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REBECCA J. DONATELLE
HEALTH ae
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Cowplewectary urd Clercaive Dedicice (COM)
" Cowplewedtey wedvice
* Used together with conventional medicine
¢ Also called allopathy, Western,
mainstream, orthodox, biomedicine
۰ Clercuive ج لین
*In place of conventional medicine
* Generally incorporates a holistic
approach, focus on treating whole body
and mind
* Changes as some CAM practices become
more mainstream
¢ Used widely throughout the world
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Cowplewectary urd Clercaive Dedicice (COM)
" Ohv wee i?
* 36% of adults in U.S. used CAM within the
past 12 months
*More women than men
¢ People with higher education levels
¢ Those hospitalized within the last year
¢ Former smokers
* People with back, neck, head, joint aches
or other painful conditions
¢ Those with gastrointestinal disorders or
sleeping problems
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Cowplewectary urd Clercaive Dedicice (COM)
" COO tate 0.6. oda
* Relaxation
* Chiropractic
* Massage
* Self-help
¢ Energy healing
* Other therapies
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Figure 17.1
Reaves Oduls to the Outed Grates Ose COD
Percent
Conventional
medicine
too expensive
Conventional
medical professional
suggested it
Thought
conventional medicine
would not help
Thought it would be
interesting to try
Thought CAM
combined with
conventional medicine
would help
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9 مسل2() عرشم Gyustews
" Vreditcvad لین ونان
۰ Proper balance of Qi (“chi”)
۰ Acupuncture, herbal medicine, massage,
qigong
" Opeieds
¢ Traditional in India
* “Science of life”
® Wowevpiby
¢ “Like cures like”
¢ Herbal medicine, minerals, and chemicals in
diluted forms
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9 مسل2() عرشم Gyustews
" Onuopdy
٠ Restore health rather than cure disease
* Diet, clinical nutrition, homeopathy,
acupuncture, herbal medicine,
hydrotherapy, manipulation, light therapy,
therapeutic counseling, pharmacology
"Wee pou ever weed oe Of hese wertradiodd procives?
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Cowplewectary urd Clercaive Dedicice (COM)
۰ Qupr dowake oP O®O (waulopubi)
٠ Manipulative and body-based practices
¢ Energy medicine
¢ Mind-body medicine
۰ Biologically based practices
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Figure 17.2
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QOvnipuhtive und Cody @used Pruvices
"| Chiropractic تین
۰ بسا یی(
" Ov work
¢ Feldenkrais
* Rolfing
* Shiatsu
۰ Trager bodywork
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Geer Ordvice
" Geer wedore
* Biofields
* Qigong
° Reiki
¢ Therapeutic touch
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Gren Orde
" @opuwtere
* Needles inserted at critical points
(meridians)
* Qualifications
¢ Many get relief
" @npressure
¢ Uses pressure instead of needles
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OrrHBody Deckotce
۰ یروق (P01)
٠ Excessive stress can lead to immune system
dysfunction
* Activities that involve quieting the mind
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Cvobyod) Owed Pravices
7 1ل
" Quay chiws de wt hove evidewe
" Werbd rewedes
¢ Tinctures
۰ Ginkgo biloba
¢ St. John’s wort
* Echinacea
* Ginseng
* Green tea
¢ Ephedra (Ma Huang)
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Cvobyod) Owed Pravices
® Gpevid supplewrdts
¢ Muscle enhancers
* Glucosamine
* SAMe
¢ Antioxidants
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Spam an feats ets
hn gh et ماه لد مسا ده ماس تسم باس
Sets و coon
epee HEA) yg oth mie cpa
امس تسم
oe =
Oren eg fable, Actas رس ع م ا
ا م يي ممم
ng سا م
ده رسد رش ییاه سا مهن سس
|
الس سل سور مرج
اس سس سس
20
nen canned yh ngs
nce ‘Sean omic er tno
Pre tec uconialad Fettpal tier
مس fone اساسا اساي مد سس
3 ‘pond toinzease fat bring enzynes to “Ys” body ado mare ay mc weak
هس هه سین
et اسان tn ti Spc pan vn
= a
an a) Urn crayon Mayor a Sve os
م سر
ييه سمي ne
35 in ad bp en th سفية
Settomc thon some roe مس
0ك اسر
لط د سينا تسسا تايمنا أمسس يا سردم تمي
(pod den سس
sept ers th er nts
Sesriem re
حم تست
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Cvobyod) Owed Pravices
" @oods w heohay agecis
* Functional foods
* Nutraceuticals
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عوبسله() جرشمص9) له و50 Dews: 06090
news | Complementary and Alternative Medicine ل
" Osvussiod Questor
¢ How popular have male sexual enhancement
products become over the last five years?
* Have these products been proven safe and
effective by the FDA?
¢ Why did supplement manufacturers lobby so
heavily to get the 1994 Dietary Supplement
Health and Education Act passed?
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Cvobyod) Owed Pravices
") Cowon hediay Poods
* Plant sterol
* Oat fiber
¢ Sunflower
* Soy protein
* Garlic
* Ginger
* Yogurt
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¢ Talk to your doctor
* Do your homework
¢ Advocate for more stringent FDA approval
٠ “USP Dietary Supplement Verified” seal
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Figure 17.3
Qssesstay the Risks urd Cevehie oP COO Treutveus
May be safe; efficacy unclear wi Likely safe and effective
Treatment examples: & Treatment example:
‘Acupuncture for chronic pain; W Chiropractic care for acute low-back
homeopathy for seasonal allergies; _pain; acupuncture for nausea from
low-fat diet for some cancers; 5 chemotherapy; acupuncture for
massage therapy for low-back pain; dental pain; mind-body techniques
mind-body techniques for cancer; for chronic pain and insomnia
self-hypnosis for cancer pain "Advice: Treatment is reasonable;
Advice: Physician monitoring physician monitoring advisable
recommended
LESS EFFECTIVE MORE EFFECTIVE
Dangerous or ineffective May work, but safety uncertain
Treatment examples: Injections Treatment examples: St. John's
of unapproved substances; use of wort for depression; saw palmetto for
toxic herbs; delaying/replacing an enlarged prostate; chondroitin
essential medical treatments; taking sulfate for osteoarthritis; ginkgo biloba
herbs that are known to interact سا for improving cognitive function in
dangerously with conventional dementia
medications (e.g., St. John’s wort. 9 @Advice: Physician monitoring is
and indinavir) ® — important
Advice: Avoid treatment 5
a
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Crvteviay Cowsuvers vad Requiattiy Chins
®) booktay to svtewe Por wore uswers
* 1993 Congress established Office of
Alternative Medicine
* Now the National Center for Complementary
and Alternative Medicine
* Budget to do own research
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یبط( ررو() ع ۲ پمبرشرا رورا
" Gelsttag support Prow tesurers ued providers
* More hiring of alternative practitioners
* Some optional insurance riders
* Gaining support from medical community
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یبط( ررو() ع ۲ پمبرشرا رورا
" GeP-ooae
* Consult only reliable sources - texts,
journals, periodicals
¢ Remember that natural does not equal safe
¢ Realize no one is monitoring herbal
supplements
* Dosage levels may vary in herbal products
٠ Tell your doctor - interactions could occur
* Look for the word standardized or “USP
Dietary Supplement Verified”