31 Questions
Which of the following substances requires a prescription if the dose exceeds 20,000 USP units?
Pancerlipase
What are the three pillars for the philosophy of nutrition practice?
Looking for the best non-biased evidence-based practice in nutrition
Which of the following is a cardiac stimulant prescribed for patients with heart failure and has a narrow therapeutic range?
Digitalis purpura
What is a problem with evidence-based practice in nutrition according to the text?
Lack of data filtration when research is posted online
For which of the following substances is a prescription needed for doses over 1 mg?
Folic Acid
Which resource is mentioned as an example of a trusted resource for nutrition?
Canada Food Guide
Which of the following requires a compounding pharmacist for its preparation?
Desiccated Thyroid Extracts
What is the purpose of comparing and contrasting different philosophies in nutrition practice?
To select the appropriate intervention
What is prohibited by the advertising guidelines for naturopathic clinics?
Mentioning treatment of diseases
What is required for prescribing nutrients/supplements?
Specific competencies
What are the competency requirements for prescribing nutrients/supplements?
Completing an approved course and passing an exam
What does the process of prescribing nutrients/supplements involve?
Patient assessment and diagnosis
What are the performance indicators of prescribing nutrients/supplements?
Full patient assessment, risk/benefit balancing, and documentation
What must prescribers adhere to?
Regulations and permissions approved by the college
What is required in detailed written prescriptions for supplements?
Dosage, form, and prescriber's information
What must prescribers monitor and document?
Patient response to therapy and any side effects/toxicities
What do ethical standards require in terms of records?
Keeping a record of the full prescription and relevant labs
For which vitamin is a prescription needed in Ontario if the dosage exceeds 2000 IU daily?
Vitamin D
For which treatments are prescriptions needed due to associated risks and side effects?
Desiccated thyroid gland extracts, bioidentical hormone therapy, and high-dose Vitamin A
What did the 2013 meta-analysis by Bjelakovic et al suggest about high doses of vitamin E?
They might increase cardiac-related mortalities
What is considered the gold standard for prognostic evidence in nutrition research?
Prospective observational studies
What is the best evidence for therapeutic interventions in nutrition practice?
Meta-analysis, systematic reviews, and randomized prospective studies
What are the pillars of evidence-based practice in nutrition?
Patient care and respect
What is the main challenge faced by prospective randomized interventional studies in nutrition?
High dropout rates and cost
What is never a replacement for the best clinical judgment in evidence-based nutrition?
Research evidence
What is crucial in implementing the right nutrition program according to the text?
Patient values, beliefs, and social circumstances
What do naturopathic and family medicine share as a common goal?
Maintaining public wellbeing
What can benefit patients through co-management between medical doctors and naturopathic doctors?
Reducing the need for prescription drugs
How can collaboration and integration between naturopathic and medical doctors be supported?
Professional referral systems, respect, and trust between teams
What are naturopathic healthcare providers mandated to ensure according to the text?
Trust, confidence, and adherence to regulatory body guidance
What do ethical standards mandate in naturopathic care according to the text?
Providing dignified and respectful care
Study Notes
Evidence-Based Nutrition and Naturopathic Medical Practice
- Vitamin E was found to reduce cardiovascular disease-related deaths in a study by Knekt et al in 1994, but a subsequent RCT by Yusuf et al in 2000 found no effect on cardiac mortality, and a 2013 meta-analysis by Bjelakovic et al suggested that high doses might increase cardiac-related mortalities.
- Pillars of evidence-based practice in nutrition include patient care and respect, while uncertainty and weaknesses in research methodologies can impact clinical practice.
- The best evidence for therapeutic interventions comes from meta-analysis, systematic reviews, randomized prospective studies, and observational studies, and for diagnostic interventions, it comes from randomized comparisons of standard versus new diagnostic tools.
- Prospective observational studies are the gold standard for prognostic evidence in nutrition research.
- Prospective randomized interventional studies in nutrition face challenges such as high dropout rates and cost, while prospective observational studies tend to have more patients on track and are less costly.
- Research evidence is never a replacement for the best clinical judgment, and patient values, beliefs, and social circumstances are crucial in implementing the right nutrition program.
- Diagnostic skills are crucial in evidence-based nutrition, and clinical experience can influence treatment decisions based on patient adherence, finances, and values.
- Naturopathic and family medicine share the goal of maintaining public wellbeing, and people seek naturopathic care for a more holistic approach, identifying root causes, and lack of response to standard medical care.
- Integrative care between medical doctors and naturopathic doctors can benefit patients through co-management and reducing the need for prescription drugs.
- Collaboration and integration between naturopathic and medical doctors can be supported through professional referral systems, respect, and trust between teams, and promoting naturopathic services among mainstream medical providers.
- Naturopathic healthcare providers are mandated to serve the public under a code of ethics ensuring trust, confidence, and adherence to regulatory body guidance.
- Ethical standards mandate providing dignified and respectful care, avoiding discrimination, determining necessary means for diagnosis and treatment, respecting patient privacy, working closely with families and caregivers, and continuing to serve patients until they want to change practitioners.
Test your knowledge on evidence-based nutrition and naturopathic medical practice with this quiz. Explore topics such as vitamin E research, pillars of evidence-based practice, types of research evidence, challenges in nutrition studies, the role of clinical judgment, collaboration between medical and naturopathic doctors, and ethical standards in healthcare provision.
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