Integrative and Alternative Medicine Overview
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Questions and Answers

What is the primary focus of integrative medicine?

  • The patient as a whole, considering all aspects of health (correct)
  • Using solely conventional medicine
  • Only the illness or disease of the patient
  • Pharmaceutical solutions to health problems
  • Which of the following best describes complementary medicine?

  • It's a group of natural remedies without scientific backing
  • It is the same as integrative medicine
  • It is an approach integrated with conventional medicine (correct)
  • It replaces conventional treatments entirely
  • What is one major issue faced in CAM research?

  • There is abundant quality research available
  • Studies require large, well-funded trials only
  • Difficulties with blinding and placebos in certain treatments (correct)
  • Natural products are easier to fund than patentable drugs
  • What type of medicine is defined as being non-mainstream and used instead of conventional medicine?

    <p>Alternative medicine</p> Signup and view all the answers

    Which of the following is a challenge in CAM research related to funding?

    <p>Easier funding for non-patentable natural products</p> Signup and view all the answers

    What is one limitation of evidence-based medicine mentioned in the content?

    <p>It is influenced by publication bias.</p> Signup and view all the answers

    Which of the following reflects a concern regarding the efficacy and safety of complementary therapies?

    <p>Heavy use can lead to severe side effects, especially with co-morbidities.</p> Signup and view all the answers

    What aspect of clinical decision-making is emphasized alongside the best available evidence?

    <p>Individual clinical circumstances of patients.</p> Signup and view all the answers

    In the context of complementary therapies and cancer, what is a significant concern raised?

    <p>Many complementary therapies lack definitive evidence for cancer survival benefits.</p> Signup and view all the answers

    Which statement best summarizes the role of individual practitioner experience in clinical decision-making?

    <p>It complements the knowledge of available evidence.</p> Signup and view all the answers

    Study Notes

    Integrative Medicine

    • Integrates conventional and complementary therapies to achieve optimal health and healing.
    • Focuses on the person as a whole, considering their illness or disease.
    • Employs an evidence-based approach.

    Complementary Medicine

    • A non-mainstream approach used alongside conventional medicine.

    Alternative Medicine

    • A non-mainstream approach used in place of conventional medicine.

    CAM (Complementary and Alternative Medicine)

    • A group of diverse medical and healthcare systems, practices, and products that are not presently considered part of conventional medicine.

    Problems with CAM research

    • Too few studies on some topics.
    • Studies are often of poor quality.
    • Small funding, small samples, and inexperienced researchers.
    • Easier to fund patentable products like drugs rather than natural products.
    • Research design may not reflect clinical practice as many therapies are holistically practiced, making it difficult to isolate one treatment aspect.
    • Difficulties with placebos and blinding, for example, procedures like acupuncture, lifestyle interventions, and counselling.
    • Challenges in choosing appropriate outcome measures, such as disease progression vs. quality of life vs. symptom relief.
    • Bias, such as uncritical acceptance of CAM among CAM practitioners or rejection among doctors.

    Evidence-Based Medicine

    • Provides answers to efficacy, effectiveness, efficiency, safety, mechanisms.
    • Addresses limitations of evidence, interpretation bias, research agenda.
    • The best approach to clinical decision making combines the best available evidence with individual clinical circumstances.

    The Five Domains of CAM

    • Use of multivitamins.
    • Diet.
    • Massage.
    • Mindfulness-Based Stress Reduction (MBSR).
    • Qigong (pronounced Chi-Kung).

    Traditional Chinese Medicine (TCM)

    • Includes acupuncture and acupressure.

    CAM and Cancer Survival

    • Many studies have had encouraging results in terms of symptom control.
    • No definitive evidence suggests CAM treatment alters disease progression in breast cancer patients.
    • Several modalities seem to improve other outcomes.

    Negative Findings

    • "There is no evidence" can mean the study was methodologically unsound or the sample was too small to statistically demonstrate an effect.
    • It can also indicate a non-significant or statistically significant negative effect.
    • It can mean the topic has not been studied yet.

    Clinical Points When Approaching a Patient Using CAM

    • Respect and listen to the patient's views.
    • Think integrative, not alternative.
    • Check the evidence, even if it means asking the patient to return after conducting further research.
    • Encourage the use of proven therapies.
    • Discourage disproven, unsafe, or exorbitantly expensive therapies.

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    Description

    This quiz explores the various aspects of integrative, complementary, and alternative medicine (CAM). It delves into the definitions, approaches, and problems faced by CAM research. Understand the evidence-based methods and holistic practices involved in achieving optimal health.

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