NMT150 Naturopathic Therapeutics - Putting It Together Week 2 Lecture PDF

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 2 NMT150 Author: Dr. Michelle Richea, ND LEARNING OBJECTIVES Active learning session to review, consider, and apply this week’s material Collaborate with colleagues, and learn from each other’s perspectives Consider preventative care and lif...

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 2 NMT150 Author: Dr. Michelle Richea, ND LEARNING OBJECTIVES Active learning session to review, consider, and apply this week’s material Collaborate with colleagues, and learn from each other’s perspectives Consider preventative care and lifestyle advice related to this week’s case Review considerations for a comprehensive Naturopathic treatment plan as relevant to this week’s case Review regulatory requirements and standards when providing patients with treatment recommendations FEEDBACK FROM WEEK 1 How was last week’s experience? How did last Thursday’s session support/ integrate the learning or not? What are your desires & expectations for these Thursday sessions? REMINDER: TREATMENT PLAN CONSIDERATIONS 3 Treatment Recommendations (herbs, supplements, etc). Nutritional Guidance Lifestyle Guidance Collaborative Care/ Medical Guidance Follow-up Considerations ….Which all requires informed consent  CONO Standard on Consent OBTAINING Must be obtained and documented for every intervention: obtaining case history, performing physical exam/ testing, INFORMED treatments, collecting health information accordance with CONSENT regional privacy acts. Also CNPBC Standard on Consent DISCUSSION & DOCUMENTATION RE: CONSENT CONO Standard on Consent  CONO: Standard for Record Keeping RECORD Must be communicated to the patient and noted in the KEEPING patient chart to meet regulatory requirements. Also CNPBC Standard on Care Records STILL RELEVANT FROM LAST WEEK? Sleep & Immune Function Stress & Immune Function LIFESTYLE, PREVENTION & HEALTH PROMOTION Thoughts? BASIC HYGEINE FOR HEALING & PREVENTION Rest and stay home while sick Wash your hands with soap and water Avoid touching your face and eyes with unwashed hands Cough into your elbow Keep up-to-date with vaccinations (influenza, S. pneumoniae – beneficial impact on the incidence of acute otitis media, CTC7, p. 1296) Avoid exposure to tobacco smoke *Standard Public Health guidance still applicable to ND discussions.  NASAL SALINE IRRIGATION (NETI POT) Image source: https://www.european-ayurveda.at/en/neti/ NASAL SALINE IRRIGATION (NETI POT) Safety: Ensure clean and appropriate device (wash well with soap and water) Use distilled water (or recently boiled water that's cooled) Ensure water is approximately body temperature for comfort Use pure sea salt/ non-iodized salt or saline mixture at a comfortable amount NASAL SALINE IRRIGATION DEMO & EXPLANATION https://www.youtube.com/watch?v=SXUyqna4QZA Mayo Clinic, Sinus rinsing with saline DATA Can possibly help relieve symptoms of URTI May reduce viral load Starting early in symptomatic period is likely more beneficial Simple and accessible/ inexpensive May help reduce reliance on medications/ prevent need for MD visit Higher level of evidence needed https://pubmed.ncbi.nlm.nih.gov/25892369/ https://pubmed.ncbi.nlm.nih.gov/33772626/ https://pubmed.ncbi.nlm.nih.gov/20238351/ https://pubmed.ncbi.nlm.nih.gov/12619739/ TRADITIONAL AYURVEDIC PRACTICE It's not a new 'fad' It's important to recognize the origins and traditional use outside of Naturopathic Medicine and North America It's important to recognize that there are more considerations when used holistically as part of an Ayurvedic practice Benefits of Jala Neti, California College of Ayurveda https://chopra.com/articles/how-and-why-to-use-a-neti-pot 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.