14) Complementary Therapies Flashcards Preview

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Flashcards in 14) Complementary Therapies Deck (13):
1

What are complementary and alternative medicines?

Medical system based on a theory of disease or method of treatment other than the orthodox science of medicine taught at med school

2

What CAMs are closely related to conventional medicines?

Osteopathy
Acupuncture

3

Give some examples of CAMs:

Acupuncture, aromatherapy, hypnotherapy, relaxation and visualisation etc.

4

Why do people use CAMs?

Persistent symptoms
Real or perceived adverse effects of conventional treatment
Holistic approach
More time and attention from therapist

5

What are some of doctor's concerns about people using CAMs?

Unqualified and unregulated practioners
Missed or delayed diagnosis (especially if use CAM first)
Wasting money
May refuse conventional treatment
Mechanisms implausible

6

What are the implications for the patient using CAMs and seeing HCPs?

Symptom iceberg
Poor communication
Treatment interactions

7

What is aromatherapy?

Controlled use of essential oils with therapeutic properties by topical massage or inhalation

8

What can aromatherapy be used for?

Relieve stress, ease tension and improve health and wellbeing

9

What is acupuncture?

Stimulation of special points on body by insertion of fine needles

10

What are some of the challenges in conducting trials into CAMs?

Obtaining funding
Complex
Finding placebos
Double blinding
Trial of single intervention may not reflect reality

11

What are some reasons for why NICE should evaluate CAMs?

High public interest
GPs provide access
Addresses inequalities in access
Same standard should apply
Stimulates more research

12

What are some reasons against why NICE should evaluate CAMs?

Money in NHS limited
NICE has higher priorities
Poor quality evidence

13

What are some issues about applying evidence based medicine to CAMs?

Healing potential not grasped by EBM
Forced into biomedical rules
What evidence counts e.g. patient feedback