Complementary and Alternative Medicine (CAM) Therapies as a Means of Advancing Patient-Centered Care for Veterans Receiving Palliative Care

Many parents use complementary and alternative medicine (CAM) for their children. A number of medical schools are introducing CAM teaching, and this study was undertaken to explore the medical education priorities of parents who use CAM for their children. A total of 27 parents (25 females, 2 males) participated in 1 of 6 focus group discussions. Transcripts were analyzed using an iterative process of concept identification, hypothesis testing, and detailed comparisons. Participant preferences for health care for their children were complex and informed by previous health care experiences and current family health care needs. Using CAM allowed parents choice and control in managing their family’s health care. Many participant priorities for medical education in CAM echoed key principles of patient-centered care in addition to specific suggestions for curriculum development. Participating parents believed that it was important to increase medical students’ knowledge and understanding of both CAM modalities and the perspectives of parents.

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Putting Integrative Oncology Into Practice: Concepts and Approaches

Journal of Oncology Practice ◽

10.1200/jop.18.00554 ◽

2019 ◽

Vol 15 (1) ◽

pp. 7-14 ◽

Cited By ~ 9

Author(s):

Shelly Latte-Naor ◽

Jun J. Mao

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Negative Impact ◽

Holistic Health ◽

Therapeutic Interventions ◽

Integrative Oncology ◽

Lifestyle Modifications ◽

Patient Centered ◽

Centered Care ◽

Complementary And Alternative

Unmet symptom needs and a desire for holistic health approaches or even cure are among the motivations patients have for seeking out complementary and alternative medicine. Using complementary and alternative medicine instead of conventional cancer treatment can have a negative impact on clinical outcomes and survival. Integrative oncology is a patient-centered, evidence-informed field of comprehensive cancer care that uses mind-body practices, natural products, and lifestyle modifications from different traditions alongside conventional cancer treatments. It prioritizes safety and best available evidence to offer appropriate therapeutic interventions along with conventional care. This review summarizes the underlying principles of integrative oncology and how it is distinct from alternative medicine, and it provides a practical guide for the effective application of evidence-based complementary and alternative medicine interventions in patient-centered care. In addition, we recommend resources for patients and clinicians and provide algorithms for appropriate integrative medicine referrals. Finally, we offer suggestions on developing and implementing an integrative oncology program and addressing current challenges in the field.

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Patient-Centered Care and Autonomy: Shared Decision-Making in Practice and a Suggestion for Practical Application in the Critically Ill

Journal of Intensive Care Medicine ◽

10.1177/0885066619870458 ◽

2019 ◽

Vol 35 (11) ◽

pp. 1352-1355

Author(s):

Marianna V. Mapes ◽

Peter A. DePergola ◽

William T. McGee

Keyword(s):

Decision Making ◽

Palliative Care ◽

Critically Ill ◽

Care Service ◽

Clinical Care ◽

Patient Centered Care ◽

Practical Application ◽

Patient Centeredness ◽

Patient Centered ◽

Centered Care

Decision-making for the hospitalized dying and critically ill is often characterized by an understanding of autonomy that leads to clinical care and outcomes that are antithetical to patients’ preferences around suffering and quality of life. A better understanding of autonomy will facilitate the ultimate goal of a patient-centered approach and ensure compassionate, high-quality care that respects our patients’ values. We reviewed the medical literature and our experiences through the ethics service, palliative care service, and critical care service of a large community teaching hospital. The cumulative experience of a senior intensivist was filtered through the lens of a medical ethicist and the palliative care team. The practical application of patient-centered care was discerned from these interactions. We determined that a clearer understanding of patient-centeredness would improve the experience and outcomes of care for our patients as well as our adherence to ethical practice. The practical applications of autonomy and patient-centered care were evaluated by the authors through clinical interactions on the wards to ascertain problems in understanding their meaning. Clarification of autonomy and patient-centeredness is provided using specific examples to enhance understanding and application of these principles in patient-centered care.

