scholarly journals An integrative Approach for Wellness: An assessment of potential of Ayurveda during COVID-19 pandemic

2021 ◽  
Vol 16 (2) ◽  
pp. 100-108
Author(s):  
Richa Chauhan ◽  
Nidhi Maheshwari
Keyword(s):  
Critical Incident ◽  
Medical Science ◽  
Medical Model ◽  
Holistic Health ◽  
Transformation Process ◽  
Current Medical ◽  
Integrative Approach ◽  
Evidence Based ◽  
Holistic Wellness ◽  
Integrative System

The integrative approach for wellness has become an arena where integrating the indigenous practice with the dominant bio-medical system has activated a transformation process. Further, a debate characterized by fundamental dichotomies of health/wellness is there to find an approach in agreement with holistic wellness. The limitations of protocol-driven medical science and avoiding the patient behind the patient have again compelled us during this pandemic to explore holistic health. This paper presents an analysis and explores the feasibility of Ayurveda as an integrative system to wellness and tests the Ayurveda concept of holistic wellness against three such dichotomies: 'health' vs wellness, 'body' vs 'mind,' and 'curative vs. preventive,' where the current medical model can be said to represent the first elements in the three dichotomies. Keeping the current Covid-19 pandemic as a critical incident, researchers tried to justify that the synergistic confluence will act as a complementary/supportive knowledge in humanity's struggle against the pandemic. For synergistic confluence of Ayurveda and medical Science, the scientist's temperament and evidence-based medical science approach should be applied to validate the principles and therapies of Ayurveda.

A new approach to the history of psychiatry

2011 ◽  
Vol 26 (S2) ◽  
pp. 1058-1058
Author(s):  
R. Ramalho
Keyword(s):  
General Population ◽  
Medical Science ◽  
Medical Model ◽  
Scientific Progress ◽  
History Of Psychiatry ◽  
Current Medical ◽  
New Approach ◽  
Scientific Advancement ◽  
History Of ◽  
Objective Being

The concepts scientific progress or scientific advancement refer to a directionality of the evolution of the theoretical and practical core of a science. Beneath these concepts the notion of change is submerged in that directionality. The science of medicine framed its history in this notion of progress or advancement. By these means, it is easy to understand how the physician and the general population perceive the current medical model as the result of centuries and millennia of the mentioned progress. Psychiatry, a medical science, is no exception to this concept. This paper has the intention of introducing the history of medicine and psychiatry as a succession of changes, without a particular directionality by contextualizing the successive theories and practices as well as the transitions between models, up until the current medical science model. The objective being to demystify one of the concepts that could work for the inertia of change in the medical and the psychiatric science, in the case where doing so would be considered appropriate.

scholarly journals A Survey Based Feedback Analysis of the Current Medical Teaching Methodology and Trends in Medical Research Practice in a South Indian Medical Institute

2018 ◽  
Vol 6 (1) ◽  
pp. 6-17
Author(s):  
Supreeth Nekkanti ◽  
Sagarika Manjunath ◽  
Arun Mahtani ◽  
Archana Meka ◽  
Tanushree Rao
Keyword(s):  
Medical Education ◽  
Healthcare System ◽  
Education System ◽  
Evidence Based Medicine ◽  
Skills Training ◽  
Current Medical ◽  
Medical Institute ◽  
Teaching Methodology ◽  
Evidence Based ◽  
Based Medicine

Background: The spine of a good healthcare system is the medical education received by its doctors. As medicine is evolving, the same can be inferred regarding the delivery of medical education. This study was conducted among 541 students in a prestigious medical college in India. The aim of the study was to find out lapses in our current medical education system and steps to improve it.  Methods: A total of 541 medical students were included in this study. The only inclusion criteria being that they should be in their 2nd year MBBS or above. A questionnaire of 20 questions was given to each student and they were asked to mark the answers they felt was most appropriate. The questionnaire dealt with issues faced in our current education system regarding teaching methodology, clinical postings, research, evidence based medicine and steps to improve the healthcare system. Data was collected, analysed and statistically evaluated using Microsoft Excel and SPS version 21.0.  Results: Majority of the students felt that classroom strength should not be more than a hundred students. They felt that more innovative teaching methods and discussions should be included. Students laid emphasis on research, clinical skills training and evidence based medicine. They felt that the healthcare system also needs tweaking in terms of funding and practicing evidence based medicine to be on par with healthcare systems across the world.  Conclusion: The results in this study, resonates with the results of various other studies regarding delivery of medical education. It also takes into account the holistic approach of improving medical education and healthcare rather than focusing on one single aspect.

