Insel10ebrup Ppt Ch15

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Insel10ebrup Ppt Ch15

  1. 1. Chapter 15 Conventional and Complementary Medicine: Skills for the Health Care Consumer
  2. 2. Self-Care: Managing Medical Problems <ul><li>Self Assessment </li></ul><ul><li>Decision Making: Knowing When to See a Physician </li></ul><ul><ul><li>Severe </li></ul></ul><ul><ul><li>Unusual </li></ul></ul><ul><ul><li>Persistent </li></ul></ul><ul><ul><li>Recurrent </li></ul></ul><ul><li>Emergencies: </li></ul><ul><ul><li>Major trauma or injury </li></ul></ul><ul><ul><li>Uncontrollable bleeding </li></ul></ul><ul><ul><li>Severe shortness of breath </li></ul></ul><ul><ul><li>Persistent abdominal pain </li></ul></ul><ul><ul><li>Poisoning or drug overdose </li></ul></ul><ul><ul><li>Loss of consciousness </li></ul></ul><ul><ul><li>Stupor, drowsiness, or disorientation </li></ul></ul><ul><ul><li>Severe or worsening reaction to an insect bite or sting </li></ul></ul>
  3. 4. Self-Treatment: Many Options <ul><li>Watchful waiting </li></ul><ul><li>Nondrug options </li></ul><ul><li>Self-medication </li></ul><ul><ul><li>Read labels </li></ul></ul><ul><ul><li>Do not exceed the recommendation </li></ul></ul><ul><ul><li>Use caution </li></ul></ul><ul><ul><li>Select medications with one ingredient </li></ul></ul><ul><ul><li>Try to buy genetic </li></ul></ul><ul><ul><li>Never take a drug from an unlabeled container </li></ul></ul><ul><ul><li>Pregnant and nursing </li></ul></ul><ul><ul><li>Expiration date </li></ul></ul><ul><ul><li>Storage of medication </li></ul></ul><ul><ul><li>Special caution with aspirin </li></ul></ul>
  4. 6. Professional Medical and Health Care: Choices and Change <ul><li>Seeking professional medical care </li></ul><ul><ul><li>Hospital emergency room </li></ul></ul><ul><ul><li>Scheduling an appointment with a physician </li></ul></ul><ul><ul><li>Accessing some other part of the American medical and health care system </li></ul></ul>
  5. 8. Conventional Medicine <ul><li>“Standard Western Medicine” </li></ul><ul><li>“Bio-medicine” </li></ul><ul><ul><li>Based on the findings of a variety of biological sciences. </li></ul></ul>
  6. 9. Premises and Assumptions of Conventional Medicine <ul><li>Hippocrates </li></ul><ul><li>Every disease is defined by a certain pathology and set of symptoms and the symptoms are similar in most patients suffering from that disease. </li></ul><ul><li>Pharmaceuticals </li></ul><ul><li>Scientific explanation </li></ul><ul><ul><li>Empirical </li></ul></ul><ul><ul><li>Rational </li></ul></ul><ul><ul><li>Testable </li></ul></ul><ul><ul><li>Parsimonious </li></ul></ul><ul><ul><li>General </li></ul></ul><ul><ul><li>Tentative </li></ul></ul>
  7. 10. The Providers of Conventional Medicine <ul><li>Medical Doctors (M.D.) </li></ul><ul><li>Doctors of osteopathic medicine (D.O.) </li></ul><ul><li>Podiatrists (D.P.M.) </li></ul><ul><li>Optometrists (O.D.) </li></ul><ul><li>Dentists (D.D.S.) or (D.M.D.) </li></ul><ul><li>Allied health care providers (Millions of other trained health care professionals, know as allied health care providers </li></ul><ul><ul><li>Registered nurses (R.N.) </li></ul></ul><ul><ul><li>Licensed vocational nurses (L.V.N.s) </li></ul></ul><ul><ul><li>Occupational therapist (O.T.s) </li></ul></ul><ul><ul><li>Physical therapists (P.T.) </li></ul></ul><ul><ul><li>Licensed certified Athletic Trainers (L.A.T.C.s) </li></ul></ul><ul><ul><li>Social workers </li></ul></ul><ul><ul><li>Registered dietitians (R.D.s) </li></ul></ul><ul><ul><li>Physician assistants (P.A.s) </li></ul></ul><ul><ul><li>Nurse practitioners </li></ul></ul><ul><ul><li>Certified nurse midwives </li></ul></ul>
