opportunities related to CAM.
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Complementary and Alternative Medicine (CAM)
• Complementary medicine – therapies used together with
conventional medicine
• Alternative medicine – used in place of conventional
medicine
• Conventional medicine is practiced by holders of M.D.
or D.O. degrees and by allied health professionals
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Historical Perspectives
• 25% of all pharmaceutical drugs are derived from herbs
• The emergence of CAM in the U.S.:
• Prior to 1990 little was known about who was using
CAM
• 1993 – study showed that 1 in 3 Americans sought some
form of alternative care
• 1997 – another follow up study revealed that 47% of
Americans were using some form of CAM
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Major Domains of CAM
• Biologically based practices
• Energy medicine
• Manipulative and body-based practices
• Mind-body medicine
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Who Uses CAM?
• 2004 survey results:
• More women than men
• Higher education levels
• Hospitalized in the past year
• Former smokers
• Back, neck, head, or joint pain suffers
• Gastrointestinal disorders or sleeping problems
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Table 23.1 Popular Complementary Treatments
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Table 23.1
Alternative Medical System Options
• Traditional Chinese medicine and Ayurveda
• Homeopathy
• Naturopathy
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Manipulative and Body-Based Methods
• Chiropractic medicine
• Osteopathic medicine
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Energy Medicine
• Qi gong
• Reiki
• Therapeutic touch
• Acupuncture
• Acupressure
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Mind–Body Medicine
• Body work
• Psychoneuroimmunology (PNI)
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Biologically Based Practices
• Herbal remedies:
• Special supplements:
• Ginkgo biloba
• Muscle enhancers
• St. John’s Wort
• Creatine
• Echinacea
• Ginseng
• Green tea
• Glucosamine
• Ephedra
• Chromium picolinate
• SAMe
• Antioxidants
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Food as Healing Agents
• Nutraceuticals – foods with combined nutritional and
pharmaceutical benefit
• Some healthful foods:
• Plant stanol
• Oat fiber
• Sunflower
• Soy protein
• Red meats, dark green, leafy vegetables
• Garlic
• Green tea
• Ginger
• Yogurt
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Protecting Consumers and Regulating Claims
• Many CAM products are not regulated in the U.S. as
strictly as food or drugs
• Strategies to protect consumer’s health:
• Talk to your physician
• The German Commission E
• Use science for more answers about CAM
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Figure 23.3 Assessing the Risks and Benefits of
CAM Treatments
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Figure 23.3
Healthy Living in the New Millennium
• Enlisting support from insurers and providers:
• More and more insurers are covering alternative
medicine
• Extra-cost riders may be added to some policies to
cover alternative medicine
• Increasing support from American Medical Association
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings
Self-Care: Protecting Yourself
• Be an informed consumer
• Consult with health care provider
• If using CAM, inform your primary health care provider
• Choose CAM practitioners carefully
• Consult only reliable sources
• Natural does not always mean safe
• Herbal supplements are not closely monitored by FDA
• Herbal supplement dosage levels are not regulated
Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings