Naturopathic Therapeutics – Putting It Together PDF

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 1 AUTHOR: DR. MICHELLE RICHEA ND LEARNING OBJECTIONS Review framework of delivery, and expectations for Thursday ‘Putting It Together’ Thursday Lessons Active learning session to review, consider, and apply this week’s material Collaborate...

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 1 AUTHOR: DR. MICHELLE RICHEA ND LEARNING OBJECTIONS Review framework of delivery, and expectations for Thursday ‘Putting It Together’ Thursday Lessons Active learning session to review, consider, and apply this week’s material Collaborate with colleagues, and learn from each other’s perspectives Review considerations for a comprehensive Naturopathic treatment plan as relevant to this week’s case THURSDAY SESSIONS Provide a ND clinician’s perspective and clinical considerations Consider how to translate the ‘what’ you learn in class, into ‘how’ you would help your future patients Ask questions Offer an opportunity for integration and application of lessons Supports success of open-book, formative quizzes KEY TAKE-AWAYS There’s no one ‘right’ way. Different approaches can both be valid. Respecting each other is paramount. We can’t know everything, and we have a lot to learn from each other. Knowing how to advise patients on the ’best’ treatment, is just as important as knowing the ‘best’ treatment. Recognize and acknowledge our own biases and assumptions that come into play EVIDENCE BASED PRACTICE Image source: https://uha.blob.core.windows.net/accelerate/attachments/ck4ae1b6v0nu70no6hzxsxe71-ebp-header- 01.0.125.1000.500.full.png PATIENT-CENTERED CARE Image Source: https://www.saintelizabeth.com/getmedia/3b053be0-3313-45e5-8aea- 872781c0b76d/Practical-Guide-for-Implementing-PCC-Education-for-PSWs-October-2013.pdf.aspx EVIDENCE PYRAMID Image source: https://library.triton.edu/c.php? g=433673&p=3720267 WHAT ARE THE NECESSARY ELEMENTS OF A PATIENT’S TREATMENT PLAN? TREATMENT PLAN Your name, address, tel. # (practitioner's contact info.) Date Patient’s name Treatment Suggestions with: - Clear rationale for treatment, expected benefit, possible side effects/ risks, cost, alternatives, risk of not treating. TREATMENT GOALS? MODALITIES CONSIDERED? ARE YOU CONSIDERING ONE/ SOME THERAPEUTICS OVER OTHERS? WHY? ANYTHING YOU KNOW YOU DON’T WANT TO PRESCRIBE? WHAT? AND WHY? TREATMENT PLAN CONSIDERATIONS 3 Treatment Recommendations (herbs, supplements, etc). Nutritional Guidance Lifestyle Guidance Collaborative Care/ Medical Guidance Follow-up Considerations CONSIDERATIONS: THE 6 GUIDING PRINCIPLES OF NATUROPATHIC MEDICINE FIRST, DO NO HARM Preventing possible sequalae Preventing missed diagnosis Prevent infection to others THE VIS How to stimulate and support immune function Plant medicines Foundational therapies to support health and healing TREAT THE WHOLE PERSON How is it impacting their life? Functioning? Mood? How does it impact/ affect their family and social circles? Is there anything else seemingly unrelated, that may be worthy of consideration as well? IDENTIFY AND ADDRESS THE ROOT CAUSE Pathogen? Lowered immune function? DOCTOR AS TEACHER Education re: self-care PREVENTION AND HEALTH PROMOTION Repeat occurrence? 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. WHAT ABOUT DIFFERENT SCENARIOS? - 5 YEAR-OLD CHILD PATIENT - UNVACCINATED 10 YEAR-OLD PATIENT - PATIENT THAT MAINTAINS VEGAN DIET LIFESTYLE & HEALTH PROMOTION SLEEP & IMMUNE FUNCTION "Sleep and the circadian system are strong regulators of immunological processes" (European Journal of Physiology) Supports innate and adaptive immunity Increased production of cytokines at hight to support recovery Helps strengthen immune memory (sleep improves effects of vaccines) Read more here: Sleep Foundation STRESS & IMMUNE FUNCTION "The results of this meta-analysis support this assertion in one sense: Stressors with the temporal parameters of the fight-or-flight situations faced by humans’ evolutionary ancestors elicited potentially beneficial changes in the immune system. The more a stres-sor deviated from those parameters by becoming more chronic, however, the more components of the immune system were affected in a potentially detrimental way." Citation here: Psychological Bulletin WHAT DOES THIS MEAN? Individual assessment of: 1. sleep quantity and quality, as well as 2. management of life stressors could lead to other treatment goals and meaningful approaches to care unrelated to treatment of a bacterial infection or specifically focused immune support. Assess if poor sleep is an obstacle to health and healing Assess if prolonged, chronic stress is an obstacle to health and healing SALT WATER GARGGLE From of self-car, at-home e hydrotherapy Highly accessible and cost-effective Safe for variety causes of sore-throat Symptomatic relief with anti-inflammatory effect, while addressing infection by changing pH of environment. ½ tsp. Salt + 8 oz. water Is there evidence for this traditional at-home remedy? PREVENTION & COUNSELLING RE: ANTIBIOTICS 'Doctor as Teacher' re: pathophysiology and risk of untreated bacterial infection Support MD rationale for treatment with explanation Educate how to monitor infection and response to treatment Supportive plan to mitigate GI side-effects of antibiotic use Discuss approaches to collaborative care and preventative treatment plan for future Provide reassurance appropriately THANK YOU.