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Complementary and Alternative Medicine (CAM) Wellness Program  LTC (ret) Fujio McPherson,  DAOM, ARNP, LAc.
 
So Why CAM? <ul><li>Patient demand </li></ul><ul><li>Perception that CAM is natural with less side effects then medicine. ...
Why CAM <ul><li>Shift from a mindset of dependent care to self care and responsibility.  </li></ul><ul><li>Focus on wellne...
MAMC Pain Initiative:  CAM Wellness Program <ul><li>Mission: to provide a resource for wellness education, assist patients...
CAM Wellness Program <ul><li>Acupuncture </li></ul><ul><li>Chiropractic  Care </li></ul><ul><li>Nutrition counseling </li>...
approaching the biopsychosocial model in a different way <ul><li>Physical/biological </li></ul><ul><li>Psychological </li>...
Does it work? <ul><li>Acupuncture services have been available at MAMC since 2000.  </li></ul><ul><li>Study conducted to e...
Demographics <ul><li>89% female 11% male </li></ul><ul><li>Average age 46 </li></ul><ul><li>Average length of pain 5.2 yea...
Outcomes
Anxiety Study <ul><li>Currently in progress: July 2010 </li></ul><ul><li>Enrollment 19 patients </li></ul><ul><li>CAM Ther...
Preliminary outcomes
Conclusion/Challenges <ul><li>Continued evaluation (Research based) </li></ul><ul><li>Incorporation of other CAM assets wi...
Thank-you <ul><li>Questions:  </li></ul><ul><li>[email_address] </li></ul><ul><li>Maple Team, IMC, MAMC </li></ul><ul><li>...
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Complementary and alternative medicine (cam) wellness

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Overview of MAMC Pain Initiative: CAM wellness program

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Transcript of "Complementary and alternative medicine (cam) wellness"

  1. 1. Complementary and Alternative Medicine (CAM) Wellness Program LTC (ret) Fujio McPherson, DAOM, ARNP, LAc.
  2. 3. So Why CAM? <ul><li>Patient demand </li></ul><ul><li>Perception that CAM is natural with less side effects then medicine. </li></ul><ul><li>Access to allopathic care is limited </li></ul><ul><li>Efficacy of CAM therapy </li></ul><ul><li>Mandated to DoD pain Task Force. </li></ul>
  3. 4. Why CAM <ul><li>Shift from a mindset of dependent care to self care and responsibility. </li></ul><ul><li>Focus on wellness and not illness </li></ul><ul><li>Portal for patients who need education in how to be healthy. </li></ul>
  4. 5. MAMC Pain Initiative: CAM Wellness Program <ul><li>Mission: to provide a resource for wellness education, assist patients in self-care behaviors and therapies, offer clinical interventions when needed, and facilitate existing psychological and cognitive therapy for patients who have an interest in wellness. </li></ul>
  5. 6. CAM Wellness Program <ul><li>Acupuncture </li></ul><ul><li>Chiropractic Care </li></ul><ul><li>Nutrition counseling </li></ul><ul><li>Movement therapy (exercise, tai chi, yoga ) </li></ul><ul><li>Mindfulness Based Stress Reduction ( MBSR ) </li></ul><ul><li>Chronic Disease Self Management (CDSM) </li></ul><ul><li>Massage Therapy </li></ul><ul><li>Cognitive Behavioral Therapy </li></ul><ul><li>Biofeedback </li></ul>
  6. 7. approaching the biopsychosocial model in a different way <ul><li>Physical/biological </li></ul><ul><li>Psychological </li></ul><ul><li>Psychosocial </li></ul><ul><li>other </li></ul><ul><li>Acupuncture/yoga </li></ul><ul><li>chiropractic care </li></ul><ul><li>Mind-body, CBT </li></ul><ul><li>CDSM </li></ul><ul><li>Nutrition, exercise, movement (focus on doing) </li></ul>
  7. 8. Does it work? <ul><li>Acupuncture services have been available at MAMC since 2000. </li></ul><ul><li>Study conducted to evaluate efficacy 2005-2006 (IMC Acupuncture service) </li></ul><ul><li>55 patients </li></ul><ul><li>Six week, weekly treatment sessions. Referred by their PCM. </li></ul>
  8. 9. Demographics <ul><li>89% female 11% male </li></ul><ul><li>Average age 46 </li></ul><ul><li>Average length of pain 5.2 years. </li></ul><ul><li>ER 58%, PT 23%, Ortho 29%, Neuro 5%, Psych 27% </li></ul><ul><li>Narcotic Use: 81% </li></ul><ul><li>Nsaids: 82% </li></ul><ul><li>Low back 40%, shoulder 12%, neck 10%, knee 7%, abdominal 6%, headache 6%. </li></ul><ul><li>Average pain rating: 7.36 </li></ul><ul><li>Pre-enrollment </li></ul>
  9. 10. Outcomes
  10. 11. Anxiety Study <ul><li>Currently in progress: July 2010 </li></ul><ul><li>Enrollment 19 patients </li></ul><ul><li>CAM Therapies being used: </li></ul><ul><ul><li>Acupuncture </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Nutrition </li></ul></ul><ul><ul><li>Journaling </li></ul></ul><ul><ul><li>Breathing/meditation </li></ul></ul><ul><ul><li>Massage therapy </li></ul></ul>
  11. 12. Preliminary outcomes
  12. 13. Conclusion/Challenges <ul><li>Continued evaluation (Research based) </li></ul><ul><li>Incorporation of other CAM assets within the MTF (biofeedback, MBSR). </li></ul><ul><li>Continued exploration of what CAM therapies to use. </li></ul><ul><li>Assess pain by function and behavior vs. pain scale or narcotic use. </li></ul><ul><li>Measure or prescreen patients who have the ability to help themselves. </li></ul>
  13. 14. Thank-you <ul><li>Questions: </li></ul><ul><li>[email_address] </li></ul><ul><li>Maple Team, IMC, MAMC </li></ul><ul><li>253-968-3317 </li></ul>
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