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An Innovative Patient-centered Approach to Common Playing-related Pain Conditions in Musicians

Medical Problems of Performing Artists ◽

10.21091/mppa.2004.4028 ◽

2004 ◽

Vol 19 (4) ◽

pp. 170-173

Author(s):

Marc Brodsky ◽

Ka-Kit Hui

Keyword(s):

Quality Of Life ◽

Health Care ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Medical Systems ◽

Case Discussion ◽

Patient Centered ◽

Complementary And Alternative

Musicians are increasingly seeking out complementary and alternative medicine (CAM) to relieve suffering that results from playing-related pain conditions. Using an innovative patient-centered model, an approach has been developed that can incorporate various medical systems and therapeutics to offer safe, effective, affordable, and accessible health care for musicians. A case discussion explores how musicians, through combining different traditions of medicine in orchestration, can optimize their quality of life while meeting their needs of prevention and rehabilitation of occupation-related conditions.

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Complementary and alternative medicine in palliative care

10.1093/med/9780199234356.003.0046 ◽

2010 ◽

Author(s):

Max Watson ◽

Caroline Lucas ◽

Andrew Hoy ◽

Jo Wells

Keyword(s):

Palliative Care ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Medical Systems ◽

Complementary And Alternative

This chapter on complementary and alternative medicine in palliative care covers alternative medical systems, mind-body therapies, biologically-based practices, and manipulative and body-based therapies.

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Engaging with complementary and alternative medicine in general practice

Journal of Primary Health Care ◽

10.1071/hc11029 ◽

2011 ◽

Vol 3 (1) ◽

pp. 29 ◽

Cited By ~ 5

Author(s):

Marion Upsdell ◽

Chrystal Jaye

Keyword(s):

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

General Practitioners ◽

Structured Interview ◽

Patient Centered ◽

Health Practitioners ◽

Patient Centered Medicine ◽

Access To Knowledge ◽

Practice Patient ◽

Complementary And Alternative

INTRODUCTION: A number of surveys in New Zealand have documented the growing interest and experience that GPs have in their encounters with complementary and alternative medicine. This study has focussed on reasons why some GPs choose to engage with CAM, how these reflect their aims of health care, the difficulties they encounter and how these are negotiated within the consultation. METHOD: A sample of 12 mainstream GPs from the greater Auckland area agreed to a semi-structured interview, and the transcripts were analysed using grounded theory technique. FINDINGS: All general practitioners interviewed in this study were confronted to a greater or lesser extent with their patients interest in CAM. Not all chose to engage with the subject. Those who did engage cited a number of reasons for doing so which included a desire to remain patient-centred, to place their patients choices within the context of a good diagnosis, to provide what evidence-based information they could and to minimise potential harms from its use. CONCLUSION: This study adds weight to findings in previous studies that many general practitioners encounter CAM in their consultations and explores reasons why they choose to engage with it. The findings suggest that increased dialogue with non-mainstream health practitioners and access to knowledge sources giving a basic understanding of CAM practices and philosophies that both CAM and mainstream practitioner communities regard as reliable would be of benefit to these GPs. KEYWORDS: Complementary and alternative medicine; family practice; patient-centered medicine

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Health literacy and palliative care

Public Health Forum ◽

10.1515/pubhef-2016-2129 ◽

2017 ◽

Vol 25 (1) ◽

pp. 94-95

Author(s):

Melissa G. French

Keyword(s):

Health Care ◽

Palliative Care ◽

Health Literacy ◽

Patient Preferences ◽

Health Care Organizations ◽

Patient Centered Care ◽

Patient Centered ◽

Centered Care ◽

Pathway To Care

Abstract Health literacy and palliative care have been receiving more attention within health care organizations and systems in recent years. Both can offer a pathway to care that is better for patients and has the potential to be of high value. A health literate approach to palliative care provides patient-centered care that is better aligned with patient preferences and needs.

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