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Consumer Health Complementary and Alternative Medicine (CAM) Prayer

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consumer health

Consumer Health

Complementary and Alternative Medicine (CAM)

prayer
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

prayer4
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

complementary and alternative medicine
Complementary and Alternative Medicine
  • Defining CAM
  • History of CAM
  • Major Domains of CAM
  • Extent of Use
  • Organizations, Certification, Training
  • Selecting Practitioner
defining cam original definition
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
defining cam new definition
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
defining cam
Defining CAM
  • Complementary Medicine
    • Therapies used in addition to conventional treatments
  • Alternative
    • Therapies used instead of conventional treatment
defining cam differences in emphasis
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
major domains of cam alternative health care systems
Major Domains of CAMAlternative Health Care Systems
  • Ayurvedic Medicine
  • Chiropractic
  • Homeopathic Medicine
  • Native American Medicine
  • Naturopathic Medicine
  • Traditional Chinese Medicine
major domains of cam mind body interventions
Major Domains of CAMMind-Body Interventions
  • Meditation
  • Hypnosis
  • Guided Imagery
  • Dance Therapy
  • Music Therapy
  • Art Therapy
  • Prayer and Mental Healing
major domains of cam biological based therapies
Major Domains of CAMBiological Based Therapies
  • Herbal Therapies
  • Special Diets
  • Orthomolecular Medicine
major domains of cam therapeutic massage body work and somatic therapies
Major Domains of CAMTherapeutic Massage, Body Work and Somatic Therapies
  • Massage
  • Feldenkrais
  • Alexander Method
major domains of cam two additional domains
Major Domains of CAMTwo Additional Domains
  • Energy Therapies
    • Qigong
    • Reiki
    • Therapeutic Touch
  • Bioelectromagnetic
    • Magnet Therapy
history of cam
History of CAM
  • Mid-19th Century
    • Botanical healers, midwives, chiropractors, homeopaths
  • 1892
    • The Principles and Practice of Medicine
  • 1910
    • Flexner Report
history of cam16
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)
history of cam17
History of CAM
  • Mid-20th Century
    • Chronic, degenerative diseases
    • Significantly longer lives
    • Health care costs
history of cam18
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
history of cam19
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
consumer use of cam
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
reasons for using cam
Reasons for Using CAM
  • Characteristics of users
    • Interest in spirituality and personal growth
    • Commitment to environmentalism
    • Feminism
    • Internal locus of control
    • Transformational experiences
reasons for using cam22
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
reasons for using cam23
Reasons for Using CAM
  • Perceived poor health status
  • Perceived poor emotional functioning
  • Musculoskeletal disorder
    • Back pain
cams used
CAMs Used
  • Chiropractic: 35%
  • Herbal Remedies and supplements: 27%
  • Massage Therapy: 17%
cancer and cam
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
hiv and cam
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%
ethnic differences in use of cam
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
conventional medicine use of cam
Conventional Medicine Use of CAM
  • Give referrals to:
    • Acupuncture: 43%
    • Chiropractic: 40%
    • Massage: 21%
  • Practiced by them:
    • Chiropractic: 19%
    • Massage: 19%
    • Homeopathy: 9%
conventional medicine belief in efficacy of cam
Conventional Medicine Belief in Efficacy of CAM
  • Believe in efficacy of:
    • Acupuncture: 51%
    • Chiropractic: 53%
    • Massage: 48%
  • Others
    • Homeopathy: 25%
    • Herbal approaches: 13%
conventional medicine use of cam30
Conventional Medicine Use of CAM
  • Insurance Companies
  • Medical Schools
  • Hospitals
organizations
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
cam certification and education
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
selecting practitioners
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
research
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
major domains of cam alternative health care systems35
Major Domains of CAMAlternative Health Care Systems
  • Ayurvedic Medicine
  • Chiropractic
  • Homeopathic Medicine
  • Native American Medicine
  • Naturopathic Medicine
  • Traditional Chinese Medicine
major domains of cam mind body interventions36
Major Domains of CAMMind-Body Interventions
  • Meditation
  • Hypnosis
  • Guided Imagery
  • Dance Therapy
  • Music Therapy
  • Art Therapy
  • Prayer and Mental Healing
major domains of cam biological based therapies37
Major Domains of CAMBiological Based Therapies
  • Herbal Therapies
  • Special Diets
  • Orthomolecular Medicine
major domains of cam therapeutic massage body work and somatic therapies38
Major Domains of CAMTherapeutic Massage, Body Work and Somatic Therapies
  • Massage
  • Feldenkrais
  • Alexander Method
major domains of cam two additional domains39
Major Domains of CAMTwo Additional Domains
  • Energy Therapies
    • Qigong
    • Reiki
    • Therapeutic Touch
  • Bioelectromagnetic
    • Magnet Therapy
future prospects for cam
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
summary
Summary
  • Defining CAM
  • History of CAM
  • Major Domains of CAM
  • Extent of Use
  • Organizations, Certification, Training
  • Selecting Practitioner
types of cam
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
types of cam43
Alexander Technique

Aromatherapy

Feldenkrais Method

Magnet Therapy

Polarity Therapy

Radionics and Radiesthesia

Reiki

Rolfing

Clinical Ecology

Chelation Therapy

Holistic Medicine

Types of CAM