Integrative medicine/oncology combines conventional cancer treatments with evidence-based complementary therapies to improve quality of life for cancer patients. The document discusses the evolution of integrative medicine from alternative medicine to its current focus on patient-centered care and maximizing innate healing through mind-body practices, nutrition, and therapies like acupuncture and massage. It also emphasizes the importance of research to understand how complementary therapies can safely benefit patients and identify potential drug interactions.
This document discusses integrative oncology and comprehensive care for cancer patients. It defines integrative medicine as combining biomedical care with complementary therapies to heal the whole person - body, mind and spirit. The document notes high rates of complementary and alternative medicine use among cancer patients and barriers to discussing these therapies with oncologists. It emphasizes treating the individual patient and their disease, and the importance of lifestyle factors like diet, exercise and weight in cancer prevention and survival.
Integrative Nutrition: Integrative Health Week 2014Cara Feldman-Hunt
This document discusses integrative nutrition and functional medicine. It begins by stating the objectives of being able to describe the benefits of an integrative nutrition model and key areas impacted by food and nutrients. It then defines functional medicine as taking a systems-oriented approach to address the underlying causes of disease using various evidence-based practices. Nutrition is a critical component of both integrative and functional medicine approaches. The document provides examples of functional nutrition plans that can be used for various health conditions like chronic pain, GI issues, obesity, and depression.
SHARE Presentation: Integrative Medicine and Cancer with Dr. Heather Greenleebkling
Oncology doctors are considering new ways in addition to conventional care to improve cancer outcomes. Examples of integrative medicine include acupuncture, mind-body approaches, and botanicals. Dr. Heather Greenlee of Columbia University Mailman School of Public Health will discuss new guidelines developed within the Society for Integrative Oncology.
The document discusses complementary and alternative medicine (CAM) and its increasing use. It defines CAM and describes some common types like herbalism, acupuncture, chiropractic, and homeopathy. The document also provides statistics on CAM use in Saudi Arabia, finding high rates of use in Riyadh and Qassim regions. It discusses the WHO's role in developing national CAM policies and ensuring safety, efficacy, quality, access, and rational use of CAM therapies.
This document discusses traditional and complementary alternative medicines (CAM). It defines CAM as healing practices other than those of the dominant healthcare system in a given culture. CAM includes practices like acupuncture, herbal medicine, homeopathy, and aromatherapy. Integrative medicine combines CAM with conventional treatments. The document provides examples of different CAM types and how they are used. It also discusses CAM regulation in the Philippines under the Traditional and Alternative Medicines Act of 1997 and findings from a study on CAM use among Filipinos.
Primary medical care settings are ideal for treating chronic illnesses but are underutilized venues for addressing this particular chronic disease. Addiction treatment specialists are too few and many patients find this path to be unacceptable. The question becomes: how to get primary care medical providers to integrate the treatment of patients with opioid use disorders into their practices?
Different ways to accomplish this were the topic of the Louis Kolodner Memorial Lecture at MedChi for the second year in a row. Last year, Dr. Michael Fingerhood described the model that he has developed at Johns Hopkins Medicine. This year, Dr. Richard Schottenfeld, now the Chief of Psychiatry at Howard University, presented research studies done by Yale University and other centers. These studies demonstrated four successful interventions:
Methadone given to already stabilized opioid addiction patients in a primary care setting instead of a specialized opioid treatment program (OTP)
Buprenorphine along with medical counseling given in a primary care setting
An initial dose of buprenorphine given in a hospital emergency department along with a next-day follow up appointment for ongoing treatment
Injectable naltrexone, although more difficult to initiate for patients than was buprenorphine, was effective for those patients who were able to start it
Two barriers that needed to be reduced to achieve these successes were the disinclination of providers to use these medications and general pessimism about the prognosis of opioid use disorders. My hope is that as more successes are demonstrated, these barriers will slowly be lowered. For those interested in more details about these studies, I invite you to access the lecture slides, available here.
This document discusses integrative oncology and comprehensive care for cancer patients. It defines integrative medicine as combining biomedical care with complementary therapies to heal the whole person - body, mind and spirit. The document notes high rates of complementary and alternative medicine use among cancer patients and barriers to discussing these therapies with oncologists. It emphasizes treating the individual patient and their disease, and the importance of lifestyle factors like diet, exercise and weight in cancer prevention and survival.
Integrative Nutrition: Integrative Health Week 2014Cara Feldman-Hunt
This document discusses integrative nutrition and functional medicine. It begins by stating the objectives of being able to describe the benefits of an integrative nutrition model and key areas impacted by food and nutrients. It then defines functional medicine as taking a systems-oriented approach to address the underlying causes of disease using various evidence-based practices. Nutrition is a critical component of both integrative and functional medicine approaches. The document provides examples of functional nutrition plans that can be used for various health conditions like chronic pain, GI issues, obesity, and depression.
SHARE Presentation: Integrative Medicine and Cancer with Dr. Heather Greenleebkling
Oncology doctors are considering new ways in addition to conventional care to improve cancer outcomes. Examples of integrative medicine include acupuncture, mind-body approaches, and botanicals. Dr. Heather Greenlee of Columbia University Mailman School of Public Health will discuss new guidelines developed within the Society for Integrative Oncology.
The document discusses complementary and alternative medicine (CAM) and its increasing use. It defines CAM and describes some common types like herbalism, acupuncture, chiropractic, and homeopathy. The document also provides statistics on CAM use in Saudi Arabia, finding high rates of use in Riyadh and Qassim regions. It discusses the WHO's role in developing national CAM policies and ensuring safety, efficacy, quality, access, and rational use of CAM therapies.
