Use of Cams in Pediatrics
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CAMS Notes:CAMS Use in Children (why the sudden popularity?):[pic 1]Readings: Use of CAMS in Pediatrics:NIH defines complementary and alternative medicine (CAM) as a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional Western medicine. Also called holistic or integrative medicine.Complementary: use in conjunction with other treatment; Alternate: use instead of other treatment In the US, more than a third of adults use CAM. Visits have increased by 47.3% (420 in 1990 to 629M in 97). Yet pediatric CAM research is 7%Use of CAMs higher in special needs, homeless, chronic or terminal patients (children).eg-asthma, add, cancer, cerebral palsy, etc66% did not inform their child’s doctor of CAM usage; Methods are more congruent with patients philosophical, beliefs, values towards health and life, versus plain efficacy over conventional meds.Reasons cited: WOM, ineffective treatment, fear of side or adverse effects of drugs, more personal attention.Most common CAM modality covered by insurance in 98 was chiropractic care. CPT (Current Procedural Terminology) codes are not available for every CAM modality, some practitioners instead use ABC codes.DSHEA- Act relating to regulation of dietary and health supplements- manufacturers bare the burden of proof of ingredient safety. For new ingredients, a manufacturer must only provide evidence to prove the product is ‘reasonably expected to be safe’. FDA must prove its unsafety before restricting its use, it depends on Medi-watch for this data. Claims to heal must be checked by the FDA.Kemper Model of Holistic Care; Biochemical: herbs, supplements; Lifestyle: Meditation, biofeedback; Biomechanical: massage, chiropractic; Bioenergetic: Acupuncture, homeopathy, reikiNCCAM identification: Mind body medicine- Yoga, Deep breathing, guided imagery, hypnosis, meditation, biofeedbackBiologically Based Practices- Herbs and supplements, Special diets, psychedelics, thcManipulative and Body Based Techniques- Exercise, Massage, Chiropractic, DanceEnergy Medicine- Reiki, Tai Chi, Chakra therapy, Spirituality, Therapeutic TouchWhole Health Systems- Ayurveda, TCM, Homeopathy, Naturopathy, Native American MedicineQuality and similarity of research products in a main obstacle.Homeopathy: Samuel Hahnemann ‘like cures like’. Substances given in high doses cause symptoms of diseases, these same substances given in small doses act as cures. Greater dilution=greater potencyLargest Users of Cams: 18-29 Adolescents,50-59, Children with chronic illness or disability, ethno cultural groups,Klassen et. All (2005). For randomized controlled trials, the quality of reports of complementary and alternative medicine was as good as reports of conventional medicine. Journal of Clinical Epidemiology, 58(8), 763-768.Read: Legal, Research, ConclusionPrinciples of Integrative Medicine- Optimal Emotional and Physical Health, Attention to the whole person, Acceptance and Care, Scientific Approach, Prevention, Identify Self-Healing Ability, Integrative Approach, Individual Patient Centered Care, Relationship Centered Care, Teaching by Example, Recognize Growth, Shared Responsibility within Health providers

History of Medicine Part 1 and 2:Natural vs pseudo-natural (artificial) medicinesTraditional Evidence: Procedure based, provings, case studies, systematic observation, inductive (bottom up logic)Complementary Medicine: Complements an existing optionNatural medicine: Existing or derived from nature; not made or caused by humankindTraditional Medicine: Handed down, folk, oral instruction for medicine used in accordance to tradition.Alternative Medicine: Relating to activities that depart from or challenge tradition. (integrative and Integrated Medicine)What is Health?“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” – World Health OrganisationWhat is Disease?Disturbance of vitalityWhat is the Cause?Imbalance of energiesWhat are Symptoms … really?Warning signsRepresentation of underlying conditionsSymptoms are not the diseaseRoots of natural medicine: Aegean Civilisation-The MinoansAncient Greek medicine: transition from supernatural ideas of disease to empirical ideas, to philosophical and finally scientific ideas.Balneotherapy-healing through baths( thermal springs)Paracelsus-Auroleus Phillipus Theostratus Bombastus von Hohenheim (Dutch army surgeon): Father of toxicology “dose makes the poison”New crops: Tomatos, potatos, capsicum and grains become staplesTimeline of introduction of natural products to the west: Quinine, tobacco, chocolate, coffee, teaWar advanced surgery and medicine -leaches, cauterizing, lime juice, trepanation, battle woundsIndustrialization, urbanization leads to issues of public health-choleraEdward Anthony Jenner: Father of Immunology: smallpox vaccineJoseph Lister: pioneer of antiseptic surgery; carbolic acid to sterilize instruments and clean woundsConstructionism and Holism: connection of mind and bodyNaturopathy is a holistic approach to ‘wellness’, disease prevention and integrated health care.  The concept of ‘nature cures’ dates back to Hippocrates.  Hippocrates embraced ‘holistic’ and ‘vitalistic’ principles.   Principles of naturopathy:The healing power of natureFirst do no harmIdentify and treat the causeTreat the whole personPreventionDoctor as teacherTherapies-Diagnostics-HerbalismNutritional medicine: study of food as medicineAyurveda: regulate doshas using psycho somatic approachTCM: disease is physical expression of unbalance. Yin- dark, Yang-LightManual  Therapy: Massage, touch: manipulation of the body soft tissue to promote health

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Alternative Medicine And Greater Dilution. (May 31, 2021). Retrieved from