SM_247a: Integrative Medicine Flashcards Preview

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Flashcards in SM_247a: Integrative Medicine Deck (19)
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1

Describe guiding principles of integrative medicine

Guiding principles of integrative medicine

  • Involving the patient in his/her own health
  • Compassion and caring are very important
  • Willingness to entertain non-conventional approaches
  • Importance of scientific evaluation of all treatments (conventional and alternative)
  • Need to address all aspects of a patient's life: physical, social, spiritual, emotional, environmental, community

2

Describe use of complementary and alternative medicine in the United States

Complementary and alternative medicine in United States

  • 36% of adults: women > men, higher education levels, hospitalized within the last year, former smokers, painful conditions, gastrointestinal disorders, and sleep problems

3

Best way to administer a botanical is ____

Best way to administer a botanical is unknown

 

(also inconsistent quality)

4

Alternative medicine alone is ____

Alternative medicine alone is ineffective and potentially harmful

5

Describe knee ostoearthritis integrative medicine treatment

Knee ostoearthritis integrative medicine treatment

  • Motivational patient interviewing
  • Nutrition and weight loss
  • Exercise / movement
  • Patient education
  • Quitting bad habits?
  • Thermal therapy (ice or heat)
  • Medications and supplements
  • Mind-body approaches
  • Orthotic devices
  • Injections
  • Surgeries
  • Alternative therapies 
  • Environment

6

____ should but not ____ should avoided to prevent/decrease OA

Red meat but not fruits should not to prevent/decrease OA

7

____ diet is helpful for OA

Mediterranean diet is helpful for OA

8

Obesity worsens knee OA by _____ and _____

Obesity worsens knee OA by increasing adiposity, which spurs low grade inflammation due to increase pro-inflammatory cytokines and adipokines, and leading to abnormal joint loading, which alters cellular mechanotransduction

9

Running is ____ than walking for preventing knee OA

Running is better than walking for preventing knee OA

10

Patient self management is _____ for knee OA

Patient self management is helpful for knee OA

11

Quitting smoking or tobacco ____ OA symptoms

Quitting smoking or tobacco does NOT reduce OA symptoms

12

____ is beneficial for knee OA, while ____ packs are not

Ice is beneficial for knee OA, while hot packs are not

13

Medication for knee OA with greatest risk of side effects is ____ > ____ > ____

Medication for knee OA with greatest risk of side effects is acetaminophen > celecoxib > glucosamine and chondroitin

14

____ deficiency is associated with knee OA progression

Vitamin D deficiency is associated with knee OA progression

15

____ or ____ supplementation is effective for knee OA

Curcumin / turmeric and avocado soybean unsaponifiables supplementation is effective for knee OA

 

 

(S-adenosylmethionine is unclear)

 

16

Steroids have ___ cartilage volume loss and ___ adverse events compared to saline for knee OA treatment

Steroids have greater cartilage volume loss and more adverse events compared to saline for knee OA treatment

 

(PRP injections help, orthotic devices help, canes uncertain)

17

____ is an alternative treatment to knee replacement surgery for knee OA

Tai Chi is an alternative treatment to knee replacement surgery for knee OA

 

 

(homeopathy, energy medicine, chiropractic, and acupuncture are not)

18

____ reduces postoperative nausea after knee OA surgery

PC6 acupressure reduces postoperative nausea after knee OA surgery

19

Describe the effectiveness of various integrative medicine interventions

Effectiveness of various integrative medicine interventions

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