An Integrative Approach to Depression: Part 2—Assessment and Treatment

2003 ◽  
Vol 8 (2) ◽  
pp. 99-115 ◽  
Author(s):  
Jonathan Zuess
Keyword(s):  
Conventional Treatment ◽  
Comprehensive Assessment ◽  
Integrative Model ◽  
Treatment Modalities ◽  
Integrative Approach ◽  
Evidence Based ◽  
Assessment And Treatment

This article is the second of a two-part series presenting an integrative model for understanding and treating depression. In this part, the integrative model provides the basis for comprehensive assessment and treatment, guiding the application of a wide variety of treatments. Evidence-based complementary and conventional treatment modalities for depression are also reviewed.

Integrative Oncology

2021 ◽  
pp. 470-478
Author(s):  
Santhosshi Narayanan ◽  
Gabriel Lopez ◽  
Jun J. Mao ◽  
Wenli Liu ◽  
Lorenzo Cohen
Keyword(s):  
Symptom Management ◽  
Care Plan ◽  
Integrative Approach ◽  
Evidence Based ◽  
Patient Centered ◽  
Open Communication ◽  
Patients With Cancer ◽  
Comprehensive Plan ◽  
Body Practices

Patients with cancer often seek an integrative approach to their care in hope of a cure or symptom management. The integrative care plan requires a patient-centered approach that involves attention to their concerns and developing a comprehensive plan involving physical, mind-body, and social modalities in collaboration with the patient’s main oncology team and colleagues in palliative care, pain management, psychiatry, and rehabilitation. A personalized symptom management strategy utilizing an evidence-based application of conventional and nonconventional therapies can help improve quality of life and optimize treatment outcomes. Recommendation of modalities such as acupuncture, massage, and mind-body practices, as well as open communication and discussion on herbs and supplements, their safety, and interactions with cancer and chemotherapy, is critical to achieve optimal clinical outcomes.

The Role of Self-Efficacy and Aging in Managing Disease

2020 ◽  
pp. 207-253
Author(s):  
Debra N. Weiss-Randall
Keyword(s):  
Life Expectancy ◽  
Self Efficacy ◽  
Management Program ◽  
Self Management ◽  
Integrative Approach ◽  
Evidence Based ◽  
Quality Of Life Research ◽  
Key Factor ◽  
Causes Of Mortality ◽  
The U.S

In 1900, life expectancy in the U.S. was 47 years and infectious diseases were the leading cause of mortality; today, life expectancy in the U.S. is almost 80 years and chronic diseases are the leading causes of mortality. Eighty percent of adults 65 and older have multiple chronic health conditions, which are costly to treat. Offering older adults an evidence-based self-management program can reduce medical costs and improve patient outcomes and quality of life. Research has shown that self-efficacy is a key factor in effective self-management programs. The Chronic Disease Self-Management Program (CDSMP) is an evidence-based program that helps patients to boost their self-efficacy and improve their disease self-management, under the supervision of a physician. In addition, the use of evidence-based complementary modalities is recommended as part of an integrative approach to self-management to help patients manage the daily anger, fear, and depression that frequently accompany living with an incurable disease.

