©2010 McGraw-Hill Companies. All Rights Reserved. C ONVENTIONAL AND C OMPLEMENTARY MEDICINE Chapter 15

©2010 McGraw-Hill Companies. All Rights Reserved. S ELF -C ARE Self Assessment Symptoms are often an expression of the body’s attempt to heal itself. Carefully observing symptoms lets you identify those signals that suggest you need professional assistance. Body’s vital sign Temperature Heart rate Medical self-tests Blood pressure Blood sugar Pregnancy detection Urinary tract infections 2

©2010 McGraw-Hill Companies. All Rights Reserved. KNOWING WHEN TO SEE A PHYSICIAN See a physician for symptoms that you would describe as follows: 1. Severe 2. Unusual 3. Persistent 4. Recurrent Emergencies include the following: 1. Major trauma 2. Uncontrollable bleeding 3. Intolerable and uncontrollable pain 4. Severe shortness of breath 5. Persistent abdominal pain 6. Poisoning or drug overdose 7. Loss of consciousness 8. Stupor, drowsiness, or disorientation 9. Severe or worsening reaction to an insect bite or sting or to a medication 3

©2010 McGraw-Hill Companies. All Rights Reserved. S ELF - TREATMENT : MANY OPTIONS Watchful waiting Non-drug options Self-medication Over-the-counter (OTC) drugs Simple guidelines to self-medication safely: 1. Always read labels 2. Do not exceed the recommended dosage or length of treatment 3. Use caution if you are taking other medications 4. Try to select medications with one active ingredient 5. Try to buy generic drugs 6. Never take or give a drug from an unlabeled container 7. If pregnant or nursing 8. Expiration date 9. Store your medications in a cool, dry place. 10. Use caution with aspirin 4

©2010 McGraw-Hill Companies. All Rights Reserved. FIGURE 15.1 READING AND UNDERSTANDING OTC DRUG LABELS 5

©2010 McGraw-Hill Companies. All Rights Reserved. P ROFESSIONAL CARE System of broad network of professionals and organizations, including: Independent practitioners Health care providers Hospitals Clinics Public and private insurance programs Complementary and alternative medicine (CAM) Most commonly used CAM therapies: Relaxation techniques Herbal medicine Massage Chiropractic 6

©2010 McGraw-Hill Companies. All Rights Reserved. C ONVENTIONAL MEDICINE Premises and Assumptions of Conventional Medicine Western medicine is the belief that disease is caused by identifiable physical factors. Identifies: Pathogens Bacteria or viruses Genetic factors Unhealthy lifestyles Based on scientific method of obtaining knowledge Empirical Rational Testable Parsimonious General Rigorously evaluated Tentative 7

©2010 McGraw-Hill Companies. All Rights Reserved. T HE PROVIDERS OF CONVENTIONAL MEDICINE Medical Doctor (MD) Doctors of osteopathic medicine (OD) Podiatrists Optometrists Dentists Allied health care providers: Registered nurses (RN) Licensed vocational nurses (LVNs) Physical therapists (PT) Social workers Registered dietitians (RDs) Physician assistants (PA) Nurse practitioners Certified nurse midwives Certified Athletic Trainers’ (ATCs) 8

©2010 McGraw-Hill Companies. All Rights Reserved. C HOOSING A PRIMARY CARE PHYSICIAN Begin making a list Check insurance limits Ask for recommendations Family, friends, coworkers, local medical societies, and the physician referral service Once you have a list of physicians, call their office and find out some information: Is the physician covered by your insurance plan? What are the office hours? Which hospitals does the physician use? How many other physicians are available to cover? How long does it usually take to get an appointment? Does the office send reminders for check-ups? Does the physician give advice over the phone? 9

©2010 McGraw-Hill Companies. All Rights Reserved. G ETTING THE MOST OUT OF YOUR MEDICAL CARE The physician-patient partnership Your appointment with your physician The diagnostic process Physical exams Diagnostic testing X-rays Biopsies Blood and urine tests Scans Endoscopies Medical and Surgical treatments Prescription medications Off-label drug use Online pharmacies Costs Surgery Elective surgeries 10

©2010 McGraw-Hill Companies. All Rights Reserved. C OMPLEMENTARY AND ALTERNATIVE MEDICINE CAM tends to focus on an integration of mind, body, and spirit in seeking ways to restore the whole person to harmony Alternative Medical Systems Traditional Chinese Medicine (TCM) Harmonious flow of qi (pronounced “chi”) produces health Acupuncture QI is believed to flow through the body along several meridians (pathways) Homeopathy

©2010 McGraw-Hill Companies. All Rights Reserved. M IND - BODY INTERVENTIONS Intervention make use of the integral connection between mind and body Meditation Yoga Visualization Taijiquan Biofeedback Hypnosis 12

©2010 McGraw-Hill Companies. All Rights Reserved. B IOLOGICAL -B ASED THERAPIES Consist primarily of herbal therapies or remedies, botanicals, and dietary supplements Pharmacopoeia (A book containing an official list of the drugs used in medicine together with information about their purity, and physical and chemical properties) 13

©2010 McGraw-Hill Companies. All Rights Reserved. M ANIPULATIVE AND BODY - BASED METHODS Touch and body manipulation are long-standing forms of health care. Manual healing is based on the idea that misalignment or dysfunction in one part of the body causes pain or dysfunction in another part Chiropractic medicine 14

©2010 McGraw-Hill Companies. All Rights Reserved. E NERGY THERAPIES Forms of treatment that use energy originating either within the body (biofields) or from other sources (electromagnetic fields) Qigong Therapeutic touch Reiki Bioelectromagnetic-based therapies 15

©2010 McGraw-Hill Companies. All Rights Reserved. E VALUATING COMPLEMENTARY AND ALTERNATIVE THERAPIES Working with your physician Area to discuss Safety Effectiveness Timing Cost Questions the CAM practitioner Why he or she thinks the therapy will be beneficial Describe in detail any conventional treatments you are receiving Ask how long the therapy should last Ask about the expected cost of the treatment Doing your own research 16

Chapter 15 © 2008 McGraw-Hill Companies. All Rights Reserved. 17

T HE U SE OF CAM IN THE US R EPORT BY N ATIONAL C ENTER FOR C OMPLEMENTARY AND A LTERNATIVE M EDICINE (NCCAM) & N ATIONAL C ENTER FOR H EALTH S TATISTICS (NCHS) 36% of Americans use CAM

W HO USES CAM THE MOST ? Women more than men People with higher education People who have been hospitalized in past year Former smokers (more than current or never smoked)

©2010 McGraw-Hill Companies. All Rights Reserved. P AYING FOR HEALTH CARE The current system: Combination of private and public insurance plans, patient out-of-pocket payments, and government assistance. Health insurance Traditional fee-for service (indemnity) plans Managed-care plans Health maintenance organizations (HMO) Preferred provider organizations (PPO) Point-of-service (POS) plans Health Savings Accounts (HSAs) Governmental programs Medicare Medicaid Choosing a policy 20

C ONNECT A SSIGNMENT Chapter 15 Connect Assignment Due Tuesday, April 20 th