This document discusses traditional and complementary alternative medicines (CAM). It defines CAM as healing practices other than those of the dominant healthcare system in a given culture. CAM includes practices like acupuncture, herbal medicine, homeopathy, and aromatherapy. Integrative medicine combines CAM with conventional treatments. The document provides examples of different CAM types and how they are used. It also discusses CAM regulation in the Philippines under the Traditional and Alternative Medicines Act of 1997 and findings from a study on CAM use among Filipinos.
Primary medical care settings are ideal for treating chronic illnesses but are underutilized venues for addressing this particular chronic disease. Addiction treatment specialists are too few and many patients find this path to be unacceptable. The question becomes: how to get primary care medical providers to integrate the treatment of patients with opioid use disorders into their practices?
Different ways to accomplish this were the topic of the Louis Kolodner Memorial Lecture at MedChi for the second year in a row. Last year, Dr. Michael Fingerhood described the model that he has developed at Johns Hopkins Medicine. This year, Dr. Richard Schottenfeld, now the Chief of Psychiatry at Howard University, presented research studies done by Yale University and other centers. These studies demonstrated four successful interventions:
Methadone given to already stabilized opioid addiction patients in a primary care setting instead of a specialized opioid treatment program (OTP)
Buprenorphine along with medical counseling given in a primary care setting
An initial dose of buprenorphine given in a hospital emergency department along with a next-day follow up appointment for ongoing treatment
Injectable naltrexone, although more difficult to initiate for patients than was buprenorphine, was effective for those patients who were able to start it
Two barriers that needed to be reduced to achieve these successes were the disinclination of providers to use these medications and general pessimism about the prognosis of opioid use disorders. My hope is that as more successes are demonstrated, these barriers will slowly be lowered. For those interested in more details about these studies, I invite you to access the lecture slides, available here.
Nutrition is an important part of any cancer treatment plan, especially for those individuals who are undergoing colorectal cancer treatment and have had surgery to remove part of the colon. Another important consideration for patients who have had surgery to remove part of the colon is avoiding a bowel obstruction. Knowing which foods you should and shouldn’t eat can be a helpful part of the treatment and the surgery recovery process. In this webinar, we will talk about how nutrition and avoiding bowel blockages can be helpful to you after a colorectal cancer treatment procedure and what foods to eat as we enter the holiday season.
Margaret Martin, RD, MS, LDN, CDE is a Licensed Dietitian and Nutritionist in the State of Tennessee and James D. Waller, Jr., MD present this lively session.
The use of conplementary and alternative medicine (SamboGlo
This document provides an overview of a seminar presentation on complementary and alternative medicine (CAM) and nursing practice. It defines CAM and discusses the most commonly used CAM therapies. It outlines safety concerns regarding regulatory issues and potential interactions. It also discusses nursing considerations for assessing CAM use, educating patients, and ensuring safety. Nurses need knowledge of CAM to understand their patients' health choices and provide guidance on reliable sources of information.
This document discusses palliative and supportive care in oncology. It defines palliative care as preventing and relieving suffering through early management of pain and other physical, psychosocial, and spiritual problems across the cancer experience. The goals of palliative care are to anticipate, prevent, and reduce suffering and support the best possible quality of life regardless of disease stage. Early palliative care involvement has benefits like improved quality of life and mood over traditional late palliative care. An interdisciplinary team approach to palliative care is recommended.
Contemporary Alternative Medicine: Naturopathy EdwinJuma5
This document discusses the history and principles of naturopathy as a form of alternative medicine. It describes how naturopathy was introduced in the US in 1885 and focuses on diet, exercise, and massage as treatments instead of drugs. Modern naturopaths still emphasize these natural elements but will sometimes incorporate conventional drugs. The document also covers how naturopathic healers were traditionally trained and the relationship between naturopathy and modern healthcare practices.
This document discusses nursing theories and postpartum depression. It provides definitions of key concepts in nursing theory like concepts, models, and theories. It also defines postpartum mood disorders like baby blues, postpartum depression, and postpartum psychosis. The document summarizes Cheryl Tatano Beck's theory of postpartum depression, including its major concepts, assumptions, and predictors of postpartum depression. It discusses the application of the theory to postoperative depression and ways ketamine may help reduce postpartum depressive symptoms. Finally, it lists some other nursing theories discussed in further reading assignments.
Penny George™ Institute for Health and Healing: Meeting Patients Where They AreAllina Health
By Courtney Baechler, MD. A discussion about the Penny George Institute and its goal to empower patients using the mind-body-spirit approach to health, encouraging a philosophy of wellness at any stage of care. The Penny George Institute has become a national leader in holistic health care and is an important component of Allina Health efforts to achieve health care transformation through the Triple Aim.
Jennifer lee hw499-bachelor's capstone in health and wellness-unit 5 powerpointjmlee88881
This document discusses complementary and alternative medicine (CAM). It defines CAM as health practices not considered conventional medicine, such as herbal supplements, meditation, and massage therapy. The document outlines major types of CAM including natural products, mind-body medicine, and body-based practices. It provides statistics on CAM use in the US and cautions readers to research any CAM thoroughly before use due to lack of regulation.
Audio and slides for this presentation are available on YouTube: http://youtu.be/dYRu8PVLU14
Cindy Tofthagen, PhD, ARNP, an assistant professor of nursing at the University of South Florida in Tampa and a post-doctoral fellow at the University of Massachusetts and Dana-Farber Cancer Institute, talks about chemotherapy-induced peripheral neuropathy (CIPN), the risk factors of CIPN, and how to manage the condition. This presentation was originally given at Dana-Farber Cancer Institute on Aug. 6, 2013 and put on by Dana-Farber's Blum Resource Center.
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
Complementary and Alternative Medicine Practices Necola27
As you embark upon your health journey in life, it is important to know all aspects of health and medicine options. As Americans, we are traditional known to practice conventional medicine; however, there are other options to add or supplement to that. Complementary and Alternative Medicine practices are becoming more popular options upon the healthcare world! Learn all about it here!
This document discusses treatment of opioid use disorders. It provides an overview of clinical issues, the basics of treatment, the history of treatment approaches, and specifics on biological, psychological and social aspects of treatment. Key points include defining addiction and distinguishing it from physical dependence. Effective treatment involves separation from substances, a healing environment, psychoeducation, and cognitive-behavioral and community support elements. Medication assisted treatment with agonists like methadone and buprenorphine, and antagonists like naltrexone are discussed. The document also covers policy issues around balancing treatment and criminalization approaches over time.
Complementary and alternative medicine (CAM) refers to medical systems and practices that are not part of conventional medicine. Around 40% of adults in the United States report using some form of CAM. Common reasons for using CAM include dissatisfaction with conventional medicine, a preference for natural treatments, and a focus on overall wellness rather than just disease treatment. Physicians should be knowledgeable about CAM practices their patients may use, as some can interact harmfully with conventional treatments or be dangerous if used incorrectly. The document outlines various CAM modalities like herbal supplements, acupuncture, yoga and traditional medical systems; discusses integrated medicine approaches; and emphasizes the importance of physicians maintaining open and non-judgmental discussions with patients about all treatment options.
There are a variety of reasons mesothelioma patients and their loved ones seek information about Complementary and Alternative Medicine (CAM) therapies. Some lack faith in our current medical system or Western medicine in general. Others prefer to avoid the negative reactions or long-term effects of traditional cancer treatments such as surgery, chemotherapy and radiation therapy. We welcome Dr. Snehal Smart as the guest speaker to discuss these topics in our March support group. For more information on this topic, visit us at www.asbestos.com
This document summarizes the levels of care and treatment approaches at an addiction treatment facility over the past 44 years. It offers ambulatory withdrawal management, intensive outpatient treatment, and continuing care across six sites. From 1985 to 2002, treatment predominantly used naltrexone which resulted in poor program completion rates and higher overdose deaths. From 2003 to 2017, treatment has predominantly used buprenorphine which has significantly improved program completion rates and reduced overdose deaths. The number of patients using buprenorphine long-term has increased over time.
This document discusses complementary and alternative medicine (CAM) therapies. It provides data on increasing CAM use in the US population and barriers to CAM adoption by conventional medical practitioners. Some CAM therapies, like aromatherapy and mindfulness meditation, show potential benefits for issues like anxiety, pain and dementia symptoms based on limited clinical studies. The document advocates an approach for physicians to take regarding CAM that respects patient values while counseling on risks and benefits.
Don't miss our upcoming webinars. Subscribe today!
In part 2 of our empowerment series: Oncologist Rob Rutledge provides an overview of cancer, its treatment and how to get the best medical care in this empowering presentation. He follows with practical advice about diverse complementary treatments and techniques, and how to integrate them into your healing journey.
View the video:
https://youtu.be/8IM-okz7PSY
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
This document provides 13 steps to help recover from cancer. It discusses questioning treatment plans, checking all treatment options including alternative therapies, getting second opinions, hiring expert cancer coaches, preparing physically and mentally before treatment, starving cancer cells by reducing sugar and meat intake, detoxing and alkalizing the body, assembling a support team, being your own advocate, compiling a personal health record, managing physical and emotional pain and stress, and verifying that treatment is working through various laboratory tests.
Nutrition is an important part of any cancer treatment plan, especially for those individuals who are undergoing colorectal cancer treatment and have had surgery to remove part of the colon. Another important consideration for patients who have had surgery to remove part of the colon is avoiding a bowel obstruction. Knowing which foods you should and shouldn’t eat can be a helpful part of the treatment and the surgery recovery process. In this webinar, we will talk about how nutrition and avoiding bowel blockages can be helpful to you after a colorectal cancer treatment procedure and what foods to eat as we enter the holiday season.
Margaret Martin, RD, MS, LDN, CDE is a Licensed Dietitian and Nutritionist in the State of Tennessee and James D. Waller, Jr., MD present this lively session.
The use of conplementary and alternative medicine (SamboGlo
This document provides an overview of a seminar presentation on complementary and alternative medicine (CAM) and nursing practice. It defines CAM and discusses the most commonly used CAM therapies. It outlines safety concerns regarding regulatory issues and potential interactions. It also discusses nursing considerations for assessing CAM use, educating patients, and ensuring safety. Nurses need knowledge of CAM to understand their patients' health choices and provide guidance on reliable sources of information.
This document discusses palliative and supportive care in oncology. It defines palliative care as preventing and relieving suffering through early management of pain and other physical, psychosocial, and spiritual problems across the cancer experience. The goals of palliative care are to anticipate, prevent, and reduce suffering and support the best possible quality of life regardless of disease stage. Early palliative care involvement has benefits like improved quality of life and mood over traditional late palliative care. An interdisciplinary team approach to palliative care is recommended.
