Complementary Medicine
اسلاید 1: www.tabaye.ir
اسلاید 2: Complementary MedicineWhy bother for a whole term?www.bradfordvts.co.uk
اسلاید 3: Complementary or AlternativeWhich is more acceptable to who?Needs complementing?Need for alternative?Whose need?What can we learn from these practitioners?
اسلاید 4: One image !
اسلاید 5: Or Another?CaringHolisticNo iatrogenic problems?
اسلاید 6: Why Bother?“Scientific medicine is making big advances in drugs, technology, and genetics, yet more and more patients use complementary therapies. EBM dominates our discourse, yet health professionals increasingly refer to and practice complementary therapies that have little scientific evidence of efficacy.”
اسلاید 7: What is the meaning behind these paradoxes?What can we learn that will usefully inform our practice of orthodox medicine?Why do people go to complementary practitioners?
اسلاید 8: Why Bother?What skills are they using?What skills could we borrow?What patient needs are they addressing?Are they needs we should seek to meet?Should we support them?Should we attack them?How should we respond?
اسلاید 9: How Many?Over one thousand forms of complementary medicine have been indexedAbout 26 are “common”There are at least 40,000 therapists in the UK
اسلاید 10: How Popular?Hard data lackingRelies on survey dataGeographical variationsCultural variationsSocio-economic variationEver used 14-30%Last year 10-14%Ever seen practitioner 33%World wide ever seen practitioner 20-75%
اسلاید 11: How Popular?45% of GPs endorse or recommend the use of complementary medicine21% of GPs refer patients to complementary practitioners10% of GPs treat patients with complementary medicine themselvesUS (1990) made 425 m. Visits to comp. Practitioners and 388 m. Visits to family physicians
اسلاید 12: How Popular?Phenomenal growthUK consumption of homeopathic remedies growing at 20% per yearNumber of UK practitioners has doubled every 5 years for the last 15 yearsGrowth is occurring right across the west
اسلاید 13: Which Therapy?1984 surveyAcupunctureChiropracticHerbal medicineHomeopathyOsteopathy1993 surveyAcupunctureChiropracticHerbal medicineHomeopathyOsteopathy1989 survey Acupuncture Chiropractic Faith healing Homeopathy Osteopathy
اسلاید 14: Who?40% of women27% of men33% of people >35years26% of people <35yearsMore popular in south and west of UK38% of people use more than one form of complementary medicine at the same time
اسلاید 15: What Sort of Problem?Musculoskeletal-88%Psychological-3%Respiratory-2%Neurological-2%Other-4%
اسلاید 16: Evidence“Conventional”CounsellingUltrasoundBed restChiropodyMany operations
اسلاید 17: Evidence“Complementary”4000 articles in medlineSt johns wortManipulative therapiesEczema
اسلاید 18: In SummaryVery popular and growingAre we failing?What can we gain?Should we end any divisions and just go for “good medicine” - anything that works?
اسلاید 19: Aims of the TermCan be divided into the obvious and the hiddenThere are, I now hope many reasons why we should botherSo that you know where I am coming from my hidden and overt aims are as follows:
اسلاید 20: Aims of the TermOvertLearn about complementary practitionersBe able to better advise our patientsLearn applicable skillsCovertImprove critical appraisal skillsImprove EBM skillsImprove presentation skillsFoster self worth
اسلاید 21: And Some ObjectivesNaturalUnprovedIrrationalHarmlessHolisticUnregulatedAlternative
اسلاید 22: Starting Pointswww.quackwatch.com/Maybe a obvious slant but fascinating !
اسلاید 23: Starting PointsThe Which? Guide to Complementary MedicineWhich ? BooksBarbara Rowlands1997An excellent fairly balanced introduction
اسلاید 24: Starting PointsABC of Complementary medicineStarting BMJ 319 11/9/99 Page 693But shouldn’t be all you use!
اسلاید 25: Starting PointsMedline - 4,000 references to complementary medicineEMBaseMany booksInternet
اسلاید 26: The GoodThe badAndAnd the ugly
نقد و بررسی ها
هیچ نظری برای این پاورپوینت نوشته نشده است.