Chapter 74 Complementary and Alternative Therapies Mosby items

Chapter 74 Complementary and Alternative Therapies Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 1

CAM Defining CAM NIH National Center for Complementary and Alternative Medicine Categories Ø Growing body of research and evidence • Mind–body medicine • Acupuncture • Herbal medicine • Traditional Chinese medicine Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 2

CAM Primary Care Providers and Complementary and Alternative Therapies Thorough medication history Thorough history of use of OTC vitamins, herbs, and supplements Ø Treatment from alternative practitioners Ø Liability Ø Ø Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 3

Complementary Therapies and Herbal Medicine Common Complementary and Alternative Practices Ø Ø Ø Alternative medical systems Mind–body interventions Manipulative and body-based methods Energy therapies Biologic-based therapies Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 4

Complementary Therapies and Herbal Medicine Botanical Therapy Ø Advantages and disadvantages of herbal therapy for primary care practice Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 5

Drug–Herb Interactions Beneficial Interactions Adverse Interactions Ø Ø Detrimental effects Additive effects Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 6

Complementary Therapies and Herbal Medicine Patient Variables Ø Ø Ø Geriatrics Pediatrics Pregnancy and lactation Mosby items and derived items © 2009, 2004 by Mosby, Inc. , an affiliate of Elsevier Inc. 7