Contemporary Alternative Medicine: Naturopathy EdwinJuma5
This document discusses the history and principles of naturopathy as a form of alternative medicine. It describes how naturopathy was introduced in the US in 1885 and focuses on diet, exercise, and massage as treatments instead of drugs. Modern naturopaths still emphasize these natural elements but will sometimes incorporate conventional drugs. The document also covers how naturopathic healers were traditionally trained and the relationship between naturopathy and modern healthcare practices.
This document discusses nursing theories and postpartum depression. It provides definitions of key concepts in nursing theory like concepts, models, and theories. It also defines postpartum mood disorders like baby blues, postpartum depression, and postpartum psychosis. The document summarizes Cheryl Tatano Beck's theory of postpartum depression, including its major concepts, assumptions, and predictors of postpartum depression. It discusses the application of the theory to postoperative depression and ways ketamine may help reduce postpartum depressive symptoms. Finally, it lists some other nursing theories discussed in further reading assignments.
Penny George™ Institute for Health and Healing: Meeting Patients Where They AreAllina Health
By Courtney Baechler, MD. A discussion about the Penny George Institute and its goal to empower patients using the mind-body-spirit approach to health, encouraging a philosophy of wellness at any stage of care. The Penny George Institute has become a national leader in holistic health care and is an important component of Allina Health efforts to achieve health care transformation through the Triple Aim.
Jennifer lee hw499-bachelor's capstone in health and wellness-unit 5 powerpointjmlee88881
This document discusses complementary and alternative medicine (CAM). It defines CAM as health practices not considered conventional medicine, such as herbal supplements, meditation, and massage therapy. The document outlines major types of CAM including natural products, mind-body medicine, and body-based practices. It provides statistics on CAM use in the US and cautions readers to research any CAM thoroughly before use due to lack of regulation.
Audio and slides for this presentation are available on YouTube: http://youtu.be/dYRu8PVLU14
Cindy Tofthagen, PhD, ARNP, an assistant professor of nursing at the University of South Florida in Tampa and a post-doctoral fellow at the University of Massachusetts and Dana-Farber Cancer Institute, talks about chemotherapy-induced peripheral neuropathy (CIPN), the risk factors of CIPN, and how to manage the condition. This presentation was originally given at Dana-Farber Cancer Institute on Aug. 6, 2013 and put on by Dana-Farber's Blum Resource Center.
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
Complementary and Alternative Medicine Practices Necola27
As you embark upon your health journey in life, it is important to know all aspects of health and medicine options. As Americans, we are traditional known to practice conventional medicine; however, there are other options to add or supplement to that. Complementary and Alternative Medicine practices are becoming more popular options upon the healthcare world! Learn all about it here!
This document discusses treatment of opioid use disorders. It provides an overview of clinical issues, the basics of treatment, the history of treatment approaches, and specifics on biological, psychological and social aspects of treatment. Key points include defining addiction and distinguishing it from physical dependence. Effective treatment involves separation from substances, a healing environment, psychoeducation, and cognitive-behavioral and community support elements. Medication assisted treatment with agonists like methadone and buprenorphine, and antagonists like naltrexone are discussed. The document also covers policy issues around balancing treatment and criminalization approaches over time.
Complementary and alternative medicine (CAM) refers to medical systems and practices that are not part of conventional medicine. Around 40% of adults in the United States report using some form of CAM. Common reasons for using CAM include dissatisfaction with conventional medicine, a preference for natural treatments, and a focus on overall wellness rather than just disease treatment. Physicians should be knowledgeable about CAM practices their patients may use, as some can interact harmfully with conventional treatments or be dangerous if used incorrectly. The document outlines various CAM modalities like herbal supplements, acupuncture, yoga and traditional medical systems; discusses integrated medicine approaches; and emphasizes the importance of physicians maintaining open and non-judgmental discussions with patients about all treatment options.
There are a variety of reasons mesothelioma patients and their loved ones seek information about Complementary and Alternative Medicine (CAM) therapies. Some lack faith in our current medical system or Western medicine in general. Others prefer to avoid the negative reactions or long-term effects of traditional cancer treatments such as surgery, chemotherapy and radiation therapy. We welcome Dr. Snehal Smart as the guest speaker to discuss these topics in our March support group. For more information on this topic, visit us at www.asbestos.com
This document summarizes the levels of care and treatment approaches at an addiction treatment facility over the past 44 years. It offers ambulatory withdrawal management, intensive outpatient treatment, and continuing care across six sites. From 1985 to 2002, treatment predominantly used naltrexone which resulted in poor program completion rates and higher overdose deaths. From 2003 to 2017, treatment has predominantly used buprenorphine which has significantly improved program completion rates and reduced overdose deaths. The number of patients using buprenorphine long-term has increased over time.
This document discusses complementary and alternative medicine (CAM) therapies. It provides data on increasing CAM use in the US population and barriers to CAM adoption by conventional medical practitioners. Some CAM therapies, like aromatherapy and mindfulness meditation, show potential benefits for issues like anxiety, pain and dementia symptoms based on limited clinical studies. The document advocates an approach for physicians to take regarding CAM that respects patient values while counseling on risks and benefits.
Don't miss our upcoming webinars. Subscribe today!
