Integrated Cancer Care


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a general overview of naturopathic cancer care and what we have to offer peopel dealing with all types of cancer, supportive naturopathic care for cancer patients

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Integrated Cancer Care

  1. 1. Integrated Cancer Care Maureen Horne-Paul N.D. Doctor of Naturopathic Medicine Kingston Naturopathic Center
  2. 2. Naturopathic Medicine <ul><li>Primary health care profession </li></ul><ul><li>Focus on prevention of disease, health maintenance </li></ul><ul><li>Uses natural methods to promote healing </li></ul><ul><li>Works in co-operation with other systems of medicine (i.e. not “either/or”) </li></ul>
  3. 3. Principles of Naturopathic Medicine <ul><li>First Do No Harm ( primum non nocere ) </li></ul><ul><li>Identify and Treat the Cause ( tolle causam ) </li></ul><ul><li>Healing Power of Nature ( vis medicatrix naturae ) </li></ul><ul><li>Physician as Teacher ( docere ) </li></ul><ul><li>Treat the Whole Person </li></ul>
  4. 4. Education of Naturopathic Doctors <ul><li>Bachelor of Science degree is prerequisite </li></ul><ul><li>4 years at an accredited Naturopathic medical school (4 in North America) </li></ul><ul><ul><li>human biological sciences, biochemistry, etc. </li></ul></ul><ul><ul><li>medical sciences </li></ul></ul><ul><ul><li>naturopathic therapeutics </li></ul></ul><ul><ul><li>clinical training </li></ul></ul>
  5. 5. Licensing of Naturopathic Doctors <ul><li>In Ontario, licensed by the Board of Drugless Therapy/Naturopathy </li></ul><ul><li>After graduation, must pass board examinations standardized across North America to be licensed </li></ul><ul><li>In Canada, naturopathic practice regulated under provincial law in BC, Manitoba, Saskatchewan, Ontario, (Alberta pending) </li></ul>
  6. 6. A Naturopathic Office Visit <ul><li>Medical history-taking and physical exam </li></ul><ul><li>Diet/nutritional analysis </li></ul><ul><li>Laboratory testing as required </li></ul><ul><li>Patient’s goals for their health </li></ul><ul><li>Formulation of an INDIVIDUALIZED treatment plan </li></ul><ul><li>Appropriate referrals when necessary </li></ul><ul><li>Follow-up assessments as needed </li></ul>
  7. 7. “Natural” Doesn’t Mean Safe <ul><li>No “magic bullets” </li></ul><ul><li>Herbs, homeopathics, nutritional supplements are drugs with biological actions in the body </li></ul><ul><li>Interactions: </li></ul><ul><ul><li>herb:herb </li></ul></ul><ul><ul><li>herb:drug </li></ul></ul><ul><li>Contraindications for herbs and supplements </li></ul><ul><li>“ Goodfer Syndrome” </li></ul>
  8. 8. Evidence-Based Medicine <ul><li>Huge volume of well-documented, peer-reviewed information available </li></ul><ul><li>Available for wide range of modalities and therapeutic substances </li></ul><ul><li>Naturopathic practice based on the best evidence available </li></ul><ul><li>More research needed in many areas of complementary medicine </li></ul>
  9. 9. Types of Therapies Used <ul><li>Clinical Nutrition </li></ul><ul><li>Intravenous and injection therapy </li></ul><ul><li>First Line Therapy </li></ul><ul><li>Botanical medicine </li></ul><ul><li>Acupuncture </li></ul><ul><li>Homeopathic Medicine </li></ul><ul><li>Lifestyle management, mind-body techniques, bodywork, hydrotherapy </li></ul>
  10. 10. Naturopathic Medicine can... <ul><li>Optimize nutritional status </li></ul><ul><li>Relieve from side effects of chemotherapy and radiation </li></ul><ul><li>Enhance healing after surgery </li></ul><ul><li>Improve response to conventional therapy </li></ul><ul><li>Decrease possibility of metastasis and reoccurrence </li></ul><ul><li>Long-term health maintenance, QOL issues </li></ul>
  11. 11. Naturopathic Medicine can.. <ul><li>Support the immune system </li></ul><ul><li>Stimulate the immune system </li></ul><ul><li>Attack tumor cells </li></ul><ul><li>Reduce the total workload of the immune system </li></ul><ul><li>Deal with health problems not a result of the cancer or cancer treatments </li></ul>
