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Clinical Decision Making in Complementary & Alternative Medicine

Clinical Decision Making in Complementary & Alternative Medicine

Matthew Leach

(2010)

Additional Information

Book Details

Abstract

An exceptional health resource addressing professional practice issues in complementary and alternative medicine

Clinical Decision Making in Complementary & Alternative Medicine differs from other medical texts by introducing a systematic clinical framework for the practice of complementary and alternative medicine.

While comparable titles may explore the use or efficacy of specific complementary and alternative medicine interventions, this indispensable textbook highlights evidence-based interventions, while helping practitioners apply them within a clinical decision making framework.

Clinical Decision Making in Complementary & Alternative Medicine is a one-of-a-kind health reference for clinicians, students and educators alike.

Divided into two parts – theoretical foundation and practical application – the book includes case studies on health conditions such as acne, irritable bowel syndrome and migraine.

Clinical Decision Making in Complementary & Alternative Medicine is also unique in that it:
• focuses on evidence-based practice while also paying attention to the underlying philosophy of complementary and alternative medicine
• includes learning objectives and activities to consolidate reader knowledge and help lecturers teaching complementary and alternative medicine students
• enables complementary and alternative medicine practitioners to systematically assess, diagnose, treat and evaluate client-centred health problems in accordance with the established art, science and philosophy of complementary and alternative medicine
• guides practitioner thinking, assessment and care – all of which may help increase professional autonomy and accountability, improve client outcomes and quality of care, and reduce errors in decision making

Table of Contents

Section Title Page Action Price
Front Cover \r Cover
Clinical decision making in complementary and alternative medicine\r iii
Copyright\r iv
Foreword by Professor Nicola Robinson v
Foreword by Professor Marja Verhoef vi
Contents vii
Preface xi
About the author xiii
Acknowledgements xiv
Reviewers xv
PART 1 -\rTheoreticalfoundations 1
Chapter 1 -\rA decision-making framework for complementary and alternative medicine 3
Introduction 3
CAM philosophy 5
Clinical decision-making models 5
The decision-making framework for complementary \rand\r alternative medicine (DeFCAM) 7
Rapport 8
Assessment 8
Diagnosis 9
Planning 9
Application 10
Review 10
Summary 10
References 11
Chapter 2 - Rapport 13
Introduction 13
Definitions 13
Importance of rapport 14
Factors that facilitate and constrain client rapport 15
Summary 19
References 20
Chapter 3 - Assessment 23
Introduction 23
Types of assessment data 24
CAM assessment process 24
Cardiovascular system assessment 32
Respiratory system assessment 39
Gastrointestinal system assessment 45
Urinary system assessment 52
Reproductive system assessment 59
Integumentary system assessment 67
Endocrine system assessment 72
Nervous system assessment 82
Musculoskeletal system assessment 89
Summary 96
References 97
Chapter 4 - Diagnosis 100
Introduction 100
Defining diagnosis 101
Rationale for diagnosis 101
Factors affecting diagnostic accuracy 102
The process of diagnostic reasoning 103
CAM diagnostic reasoning process 106
CAM diagnosis 108
Summary 114
References 115
Chapter 5 - Planning 117
Introduction 117
Planning defined 118
Rationale for planning 118
Concerns about planning 120
The planning process 121
Summary 127
References 128
Chapter 6 - Application – Evidence-based practice\r 130
Introduction 130
Defining evidence 131
The EBP framework 133
Rationale for EBP 134
Criticisms of EBP 138
Summary 140
References 141
Chapter 7 - Application – Integrative healthcare 143
Introduction 143
Defining integrative care 144
Conventional system of healthcare 145
Movement towards integration 146
Problems with integration 147
Merits of integration 148
Models of integration 149
Summary 153
References 153
Chapter 8 - Review 156
Introduction 156
Defining review 156
The importance of review 157
Strategies for reviewing practice 158
Reflective practice 161
The review process 161
Summary 163
References 164
PART 2 -\rPracticalapplication 165
Chapter 9 - Application of DeFCAM\r 167
Introduction 167
Methodology 167
References 169
Case 1 - Acne vulgaris/rosacea\r 170
Description of acne vulgaris/rosacea 170
References 177
Case 2 - Anxiety\r 179
Description of anxiety 179
References 190
Case 3 - Asthma \r 193
Description of asthma 193
References 204
Case 4 - Chronic venous insufficiency\r 207
Description of chronic venous insufficiency 207
References 214
Case 5 - Dysmenorrhoea\r 216
Description of dysmenorrhoea 216
References 225
Case 6 - Dermatitis/eczema\r 228
Description of dermatitis/eczema 228
References 236
Case 7 - Irritable bowel syndrome\r 238
Case 7\r-\rIrritable bowel syndrome 238
Description of irritable bowel syndrome 238
References 248
Case 8 - Migraine\r 249
Description of migraine 249
References 260
Case 9 - Osteoarthritis\r 263
Description of osteoarthritis 263
References 275
Case 10 - Psoriasis\r 278
Description of psoriasis 278
References 288
Appendix: The DeFCAM template 290
Index\r 295