TRADITIONAL AND COMPLEMENTARY MEDICINE IN PATIENT CENTERED HEALTH

TRADITIONAL AND COMPLEMENTARY MEDICINE IN PATIENT CENTERED HEALTH CARE AND INTEGRATIVE MEDICINE Julius W. Mwangi, School of Pharmacy , University of Nairobi, Patient Centered Care: Training and Delivery of Universal Healthcare Conference , Kenyatta University Nairobi, Kenya, 29 th September – 2 nd October, 2015 © Uo. N, 2015 ISO 9001: 2008 Certified http: //www. uonbi. ac. ke

4000 Years of Medicine joke by Linda Curran (USA) ü 2000 BC: Here, eat this root ü 1000 AD: That root is heathen! Here, say this prayer ü 1865 AD: That prayer is superstition! Here, drink this potion. ü 1935 AD: That potion is snake oil! Here, swallow this pill. ü 1975 AD: That pill is ineffective! Here take this antibiotic! ü 2000 AD: That antibiotic is poison! Here, eat this root!

Traditional medicine (WHO) Traditional medicine is the sum total of the knowledge, skills, and practices based on theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness. Complementary/alternative medicine (CAM) They refer to a broad set of health care practices that are not part of that country's own tradition and are not integrated into the dominant health care system.

integrative medicine is healing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes therapeutic relationship between patient and physician and makes use of all appropriate therapies, both conventional and traditional and complementary medicine Picks the best therapies from both system ü Get patient better by using safe, effective and less invasive and cost effective intervention

Traditional & Complementary medicine Healing therapies include üTraditional medical systems (TCM, herbal medicine, Homeopathic, Aromatherapy, acupuncture, Reflexology, Ayurveda) ü manual medicine (Chiropractic, osteopathy, massage), ülifestyle changes (nutrition, exercise) ü mind-body therapies (yoga, Tai Chi, Pet, Laughter, ).

justification cost effective and easily accessible, advantage of history on its side lacks the sophistication of modern medicine in tackling modern ailments. Integration of combinations of traditional with modern medicine has been shown to be better than either of them current health care waits until symptoms of disease arise, as opposed to spending more time and effort on disease prevention so that those problems do not occur in the first place. Becoming more and more popular in integrative medicine

Justification. . recent globalization of unhealthy lifestyles, rapid unplanned urbanization, and demographic aging ü universal rise of cardiovascular diseases ü cancer, diabetes and mental disorders. § rate of new better drug development has plateaued in recent times ü Adverse side effects ü Toxicity in human trials ü Post approval withdraws for new drugs

POPULARITY? ? ? CONGESTION: LOLIODO ion at 8

POPULARITY Developed countries-looking to herbal medicines beyond their nutritional value; WHY? ØUsefulness in prevention and treatment of disease. ØIncreased concern about the adverse effects of conventional drugs. 9

POPULARITY…. ØGreater public access to health information internet, face book, twitter, You Tube ØGentler means of managing chronic, debilitating diseases üheart disease ürheumatoid arthritis ücancer üdiabetes 10

POPULARITY… ØCriticism of high-technology, specialized medicine, despite all its well-documented merits. WHY? üToo much invasive examinations. üTreatment of ‘lab results’ NOT patients. üMedical care has become depersonalized; “hardhearted” ? 11

POPULARITY… üAbsence of compassionate doctor-patient relationship. üPatient not a person, assembly line of body parts. Thus Managed by different specialists in a non-integrated manner. 12

FOOD AND HEALTH Let food be your medicine and let medicine be your food Hippocrates Healthy foods prevent rise of chronic non-communicable diseases; Ø Heart disease Ø Cancer Ø Diabetes Ø Mental disorders

FOOD AND HEALTH. . v. Rectal and colon cancer-Cabbage family. v. Diabetes-Beans, peas, dolichols, soya v. Cancer of stomach & prostate- Unskinned tomatoes. v“A clove of garlic a day keeps the doctor away”. CVS, many cancers Citrus , blueberries, pomegranate , grapes Turmeric Anti-Angiogenesis therapy? 14

EATING HEALTHY? v. Take Sour milk, yogurt or “Mursik”. v. Avoid SOLID FAT -“Bad cholesterol”. v. Avoid Mouldy foods, beverages or medicines.

broccoli To prevent cancer

pomegranate Ripe fruits

TURMERIC

DIAGNOSES IN TRADITIONAL AND COMPLEMENTARY MEDICINE Diagnosis takes account of the whole (total) person Dress, walk, talk, overweight, complexion, height State of past health and life circumstances health of ones family, employment or occupation, difficult with relations What foods one dislikes or like Effect of change of weather, allergies What upsets one and whether even or quick tempered Hope, fears (tangible and intangible) Aspirations musical or artistic are recorded.

DIAGNOSES A doctor in Kenya practices patient centered health care in his clinic Patients report as early as 6. 00 am to book appointments He attends to 8 -14 patients daily and spends 0. 5 -1. 0 hr per patient HE MUST BE USING TRADITIONAL MEDICINE!!

Hippocrates It’s more important to know what sort of person has a disease than to know what sort of disease a person has.