In part 2 of our empowerment series: Oncologist Rob Rutledge provides an overview of cancer, its treatment and how to get the best medical care in this empowering presentation. He follows with practical advice about diverse complementary treatments and techniques, and how to integrate them into your healing journey.
View the video:
https://youtu.be/8IM-okz7PSY
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
This document provides 13 steps to help recover from cancer. It discusses questioning treatment plans, checking all treatment options including alternative therapies, getting second opinions, hiring expert cancer coaches, preparing physically and mentally before treatment, starving cancer cells by reducing sugar and meat intake, detoxing and alkalizing the body, assembling a support team, being your own advocate, compiling a personal health record, managing physical and emotional pain and stress, and verifying that treatment is working through various laboratory tests.
This document contains notes from a personality development training course taken by Gurpreet K. Ghundoo. It includes definitions of personality, a SWOT analysis done by Gurpreet before and after joining the training, details of Gurpreet's daily routine and time management, information about the leadership qualities of Chanda Kochhar as an example, explanations of Johari's window and transactional analysis theory, analyses of goal achieving skills and leadership qualities observed in the movie Chak De! India, and more. The notes provide insights into concepts taught in the personality development course.
This document contains an assessment completed by Sharon D'souza for her personality development course at Franklin Institute of Air Hostess Training in Mumbai in 2013-2014. It includes definitions of key terms, responses to tasks and questions about personality development topics, an analysis of leadership qualities in a movie, and a self-evaluation of her own time management and potential for leadership. The document demonstrates Sharon's understanding of concepts like personality, leadership, time management, and interpersonal skills through examples and analysis.
Integrative medicine/oncology combines conventional cancer care with evidence-based complementary therapies to enhance quality of life for cancer patients. The document discusses the evolution of integrative medicine from alternative medicine to its current focus on patient-centered care and maximizing innate healing through mind-body practices, nutrition, and therapies like acupuncture and massage. It also emphasizes the importance of research to understand how complementary therapies can safely benefit patients and potentially synergize with conventional care.
Brochure corporativo de lobdra marketing group lowJosué Lee Levine
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The document outlines the 8 key steps to producing a theatrical production: 1) choosing a title, 2) assembling the artistic team including director and designers, 3) assembling the technical team including production manager, 4) creating the overall concept and vision, 5) casting actors through auditions and callbacks, 6) rehearsals to block scenes and explore characters, 7) technical rehearsals ("tech week") to add lighting, sound and costumes, and 8) performances with the stage manager in charge and designers concluding their roles.
Many complementary therapies, used along with conventional medicine, can support cancer treatments, reduce some of the adverse effects of cancer treatment, ease tension and pain, and contribute to overall health. This is known as integrative medicine. Integrative medicine can be a part of your plan throughout the entire treatment and survivorship experience. In this webinar, we will talk about how integration can be helpful to you after a colorectal cancer diagnosis and your journey forward.
Presented by Dr. Lisa Corbin: a board-certified internist, Associate Professor in the Department of Internal Medicine at the University of Colorado School of Medicine. In 2001, she helped the University of Colorado Hospital establish the Center for Integrative Medicine (TCFIM) and has served as the Medical Director ever since.
Dr. Brian Lawenda provided us this terrific presentation on integrative approaches to preventing and treating cancer. Dr. Lawenda is a Harvard trained radiation oncologist working in las Vegas for 21st Century Oncology. It certainly helps to have him lecture along with this presentation because this can be a complicated discussion.
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A presentation by Dr. Swamy Venuturupalli, MD, FACR from Lupus LA's annual patient education conference at Cedars Sinai Medical Center in Los Angeles, CA.
Dr. Swamy Venuturupalli is a board-certified rheumatologist practicing in Los Angeles. He is Clinical Chief of the Division of Rheumatology at Cedars Sinai Medical Center and Associate Clinical Professor of Medicine at UCLA as well as being Editor-in-Chief of Current Rheumatology Reports.
Dr. Venuturupalli grew up in Bombay, India, the son of two physicians. In 1995, he received his medical degree from the prestigious Topiwala National Medical College in Bombay. Dr. Venuturupalli completed his residency in Internal Medicine, with distinction, at the Upstate Medical University in Syracuse, NY. Following his residency, he was appointed Chief Resident in the department of medicine at Syracuse University, where he was in charge of managing and training 65 residents.
In 1999, Dr. Venuturupalli moved to Los Angeles for a combined fellowship in health services research with UCLA's School of Medicine, the RAND Corporation, and the Greater Los Angeles Veteran's Administration Medical Center. Along with his cohort, he conducted research on complementary and alternative medicine, publishing studies on Ayurvedic medicine, dietary supplements, and mind-body medicine. Dr. Venuturupalli then completed a rheumatology fellowship at the UCLA-Olive View medical program in 2002.
Dr. Venuturupalli's role as research investigator includes over a hundred clinical trials involving conditions such as lupus, rheumatoid arthritis, inflammatory muscle diseases, ankylosing spondylitis, etc. He participates in ongoing rheumatology research with Dr. Daniel Wallace, a leading physician in the field, at the Cedars Sinai Division of Rheumatology. Dr. Venuturupalli lectures frequently to the general public and to the staff and faculty at Cedars Sinai Hospital on various topics in rheumatology, including alternative and complementary medicine. He was also recently invited to give grand rounds at Cedars on topics such as antiphospholipid syndrome and myositis. Dr. Venuturupalli has authored numerous text-book chapters, is published in peer-reviewed journals, and is currently the Editor-in-Chief of the journal Current Rheumatology Reviews.