  8. 11. Choosing a Primary Care Physician <ul><li>Coordinator of your medical care. </li></ul><ul><li>Information about your Primary care doctor. </li></ul><ul><li>Personal feelings after meeting your chosen primary care physician. </li></ul><ul><li>Choosing a Medical Facility. </li></ul>
  9. 12. Getting the Most Out of Your Medical Care <ul><li>The Physician-Patient partnership </li></ul><ul><li>Your appointment with your physician </li></ul><ul><li>The diagnostic process </li></ul>
  10. 13. Medical and Surgical Treatments <ul><li>Prescription medications </li></ul><ul><ul><li>Medication errors </li></ul></ul><ul><ul><li>Off-label drug use </li></ul></ul><ul><ul><li>Online pharmacies </li></ul></ul><ul><ul><li>Costs </li></ul></ul><ul><ul><li>The appropriate questions to ask while seeking treatment. </li></ul></ul><ul><li>Surgery </li></ul><ul><ul><li>Key questions to ask before surgery </li></ul></ul>
  11. 14. Complementary and Alternative Medicine <ul><li>Alternative medical system. </li></ul><ul><li>Traditional Chinese medicine or Traditional Oriental medicine (TCM). </li></ul><ul><ul><li>Acupuncture </li></ul></ul><ul><li>Homeopathy </li></ul><ul><li>Mind-Body interventions </li></ul><ul><ul><li>Hypnosis </li></ul></ul><ul><li>Biological-based therapies </li></ul><ul><ul><li>Herbal therapies </li></ul></ul>
  12. 15. Complementary and Alternative Medicine <ul><li>Manipulative and Body-Based Methods. </li></ul><ul><ul><li>Chiropractic </li></ul></ul><ul><ul><li>Touch and body manipulation </li></ul></ul><ul><ul><li>Osteopathic </li></ul></ul><ul><ul><li>Massage acupressure </li></ul></ul><ul><ul><li>Feldenkrais </li></ul></ul><ul><ul><li>Rolfing </li></ul></ul><ul><li>Energy Therapies </li></ul><ul><ul><li>Qigong </li></ul></ul><ul><ul><li>Therapeutic touch </li></ul></ul><ul><ul><li>Bioelectromagnetics </li></ul></ul><ul><ul><li>Reiki </li></ul></ul>
  13. 17. Evaluating Complementary and Alternative Medicine <ul><li>Working with Your Physician. </li></ul><ul><ul><li>Safety </li></ul></ul><ul><ul><li>Effectiveness </li></ul></ul><ul><ul><li>Timing </li></ul></ul><ul><ul><li>Cost </li></ul></ul><ul><li>Questioning the CAM practitioner. </li></ul><ul><li>Doing your own research. </li></ul><ul><li>Why do consumers use complementary medicine? </li></ul>
  14. 18. Paying For Health Care <ul><li>The Current System </li></ul><ul><li>Health Insurance </li></ul><ul><li>Traditional Fee-for-Service (Indemnity) plans </li></ul><ul><li>Managed Care plans </li></ul><ul><ul><li>Health maintenance organizations (HMOs) </li></ul></ul><ul><ul><li>Preferred provider organizations (PPOs) </li></ul></ul><ul><ul><li>Point-of-service (POS) </li></ul></ul>
  15. 19. Health Savings Accounts <ul><li>HSAs became available in 2004 </li></ul><ul><li>Two parts </li></ul><ul><ul><li>Health plan with a high deductible </li></ul></ul><ul><ul><li>Tax-exempt personal savings account </li></ul></ul><ul><li>Government programs </li></ul><ul><ul><li>Medicare </li></ul></ul><ul><ul><li>Medicaid </li></ul></ul><ul><li>Choosing a policy </li></ul>
  16. 20. Conventional and Complementary Medicine: Skills for the Health Care Consumer Chapter 15

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