Abstract: . . .  alternating current or direct current fields Practical Application General Ask about the use of CAM at each visit If you prescribe a CAM therapy, document! Diets, nutritional supplements, botanicals are all DRUGS – document prescription as such Know indications for use of CAM therapies and when to recommend for or against use If you are unsure of a therapy and are concerned for harm, ask your patient to withhold further treatment until you can research Have reliable, current, evidence-based resources and refer to them often References Helms, Joseph M., MD. Acupuncture Energetics: A Clinical Approach for Physicians. Berkeley, CA: Medical Acupuncture Publishers, 1995 Nasir LS - Primary Care: Clinics in Office Practice - 01-JUN-2002; 29(2): 393-405 Null, Gary, Ph.D. The Clinician’s Handbook of Natural Healing. New York, NY: Kensington Publishing Corp., 1997 Pizzorno, Joseph E. Jr, ND, Murray, Michael T, ND. Textbook of Natural Medicine . 2nd Ed. Churchill Livingston, 1999 Rakel: Integrative Medicine , 1st Edition Steyer, Terrence E. MD Complementary and Alternative Medicine : A Primer. Family Practice Management Volume 8 • Number 3 • March 2001 ( http://www.aafp.org/fpm/20010300/37comp.html ) 2003 Symposium – The American Academy of Medical Acupuncture The Art, Science and Practice of Holistic Medicine – ABHM Board Review, Oct 11-14 2003 Complementary and Alternative Medicine in the United States - Committee on the Use of Complementary and Alternative Medicine by the American Public Practical Application Backup Slides Practical Application Nutritional - diets, supplements Naturopathy Manual therapies Acupuncture Botanicals Homeopathy Practical Application Nutritional - Diets Be able to give advice beyond that of (inadequate) medical school / residency training Specialized according to dysfunction / disease / individual Focus on achieving and maintaining wellness and the prevention of disease Nutrition is the foundation of health Good educational sources: naturopathic, nutritionist Practical Application Nutritional - Supplements Vitamins: antioxidants, B vitamins, trace Try to be able to account for each vitamin ingested Be able to advise a dose –usually NOT the RDA Consider against a MVI (mixed may not be therapeutic) Minerals: Calcium (source), trace minerals Be able to recommend specific combinations / sources Know what conditions / drugs / foods / drinks deplete which vitamins & minerals Practical Application Nutritional - Supplements Have a source(s) for determining quality of product, recommended uses, interactions Don’t recommend against unless you have done the research Don’t say “It probably won’t hurt you, so I guess it is OK” Know the therapeutic indication – if you don’t, research! Recommend for or against based on your evidence-based research Practical Application Naturopathy First, do no harm!!! Identify and treat the cause: Treat the cause of disease, not merely . . .
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