1. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings PowerPoint® Lecture Slide Presentation prepared by Michael Hall 23 Complementary and Alternative Medicine: New Choices and Responsibilities for Healthwise Consumers

2. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Objectives Describe complementary and alternative medicine (CAM); explain why it is growing in popularity and who is most likely to use it. Describe major types of CAM providers and common treatments they offer. Discuss various types of CAM being used in America today. Explain how to evaluate testimonials and claims related to CAM products and services. Discuss challenges and opportunities related to CAM.

3. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Complementary and Alternative Medicine (CAM) Complementary medicine – therapies used together with conventional medicine Alternative medicine – used in place of conventional medicine Conventional medicine is practiced by holders of M.D. or D.O. degrees and by allied health professionals

4. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Historical Perspectives 25% of all pharmaceutical drugs are derived from herbs The emergence of CAM in the U.S.: Prior to 1990 little was known about who was using CAM 1993 – study showed that 1 in 3 Americans sought some form of alternative care 1997 – another follow up study revealed that 47% of Americans were using some form of CAM

5. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Major Domains of CAM Biologically based practices Energy medicine Manipulative and body-based practices Mind-body medicine

6. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Who Uses CAM? 2004 survey results: More women than men Higher education levels Hospitalized in the past year Former smokers Back, neck, head, or joint pain suffers Gastrointestinal disorders or sleeping problems

7. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Table 23.1 Popular Complementary Treatments Table 23.1

8. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Alternative Medical System Options Traditional Chinese medicine and Ayurveda Homeopathy Naturopathy

9. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Manipulative and Body-Based Methods Chiropractic medicine Osteopathic medicine

10. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Energy Medicine Qi gong Reiki Therapeutic touch Acupuncture Acupressure

11. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Mind–Body Medicine Body work Psychoneuroimmunology (PNI)

12. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Biologically Based Practices Herbal remedies: Ginkgo biloba St. John’s Wort Echinacea Green tea Ephedra Special supplements: Muscle enhancers Creatine Ginseng Glucosamine Chromium picolinate SAMe Antioxidants

13. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Food as Healing Agents Nutraceuticals – foods with combined nutritional and pharmaceutical benefit Some healthful foods: Plant stanol Oat fiber Sunflower Soy protein Red meats, dark green, leafy vegetables Garlic Green tea Ginger Yogurt

14. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Protecting Consumers and Regulating Claims Many CAM products are not regulated in the U.S. as strictly as food or drugs Strategies to protect consumer’s health: Talk to your physician The German Commission E Use science for more answers about CAM

15. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Figure 23.3 Assessing the Risks and Benefits of CAM Treatments Figure 23.3

16. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Healthy Living in the New Millennium Enlisting support from insurers and providers: More and more insurers are covering alternative medicine Extra-cost riders may be added to some policies to cover alternative medicine Increasing support from American Medical Association

17. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings Self-Care: Protecting Yourself Be an informed consumer Consult with health care provider If using CAM, inform your primary health care provider Choose CAM practitioners carefully Consult only reliable sources Natural does not always mean safe Herbal supplements are not closely monitored by FDA Herbal supplement dosage levels are not regulated