A further complication in the conventional treatment of skin conditions is that the application of creams acts not only as a barrier to infection gaining entry to the body but as an obstruction to the release of toxic substances from the body. Given that most licensed drugs originate from various plant products, this is perhaps not surprising, but unfortunately, the isolation of identified active constituents when produced synthetically for commercial medicines produces side effects that are not normally apparent in the plants (see Chapter 2, Herbal medicine). A healing response is a. pathological obstetric cholestasis. It is interesting to note the current attention being given by pharmaceutical companies to plants traditionally used by indigenous populations for their apparent therapeutic properties (Drobnik and Drobnik 2016; Rivera et al. There is a subtle difference between the terms “complementary medicine” and “complementary therapies”. BJOG 121(8): 1015-1019. {:����4+���qcsʄ�O�/�qpI�&u�ɺ������h߾V�#/��z\,���X�Z��Is��t'����h�x3QŪ��*X��\���%��O/o�w�X/��l���071 It is worth debating here whether or not women should be warned about a possible healing reaction prior to starting complementary treatment for a specific condition. Although each therapy has its own mechanism of action, all modalities share a common philosophy of treating the “whole person” rather than merely the presenting symptom or condition. 0000009690 00000 n Therapists consider the development of symptoms as a means by which the body attempts to rid itself of toxins in order to return to homeostasis. Chapter 32: Complementary and Alternative Therapies Test Bank MULTIPLE CHOICE 1. Figure 1.1 provides a model for practice that incorporates the multiple aspects inherent in a holistic approach to care. Plants have always had an important part to play in human health and wellbeing, providing not only the oxygen we breathe, but also energy from the food we eat and phytomedicines (plant remedies), the value of which is only now being recognised. 0000038387 00000 n For example, a woman in late pregnancy reporting a headache following treatment could be experiencing a normal healing reaction, a side effect of therapy overdose, a relatively normal stress or tiredness headache, or she could be developing pre-eclampsia. Wellbeing is more than just psychological equilibrium, and involves an interaction between physical, emotional, social and occupational wellness (Hunter et al. Achieving health may be a means to an end or part of an ongoing process. endstream endobj 110 0 obj<> endobj 112 0 obj[113 0 R] endobj 113 0 obj<>>> endobj 114 0 obj<> endobj 115 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState 136 0 R>>/B[118 0 R 119 0 R 135 0 R 134 0 R 133 0 R 132 0 R 131 0 R 130 0 R 129 0 R]/LastModified(D:20061107103100+05'30')>> endobj 116 0 obj<>>> endobj 117 0 obj<> endobj 118 0 obj<> endobj 119 0 obj<> endobj 120 0 obj<> endobj 121 0 obj<> endobj 122 0 obj<> endobj 123 0 obj<> endobj 124 0 obj<> endobj 125 0 obj<> endobj 126 0 obj<> endobj 127 0 obj<> endobj 128 0 obj<> endobj 129 0 obj<> endobj 130 0 obj<> endobj 131 0 obj<> endobj 132 0 obj<> endobj 133 0 obj<> endobj 134 0 obj<> endobj 135 0 obj<> endobj 136 0 obj<> endobj 137 0 obj/Default endobj 138 0 obj/Default endobj 139 0 obj/Default endobj 140 0 obj<> endobj 141 0 obj<> endobj 142 0 obj<> endobj 143 0 obj/Default endobj 144 0 obj/Default endobj 145 0 obj/DeviceGray endobj 146 0 obj/Default endobj 147 0 obj<> endobj 148 0 obj<> endobj 149 0 obj<>stream Clients perceive complementary therapists as being “caring” and have high satisfaction levels with their experiences and with the practitioners (Luff and Thomas 2000) with, surprisingly, little difference between consultations in private practice or the NHS (Wye, Shaw and Sharpe 2013). In reality, medical practitioners commonly take a dispassionate, mechanistic and reductionist approach, viewing people essentially as machines in which a single part becomes faulty and requires mending. One of the criticisms often directed towards complementary medicine is that any apparent improvement in the clinical condition is only a placebo effect. We can obtain from plants pharmacologically active herbal medicines and essential oils, nutrition and nutritional supplements, as well as energetic medicines such as homeopathy and flower remedies (e.g. 0000011764 00000 n 0000007079 00000 n 0000042617 00000 n One only has to think of a dying person, who waits for a relative to travel halfway round the world to see them one last time before expiring, to appreciate this dynamic balance. 0000010377 00000 n • the use of complementary therapies and natural remedies in pregnancy and childbirth National health policy in all countries aims to work towards the needs of the majority, using drugs, surgery or other strategies to treat only those who are at risk or who have been identified as having a defined medical condition. 0000012978 00000 n The reasons for the increasing use of complementary therapies and natural remedies in pregnancy and childbirth are explored, together with the growing interest in its use amongst midwives and other maternity professionals. The former group includes acupuncture, massage and reflexology, which are thousands of years old, as well as the more recent disciplines of osteopathy and homeopathy, whereas the latter group includes many untested and, frankly, sometimes harmful treatments. This chapter introduces the concept of complementary medicine and explores some of the theories that support it. Introduction to complementary medicine Resolving the predominating symptoms or condition is seen as “fixing” the person, with little explicit awareness of associated emotional, social or spiritual issues. 0000003582 00000 n 0000003346 00000 n This approach is called integrative medicine when it has been discussed with and approved by your health care team. An example of this is the routine postnatal examination of a mother, which focuses on the completion of “tick charts” in assessing her for pathological complications such as retained products of conception, breast abscesses or perineal infection. Whereas proposals (not yet implemented) to establish a Complementary and Alternative Medicine Council in the UK to regulate 0000003425 00000 n ��e���j����!�����:�Q5F������0L8"�C�G�3�IFD�O����1YjTd�Cv�̰A>1j�K�� ��c��� �/��N:~ƕ3h�ٱ�6�2�:��"��-�ǑC�ݲId�O�En�D�P�����q��T���)Ê��P� S�cDGԤ�zO'�,Sٕt�r�����r�a,���Etd�� :�?� Indeed, the use of the word “patient” implies a paternalistic approach to healthcare. However, unlike many of the “quick fixes” of conventional treatment, such as cutting out a diseased organ, healing the whole person takes time. 0000037539 00000 n These therapies are often viewed as merely relaxing, without the capability to “cure” disease, although they are extremely popular with the general public. A more contemporary term used by doctors, particularly in the USA, is “integrative medicine”, implying that these modalities are integrated within mainstream medicine, although this is still often not the case. Allopathic (conventional) medicine claims to focus on the bio-psycho-social model, yet the physio-pathological aspects of health and disease predominate in the majority of specialisms. The focus is on the person to be healed, rather than on the healer. Complementary therapy and obstetrics and gynaecology: a time to integrate Michael Dooley Purpose of review ... practice is to court disaster. Complementary therapies are defined by the US National Center for Complementary and Integrative Health (NCCIH) as 'a group of diverse medical and health care systems, practices, and products that are not generally considered to be part of conventional medicine. Other natural elements are also sometimes used in medicines, such as minerals, tissue salts, bacterial cultures and even animal products, particularly in homeopathy. Unfortunately, conventional medicine often seeks to suppress these symptoms rather than to determine the underlying aetiology. 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