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Consumer Health

Consumer Health Complementary and Alternative Medicine (CAM) Prayer

Gabriel
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Consumer Health

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  1. Consumer Health Complementary and Alternative Medicine (CAM)

  2. Prayer I got behind and forgot to tell people about what happened with him......the morning after the 'global prayer circle' (for lack of a better name for it) he improved dramatically! In fact the doctors decided against the surgery they were planning (and dreading as he has so much 'scar tissue' inside) and sent him home! He's doing amazingly well - went out and bought a Christmas tree and decorated it! Thanks for asking and Happy New Year to you! J

  3. BMJ VOLUME 324 13 APRIL 2002 bmj.com

  4. Prayer I got behind and forgot to tell people about what happened with him......the morning after the 'global prayer circle' (for lack of a better name for it) he improved dramatically! In fact the doctors decided against the surgery they were planning (and dreading as he has so much 'scar tissue' inside) and sent him home! He's doing amazingly well - went out and bought a Christmas tree and decorated it! Thanks for asking and Happy New Year to you! J

  5. Complementary and Alternative Medicine • Defining CAM • History of CAM • Major Domains of CAM • Extent of Use • Organizations, Certification, Training • Selecting Practitioner

  6. Defining CAMOriginal Definition • National Library of Medicine • Unrelated group of non-orthodox therapeutic practices • Often with explanations not following conventional biomedical explanations • No satisfactory scientific explanation for effectiveness • Another old definition • Medical interventions not taught in US

  7. Defining CAMNew Definition • National Library of Medicine • Complementary Medicine • Alternative • Therapeutic practices not considered an integral part of conventional allopathic medical practice • May lack biomedical explanation • Could become accepted or not

  8. Defining CAM • Complementary Medicine • Therapies used in addition to conventional treatments • Alternative • Therapies used instead of conventional treatment

  9. Conventional High Tech Pharmacological Surgical and other technological approaches Prevention and wellness underemphasized CAM Low Tech Prevention Treating the whole person Promoting self-care Recognizing a spiritual nature of each individual Individualized treatment Defining CAMDifferences in Emphasis

  10. Major Domains of CAMAlternative Health Care Systems • Ayurvedic Medicine • Chiropractic • Homeopathic Medicine • Native American Medicine • Naturopathic Medicine • Traditional Chinese Medicine

  11. Major Domains of CAMMind-Body Interventions • Meditation • Hypnosis • Guided Imagery • Dance Therapy • Music Therapy • Art Therapy • Prayer and Mental Healing

  12. Major Domains of CAMBiological Based Therapies • Herbal Therapies • Special Diets • Orthomolecular Medicine

  13. Major Domains of CAMTherapeutic Massage, Body Work and Somatic Therapies • Massage • Feldenkrais • Alexander Method

  14. Major Domains of CAMTwo Additional Domains • Energy Therapies • Qigong • Reiki • Therapeutic Touch • Bioelectromagnetic • Magnet Therapy

  15. History of CAM • Mid-19th Century • Botanical healers, midwives, chiropractors, homeopaths • 1892 • The Principles and Practice of Medicine • 1910 • Flexner Report

  16. History of CAM • Early 20th Century • Drugs and antibiotics introduced • CAM: “unscientific relics of the past” • Mid-20th Century • Chronic, degenerative diseases • Significantly longer lives • Health care costs (See next slide)

  17. History of CAM • Mid-20th Century • Chronic, degenerative diseases • Significantly longer lives • Health care costs

  18. History of CAM • 1950s – 1970s • Medical pluralism reemerges • Whole foods and dietary supplement movements • Exposure to traditional health care systems • Counterculture movement • Holistic health care movement • Nurses and family physicians

  19. History of CAM • 1970s – 1980s • Self-care movements • For individual and family to increase wellness • Diet and exercise to reduce risk of onset of illness • Personal fitness • Increased use of yoga, tai chi, massage

  20. Consumer Use of CAM • 43% of US population • Due to chronic conditions • Most frequent users • Cancer, chronic pain, HIV • Ethnic populations • Dietary Supplements • 158 million users • $17,000,000

  21. Reasons for Using CAM • Characteristics of users • Interest in spirituality and personal growth • Commitment to environmentalism • Feminism • Internal locus of control • Transformational experiences

  22. Reasons for Using CAM • Perception of conventional medicine is ineffective • Believe it will work • Recommendations from friends • Desire to avoid side effects of conventional treatments • Failure of conventional treatment

  23. Reasons for Using CAM • Perceived poor health status • Perceived poor emotional functioning • Musculoskeletal disorder • Back pain

