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Integrative Medicine, Part I: Incorporating Complementary/Alternative Modalities, An Issue of Primary Care Clinics in Office Practice - E-Book

Integrative Medicine, Part I: Incorporating Complementary/Alternative Modalities, An Issue of Primary Care Clinics in Office Practice - E-Book

J. Adam Rindfleisch

(2010)

Additional Information

Book Details

Abstract

Complementary and alternative medicine encompasses a wide range of modalities, including acupuncture, herbs and supplements, naturopathy, and body and mind therapies. The use of these healing methods is increasing rapidly, and more and more patients are approaching primary care physicians with questions about them. The purpose of this issue is to help doctors understand the evidence supporting and refuting complementary and alternative medicine techniques so they can provide patients with answers. This is the first of a two-part series, and it focuses on the various modalities.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vii
Foreword Traditional Medicine in Primary Care is Not Enough: We Must All Integrate CAM! xiii
Preface Integrative Medicine in Primary Care xv
Chapter 1. Introduction to Integrative Primary Care: The Health-Oriented Clinic 1
DEFINING INTEGRATIVE MEDICINE 1
INTEGRATIVE MEDICINE IN PRIMARY CARE: KEY INGREDIENTS 2
SALUTOGENESIS-ORIENTED SESSION 3
HEALTH-ORIENTED TEAMS 3
THERAPEUTIC PARTNERSHIP AND THE HEALTH AGREEMENT 4
HOME VISITS: THE EXAMPLE OF BREAST-FEEDING 7
EDUCATION: TRAINING IN PRIMARY CARE INTEGRATIVE MEDICINE 9
SUMMARY 10
REFERENCES 10
Chapter 2. Advising Patients About Herbs and Nutraceuticals: Tips for Primary Care Providers 13
SUPPLEMENT REGULATION IN THE UNITED STATES 13
WHO USES SUPPLEMENTS? 14
COMMONLY USED HERBS AND NUTRACEUTICALS 15
SAFETY ISSUES 15
HERBAL THERAPIES 16
READING A SUPPLEMENT LABEL 16
NUTRACEUTICALS 17
RESOURCES FOR MORE INFORMATION 29
SUMMARY 29
ACKNOWLEDGMENTS 29
REFERENCES 29
Chapter 3. Prescribing Yoga 31
HISTORY 32
ASANA 36
PRANAYAMA 36
MEDITATION 36
STATISTICS ON PRACTICE AND TEACHING 36
THE EMERGENCE OF YOGA AS THERAPY 37
CHARACTERISTICS OF YOGA USERS 38
STRESS MANAGEMENT 38
LOW BACK PAIN 39
ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE 39
MULTIPLE SCLEROSIS 40
EATING DISORDERS AND OBESITY 41
HYPERTENSION 41
STRENGTH AND BALANCE IN THE ELDERLY 41
PREGNANCY 41
RHEUMATOID ARTHRITIS 44
MENOPAUSE 44
PRESCRIBING YOGA AND HOW TO FIND A TEACHER 44
REFERENCES 45
Chapter 4. An Introduction to Clinical Research in Osteopathic Medicine 49
HISTORY 49
EDUCATION, LICENSING, AND PRACTICE 50
TENETS OF OSTEOPATHY 51
SOMATIC DYSFUNCTION 51
OSTEOPATHIC TECHNIQUES 51
RISKS 52
RESEARCH 53
MANIPULATION FOR CONDITIONS 55
SUMMARY 59
ACKNOWLEDGMENTS 61
REFERENCES 61
Chapter 5. Prolotherapy in Primary Care Practice 65
