Naturopathic Therapeutics – Putting It Together Week 13 PDF

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 13 AUTHOR: DR. ZEYNEP URAZ, ND LEARNING OBJECTIVES Active learning session to review, consider, and apply this week’s material Practice talking about sex with patients Review potential causes of sexual dysfunction and erectile dysfunction C...

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 13 AUTHOR: DR. ZEYNEP URAZ, ND LEARNING OBJECTIVES Active learning session to review, consider, and apply this week’s material Practice talking about sex with patients Review potential causes of sexual dysfunction and erectile dysfunction 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 REVIEWING THIS WEEK’S CASE KEY FEATURES OF THE CASE History of cardiovascular disease risk (high cholesterol, family history) Chose not to take statins several years ago Has returned with some new risk factors for cardiovascular disease risk Has a new concern of erectile dysfunction TODAY’S FOCUS Manage hypertension and erectile dysfunction with lifestyle approaches using best evidence HYPERTENSION HYPERTENSION Primary vs secondary hypertension Target value depends on patient’s overall risk factors SEXUAL AND ERECTILE DYSFUNCTION TAKING A SEXUAL HISTORY ASK ABOUT SEX Taking a sexual health history Let’s practice: https://nationalcoalitionforsexualhealth.org/tools/for- healthcare-providers/asset/Sexual-Health-Questions-to- Ask-All-Patients.pdf Practice asking about “practices, pleasure and problems” TREATMENT GOALS? OBJECTIVELY ASSESSING OUTCOMES Hypertension – using correct in-office method Erectile dysfunction – using standardized, validated questionnaire International Index of Erectile Function https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/ii ef.pdf TREATMENT GOALS Taking the opportunity to discuss diet and lifestyle changes in the context of a patient-important outcome Reducing long-term risk of cardiovascular disease GOALS FOR GROUP WORK: Identify Treatment goals (for each condition) (2-4 goals total) Propose treatment plan with supported rationale for treatment (Look to the evidence!) (see resources slide) Type out the treatment plan as you would for a patient Role-play: Take a sexual history QUESTIONS TO ANSWER Does combining lifestyle and dietary recommendations (non- pharmacological interventions) with pharmacological interventions have an additive impact on blood pressure? What is the expected reduction in BP for each dietary/lifestyle intervention? Name two strategies to help with adherence to your recommended recommendations QUESTIONS TO ANSWER Which 2 clinical scenarios is the use of pharmacological treatment alongside pharmacologic treatment recommended? RESOURCES https://www.ahajournals.org/doi/10.1161/CIR.00000000 00000678 (see section 4.4 “Adults with Hypertension”) https://www.auanet.org/guidelines-and- quality/guidelines/erectile-dysfunction-(ed)- guideline#x8057 (see guideline statement 7) THANK YOU.