36 Questions
What are the three pillars for the philosophy of nutrition practice?
Looking for the best non-biased evidence-based practice in nutrition
What is a problem with evidence-based practice in nutrition according to the text?
Lack of data filtration when research is posted online
Which resource is NOT listed as a trusted resource for nutrition in the text?
Celebrity endorsements
What is one of the learning outcomes mentioned in the text?
Identify the best opportunities to integrate nutrition practice into the patient’s healthcare team
Which of the following vitamins requires a prescription in Ontario if the daily dose exceeds 2000 IU?
Vitamin D
What is the potential risk of administering high doses of Vitamin A?
Elevation of liver enzymes
Which medication is a digestive enzyme that requires a prescription if the suggested dose exceeds 20,000 USP units?
Pancerlipase
Which botanical product is used only in its botanical form?
Podophyllotoxin
What is the primary concern regarding Desiccated Thyroid Extracts?
Potential induction of hyperthyroidism
For which condition is Digitalis Purpura usually prescribed?
Heart failure
Which of the following requires compounding by a pharmacist?
Desiccated Thyroid Extracts
Which hormone therapy may be considered bioidentical?
Estrogen/progesterone/both
What is the recommended term to use in advertising guidelines instead of claiming to 'treat' diseases?
Support
What is the controlled act with specific competency requirements and ongoing education for naturopaths?
Prescribing nutrients and supplements
What are the performance indicators for prescribing nutrients and supplements?
Full assessment, documentation, notification of other healthcare providers
What are the prescription format requirements for naturopaths?
Patient details, prescriber information, and dosage instructions
What is necessary after prescribing nutrients and supplements?
Monitoring patient response and side effects
What is required if a patient is referred from another naturopath?
Initial assessment and ongoing monitoring are required
What is the primary responsibility of naturopaths regarding patient privacy?
Respect privacy and confidentiality
What is the recommended approach for naturopaths when working with patients' families and caregivers?
Work closely with patients' families and caregivers
What is the requirement for naturopaths regarding continuous professional development?
Continuously expand knowledge and skills
What is the approach to be taken if a patient desires to find new practitioners?
Support the patient in finding new practitioners
What is the naturopath's responsibility when a patient is referred from another naturopath?
Update the previous healthcare professional
What is included in prescription record-keeping for naturopaths?
Keeping a copy of the prescription, relevant labs, and notifying other healthcare professionals
What type of studies are considered the gold standard for long-term outcomes in prognostic evidence?
Prospective observational studies
What is the hierarchy for best evidence in nutrition for therapeutic interventions?
Meta-analysis, randomized prospective studies, observational studies
What is a unique challenge in conducting prospective randomized interventional studies in the context of nutrition research?
High drop-out rates and cost
What is emphasized as a key consideration in evidence-based nutrition, alongside research evidence?
Best clinical judgment
What is a reason for the unique situation of research in nutrition, as mentioned in the text?
Prospective randomized interventional studies are challenging
What is the importance of diagnostic skills and clinical experience in evidence-based nutrition highlighted in the text?
They are crucial for accurate patient assessment
What is recognized as a pillar of evidence-based nutrition in terms of patient care?
Patient care and respect
What did a 2013 meta-analysis reveal about high doses of Vitamin E?
Increased cardiac-related mortalities
What is a reason people seek naturopathic care, as mentioned in the text?
A more holistic approach
What is highlighted as a reason for integrative care between medical doctors and naturopathic doctors?
Co-management of care
What is emphasized as a means to support collaboration and integration between naturopathic and medical doctors?
Professional referral systems
What is mentioned as an important aspect of the ethics and standards of practice for naturopathic medical professionals?
Serving the public under a code of ethics
Study Notes
Evidence-Based Nutrition and Naturopathic Medical Practice
- Contradictory research findings on Vitamin E's effect on cardiovascular disease: initial study showed reduction in cardiac mortality, later research found no effect, and a 2013 meta-analysis proved high doses increased cardiac-related mortalities.
- Pillars of evidence-based nutrition: patient care and respect, uncertainty in research-based evidence, weaknesses in research projects, and the impact of premature data selection on clinical practice.
- Recognition of best evidence in nutrition: for therapeutic interventions, hierarchy includes meta-analysis, randomized prospective studies, and observational studies; for diagnostic interventions, randomized comparisons of standard vs. new diagnostic tools are key.
- Prognostic evidence: prospective observational studies are the gold standard for long-term outcomes, and prospective interventional studies are challenging due to high drop-out rates and cost.
- Unique situation of research in nutrition: prospective randomized interventional studies are challenging due to high drop-out rates and cost, while prospective observational studies tend to have more patients on track and are cost-effective.
- Research evidence is never a replacement for best clinical judgment and should acknowledge patient values, beliefs, and social circumstances.
- The importance of diagnostic skills and clinical experience in evidence-based nutrition.
- The parallel goals of naturopathic medical practice and family medicine, focusing on maintaining general wellbeing.
- Reasons why people seek naturopathic care, including a more holistic approach, identifying root causes, and lack of response to standard medical care.
- Reasons for integrative care between medical doctors and naturopathic doctors, including co-management of care and reducing the need for prescription drugs.
- Best means to support collaboration and integration between naturopathic and medical doctors, including professional referral systems, respect, and trust.
- Ethics and standards of practice for naturopathic medical professionals, including serving the public under a code of ethics and practicing under the guidance of regulatory bodies to avoid harm to patients.
Test your knowledge of evidence-based nutrition and naturopathic medical practice with this quiz. Explore topics such as contradictory research findings, pillars of evidence-based nutrition, recognition of best evidence, and the unique situation of research in nutrition. Gain insights into the importance of diagnostic skills, the parallel goals of naturopathic medical practice, reasons for seeking naturopathic care, and the reasons for integrative care between medical doctors and naturopathic doctors. Additionally, learn about
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