Chapter 3 Tamparo Therapeutic Communication_5e_PPT_CH03.pdf

1054590863 YAKOBCHUK; VIACHESLAV/Shutterstock.com; 1054597460; YAKOBCHUK VIACHESLAV/Shutterstock.com; 2036344154 fizkes/Shutterstock.com; 2010013829 fizkes/Shutterstock.com; 2043143621 Bangkok; Click Studio/Shutterstock.com...

1054590863 YAKOBCHUK; VIACHESLAV/Shutterstock.com; 1054597460; YAKOBCHUK VIACHESLAV/Shutterstock.com; 2036344154 fizkes/Shutterstock.com; 2010013829 fizkes/Shutterstock.com; 2043143621 Bangkok; Click Studio/Shutterstock.com Therapeutic Communication for Health Care Professionals, 5e Chapter 3: Therapeutic Communication in Complementary Medicine Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 1  Chapter Objectives (1 of 3) Describe current statistics for the use of complementary and alternative medicine (CAM) in the United States. List four interesting facts regarding the use of CAM according to the National Health Interview Survey. Compare traditional or allopathic medicine to alternative medicine. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 2  Chapter Objectives (2 of 3) Contrast traditional or allopathic medicine with complementary medicine. Describe the educational requirements and licensure status of both the alternative medicine practitioners and the traditional practitioners identified in this chapter. List alternative medical therapies identified in this chapter with a brief description of their practices. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 3  Chapter Objectives (3 of 3) Provide examples of the negative and the positive components of both the alternative and the traditional therapies for medical care. Examine the rationale and hesitation of both traditional and nontraditional practitioners to embrace integrative medicine. Correctly define key terms. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 4  Complementary and Alternative Medicine (CAM) (1 of 2) Embraced by many in the U.S. Also referred to as complementary and integrative medicine − Brings traditional health care (i.e., medication and psychotherapy) and complementary approaches (i.e., acupuncture and yoga) together to treat the whole person Paid for out of pocket rather than by insurance Some turn to CAM due to perception that their primary care provider (PCP) is too busy or more interested in a quick fix with medications rather than getting to the cause of the problem Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 5  Complementary and Alternative Medicine (CAM) (2 of 2) National Center for Complementary and Integrative Health (2016) − Nearly $31 billion was spent by people for CAM National Center for Health Statistics − 38.8% of adults and 17.2% of children in US use some form of CAM National Health Interview Survey (2017) − Increased use of yoga, meditation, and chiropractors in those 18 and older from 2012 and 2017 − Yoga was most commonly used complementary health approach among adults in 2012 and 2017 Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 6  Western Medicine (1 of 2) Also referred to as traditional or allopathic medicine Most familiar health care model for those in the United States Based on premise that diseases are caused by bacteria or viruses Diagnosed by addressing symptoms and from scientific tests Treatment consists of utilizing pharmaceuticals and surgical procedures Mental health receives little consideration although recognized Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 7  Western Medicine (2 of 2) A PCP can be a medical doctor (MD), an osteopath (DO), or a chiropractor (DC)---these licenses are recognized in all 50 states These providers use microscopy, bacterial cultures, radiography, and medications to diagnose and treat people − DOs and DCs might also manipulate bones and spinal column Education − MD and DO: undergraduate degree and 3–8 years of medical school − DC: 3 years of undergraduate study in addition to 3½–5 years of specialized study in an accredited chiropractic college Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 8  Alternative, Complementary, or Integrative Medicine Education, training, and licensure requirements vary in all three areas Complementary medicine complements or works together with traditional medicine Alternative medicine does not always complement traditional medicine or may actually work against it − For example, a person taking St. John’s wort and a pharmaceutical antidepressant such as Wellbutrin or Lexapro may experience side effects. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9 Alternative, Complementary, or Integrative Medicine: Naturopathy Doctor of Naturopathy (ND) must graduate from a 4-year, professional- level program at a federally accredited naturopathic medical school − Must take and pass Naturopathic Physicians’ Licensing Exam (NPLEX) − Recognized in 23 states and District of Columbia, Puerto Rico, and U.S. Virgin Islands Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 10 Alternative, Complementary, or Integrative Medicine: Homeopathy Homeopathy − Belief that healing takes place when small amounts of substances can leave an imprint on the body, stimulate the immune system, and help facilitate a cure − Training must involve a medical degree and/or a 4-year professional diploma from an institute accredited by the Accreditation Commission of Homeopathic Education in North America (ACHENA) − Licensed in the U.S. only in Arizona, Connecticut, and Nevada Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 11 Alternative, Complementary, or Integrative Medicine: Traditional Chinese (1 of 4) Traditional Chinese Medicine (TCM) − Ancient modality referring to five elements of fire, earth, metal, water, and wood − Goal is to strengthen body’s immune system and increase ability to maintain health − Key to health is Qi (“chee”), the life energy that flows through the body to create harmony and balance − Importance of yin (feminine element) and yang (masculine element) Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 12 Alternative, Complementary, or Integrative Medicine: Traditional Chinese (2 of 4) − Treatments ▪ Herbal medicine—remedies made from plants ▪ Moxibustion—heat therapy where herbs are burned on or above the skin to stimulate the area ▪ Qigong—combination of meditation, controlled breathing, and gentle movement Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 13 Alternative, Complementary, or Integrative Medicine: Traditional Chinese (3 of 4) − Treatments (continued) ▪ Acupressure—pressure applied to points on the body Acupuncture—insertion of needles at Doglikehorse/Shutterstock.com ▪ various points in the body to alleviate pain and to treat physical, mental, or emotional conditions * Many states license acupuncturists ▪ Tai chi—meditative movement practiced as a system of exercises Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 14 Alternative, Complementary, or Integrative Medicine: Traditional Chinese (4 of 4) − Treatments (continued) ▪ Cupping—applying a heated glass to the skin along the meridians of the body, creating suction to stimulate the flow of energy ▪ Coining—edge of a coin or other flat metal object is rubbed on the skin to effect a cure Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 15  Alternative, Complementary, or Integrative Medicine: Ayurvedic Ayurvedic practice − Comes from India − If there’s a balance and harmony of body, mind, and spirit, health and absence of disease will follow − Diet, sleep habits, and use of herbs are used to address health issues as well as aromatherapy, meditation, and yoga − Not currently licensed in any states Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 16 Alternative, Complementary, or Integrative Medicine: Mind/Body Therapies (1 of 3) Mind/Body Therapies - mind and body are equally significant − Types ▪ Biofeedback—instruments are used to teach people to recognize physical signs and symptoms and to control them consciously ▪ Psychoneuroimmunology—the study of how the immune system and central nervous system interact ▪ Hypnosis/hypnotherapy/hypnotic suggestion—a trance-like state where there’s heightened focus and concentration; use of verbal repetition and mental images guided by a therapist Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 17 Alternative, Complementary, or Integrative Medicine: Mind/Body Therapies (2 of 3) − Types (continued) ▪ Imagery and visualization—creating a mental image or intention to help put one’s body in a relaxed state ▪ Reiki—energy healing techniques where practitioners use hands to transmit energy to one’s body through gentle touch ▪ Journaling—keeping a record of personal thoughts, feelings, and insights to improve mental health Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 18 Alternative, Complementary, or Integrative Medicine: Mind/Body Therapies (3 of 3) − Types (continued) ▪ Also use music, dance, tai chi, and art therapy ▪ Use of animals—evidence that petting a dog or a cat who returns affection lowers blood pressure and slows down the heart rate Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 19 Alternative, Complementary, or Integrative Medicine: Therapeutic Touch Massage and therapeutic touch − Closely related to practice of osteopathy and chiropractic treatments − Different forms of massage with goal of manipulating soft body tissues to enhance health and well-being; used to relieve pain, reduce stress, and release adhesions or scar tissue, and provide greater range of motion and flexibility Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 20  Knowledge Check 3.1 Which practitioners currently are not licensed in the United States? a. Chiropractors b. Acupuncturists c. Doctors of osteopathy d. Ayurvedic practitioners Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 21  Knowledge Check 3.1: Answer Which practitioners currently are not licensed in the United States? Answer: d. Ayurvedic practitioners Currently, ayurvedic practitioners are not licensed in the United States. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 22  Words of Caution (1 of 3) Western medicine is supported by science − Chiropractic care should be embraced for spinal manipulation, and the use of heat, ultrasound, massage, and electric muscle stimulation can manage some muscle and bone issues, ultimately being helpful interventions Naturopathy can be dangerous with excessive fasting, repeated enemas, and colonic washings − Unregulated herbs infused with impurities can interact with medications Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 23  Words of Caution (2 of 3) Homeopathy has limitations, as not all issues respond to micro doses of substances, especially when surgical intervention is needed Many mixtures in TCM contain toxins, heavy medals, steroids, and endangered animal tissues Acupuncture has shown effectiveness in managing pain and can give one increased energy and mental clarity but is not for those who bleed easily or are on blood thinners Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 24  Words of Caution (3 of 3) Massage has many positive components but should be avoided in those with fractures, severe osteoporosis, thrombocytopenia, deep vein thrombosis, burns or open wounds, and bleeding disorders Therapeutic touch can be used with traditional medical treatment but is inappropriate for serious, life-threatening situations Yoga can promote flexibility and posture, but care should be taken in hot yoga. Movement coupled with heat can cause dehydration, decreased blood pressure, increased heart rate, and feelings of weakness, nausea, and dizziness Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 25  Knowledge Check 3.2 What is a caution given regarding hot yoga? a. Can cause one to be less flexible b. Can cause an increase in blood pressure c. Can cause a decrease in heart rate d. Can create feelings of weakness, nausea, and dizziness Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 26  Knowledge Check 3.2: Answer What is a caution given regarding hot yoga? d. Can create feelings of weakness, nausea, and dizziness The heavy sweating can result in dehydration, decreased blood pressure, increased heart rate, and a feeling of weakness, nausea, and dizziness. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 27  Case Study A patient went to their general practitioner complaining of migraine headaches. Upon examination, the doctor noted that the patient carries much of their stress in their shoulders. After trying a handful of medications, nothing seemed to help. Which step might the doctor suggest next? a. Tell the patient to try a chiropractor b. Encourage the patient to try Ashwagandha c. Advise that the patient try hot yoga to help him relax d. Suggest that the patient seek out a licensed ayurvedic practitioner Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 28  Case Study: Answer A patient went to their general practitioner complaining of migraine headaches. Upon examination, the doctor noted that the patient carries much of their stress in their shoulders. After trying a handful of medications, nothing seemed to help. Which step might the doctor suggest next? a. Tell the patient to try a chiropractor The doctor is more likely to advise the patient to seek out a chiropractor. Ashwagandha is used for depression, not migraines. Hot yoga is not recommended, as it could exacerbate a headache due to dehydration. Finally, there are no licensed ayurvedic practitioners, so the doctor is not likely to suggest that. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 29  Self-Assessment Do you know anyone who has practiced some of the alternative health care approaches mentioned in this chapter? Compare and contrast the information presented in this chapter with the person’s observed behavior. Tamparo, Lindh, & Blesi, Therapeutic Communication for Health Care Professionals, 5th Edition. © 2024 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 30