For the past eight years, Dr. Venuturupalli has held a private practice in association with a group of 4 rheumatologists. Dr. Venuturupalli is highly regarded by his colleagues and is a sought-after teacher in his field of expertise. He has served as the past president of the Southern California Rheumatology Society, a non-profit professional organization of rheumatologists focusing on professional education.
Areas of expertise: Inflammatory Muscle disease, Systemic Lupus Erythematosus, Anti- Phospholipid syndrome, Sjogren's syndrome, Osteoporosis, Vasculitis.
This document discusses holistic and alternative medicine treatments for mesothelioma. It defines holistic medicine as treating the whole person rather than just the symptoms, focusing on physical, emotional and spiritual well-being. Some holistic therapies mentioned include acupuncture, homeopathy, hypnosis, supplements and lifestyle changes. It also discusses the use of cannabis and cannabinoids to help manage cancer pain and side effects of chemotherapy.
This document discusses complementary and alternative medicine (CAM) therapies for cancer patients. It defines CAM as non-pharmacological interventions focused on well-being, healing, or symptom management, often used alongside conventional treatment. Some common CAM therapies discussed include massage, acupuncture, meditation, guided imagery, aromatherapy, humor, prayer, spirituality, and herbal remedies. The document provides an overview of the top CAM therapies cancer patients find helpful, potential benefits of various therapies, and signs that a treatment may be unsafe or ineffective. It aims to educate nurses on discussing CAM options sensitively and monitoring potential drug interactions when patients use both conventional and alternative treatments.
The lecture I gave for the Indiana University Health Joint Transplant Education and Research Lecture Series on palliative care. That's right, palliative care in transplant patients NOT at the end-of-life.
45 minutes of suffering (or Anesthesia Grand Rounds on Palliative Care)Mike Aref
This document summarizes a presentation on palliative care. It discusses:
- The definition and goals of palliative care in alleviating suffering for patients with chronic illnesses
- How palliative care differs from hospice in focusing on symptom management rather than a prognosis of 6 months or less
- The concept of primary palliative care conducted by primary providers to assess physical, psychosocial and spiritual needs
- The importance of establishing goals of care through discussions of patient values, priorities and understanding of their illness
- Strategies for managing common symptoms like pain, depression and dyspnea
When is it time for a new cancer treatment, and how should patients make these difficult decisions? Rachel Yung, MD, provides an overview of what to consider when making difficult treatment choices.
(1) A whole foods, plant-based diet can help prevent and treat prostate cancer by avoiding alcohol and dairy while emphasizing fiber from vegetables, beans, fruits, and whole grains. Exercise also boosts survival and reduces progression.
(2) Dean Ornish found that a low-fat vegan diet halted and reversed prostate cancer progression in some men.
(3) Stress management techniques like mindfulness meditation, yoga, spending time in nature, and social support can benefit prostate cancer prevention and treatment by reducing stress.
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
This document outlines the process from diagnosis to follow-up care for ovarian cancer. It begins with an introduction and disclosure section. It then covers the diagnosis process, including symptoms, imaging, biopsy and surgery. Treatment options like surgery, chemotherapy, targeted therapy and clinical trials are discussed. The roles of the treatment team members are defined. Follow-up care including exams, imaging and survivorship are also summarized. Resources and questions from patients are addressed. Key terminology around histology, grade, stage and tumor markers is explained.
Benefits of Physical Activities (PA) in Cancer SurvivorsRajat Chauhan
On 4th March 2012, I had the privelege of talking at Asian Breast Cancer Conference. But I wasn't planning on going there and be a yes man.
I took the oncology fraternity to task. If they have known for a long time that exercise and physical activity reduces cancer risk by 25-50% and side effects in survivors from inactivity is as bad as disease itself, then why don't they talk and promote more about it. Only a quarter bring up exercise to their patients. I was looking to get a reaction, whether it be a shoe thrown at me or saying, wow... Let's work together on this... But the audience was very sedated... courtesy the pharmaceutical industry that sponsors conferences like these. There was no response. I finished my talk by saying "my role model is Lance Armstrong, a man who did amazing things in world of sports after he was diagnosed, treated and then survived cancer."
Enjoy the presentation.
Nutrition cancer wellness: integrative techniques for cancerAshwani Garg, MD
(1) A doctor discusses nutrition and lifestyle techniques for cancer wellness and prevention based on general principles from cancer organizations. Exercise, fiber-rich foods, stress management like mindfulness are recommended.
(2) One study found prostate cancer patients following a plant-based diet had reduced risk of disease progression compared to a non-treatment group.
(3) While more research is needed, some studies indicate cannabinoids, breast milk, and massage/yoga/acupuncture may provide benefits for cancer patients, but patients should discuss any treatments with their doctor.
THE FAMILY PHISICIAN & COMPLEMENTARY, ALTERNATIVE MEDICINE.pptxgrace471714
The document discusses complementary and alternative medicine (CAM) and its relevance to family physicians. It provides definitions of CAM, conventional medicine, and integrative medicine. CAM modalities discussed include biologically based practices like herbalism and aromatherapy, mind-body medicine techniques, manipulative body-based practices, energy medicine, and whole medical systems. Standards and guidelines for CAM by WHO are outlined, along with Nigeria's situation regarding CAM regulation and integration. The family physician's role in utilizing CAM is also mentioned.
