PDF NMT150 Putting it Together, Wk 4 (1).pdf

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 4 Author: Dr. Fiona Smulders ND NMT150 LECTURE OBJECTIVES List the sections that make up a Treatment Notebook Utilize and implement a Treatment Notebook for your future practice Understand the benefits of exercise, hydrotherapy and tai chi...

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 4 Author: Dr. Fiona Smulders ND NMT150 LECTURE OBJECTIVES List the sections that make up a Treatment Notebook Utilize and implement a Treatment Notebook for your future practice Understand the benefits of exercise, hydrotherapy and tai chi for arthritis Active learning session to review, consider, and apply this week’s material Review considerations for a comprehensive Naturopathic treatment plan as relevant to this week’s case TREATMENT NOTEBOOK A way to gather information in a case-based approach for easy access in practice Start working on your treatment notebook while you learn about each case every week and your future self as a practicing ND will thank you A TREATMENT NOTEBOOK CONTAINS… Pathophysiology of disease SSx of the disease Etiology, epidemiology, risk factors & prognosis DDx Workup/labs Treatment Options TREATMENT NOTEBOOK - TREATMENT OPTIONS: Nutrition Homeopathy Nutraceuticals Counselling Lifestyle Physical medicine / manip. TCM/Acupuncture Prescription medications Botanical medicine Injection / IV therapy TREATMENT NOTEBOOK EXAMPLES: Medscape - https://reference.medscape.com/ ND Assist - https://www.nhpassist.com/database EXERCISE, HYDROTHERAPY & TAI CHI FOR JOINT PAIN BENEFITS OF EXERCISE The right kind of exercise can improve health and fitness while not injuring joints Strengthen muscles around joints Reduce pain and stiffness Help maintain bone strength Increase energy & improve mood Make it easier to sleep well Help control weight Improve balance THE “RIGHT KIND” OF EXERCISE Low impact – walking, recumbent cycling, exercising in water Focus on range-of-motion, strengthening and aerobic exercises Go slow, move gently and mindfully Use heat before exercise and consider ice afterwards if joints are inflamed or swollen BENEFITS OF EXERCISE Long-term walking and resistance-training programs have been shown to slow the functional decline seen in many patients with osteoarthritis, including older patients A 21-week study by Katz et al in 96 patients with RA found regular walking tracked by pedometer reduced levels of fatigue associated with RA A 2012 research review found that hydrotherapy and water aerobics reduces RA symptoms of pain and joint tenderness while relieving tension and improving mood HYDROTHERAPY Application of heat is an effective modality for the relief of joint pain and stiffness caused by RA and OA Cold is preferable for treatment of an acutely inflamed joint to help decreased pain and inflammation https://emedicine.medscape.com/article/331715-treatment#d12 HYDROTHERAPY Heat Application Methods: Fomentation / Hot compress Moist hot packs A hot shower Spas Ultrasonography Diathermy TAI CHI A prospective, single-blind, randomized, controlled study by Wang et al suggested that tai chi is a potentially effective treatment for pain associated with osteoarthritis of the knee A 2019 Systematic Review found that people with RA who did Tai Chi rated their pain 2.15 points lower (better) on a scale of 0 to 10, compared to the change in the control group *Studies had small population sizes SCENARIO: SUGGEST TOP 3 EBM TREATMENT SUGGESTIONS FOR THIS WEEK’S CASE THAT IS APPROPRIATE FOR THE PATIENT WORK IN GROUPS OF 10 TO DISCUSS AND DESIGN A TREATMENT PLAN TOGETHER. BE READY TO PRESENT WITH RATIONALE AFTER 20-30 MINS. THANK YOU.