Insel13e_ppt_ch20

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Conventional and Complementary Medicine : 

Conventional and Complementary Medicine Chapter 20

Self-Care : 

Self-Care Self Assessment Symptoms are often an expression of the body’s attempt to heal itself Carefully observing symptoms lets you identify those signals that suggest you need professional assistance. Body’s vital sign Temperature Heart rate Medical self-tests Blood pressure Blood sugar Pregnancy detection Urinary tract infections

Decision making: knowing when to see a physician : 

Decision making: knowing when to see a physician See a physician for symptoms that you would describe as follows: Severe Unusual Persistent Recurrent Emergencies include the following: Major trauma Uncontrollable bleeding Intolerable and uncontrollable pain Severe shortness of breath Persistent abdominal pain Poisoning or drug overdose Loss of consciousness Stupor, drowsiness, or disorientation Severe or worsening reaction to an insect bite or sting or to a medication

Self-treatment: many options : 

Self-treatment: many options Watchful waiting Nondrug options Self-medication Over-the-counter (OTC) drugs Simple guidelines to self-medicate safely: Always read labels Do not exceed the recommended dosage or length of treatment Use caution if you are taking other medications Try to select medications with only one active ingredient Try to buy generic drugs Never take or give a drug from an unlabeled container Check the expiration date Store your medications in a cool, dry place. Use caution with aspirin Reye’s syndrome - children

Figure 20-1 Reading and understanding OTC drug labels : 

Figure 20-1 Reading and understanding OTC drug labels

Figure 20.2 Your home medical care kit : 

Figure 20.2 Your home medical care kit

Professional care : 

Professional care System of broad network of professionals and organizations, including: Independent practitioners Health care providers Hospitals Clinics Public and private insurance programs Complementary and alternative medicine (CAM) Most commonly used CAM therapies: Relaxation techniques Herbal medicine Massage Chiropractic

Conventional medicine : 

Conventional medicine Premises and Assumptions of Conventional Medicine Disease is caused by identifiable physical factors. Identifies Pathogens Bacteria or viruses Genetic factors Unhealthy lifestyles Based on scientific method of obtaining knowledge Empirical Rational Testable Rigorously evaluated Tentative

The providers of conventional medicine : 

The providers of conventional medicine Medical Doctor (MD) Doctors of osteopathic medicine (OD) Podiatrists Optometrists Dentists Allied health care providers: Registered nurses (RN) Licensed vocational nurses (LVNs) Physical therapists (PT) Social workers Registered dietitians (RDs) Physician assistants (PA) Nurse practitioners Certified nurse midwives Certified Athletic Trainers’ (ATCs)

Choosing a primary care physician : 

Choosing a primary care physician Begin making a list Check insurance limits Ask for recommendations Family, friends, coworkers, local medical societies, and the physician referral service Once you have a list of Physicians call the office and find out some information Is the physician covered by your insurance plan? What are the office hours? Which hospitals does the physician use? How many other physicians are available to cover? How long does it usually take to get an appointment? Does the office send reminders for check-ups? Does the physician give advice over the phone?

Getting the most our of your medical care : 

Getting the most our of your medical care The physician-patient partnership Your appointment with your physician The diagnostic process Physical exams Diagnostic testing X-rays Biopsies Blood and urine tests Scans Endoscopies Medical and Surgical treatments Prescription medications Off-label drug use Online pharmacies Costs Surgery Elective surgeries

Figure 20-3 reading and understanding prescription medication labels : 

Figure 20-3 reading and understanding prescription medication labels

Complementary and alternative medicine : 

Complementary and alternative medicine CAM tends to focus on an integration of mind, body, and spirit in seeking ways to restore the whole person to harmony Alternative Medical Systems Traditional Chinese Medicine (TCM) Harmonious flow of qi produces health Acupuncture QI is believed to flow through the body along several meridians (pathways) Homeopathy

Figure 20-4 The five domains of CAM practices : 

Figure 20-4 The five domains of CAM practices

Mind-body interventions : 

Mind-body interventions Make use of the integral connection between mind and body Meditation Yoga Visualization Taijiquan Biofeedback Hypnosis

Biological-Based therapies : 

Biological-Based therapies Consist primarily of herbal therapies or remedies, botanicals, and dietary supplements Pharmacopoeia

Table 20-2 commonly used botanicals, their uses, evidence for their effectiveness, and contraindications : 

Table 20-2 commonly used botanicals, their uses, evidence for their effectiveness, and contraindications

Manipulative and body-based methods : 

Manipulative and body-based methods Touch and body manipulation are long-standing forms of health care. Manual healing is based on the idea that misalignment or dysfunction in one part of the body causes pain or dysfunction in another part Chiropractic medicine

Energy therapies : 

Energy therapies Forms of treatment that use energy originating either within the body (biofields) or from other sources (electromagnetic fields) Qigong Therapeutic touch Reiki Bioelectromagnetic-based therapies

Evaluating complementary and alternative therapies : 

Evaluating complementary and alternative therapies Working with your physician Areas to discuss Safety Effectiveness Timing Cost Talking to the CAM practitioner Why does he or she think the therapy will be beneficial? Describe in detail any conventional treatments you are receiving. Ask how long the therapy should last. Ask about the expected cost of the treatment. Do your own research

Paying for health care : 

Paying for health care The current system: Combination of private and public insurance plans, patient out-of-pocket payments, and government assistance. Health insurance Traditional fee-for service (indemnity) plans Managed-care plans Health maintenance organizations (HMO) Preferred provider organizations (PPO) Point-of-service (POS) plans Health Savings Accounts (HSAs) Governmental programs Medicare Medicaid Choosing a policy

Conventional and Complementary medicine : 

Conventional and Complementary medicine Chapter 20

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