Advanced Clinical Naturopathic Medicine

1st Edition - May 5, 2020
Author: Leah Hechtman
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 2 9 5 - 4 2 6 5 - 4
eBook ISBN:
9 7 8 - 0 - 7 2 9 5 - 8 6 3 7 - 5

Advanced Clinical Naturopathic Medicine engages the reader and evolves their knowledge and understanding from the fundamental Clinical Naturopathic Medicine to a more specialised… Read more

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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.

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