  12. 12. Naturopathic Medicine <ul><li>Wholistic </li></ul><ul><li>A mind-body approach </li></ul><ul><li>Able to offer may different types of treatments and modalities </li></ul><ul><li>Well combined with conventional treatments </li></ul><ul><li>Treatments can be synergistic in effect </li></ul>
  13. 13. Optimizing Nutritional Status <ul><li>Pre-treatment, during treatment, post-treatment rebuilding </li></ul><ul><li>Caloric intake </li></ul><ul><li>Food “bang for your buck” </li></ul><ul><li>Quality of food </li></ul><ul><li>Medicinal value of foods </li></ul><ul><li>IV therapy </li></ul>
  14. 14. Managing Treatment Side Effects <ul><li>Strategies to minimize/support: </li></ul><ul><li>Nausea and vomiting </li></ul><ul><li>Weight loss, appetite </li></ul><ul><li>Mucositis </li></ul><ul><li>Hormonal effects </li></ul><ul><li>Support digestion and elimination </li></ul><ul><li>Organ/tissue support </li></ul><ul><li>Liver support and immune system modulation </li></ul>
  15. 15. Enhance Healing <ul><li>After surgery/radiation </li></ul><ul><li>Improved wound healing with nutrients </li></ul><ul><li>Decrease short and long-term radiation effects </li></ul><ul><li>IV therapy, homeopathy, botanicals, bodywork, relaxation techniques, guided imagery </li></ul>
  16. 16. Improved Response to Conventional Therapy <ul><li>Reducing toxicity of chemotherapy and radiation treatments </li></ul><ul><li>Enhance activity of some drugs </li></ul><ul><li>Mitigate side effects </li></ul><ul><li>AVOID Negative interactions with Chemo!! </li></ul><ul><li>Botanicals, homeopathic medicines, vitamin, minerals, biological response modifiers, diet </li></ul>
  17. 17. Metastasis/Recurrence Prevention <ul><li>Anti-angiogenesis </li></ul><ul><li>Extracellular matrix and connective tissue modifiers/detoxifiers </li></ul><ul><li>Cell membrane modifiers </li></ul><ul><li>Apoptosis inducers </li></ul><ul><li>Immune modulators </li></ul><ul><li>Anti-mutagenics </li></ul>
  18. 18. Mucositis <ul><li>Traumeel: </li></ul><ul><li>Double-blind placebo studies-2 completed, 1 ongoing </li></ul><ul><li>Very positive results in most patients, especially in children </li></ul><ul><li>Typical dosing: start 2 days before chemo, 1 ampule bid/tid in water, swish and swallow, continue until at least day 10, or longer prn </li></ul><ul><li>Clinically one of the best therapeutics-may be enhanced by probiotics, other substances </li></ul>
  19. 19. Chemo-Induced Menopause <ul><li>Diet </li></ul><ul><li>Bioflavonoids-hesperidin </li></ul><ul><li>Isoflavones-soy ??? Not always indicated </li></ul><ul><li>Cimicifuga and other botanicals </li></ul><ul><li>Liver support-metabolic pathways </li></ul><ul><li>Gut support-hormone breakdown </li></ul><ul><li>Homeopathics </li></ul>
  20. 20. Long-Term Health <ul><li>After conventional therapy is over… What now? </li></ul><ul><li>Other health issues </li></ul><ul><li>Maintenance </li></ul><ul><li>Quality of Life </li></ul><ul><li>Palliative Care </li></ul>
  21. 21. Cancer Prevention Diet Keys <ul><li>“ Rainbow” assortment of fruits and veggies </li></ul><ul><li>Reduce intake of red meats and other animal foods </li></ul><ul><li>Reduce exposure to chemicals, pesticides, cleaners, etc. </li></ul><ul><li>Eat good fats especially Omega-3 </li></ul><ul><li>Avoid high-calorie, low nutrient foods </li></ul><ul><li>Keep salt intake low and potassium intake high </li></ul><ul><li>Choose foods that help elimination and detoxification </li></ul>
  22. 22. Saraswati Wellness Spa <ul><li>Full service naturopathic clinic including IV therapy,acupuncture, botanical med, lifestyle mgt </li></ul><ul><li>In-house wellness programs </li></ul><ul><li>Wellness based spa therapies </li></ul><ul><li>Accommodations </li></ul>
  23. 23. Thank you for your attention!!
  24. 24. Any Questions???
  25. 25. Maureen Horne-Paul N.D. Kingston Naturopathic Center Reddendale Plaza 732A Front Road Kingston, ON K7M4L5 634-9991