PROLOTHERAPY TECHNIQUE 66
MECHANISM OF ACTION 66
CLINICAL EVIDENCE 67
CONTRAINDICATIONS, SIDE EFFECTS AND ADVERSE EVENTS 73
PRACTICAL PROLOTHERAPY 74
CLINICAL RECOMMENDATIONS 75
ACKNOWLEDGMENTS 77
REFERENCES 77
Chapter 6. Meditation in Medical Practice: A Review of the Evidence and Practice 81
WHAT IS MEDITATION? 81
WHY MEDITATE? 82
REVIEW OF MEDITATION RESEARCH 82
MINDFULNESS IN MEDICAL EDUCATION AND PRACTICE 83
SUMMARY 87
ACKNOWLEDGMENTS 87
REFERENCES 87
Chapter 7. Biofeedback and Primary Care 91
FORMS OF BIOFEEDBACK 93
TECHNOLOGICAL AND PRACTICAL CONSIDERATIONS 94
GOALS OF BIOFEEDBACK 94
PROCESS OF TREATMENT 95
CLINICAL CONDITIONS 97
RESEARCH ISSUES 101
INSURANCE AND REIMBURSEMENT ISSUES 101
TRAINING AND CREDENTIALING 101
RESOURCES 101
REFERENCES 102
Chapter 8. Acupuncture in Primary Care 105
A CASE PRESENTATION 105
HISTORICAL PERSPECTIVE 106
WHAT IS ACUPUNCTURE LIKE? 107
CURRENT STATE OF ACUPUNCTURE USE IN THE UNITED STATES 107
BASIC SCIENTIFIC BASIS OF ACUPUNCTURE 107
CLINICAL EVIDENCE RELATED TO ACUPUNCTURE 108
SPECIFIC CONDITIONS 109
PUTTING CLINICAL EVIDENCE INTO PATIENT-CENTERED CARE 112
EDUCATION OF PHYSICIANS IN ACUPUNCTURE 112
PRACTICAL CONCERNS FOR INTEGRATING ACUPUNCTURE INTO PRIMARY CARE 112
PATIENT-PHYSICIAN COMMUNICATION IN REGARDS TO ACUPUNCTURE CARE 113
SUMMARY 113
ACKNOWLEDGMENTS 114
REFERENCES 114
Chapter 9. Naturopathy and the Primary Care Practice 119
NATUROPATHIC MEDICINE OVERVIEW 119
NATUROPATHIC APPROACH TO HEALTH 119
CURRENT PRACTICE 120
NATUROPATHIC MODALITIES 126
NATUROPATHIC RESEARCH 129
INTEGRATIVE PATIENT CARE 130
RESOURCES 131
ACKNOWLEDGMENTS 133
REFERENCES 133
Chapter 10. Integrating Sustainability and Health Care 137
DEFINING SUSTAINABILITY 137
STEPPING TOWARD SUSTAINABILITY 145
SUMMARY 145
ACKNOWLEDGMENTS 146
REFERENCES 146
Chapter 11. Integrative Care of the Mother-Infant Dyad 149
NUTRITION AND SUPPLEMENTS IN PREGNANCY 149
COMMON COMPLAINTS IN PREGNANCY 153
LABOR PREPARATION 155
SUPPORTING THE LABORING WOMAN 156
PAIN RELIEF IN LABOR 158
SUMMARY 161
REFERENCES 161
Chapter 12. Biofield Therapies: Energy Medicine and Primary Care 165
DEFINITIONS 165
TYPES OF BIOFIELD/ENERGY THERAPIES 166
MECHANISM OF ACTION 166
ENERGY MEDICINE’S EFFICACY: THE STATE OF THE RESEARCH 170
GENERAL REVIEWS 170
RESEARCH FOCUSING ON SPECIFIC MODALITIES 172
ADVERSE EFFECTS 176
ENERGY MEDICINE MODALITIES AND PRIMARY CARE 176
ACKNOWLEDGMENTS 176
REFERENCES 176
Chapter 13. Integrative Primary Care and the Internet: Opportunities and Challenges 181
INFORMATION INTERESTS OF PHYSICIANS AND PATIENTS 182
PHYSICIAN–PATIENT RELATIONSHIP 183
BARRIERS TO EFFECTIVE SEARCHING 183
INTEGRATIVE MEDICINE AND THE PRIMARY CARE PHYSICIAN 183
A GUIDE TO INTEGRATIVE MEDICINE ON THE INTERNET 184
LOCATING INFORMATION QUICKLY 184
SUMMARY 199
REFERENCES 199
Index 201