Patient-Centered Care – CAM and Conventional Medicine

Patient-Centered Care – CAM and Conventional Medicine

Thank you for sharing your post. Questions on the use of CAM arise at a time when conventional medical care providers are facing the challenge of examining the effectiveness as well as the efficiency of the US healthcare system. The IOM “Crossing the Chasm” report offers adequate evidence on the effective care underutilization, the overutilization of ineffective or marginally effective care, and care misuse, including errors that can be prevented in healthcare delivery. The widespread differences in the surgery rates and other common conditions interventions among what appear to be popular populations increase concerns regarding how patients and physicians make decisions. The IOM report concluded that the incremental, fragmented changes will not be enough to reach the desired quality improvement levels in the US healthcare system. A fundamental redesign of the system will be necessitated, and 10 rules of redesign will be outlined in the report. When these suggestions are taken together, they collectively advocate for a system-minded approach to making healthcare more patient-centered and knowledge-based.

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It has been argued that medical practice is characterized by variations that are often unwarranted because of failures that can be traced back to professional knowledge base management. In some instances, there is no research to back the medical practices, while in others, the knowledge is inaccessible to clinicians when decisions are being made. Additionally, where evidence is present, it is inappropriately applied or misinterpreted to apply to a patient who differs from those whose experiences form the basis of the original research. Also, different healthcare professionals will have a different understanding of how a profession has knowledge and how this knowledge has advanced. These epistemological differences could be more amplified among persons using CAM and conventional interventions. Nonetheless, sufficient randomized control trials need to form the basis on whether CAM use in specific incidences is beneficial to the patient or whether the conventional method is the only way to go (Brosnan, 2015).

References

Brosnan, C. (2015). ‘Quackery’in the academy? professional knowledge, autonomy, and the debate over complementary medicine degrees. Sociology, 49(6), 1047-1064.

IOM (Institute of Medicine) (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: National Academy Press.

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Patient-Centered Care – CAM and Conventional Medicine

According to their own website of www.nccih.nih.gov it is noted, “The National Center for Complementary and Integrative Health (NCCIH) is part of the National Institutes of Health, is the Federal Government’s lead agency for scientific research on the diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine.” The verbiage of alternative and complementary medicine are often used interchangeably for each other. However, they each have specific definitions and examples. The history of Chinese herbal medicine (CHM) is largely associated with the creative yet appealing narratives of healing (Gu & Pei 2017)

HP DISCUSSION RESPONSE

Alternative medicine refers to nontraditional wellness and health-type practice. This type of medicine practice is used when traditional Western medicine is not opted for by the patient. The term complementary medicine is used along with traditional Western medicine, meaning they are performed in-conjunction with each other, not stand alone. Some examples of this could include: mind and body practices like acupuncture, massage therapy, and tai chi.

Alternative medicine resorts to unconventional health and wellness practices as substitutes for traditional Western medicine approaches (NCCIH, 2018). An example of alternative medicine would be drinking chamomile tea for help with sleeping rather than taking a sleep medication/prescription.

The Nurse Practitioner would be integral in the validation of the current medications (if any) causing interactions with the herbal treatments. For the Nurse Practitioner in the area of alternative medicine could be utilized for additional education could be with hypnosis. Documentation can be found that potentially hypnosis may not be appropriate in people with severe mental illness. Adverse reactions to hypnosis are rare but may include Headaches. Knowing your patient has significant mental health issues would be a reason to potentially steer them away from being hypnotized. FNP’s should function as an educator for patients to understand risks vs. benefits of CAM treatments.

References