Naturopathic Practice Creating A Healthy World Naturopathic Medicine

Naturopathic Practice Creating A Healthy World Naturopathic Medicine Naturopathic Primary Care and Nature Cure Pamela Snider, ND with Bruce Milliman ND & Molly Niedermeyer ND Bastyr University College of Naturopathic Medicine Spring 2016

Nature Cure Nature cure was a system for treating disease with natural agents such as water, air, diet, herbs and sunshine that developed in nineteenth century Europe. Naturopathy was the combination of* nature cure and homeopathy, spinal manipulation and other natural therapies, which were developed, in early twentieth-century America.

NM and ND Naturopathic Medicine is the application of the principles of naturopathy within the context of modern scientific knowledge that has evolved throughout the last half of this century. The term nature doctor has been used to describe the practitioners of these permutations of nature-based medicine. Nature Doctors: 1994 pg. 1

Natural Hygiene “ Natural hygiene seeks to understand exactly and precisely the nature and influence of air, water, food, light, excursive, rest, sleep, temperature, clothing, housing, noise, the emotions etc… “…and to apply the knowledge of these things in the process of living, acting ever and always in proper relation to the laws of life…

. . By this means we seek…to preserve health, but also to restore it if we have been so unwise to as to impair it. It is a comprehensive treatment of the whole problem of living in terms of a valid standard; A synthesis of interrelated and correlated living factors productive of a pattern of living normal for human beings; one that covers the total needs of man and not merely one or two of his requirements…

Natural Hygiene …Is a way of life, not a plan of treatment; it is a mode of living and not a system of therapeutics. Thus understood, the phrase Natural Hygiene acquires a real significance, at once novel, startling, intense and delicious. ” (Natural Hygiene: 1994 pg. 13)

Primary Care: WHO “…. essential health care based on practical, scientifically sound and socially acceptable methods and technology … It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process. ” Declaration of Alma-Ata. 1978

Primary Care: IOM 1978: “… accessible, comprehensive, coordinated and continual care delivered by accountable providers of personal health services. ” 1994: “…the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients and practicing within the context of family and community. ” Committee on the Future of Primary Care

Naturopathic Medicine “… a distinct method of primary health care — an art, science, philosophy and practice of diagnosis, treatment and prevention of illness. Naturopathic physicians seek to restore and maintain optimum health in their patients by emphasizing nature’s inherent self-healing process, the vis medicatrix naturae. This is accomplished through education and the rational use of natural therapeutics. AANP Definition of NM Position Paper 1989, , 2000, 2010 Select Committee on Definition of NM, Snider, Zeff

Naturopathic Academy of Primary Care Physicians Attributes of a Naturopathic primary care Physician Process and philosophy, not modality driven Least force algorithm Evaluation and management Health promotion and healing based

Naturopathy and the Primary Care Practice Sara A. Fleming, ND, Nancy C. Gutknecht, ND http: //www. ncbi. nlm. nih. gov/pmc/articles/PMC 2883816/ Naturopathy is a distinct type of primary care medicine that blends age-old healing traditions with scientific advances and current research. It is guided by a unique set of principles that recognize the body's innate healing capacity, emphasize disease prevention, and encourage individual responsibility to obtain optimal health (List 1). The naturopathic physician (ND) strives to thoroughly understand each patient's condition, and views symptoms as the body's means of communicating an underlying imbalance. Treatments address the patient's underlying condition, rather than individual presenting symptoms. Modalities utilized by NDs include diet and clinical nutrition, behavioral change, hydrotherapy, homeopathy, botanical medicine, physical medicine, pharmaceuticals, and minor surgery

Internal Discussions Primary Care Distinction between “primary care” and “specialty care. ” Schools determined training would focus on primary care, rather than specialty care. NDs who specialize may augment their training through additional professional degrees or certifications

ACCAHC: Meeting the Nations’ Primary Care Needs Naturopathic primary care is guided by: i) application of the professions’ principles and clinical theory, and ii) by employment of the profession’s Therapeutic Order and the Determinants of Health. 2 Employing this clinical approach (treating disease by working with nature to restore health) also drives naturopathic evaluation and management decisions. Bruce Milliman, ND; Erica Oberg, ND, MPH; Rita Bettenburg, ND; Elizabeth Pimentel, ND, LM; Jamey Wallace, ND; Pamela Snider, ND

The Naturopathic Therapeutic Order Address health creation, prevention, acute and chronic concerns 1. Establish the conditions for health by addressing Determinants of Health: Identify and remove disturbing factors (obstacles to cure) Institute a more healthful regimen & environment Address inborn susceptibility, capacity, constitution 2. Stimulate the Vis Medicatrix Naturae 3. Tonify weakened systems 4. Correct structural integrity 5. Address pathology: Use natural substances 6. Address pathology: Use pharmacologic or synthetic substances 7. Suppress or surgically remove pathology “The Patient” • • Zeff J. L. 1997; Snider & Zeff 1998; Zeff, Snider, Myers 2006 Zeff, Snider, Myers, Degrandpre 2013

Is Nature Cure A philosophy of practice? Primary care? A specialty? A group of modalities? The heart of naturopathic medicine? An archaic relic of the past? Is primary care the foundation of NM, or a specialty? Is nature cure the foundation of NM or a specialty? All or some of the above? ? ? ? What do you see as the role and the future of naturopathic primary care, nature cure, and primary care?