new complementary and alternave medicine in health promoon and … · 2015. 4. 8. · chronic...
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ComplementaryandAlterna/veMedicineinHealthPromo/on
andDiseasePreven/on
SimonaDraganUniversityofMedicineandPharmacyVictorBabesTimisoara,Romania
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Rep
ort
WH
O, 2
002:
59.
1. B
MJ
2002
;324
:157
0-6.
2. L
ance
t 199
8;35
2:18
01-7
. 3.
Ann
Int M
ed 2
001;
134:
1106
-14.
There is a powerful correlation between
chronic diseases and lifestyle
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WHO report 2010:83.
DALYs reported for risk factors
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Chronic Disease Epidemic: Contributing Influences
Amongthemajorinfluencescontribu/ngtotheepidemicofchronicdiseasearegene/cvulnerability,thepowerlessnessanddespairofpoverty,thedebilityproducedbychronicstress,andthefragmenta/onoffamilyandcommunitylifethatleadstoisola/onandalessenedsenseofpurposeandmeaning.
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‘A handful of pills is not enough’ EUROASPIRE III
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Whole person approach
Spiritual Mental
Physical Psychosocial
Coordinated Integrated Care
Whole Person Orientation
Personalized care across acute and chronic problems, to include prevention and focus on the physical, social, environmental, emotional, behavioral and cognitive aspects of health care.
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Chronic Care Model
Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA 2002; 288(14):1775-9.
Self-awareness
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Micozzi2008
Therapeutic Techniques in Biomedicine and CAM: Physical Invasiveness
Surgery Major/Minor
Injection Pharmaceuticals
Ingestion Herbs Food
Homeopathic remedies
Insertion Acupuncture Needles
Manipulation Bodywork Immersion Water/Heat Exercise Meditative Dance Drumming
Massage Bioenergetic Manipulation Chanting Touch Hands-On Visualization
Talk Prayer
Meditation Sitting Art
Techniques Favored by Selected Health Care Systems
Biomedicine/Ostepathy Homeopathy
Physiotherapy Chiropractic† Manipulative Ostepathy
Massage Therapy
Faith-Based and Psychotherapeutic Approaches Ayurveda
Bioenergetic and Shamanic Approaches
Art Therapy
Ayurveda, Chinese Medicine, Naturopathy
Dance/Movement Therapy
Phytomedicines
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Health literacy E-literacy
Reliable sources of information
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Sharedresponsibilityofinforma/on
Homeopathicmedicinesforadverseeffectsofcancertreatments
Cochrane Database Syst Rev. 2009 Apr 15; (2):CD004845
Mistletoe therapy in oncology Cochrane Database Syst Rev. 2008 Apr 16;(2):CD003297
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Websites of professionals
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Preventive cardiology
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Tai Chi – ESC website
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Yoga and mind-body techniques ESC website
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Phytotherapy: ESC website
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European Heart Journal Flavanols and Cardiovascular Disease Prevention European Heart Journal. 2010;31(21):2583-2592. © 2010 Oxford University Press
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Internet Impact on Decisions/Actions of Patients
Ofthe60%ofpa/entswhouseonlinehealthinforma/on(e‐pa/ents):
60%saytheinforma/onaffectedadecisionabouthowtotreatanillnessorcondi/on
53%sayitledthemtoasktheirphysiciannewques/onsortogetasecondopinion49%sayitchangedthewaytheythinkaboutdiet,
exercise,orstressmanagement60%saytheyorsomeonetheyknowhasbeenhelped
Source:PewInternet&AmericanLifeProjecth^p://www.pewinterent.org/reports/2009/8‐The‐Social‐Life‐of‐Health‐Informa/on.aspx
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Care Integrated Team-based
Behavioralhealthcare
Primary care - Prevention - Acute Care - Chronic Care
Specialist care
Delivery System Transformation and Practice Redesign
Other care
PC Team
PC Physicians
BH Specialists Specialists
Otherhealthcareproviders
Coordination Collaboration
Communication
Integrated patient-centered care
Usual Care Fragmented Not coordinated
Patient
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Ambulatory for prevention and integrative medicine
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E-resource guides on CAM for healthy aging
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The Model for Aging Well (NRC data from 9000 surveys on QOL of older adults)
12 strengths grouped into three thematic categories: physical health, outlook on life and connection to others and the community.
Possible CAM therapies contribution to increase strenghts:
• Acupuncture • Osteopathy • Shiatsu • Massage • Naturopathy • Anthroposophy • Nutrition, physical activity • Relaxation techniques, Meditation • Spirituality
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Together…with CAM for Health!
HEALTH AND CONSUMERS