  24. CAMs Used • Chiropractic: 35% • Herbal Remedies and supplements: 27% • Massage Therapy: 17%

  25. Cancer and CAM • At least one CAM approach: 63% to 75% • Women more than men • More use for surgery, chemotherapy or both than neither • Most frequent approaches • Nutritional: 63%, Massage: 53%, Herbs: 44% • Spiritual approaches, relaxation, imagery, exercise, lifestyle, diet, nutritional supplementation therapies • Reasons for use • “stimulate an immune response:” 73% • Outcomes • QAL, coping, decrease discomforts, sense of control

  26. HIV and CAM • Frequent Substances • Vitamin C: 63%, Multiple vitamin supplements: 53%, Garlic: 53% • Frequent practitioners • Massage: 49%, acupuncturists: 45%, nutritionists: 37% • Frequent activities • Aerobic exercise: 63%, prayer: 58%, massage: 53%, meditation: 46%

  27. Ethnic Differences in Use of CAM • Mexican-American and Hispanic, and Native Americans • At least once in last year: ~50% • Herbal medicine, spiritual healing, traditional healers

  28. Conventional Medicine Use of CAM • Give referrals to: • Acupuncture: 43% • Chiropractic: 40% • Massage: 21% • Practiced by them: • Chiropractic: 19% • Massage: 19% • Homeopathy: 9%

  29. Conventional Medicine Belief in Efficacy of CAM • Believe in efficacy of: • Acupuncture: 51% • Chiropractic: 53% • Massage: 48% • Others • Homeopathy: 25% • Herbal approaches: 13%

  30. Conventional Medicine Use of CAM • Insurance Companies • Medical Schools • Hospitals

  31. Organizations • American Holistic Nurses Association • http://ahna.org • National Certification Commission for Acupuncture and Oriental Medicine • www.nccaom.org • Complementary and Alternative Medical Association • http://www.camaweb.org • British Complementary Medicine Association • http://www.bcma.co.uk

  32. CAM Certification and Education • Council of Colleges of Acupuncture and Oriental Medicine • www.ccaom.org • American Association of Naturopathic Physicians • www.naturopathic.org • Tai Sophia Institute • www.tai.edu • East West Institute of Healing Arts • www.eastwestqi.com • American Academy of Acupuncture and Oriental Medicine • www.aaaom.org

  33. Selecting Practitioners • Speak with primary provider • Make a list of CAM providers and check • Training • Licenses and certifications • Costs • Check insurance coverage • List questions to ask at visit • At visit answer questions about MX • Assess visit for comfort and reasonableness

  34. Research • NCCAM and NIH • nccam.nih.gov/research/priorities/index.htm • Cochrane Collaboration • www.cochrane.org • AltHealthWatch • www.epnet.com/TitleLists/html/aw_h1.htm • AMED • www.bl.uk/services/information/amed.html • eBMJ • http://bmj.bmjjournals.com/cgi/collection/complementary_medicine

  35. Major Domains of CAMAlternative Health Care Systems • Ayurvedic Medicine • Chiropractic • Homeopathic Medicine • Native American Medicine • Naturopathic Medicine • Traditional Chinese Medicine

  36. Major Domains of CAMMind-Body Interventions • Meditation • Hypnosis • Guided Imagery • Dance Therapy • Music Therapy • Art Therapy • Prayer and Mental Healing

  37. Major Domains of CAMBiological Based Therapies • Herbal Therapies • Special Diets • Orthomolecular Medicine

  38. Major Domains of CAMTherapeutic Massage, Body Work and Somatic Therapies • Massage • Feldenkrais • Alexander Method

  39. Major Domains of CAMTwo Additional Domains • Energy Therapies • Qigong • Reiki • Therapeutic Touch • Bioelectromagnetic • Magnet Therapy

  40. Future Prospects for CAM • Depends on evidence-base for safety and efficacy • Conventional and CAM may merge • Collaborative • Independent • Challenges • Communication • Certification and training • Insurance reimbursement

  41. Summary • Defining CAM • History of CAM • Major Domains of CAM • Extent of Use • Organizations, Certification, Training • Selecting Practitioner

  42. Acupuncture and Chinese Medicine Reflexology Chiropractic Naturopathy Natural Hygiene Iridology Homeopathy Psychic Healing Occult Practices Astrology Biorhythms Meditation Yoga Therapy Visual Training Guided Imagery Types of CAM

  43. Alexander Technique Aromatherapy Feldenkrais Method Magnet Therapy Polarity Therapy Radionics and Radiesthesia Reiki Rolfing Clinical Ecology Chelation Therapy Holistic Medicine Types of CAM

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