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Newbridge talk,may 29, 2013
1. Integrative Medicine/Oncology:
An Evolving Discipline
or what was called
Complementary and Alternative
Medicine
David S. Rosenthal, MD
Leonard P. Zakim Center for Integrative Therapies
Dana-Farber Cancer Institute
May 29, 2013
NewBridge on the Charles
2. 1. Definitions
2. Chronic Disease/Cancer Challenges
3. Integrative Therapies
4. Research
5. Integrative Medicine/Oncology - The
Future
3. What’s In A Name?
Evolution Of A Discipline
•Quackery, The Practice of
•Questionable Methods of Therapy
•Unproven Therapies
•Complementary and Alternative Methods
of Therapy
•Integrative Medicine
5. What Is CAM?
… medical and health care
practices outside the realm of
conventional medicine, which
are yet to be validated using
scientific methods
Complementary: together with
conventional practices
Alternative: in place of
conventional practices
NCCAM
7. Categories of Integrative Therapies
• Diet, OTC supplements, antioxidants, herbs
• MindBody Medicine
• Physical Activity and Modified Exercise
Programs
• Massage and Touch Therapies
• Acupuncture
8. ACS Challenge Goals
1996-1998
•Reduce cancer mortality by 50% by 2015
•Reduce incidence of cancer by 25% by 2015
• Show measurable improvement in the
quality of life; physical, psychological,
social and spiritual
9. QOL Measures
• Assure appropriate care for cancer and
treatment related symptom control
• Include palliative care, end of life care and
survivorship issues
10. Cancer as a Chronic Disease
• With a decrease in cancer mortality and a
steady incidence of cancer, there are more
cancer survivors
• Result is that QOL issues become more
important and Integrative Oncology
becomes more significant
11. Integrative Medicine/Oncology
Combines the best of both conventional and evidence-based
integrative therapies
Emphasizes patient participation (e.g. exercise, diet, stress
management) in maximizing health
Emphasizes the primacy of the patient provider relationship
and the importance of shared decision making
Emphasizes the contribution of the therapeutic encounter
itself
Seeks to optimize and individuals’ innate healing capacity
Snyderman R, Weil AT, Arch Inter Med; 2002;162:395-397
12. Why a Zakim Center for
Integrative Therapies?
• Cancer patients often have interest in or
questions about Integrative Therapies
e.g., acupuncture, massage, herbs
• Many patients benefit from Complementary
Therapies in conjunction with conventional
cancer care
• Patients need advice from clinicians about
contraindicated therapies
e.g., “alternative” medicine clinics, drug-herb
interactions
13. Patient Use of CAM
• 83% of patients across broad-spectrum of chronic
diseases use CAM
• Highest use: vitamins/herbs, movement & physical
therapies (excluding spiritual practices)
• Expectations were: improve QOL, alleviate
symptoms, prolong life, cure their disease, boost
their immune system
• Why did patients use CAM: hopefulness, lack of
toxicity, and more control
Richardson et al, JCO 2000;18:2505-14
14. About CAM users:
70% saw their physician concurrently with
CAM provider.
Eisenberg et al. AM Int Med 2001;135:344-51
15. About CAM users:
63-72% did not disclose their CAM
therapy to their physician.
Eisenberg et al. AM Int Med 2001;135:344-51
16. Why haven’t patients disclosed or
shared their use of CAM with their
physician?
• 61% Not important for doctor to know
• 60% Doctor never asked
• 31% “None of the doctor’s business”
• 20% Doctor would not understand
• 14% Thought doctor would disapprove and
discourage use
Eisenberg et al. Ann Int Med 2001;135:344-51
17. Mission Statement
The Leonard P. Zakim Center for Integrative
Therapies at Dana-Farber Cancer Institute is
dedicated to enhancing the quality of life for
cancer patients and families by incorporating
complementary medicine into traditional cancer
care. The Center provides affordable clinical
services for pediatric and adult patients and their
families, educates and empowers patients about
their use, and conducts peer-reviewed research.
18. Clinical Services Offered
at Zakim Center
Individual:
• Acupuncture
• Massage
• Reiki
• Integrative Medicine Consults
• Integrative Nutritional Consults
Group:
• Music Therapy
• Expressive Arts Therapy
• QiGong
• Meditation
• yoga
19. Who uses Integrative Therapies at
Dana-Farber Cancer Institute ?
• Patients with:
• Pain
• Fatigue
• Anxiety
• Other Symptoms (e.g., nausea; neuropathy)
• Interest in nutrition counseling for special diets
or supplements or other therapies
20. Integrative Nutrition Consults
• Respond to pt inquiries re: diets,
supplements, herbs
• Therapies with potential benefit:
–
–
–
–
Fish oil for cachexia
Probiotics for bowel irregularities
Glutamine for chronic diarrhea
Various dietary manipulations for symptom
control
• Ex: a low fiber/residue diet for patients with
acute or chronic diarrhea
21. Nutrition Guidelines
•
•
•
•
•
•
Avoid being overweight, obesity
Be physically active
Avoid sugar
Consume a phytonutrient rich diet
Limit red meats, avoid processed foods
Limit alcohol
ACS, AICR
22. Integrative Medicine Consults
Respond to questions about CAM:
• Safety
• Efficacy
Discuss role of integrative therapies alongside
conventional therapy
23.
