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54 Cards in this Set
- Front
- Back
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what is the definition of complementary medicine?
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-Use of CAM together with conventional medicine, such as using acupuncture in addition to usual care to help lessen pain. Most use of CAM by Americans is complementary
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Alternative medicine is defined as?
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Use of CAM in place of conventional medicine
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What is integrative medicine?
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-combines both conventional and CAM treatments for which there is evidence of safety and effectiveness
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according to the NHIS survey, what % of adults and children use some form of CAM?
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38% of adults and 12% of children
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what are the general findings of the NHIS survery?
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CAM is
-widespread in all demographics -women > men -West > midwest > Northeast > south -greater use in those with advanced degrees -largely paid out of pocket -costs: approx 34 billion: 1% of health care expenditures, 10% out of pocket |
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what race/ethnicity has been found to use CAM most often?
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American Indian/ Alaskan native; followed by white and then asian. hispanic use it the least
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what is the most common CAM used by adults and children?
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-adults: natural products then deep breathing
-children: natural products then chiropractic |
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what is the most common natural product used by adults and children?
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adults:fish oils
children: ecinachea and then fish oils |
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what is the number one most common disease or illness is CAM used for in adults and children?
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back pain
children also use it for upper respiratory tract infection |
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ToF: cancer patients use CAM less often than the normal population.
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false: more than them 65% use it in their lifetime
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what is the most common reason that cancer survivors cited for using CAM?
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wellness/general disease prevention
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Who was found to be the greastest influence on the use of CAM in cancer patients?
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friends and family followed by the doctor
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how often do cancer patients report use of cam to their provider?
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less than 1/4
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what are the broad categories of CAM?
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-manipulative and body-based practiced
-Mind-body medicine -natural products |
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what are the types of manipulative CAM?
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-spinal manipulation
-massage therapy |
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ToF: at one time massage was contraindicated for the oncology patient
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true
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what are the most commonly used types of massages in oncology?
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-swedish, aromatherapy
-manual lymph drainage |
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what are the contraindications to massage in the onc patient?
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-areas of solid tumor, radiation and surgical sites
-IV/central line sites -gentle/light massage if thrombocytopenic (No rolfing) |
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What CAM teaches body awareness, good posture and easy, graceful movement, improves flexibility, agility and economy of motion
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pilates
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What is rolfing structural integration?
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works on connective tissue to release, realign and balance the whole body.
-the process enables the body to regain the natural integrity of its form, enhancing postural efficiency and your freedom of movement |
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If a patient has a platelet count of ___ or less, rolfing should be avoided.
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20,000
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what are mind body practices?
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use a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms
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In ___, a person learns to focus attention
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meditation
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describe yoga.
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combines physical postures, breathing techniques and meditation and relaxation
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list the mind body therapies.
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-magents
-light therapy -Qi Gong/ tai chi -reiki -healing touch -deep breathing -guided imagery -hypotherapy -progressive relaxation |
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What is magnet therapy most often used for?
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pain control
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what is reiki?
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-place hands lightly on or just above the person, with the goal of facilitating the person's own healing response
-based on idea of universal energy supports the body's innate healing abilites. |
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What is the background of acupuncture?
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Qi (energy) believed to flow in network of channels which connects different parts of the body and organs into a unified system.
-believe pain and symps of disease arise when the flow of Qi is stagnated. acupuncture promotes the flow of Qi |
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Studies support the use of acupuncture in what disorders?
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-low back pain
-HTN -hot flashes -peripheral neuropathy from chemo -palliative care management of pain, fatigue and CINV -xerostomia |
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can acupuncture be administered to infants and toddlers?
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yes
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Several studies have established the impact of music therapy on ___, __ and ___
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pain reduction
anxiety nausea |
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what are the indications for aromatherapy?
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-antiemetic/antispasmodic (ginger, spearmint, peppermint)
-fatigue (citrus scents) -sinus congestion (eucalyptus) -insomnia (lavender) |
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what do lavender and tea tree oil have?
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have estrogenic properties and young boys can cause gynecomastia
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what are the precautions of aromatherapy?
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-lavender and tea tree oil--gynecomastia
-topicals can cause irritation -high concen oils can cause dizziness and headache -labels should list pure essential oils with no fragrances added -what appeals to one patient may not for another -patient consideration when using it around other patients |
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what are the mind body therapies often used in pediatrics?
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-guided imagery
-relaxation -meditation -prayer -art -music -drumming |
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ToF: the use of daily multivitamins to meet nutritional requirements is part of CAM
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false
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ToF: probiotics are not part of CAM natural products
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false: it is
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what have studies found to be the benefit of Omega 3 fatty acids?
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lowers triglyceride levels, slightly lowers HTN, may slow progression of atherosclerosis and may reduce the risk of heart attack, stroke and death among people with CVD.
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high doses of fish oil has been found to reduce ___ ___ patient's morning stiffness, number of swollen joints and need for ___
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rheumatoid arthritis; corticosteroids
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what are the side effects of fatty acids?
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may cause minor GI upset and at high doses can interact with certain medications, including blood thinners and drugs used for high blood pressure
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what is black cohosh used for?
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often used to help with hot flashes
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Natural supplements have been found to toxic to the ___
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liver
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black cohosh is a member of the ___ family, a plant native to North America
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buttercup
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what has licorice root been used for?
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-stomach ulcers, bronchitis, and sore throat.
-also infections caused by viruses, such as hepatitis |
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what is actaea racemosa or cimicifua racemosa?
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black cohosh
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what is glycyrrhiza glabra, glycyrrhiza uralensis
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licorice root
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what is hypericum perforatum?
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st. john's wort
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what is st. john's wort used for?
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mental disorders or nerve pain
-also been used as a sedative, to treat malaria as well as balms for wounds, burns and insect bites -depression, anxiety, and or sleep disorders |
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what is echinacea used for?
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-common cold
-immunostimulation -infections -viral infections -wound healing |
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what are the side effects of echinacea?
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-headache
-dizziness -nausea -constipation -mild epigastric pain and rash |
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___ causes thrombocytopenia in pts on etoposide
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echinacea
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what is the federal body that governs marketing standards for dietary supplements?
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federal trade commission (FTC)
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what is the governing body that regulates dietary supplements
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US food and drug administration
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what did the dietary supplement health and education act of 1994 do?
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-allows manufacturers to use various statements on a product label without pre-approval but claims must not be made about the diagnosis, prevention, treatment, or cure for a specific disease
-allows for over the counter purchase of products over the counter without stringent regulation. |
