Module 3 Discussion Board- Making the Complex Understandable
CHAPTER 6 Complementary and Alternative Medicine and Aging
1
POWERPOINTS TO ACCOMPANY
1
2
Allopathic medicine
Alternative medicine
Complementary medicine
Integrative medicine
National Center for Complementary and Integrative Medicine (NCCIM)
2
3
Visits to CAM providers exceed primary care physician visits
Highest amount of CAM usage is by boomers
Ages 56 to 74 (in 2020)
Half of patients neglect to communicate CAM usage to physicians
Danger of dietary supplements interacting with prescribed or over-the-counter medications
Prevalence and Barriers
3
4
National Institutes of Health’s definition focuses on what CAM is not
Three categories
Mind–body medicine
Manipulative and body-based therapies
Energy therapies
Nutrition and exercise no longer CAM
But inadequate guidance and motivation
Types of CAM
4
5
Diaphragmatic breathing
Progressive muscle relaxation
Visualization
Relaxation response, meditation, and mindfulness
Acupuncture
Therapeutic massage
Popular CAM Techniques
5
6
Chiropractic
Hypnosis
Biofeedback
Magnet therapy
Aroma therapy
Laughter
Popular CAM Techniques—cont’d
6
7
Naturopathy
Naturopaths complete 4 years in a medical college and take national licensing examinations
More inclined to try alternative treatments
Not recognized by Committee on Medical Education
Drs. Weil, Chopra, and Oz
Two-thirds of HMOs cover one form of CAM
Chiropractic (65%)
Acupuncture treatments (19%)
CAM Practitioners and Insurance
7
8
Use caution
Phytochemicals versus supplements
Interactions with medications
1994 Dietary Supplement Health Education Act (DSHEA)
Eliminated premarket safety evaluations
Allowed advertisers to make unproven claims
Lack of purity regulation
No check on discrepancies between label and actual content
Dietary Supplements
8
9
Multivitamins
Discredited research
No evidence to support routine use
Calcium and vitamin D
No longer routinely recommended
Concern with kidney stones
Vitamin D fad
Vitamin E
Does not reduce risk of cancer or heart disease
Vitamin and Mineral Supplements
9
10
Antioxidants
Vitamin E, vitamin C, and beta-carotene
Mostly ineffective
May stall cataract growth and macular degeneration
Vitamin B12 deficiency
Lack of absorption with aging
Vitamin and Mineral Supplements—cont’d
10
11
Basis for aspirin, morphine, digitalis, and other medicines
Over-the-counter access
Ginkgo biloba’s memory improvement claims
Ginseng, garlic, and ginger
Anticoagulants (increased risk of bleeding)
Herbs
11
12
St. John’s wort
Most popular antidepressant in Germany
Interacts with a wide range of medications
Saw palmetto and echinacea: Placebos?
Black cohosh
Not effective at alleviating menopausal symptoms
Except as a placebo for some women
Herbs—cont’d
12
13
Muscle mass begins declining by age 30
Hormone supplements may contribute to
Carpal tunnel syndrome
Edema
Joint and muscle pain
High blood pressure
Congestive heart failure
Tumor growth
Worsen effects of arthritis and diabetes
Human Growth Hormone (HGH)
13
14
Testosterone and HGH
Popular with some men for gaining muscle strength
Only beneficial to those with a deficit
Increased risk of heart attacks and stroke
Melatonin and the sleep cycle
Limited empirical support for improving sleep
Or for jet lag
No empirical support for Valerian
Hormone Supplements
14
15
Glucosamine and chondroitin
Omega 3 fatty acids versus EPA
Coenzyme Q-10
CBD
Nutritional drinks
Other Dietary Supplements
15
16
ConsumerLab.com
Subjects supplements to laboratory analysis and posts results for subscribers
Not uncommon for product labels to be inaccurate
Does not evaluate benefits
Nutraceuticals
Exploit nutritionally weak foods
ConsumerLab.com and Nutraceuticals
16
16