24. Mind Body Therapies
•
•
•
•
•
•
•
•
•
•
•
•
Relaxation response and biofeedback
Mindfulness meditation
Guided imagery
Self-hypnosis
Self-expression in words
Music therapy
Expressive arts therapy
Dance
Yoga
Tai chi
Qi gong
Support groups
25. Massage and Touch Therapies
•
•
•
•
•
•
•
•
•
Swedish massage
Aromatherapy massage
Reflexology
Acupressure
Shiatsu
Manual lymphatic drainage
Reiki
Deep tissue massage
Rolfing
26. Acupuncture
Benefit in QOL of cancer patients
May be recommended:
Chemotherapy-induced nausea and vomiting
Cancer pain
May be acceptable:
Post-chemotherapy fatigue
Radiation-induced xerostomia
Insomnia
Anxiety
28. Guidelines For Advising Patients:
Based on Evidence and Efficacy
Therapies that may be
recommended:
Evidence supports
efficacy
and
Evidence supports
safety
Therapies that may be
accepted:
Evidence regarding
efficacy is inconclusive
but
Evidence supports
safety
Therapies that should be
Discouraged or
unacceptable:
Evidence indicates
inefficacy
or
Evidence indicates
serious risk
Weiger et al, Ann Int Med, Dec.
29. Potential Concerns of
Physicians – Re Herbs and
botanicals:
Direct toxic effects
Interactions with other medicine
Reduced effectiveness of “standard therapy”
Toxicity not related to cancer
Impairment in overall “quality-of-life”
Delay in obtaining known effective therapy
30. Drug-Herb Interactions
• Cytochrome P450 system can be stimulated
or inhibited
• Anti-inflammatory effect usually implies
antiplatelet effect
31. Websites
•
•
•
•
•
•
•
Memorial Sloan-Kettering Cancer Center:
http://www.mskcc.org/mskcc/html/5707.cfm?Criteria=about+herbs&x
=13&y=
The University of Texas MD Anderson Cancer Center: http://
www.mdanderson.org/departments/CIMER
American Cancer Society:
http://www.cancer.org/docroot/ETO/ETO_5.asp
National Center for Complementary and Alternative Medicine: http://
nccam.hih.gov/
National Cancer Institute’s Office of Cancer Complementary and
Alternative Medicine: http://www.cancer.gov/cam/
Natural Medicines Comprehensive Database: http://
www.naturaldatabase.com
Natural Standard: http://www.naturalstandard.com
32. Delay In Obtaining Known
Effective Therapy
Delay seeking medical attending for symptoms suggestive
of a serious illness
Brienza RS, et al. J Women’s Health & Gender- Based Medicine 2002; 11:79
Delay initiation of “standard effective treatment” for a
malignancy
Coppes MJ, et al. NEJM 1998; 339-846. Ernst E. JCO 2001; 19:2365
34. Why Research
• Use of research studies & technology to
better understand acupuncture & other
integrative therapies
• Recognition that patients are continuing
to use these therapies, so that questions
of dose, synergy, and potential
interactions can be investigated through
established & refined research methods
35. Research Issues
• Do the same rules apply as studying a new
pharmaceutical agent?
• What is the best control for massage or a
mind/body intervention?
• Sham acupuncture
• Whole systems vs reductionist research
36. DFCI Research
•
•
•
•
•
Immunologic Activity, Physical Status, and QOL in Connection with Two
Exercise Programs (Modified Exercise and Qigong)
PI: Paul Richardson
Acupuncture on Pain, Nausea and Quality of Life in Advanced Cancer
PI: David S. Rosenthal, MD
Acupuncture and Neutropenia in Ovarian Cancer
Co-PIs: Ursula Matulonis, MD, Weidong Lu, MB, MPH, Lic.Ac.
QiGong on Mood and Cortisol in Breast Cancer
PI: Ursula Matulonis, MD
Use of Music Therapy with Metastatic Breast Cancer
Co-PIs: Susan Bauer-Wu, D.N Sc., Suzanne Hanser, Ed.D., MT-BC
•
Reiki and Relaxation Response in Prostate Cancer Pts Receiving Radiation
PI: Clair Beard, M.D.
39. Funding Appropriations for IM
National Center for
Complementary and
Alternative Medicine
NCI / OCCAM
FY 2011:
$127.7 million
$122.5 ( includes Recovery
act)
FY 2005:
$123.1 million
FY 2004:
$117.7 million
FY 1998:
$19.5 million (OAM) $28 million
$129 million
43. Services Available To Cancer Patients And Their
Primary Care Oncologists, Often Operating In Silos
Specialty Consultants
Physical Trainers
Psychosocial
Oncology
Support Groups
Spiritual
Patient & Family
Care Services
Patient – Primary
Care Physician
Nutritionist
CAM Practitioners
Nurse Specialists
Social Workers
Ethicist
Pain and
Palliative Care
44. Coach/Navigator Assists Patient, Primary
Care Physician In Individualizing Care.
Patient – Primary Care Physician
Coach/Navigator
Proposed Model
45. SAVE THE DATE
10th International Conference of the Society for
Integrative Oncology
Oct. 20-22, 2013
The Fairmont
Hotel Vancouver
Vancouver, BC
integrativeonc.org
Co-Chairs:
Lynda Balneaves, RN, PhD
Associate Professor, Nursing
Faculty of Applied Science
University of British Columbia
Emma Guns, PhD
Associate Professor, Dept. Urology
Faculty of Medicine
University of British Columbia
Richard Lee, MD
Assistant Professor, General Oncology
MD Anderson Cancer Centre
University of Texas
46. “It only takes one person to start a revolution of thought and spirit.”
Lenny Zakim