Advanced Clinical Naturopathic Medicine
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Advanced Clinical Naturopathic Medicine engages the reader and evolves their knowledge and understanding from the fundamental Clinical Naturopathic Medicine to a more specialised focus. Written by Leah Hechtman, it concentrates on advanced topics commonly encountered in clinical practice, including new advancements and cutting-edge research, as well as foundational aspects of clinical practice. This new title showcases how transformative and effective naturopathy is and offers insight into the depth of naturopathic practice and its vital role in the healthcare system. With the profession constantly evolving and naturopathy more-often incorporated into specialty practices, this publication is a timely resource to guide clinicians and students through complicated areas of expertise and specialisation while keeping the primary principle of patient-centred care at the forefront of the reader’s mind.
Table of Contents
- Cover image
- Title Page
- Table of Contents
- Copyright
- Foreword
- Acknowledgments
- Preface
- About the Author
- List of Contributors
- 1 Global naturopathic medicine
- Global scope of naturopathic medicine
- Global health governance: the World Health Organisation
- Global representation: the World Naturopathic Federation
- A global profession – similarities and differences
- References
- 2 Environmental medicine
- History-taking
- Who is susceptible?
- Environmental triggers of disease
- Toxicants
- Electromagnetic fields
- Allergens
- References
- 3 Chelation
- Description
- History
- Chelating agents
- Chelatable toxicants
- Assessment of toxic metals
- Challenge testing
- Side effects
- References
- 4 Detoxification
- Introduction/overview
- Toxins/toxicants
- Assessment of toxins/toxicants
- Organs involved in toxin elimination
- Detoxification strategies
- References
- 5 Naturopathic hydrotherapy
- Introduction
- Modern naturopathic hydrotherapy
- Hydrotherapy and its connection to modern naturopathic clinical theory
- The effects of water on tissues and systems
- General guidelines for administering hydrotherapy
- Contraindications, cautions and dysfunctional reactions
- Commonly prescribed naturopathic hydrotherapy treatments
- Evidence supporting therapeutic uses of water
- Acknowledgments
- References
- 6 The microbiome
- Overview
- The dermatological microbiota
- The nasopharyngeal microbiota
- The oral microbiota
- The breastmilk microbiota
- The vaginal microbiota
- The gastrointestinal microbiota
- References
- 7 Methylation
- Introduction
- Developmental and evolutionary origins
- Chemistry and biochemistry of the methyl group
- Revision of key biochemical structures
- Revision of basic molecular biology
- Methylation and mitochondria
- Transcription and translation
- Protein synthesis
- Protein methylation and post-translational modification
- Epigenetics, methylation and gene expression
- Metabolic pathways
- Altered methylation patterns: hypomethylation and hypermethylation
- Beyond genetics: methylation and our broader physiology
- Key nutrients
- Methylation deficits and associated conditions
- Special topics
- Laboratory assessment of methylation
- Therapeutics and prescriptions
- References
- 8 Genetics and epigenetics
- The ‘omics’ revolution
- Regulation of genetic screening
- Introduction to DNA and gene expression
- The role of genetic testing in healthcare
- Putting it all together
- References
- 9 Mind–body medicine
- Introduction
- Biomedicine
- Mind–body medicine
- Mind–body therapeutics
- References
- 10 Sports naturopathy
- Introduction
- Exercise physiology
- Energy requirements
- Carbohydrates
- Protein
- Fats
- Fuelling for training and recovery
- Hydration and dehydration
- Fuelling for competitions and race day
- Drugs in sport
- Evidence-based supplements
- Working with sports clients
- References
- 11 Fertility – Female and male
- Epidemiology
- Classification
- References
- Appendix 11.1 Fertility chart
- Appendix 11.2 Timeline of embryonic development
- Appendix 11.3 hCG interpretation
- Appendix 11.4 General IVF protocol
- Appendix 11.5 WHO criteria – semen analysis
- Appendix 11.6 WHO Guidelines for Semen Analysis (2010, 5th edition)
- 12 Miscarriage
- Overview and definition
- Statistics
- Risk of miscarriage by number of weeks of gestation of pregnancy
- Risk of miscarriage by maternal age
- Fetal heart rate as miscarriage risk determinant
- Aetiology of miscarriages
- Treatment approaches
- Therapeutic rationale for botanical medicines
- Nutritional medicine (dietary)
- Therapeutic rationale for nutritional medicines
- References
- 13 Pregnancy and labour
- Introduction
- Epidemiology
- Models of antenatal care
- The role of the naturopath
- Modes of delivery
- Emotional and psychological wellbeing
- Epigenetics and the origins of disease
- Safety issues in pregnancy
