Integrative Medicine

Integrative Medicine

5th Edition - August 12, 2022

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  • Editors: David Rakel, Vincent Minichiello
  • Hardcover ISBN: 9780323777278
  • eBook ISBN: 9780323777285

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Description

Written by physicians who are experts in both traditional and complementary medicine, Integrative Medicine, 5th Edition, uses a clinical, disease-oriented approach to safely and effectively incorporate alternative therapies into primary care practice. Drawing on available scientific evidence and the authors’ first-hand experiences, it covers therapies such as botanicals, supplements, mind-body, lifestyle choices, nutrition, exercise, spirituality, and other integrative medicine modalities. This highly regarded reference offers practical guidance for reducing costs and improving patient care while focusing on prevention and wellness for a better quality of life.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Any screen, Any time, Anywhere
  • Copyright
  • Dedication
  • Contributors
  • Foreword
  • Preface
  • Using the Evidence-Versus-Harm Grading Icons
  • Grading the Evidence
  • Grading the Potential Harm
  • Strengths of Evidence-Versus-Harm Grading
  • Limitations of Evidence-Versus-Harm Grading
  • Summary
  • Part I: Integrative Medicine
  • 1. Philosophy of Integrative Medicine
  • A Brief History of Integrative Medicine
  • Integrative Health
  • Reducing Suffering
  • The Future
  • Conclusion
  • References
  • Multiple Choice Questions
  • 2. Optimal Healing Environments
  • The Optimal Healing Environment
  • Spiritual Connection
  • Creating an Optimal Healing Environment in the Clinical Setting
  • Foundations of a Healing Encounter
  • The Value of Creating Optimal Healing Environments and the Hope Note
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 3. The Healing Encounter
  • Practitioner Versus Pill
  • Mindfulness in Your Practice
  • The 3 Ps: Pause, Presence, and Proceed
  • Five Questions to Consider Before Prescribing a Therapy
  • Steps to Enhance the Healing Encounter
  • Conclusion
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 4. The Whole Health Approach
  • Why whole health?
  • What is whole health?
  • Whole Health Care in Practice: a Closer Look
  • The Future: Transforming the System
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 5. Clinician Resilience
  • Abstract
  • The Problem
  • The Costs of Caring
  • Solutions at the Individual Level: Building Resilience
  • Solutions at the Individual Level: Mindfulness
  • Solutions at the Individual Level: Transforming Suffering
  • System Level Solutions: Putting the Care Back in Health Care
  • References
  • Multiple Choice questions
  • Part II: Integrative Approach to Disease
  • Section I: Affective Disorders
  • 6. Depression
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Nutrition
  • Dietary Supplements
  • Botanicals
  • Mind–Body Therapy
  • Other Traditional and Spiritual Healing Techniques
  • Acupuncture
  • Phototherapy
  • Pharmaceuticals
  • Electroconvulsive Therapy
  • Therapies to Consider for Depression
  • Ketamine
  • References
  • Multiple Choice Questions
  • 7. Anxiety
  • Abstract
  • Definition and Diagnostic Criteria
  • Comorbid Conditions
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • Multiple Choice Questions
  • References
  • 8. Attention-Deficit/Hyperactivity Disorder
  • Abstract
  • Introduction
  • Integrative Approach to Adhd
  • Lifestyle
  • Nutrition
  • Botanicals and other Supplements
  • Mind–Body and other Therapies
  • Adhd in other Medicine Systems
  • Emerging Therapies
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 9. Autism Spectrum Disorder
  • Prevalence, Characteristics, and Guidelines for Complementary and Integrative Health Therapies in Autism
  • Pathophysiology
  • Integrative Therapy
  • Pharmaceuticals
  • Supplements
  • Botanicals and Herbal
  • Mind–Body Medicine
  • References
  • Multiple Choice Questions
  • 10. Insomnia
  • Definitions
  • Etiology
  • Pathophysiology
  • Consumer Sleep Technology
  • Integrative Therapies
  • Mind–Body Therapy
  • In Closure
  • References
  • Multiple Choice Questions
  • 11. Posttraumatic Stress Disorder (PTSD)
  • Integrative Therapy
  • Mind–Body
  • Visualization and Guided Imagery
  • Therapies to Consider
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section II: Neurology
  • 12. Alzheimer Disease
  • Pathophysiology
  • Integrative Therapy
  • Therapies to Consider
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 13. Headache
  • Abstract
  • Introduction
  • Burden of Illness, Treatment Satisfaction, and Cross-Over
  • Prevalence, Rationale, and Patterns of Integrative Care
  • Diagnosis
  • Pathophysiology
  • Planning Treatment to Optimize Care
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 14. Peripheral Neuropathy
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • References
  • 15. Multiple Sclerosis
  • Abstract
  • Pathophysiology
  • Etiology
  • Diagnosis
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 16. Parkinson Disease
  • Abstract
  • Clinical Signs And Symptoms of Parkinson Disease
  • Risk Factors
  • Pathophysiology
  • Integrative Therapy for Parkinson Disease
  • Therapies To Consider
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section III: Infectious Disease
  • 17. Otitis Media
  • Pathophysiology
  • Integrative Therapy
  • Nutrition
  • Biochemical
  • