k - 41 complimentary and alternative medicine (ikk)

7/27/2019 K - 41 Complimentary and Alternative Medicine (IKK)

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COMPLIMENTARY &ALTERNATIVE MEDICINE

ISTI ILMIATI FUJIATI


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A boy, Alex, 1.5 y.o had a fever. His parents

took him to a pediatrician (M.D.) for a

diagnosis. When they asked about usingherbs to treat his infection, his doctor's

response was, "Herbs are for salads. He

needs something more sophisticated tohelp him recover. Drugs."

This doctor was convinced of this fact

despite the tremendous body of scientificresearch that indicates that herbs could, in

fact, help the boy recover.


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Based on the recommendations theparents received from a naturopathic

physician about other infections that Alex

had in the past, his parents decided to

use herbs before trying drugs.

Within twenty-four hours of

administering the recommended herbs to

Alex, his fever disappeared and he wasmarkedly better.


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Apa yang anda fikirkan bila anda membaca

iklan ini di sebuah media massa:

George claimed that a tropical animal

protein supplied by a local naturopath

was effective in lowering blood pressure,and George was planning to invest in the

product. As evidence of his claim,

George, who had hypertension, said thathe felt much better after the treatment

and had much more energy.


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A. Lack of an appropriate outcome measure.

B. Lack of appropriate controls and lack of an

appropriate outcome measure.

C. Lack of randomization, lack of replication,

and lack of an appropriate outcome measure.

D. Lack of replication and lack of appropriate

controls.

E. Lack of appropriate outcome measure,

replication, randomization, and controls.

PRINSIP2 EBM


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Objectives

Background why complimentary &alternative medicine (CAM) is

learned in medical school

Basic Principles of CAM

Domains of CAM

Description of Integrative Medicine


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Why medical doctors ?

The use of CAM in western countriesgrowing popular

In our countries, CAM has been very

common since hundred years ago Medical doctors are skilled experts in

valuable system of medicine

+ expertise in CAM = a commitment tocompassionately serve the patient as a

person outstanding performance


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Facts in USA

1995: 70 % family physician want totraining in CAM

1997: 80 % medical student want to

training in CAM 1998: 69 % Americans use

unconventional medicine (US $ 27billion out-of-pocket = spending for

all US physician services 1999 : 67 % HMO offer at least one

form of CAM

Whydont

we start ?


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PERCENTAGE OF CAM USEBY ADULTS AND CHILDREN


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Natural Medicine The body was inherent ability to :

Maintain, Establish, Restore health

The physician's role is to: Facilitate & augment this process Act, identify & remove the obstacles of

health & recovery

Support the creation of a healthyinternal & external environment

Give the body the appropriate tools,

and it will heal it


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Promote wellness Assess risk factors and hereditary

susceptibility to disease and makesappropriate intervention to avoid furtherharm & risk to the patients

The physicians major role is to educate &encourage the patient to take responsibilityfor health

Make a commitment to their personal &

spiritual development in order to be goodteachers.

its difficult to be healthy in anunhealthy world


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Domains of CAM

1. Alternative Medical System

2. Mind-Body Interventions

3. Biological-Based Therapies4. Manipulative & Body-Based

Methods

5. Energy Therapies


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1. Alternative Medical System

Involve complete system of theory &practice evolved independent ofand often prior to conventional med.

a. Ayurveda:

diet, yoga, meditation, herbs,massage, exposure to sunlight

b. Homeopathy

c. Naturopathy


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AYURV

EDA


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ACUPUNCTURE


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Traditional oriental medicine:

Acupuncture, Herbal Medicine,Traditional Massage, Qi-gong


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2. Mind-body interventions

Focuses on the interactionsbetween mind and bodyand thepowerful ways in which

emotional, mental, social andspiritual factors can directlyaffect health


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meditation,

certain uses of

hypnosis,

dance, musicand art therapy

prayer & mental

healing


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3. Biological-based therapies

Includes natural and biologically-

based practices, interventions and

products

Included are herbal, special dietary,

orthomolecular and individual

biological therapies


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Jamu/herbs Concentration of

chemical, mega

doses vitamin

Aromatherapy


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4. Manipulative & Body-Based

Method

Includes methods that are based onmanipulation and/or movement of the

body

- Chiropathy : relationship between structure &

function

- Osteophaty: emphasis on the musculoskeletal

system

- Massage therapy: manipulate soft tissues of

the body to normalize those tissue


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5. Energy Therapies

Focus either on energy fields

originating within the body (biofields)

or those from other sources

(electromagnetic fields)- Qi gong

- Reiki

- Pranic healing- Bio-magnetic therapy


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QI GONGREIKI


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INTEGRATIVE MEDICINE

1. A partnership between patient &practitioner in the healing

process

2. Appropriate use of conventional& alternative methods to

facilitate the bodys innate

healing response


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3. Consideration to all factor that

influence health, wellness and

disease, including mind, spirit and

community as well as body

4. A philosophy that neither rejects

conventional medicine nor accepts

alternative medicine uncritically


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5. Recognition that good medicine

should be based in good science,

inquiry driven and open to new

paradigm

6. Use of natural, less invasive

interventions whenever possible


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5. The broader concepts of promoting of

health and the prevention of illness as

well as the treatment of disease

6. Practitioners as models of health andhealing, committed to process of self-

exploration and self-development


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Conclusion Integrative medicine is a

comprehensive,primary caresystem that emphasizes wellnessand healing of the whole person

(bio-psycho-socio-spiritualdimensions) as major goals, aboveand beyond suppression of a specific

somatic disease.


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The philosophy of integrativemedicine is compatible with WHOsdefinition of health is a state ofcomplete physical, mental and social

well-being and not merely theabsence of disease or infirmity.


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AKNOWLEDMENT

Special Thanks to

dr. Dhanasari V. Trisna, MSc.CM-FMfor sharing her knowledge and spiritof CAM


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ThankYou

k - 41 complimentary and alternative medicine (ikk)

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