- Nutritional assessment
- Weight in pregnancy
- Nutritional Medicine – Dietary
- Nutritional Medicine – Supplementation
- Trimester 1
- Trimester 2
- Third trimester
- Labour and childbirth
- Fourth trimester: the postnatal period
- The pregnancy care plan
- References
- Appendix 13.1 Tools to assess NVP
- Appendix 13.2 Edinburgh Postnatal Depression Scale (EPDS)
- 14 Breastfeeding
- Introduction
- The World Health Organization recommendations for breastfeeding
- Historical context
- Breastfeeding: barriers and enablers
- Working with new mothers – the role of the naturopath
- Functions of breastfeeding
- Nutritional considerations for the breastfeeding mother
- The breast milk microbiome
- Anatomy and physiology of lactation
- Breastfeeding initiation
- Breastfeeding support
- Common breastfeeding challenges
- Medications/drugs and breastfeeding
- Breastfeeding and HIV
- Maternal infant sleep and breastfeeding
- Conclusion
- References
- 15 Infancy
- Introduction
- Good referral practice
- The fourth trimester: the newborn 0–3 months
- Arrival
- Growth and development
- Shaping the early intestinal microbiota
- Infant gastrointestinal development
- Nutritional requirements 0–12 months
- Introduction of solids
- Naturopathic management of common infantile presentations
- Common infantile presentations
- References
- 16 Paediatrics and adolescence
- Introduction
- Dosage calculations
- Growth and developmental nutrition – 12–36 months – the toddler
- Nutritional requirements – 12–36 months – the toddler
- Growth and developmental nutrition – middle childhood – 36 months–10 years
- Nutritional requirements – middle childhood – 36 months–10 years
- Growth and developmental nutrition – adolescence – 10 years and older
- Nutritional requirements – adolescence – 10 years and older
- Specific conditions
- Environmental chemicals and paediatric and adolescent health
- References
- Appendix 16.1 Dietary planning
- Appendix 16.2 Essential oils
- 17 Geriatrics
- Introduction
- Epidemiology
- Ageing
- Assessment
- Geriatric syndromes
- Pharmacokinetics, polypharmacy and posology
- Diet and nutritional issues
- References
- 18 Autism spectrum disorder (ASD)
- Epidemiology
- Overview
- Classification
- Contributing factors
- Diagnosis
- The biomedical approach to autism and ASD
- Attention deficit (hyperactivity) disorder – AD(H)D
- References
- 19 Down syndrome
- Introduction
- Prenatal diagnosis
- Diagnosis at birth: impact on parents
- Improving cognitive potential through enhanced pregnancy care
- Family
- Infant care
- Childhood–school-age years
- Adolescence
- Adulthood
- End-of-life care
- Specific health concerns
- Therapeutic considerations
- Therapeutic application
- References
- Appendix 19.1 Sexual health resources for parents, carers and health professionals working with people with Down syndrome and other learning disabilities
- Appendix 19.2 Sexual health resources for people with Down syndrome and other learning disabilities, with the support of carers or family members
- Appendix 19.3 Plymouth dementia screening checklist
- 20 The endocannabinoid system and cannabis
- Introduction
- Evolution of the endocannabinoid system
- Anatomy of the endocannabinoid system
- Physiology of the endocannabinoid system
- The ECS and clinical challenges
- The genus Cannabis
- References
- 21 Cancer – Advanced I
- Cancer pathogenesis and treatment
- Scope of practice for the natural healthcare provider
- Case studies of most common types of cancer to highlight approach
- References
- 22 Cancer – Advanced II
- Part A
- Part B
- References
- 23 HIV (human immunodeficiency virus)
- HIV statistics (World Health Organization [WHO] HIV/AIDS statistics and data)
- AIDS statistics,
- Classification
- AIDS definition
- Aetiology
- HIV overview
- Differential diagnosis
- Naturopathic diagnosis
- Monitoring the patient
- Specific naturopathic investigations
- Historical perspective
- Naturopathic perspective
- Stages of treatment
- Nutritional medicine (dietary)
- Nutritional medicine (supplemental)
- Herbal medicine
- Lifestyle recommendations
- References
- 24 Lyme disease and co-infections
- Introduction
- Broadening the definition of Lyme disease
- Stages of Lyme disease
- Epidemiology of Lyme disease
- How is Lyme transmitted?
- Signs and symptoms of Lyme disease
- Testing for Lyme disease
- Treatment of Lyme disease
- Naturopathic approaches to Lyme disease and co-infections
- Conclusion
- References
- Index
- Interactions table
- Herb/nutrient–drug interactions tables
- References
Product details
- No. of pages: 1000
- Language: English
- Copyright: © Elsevier 2020
- Published: May 5, 2020
- Imprint: Elsevier
- Paperback ISBN: 9780729542654
About the Author
Leah Hechtman
Affiliations and Expertise
Director, The Natural Health and Fertility Centre, Sydney, Australia
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