PTP 546 Complementary & Alternative Medicine

1. PTP 546Complementary & Alternative Medicine Jayne Hansche Lobert, MS, RN, ACNS-BC, NP Lobert

2. Complementary and Alternative Medicines • Complementary and Alternative Therapies • NIH: National Center for Complementary & Alternative Medicineswww.nih.nccam.gov • Categories of CAM • Mind-body medicine • Relaxation therapy, meditation, prayer, imagery, art therapy, music therapy, dance, imagery • Biologically based practices • Biofeedback, herbals, dietary supplementations, nutritional therapy, aromatherapy • Manipulative and body-based practices • Massage, chiropractic therapy, yoga • Energy Therapies • Therapeutic touch, healing touch, reiki, Lobert

3. Complementary and Alternative Medicines • NCCAM • Whole Medicine Systems • Traditional Chinese Medicine • Balancing of vital energy (Qi); uses acupuncture • Homeopathy • Based on like cures like; remedies work through energy transfer • Naturopathy • Promotion of health through nutrition, herbology, homeopathy, physical therapies and counseling Lobert

4. Complementary and Alternative Medicines • Complementary & Alternative Therapies • Scope: NIH Study • 38% of adults used CAM within the past 12 months • Most commonly used therapies: herbs, supplements, and deep breathing exercises • Most frequently used natural product : fish oil/omega 3 • Greatest use of CAM is noted in Native American Indians, Alaska Natives and Caucasians • 25% of patient who utilized alternative therapies did so based upon the recommendation of a health care provider • Challenges Lobert

5. Complementary and Alternative Medicines • Complementary and Alternative Medicines • Glucosamine & Chondroitin • Osteoarthritis • Echinacea • Immune stimulant for uri and colds • Cold symptom reduction if taken immediately • Garlic • Reduction of lipid profile • Avoid if taking anti platelet agents • Ginger • Antiemetic, anti-inflammatory; antioxidant Lobert

6. Complementary and Alternative Medicines • Complementary and Alternative Medicines • Ginkgo • Improve memory and cognition • Increased risk of hemorrhage • Ginseng • Increase well being, reduce fatigue • Reduces effect of Warfarin • Kava • Sedative hypnotic with antianxiety properties • Liver toxicity • Melatonin • Sedative hypnotic, regulates sleep wake cycles • Saw Palmetto • Benign prostatic hypertrophy by reduction of prostate swelling • St. John’s Wort • Antidepressant • Accelerates metabolism interactions with warfarin, cyclosporine, etc. Lobert

7. Complementary and Alternative Medicines • Vitamins • A: normal vision • B: metabolism; red cell production • C: antioxidant • D: maintains serum calcium • E: antioxidant • K: blood clotting Lobert

8. Complementary and Alternative Medicines • Minerals • Calcium: bone & teeth formation, blood clotting, muscle contraction • Chloride: maintains fluid and electrolytes • Magnesium: muscle contraction, enzyme cofactor • Phosphate: energy storage; maintains acid base • Potassium: muscle contractions, nerve conduction • Sodium: fluid balance; muscle and nerve conduction Lobert

9. Complementary and Alternative Medicines • Minerals/Trace Elements • Chromium: maintains normal blood glucose • Iodine: component of thyroid hormones • Iron: component of hemoglobin • Manganese: bone formation, metabolism • Selenium: defense against oxidative stress • Zinc: component of enzymes and proteins Lobert