Obsessive-compulsive and related disorders in DSM-5, ICD-11, and RDoC: Conceptual questions and practical solutions

2017 ◽  
Author(s):  
Dan J. Stein
Keyword(s):  
Anxiety Disorder ◽  
Mental Disorder ◽  
Clinical Utility ◽  
Work Groups ◽  
Integrative Approach ◽  
Evidence Based ◽  
Diagnostic Validity ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dsm 5

Key nosological questions facing the DSM-5 and ICD-11 work groups on obsessive-compulsive and related disorders (OCRDs) included whether putative OCRDs should be classified together, and whether obsessive-compulsive disorder (OCD) should retain its classification as an anxiety disorder. Given that some of the putative OCRDs were new to the official nosologies, the work groups also had to grapple with the perennial questions of how to decide whether any condition is a mental disorder, and how to draw boundaries between disorder and normality. This chapter reviews some of the conceptual questions that emerged and some of the practical solutions that were suggested. The emphasis on both diagnostic validity and clinical utility is consistent with an integrative approach which holds that nosology should be both evidence-based and values-based.

scholarly journals Evidence-Based Integrative Health Care to Promote Quality of Life in Older Adults With Cancer

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 609-610
Author(s):  
Robin Majeski ◽  
Delia Chiaramonte
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Care ◽  
Cancer Care ◽  
Symptom Burden ◽  
Integrative Approach ◽  
Evidence Based ◽  
Cancer Symptoms ◽  
Integrative Health

Abstract Cancer disproportionately affects older adults and presents significant challenges to patients’ quality of life. Use of complementary medicine is increasing among older adults with cancer and these modalities have the potential for both benefit and harm. Thus, it is important that health care professionals are knowledgeable about the evidence-supported benefits and risks of complementary and integrative health approaches in the care of older adults with cancer. Integrative cancer care provides a comprehensive approach to reducing symptom burden in patients suffering with cancer symptoms and side effects of cancer treatment. Symptoms such as pain, fatigue, nausea, sleep disturbance, mood disorder, perceived stress, and reduced quality of life are common in this population.This session will discuss an evidence-based integrative approach to cancer care which incorporates both pharmacologic and non-pharmacologic modalities to decrease symptom burden, enhance patient well-being, and improve quality of life. Non-pharmacologic modalities used in the integrative approach to care will be described and relevant evidence for risks, benefits and indications will be presented. Case studies will be discussed to demonstrate the integration of these techniques into conventional western medical treatment plans for older adults with cancer. Diversity and inclusion issues relevant to integrative medicine for underserved cancer patients will be addressed, as well as recommendations for future research to expand access of underserved populations to evidence-supported integrative cancer care. A resource list will be provided to participants.

scholarly journals Medical Concepts with Clinical-Epidemiological Implications that have to be Re-Assessed Since the Coronavirus Disease 2019 (Covid-19) Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 17-27
Author(s):  
Jose Luis Turabian
Keyword(s):  
Medical Model ◽  
Big Bang ◽  
Health Centers ◽  
Evidence Based ◽  
Patient Centered ◽  
Centered Care ◽  
Health Model ◽  
Based Medicine ◽  
The Big Bang ◽  
Medical Concepts

The coronavirus disease 2019 (COVID-19) pandemic is something new that baffles us. The dominant health model and the theory that supported it until before COVID-19 are refuted or invalidated by observing the current tragically situation, which also implies lasting changes in that new medical model. Consequently, once the urgency of the epidemic is over, the conceptual and organizational building of medical care can no longer be rebuilt in the same way. Based on the COVID-19 experience, it is necessary to rethink what kind of knowledge can emerge. Some of the concepts with clinical-epidemiological implications that have to be re-evaluated since the COVID-19 pandemic are: 1. Large epidemics or changes do not arise from an event similar to the "Big Bang", but rather they develop slowly and underground, so a surveillance system must be instituted; 2. Re-evaluate what we understand by "evidence-based medicine"; 3. Patient-centered care is inadequate and must be replaced by community-centered care; 4. Telecare and changes in the organization of consultations; 5. Hospitals and health centers are "biological bombs" that act as vectors of disease and must change their architecture, organization and use; 6. The end of the nursing home model; 7. Change of habits; and 8. Social media can democratize information and help communities organize.

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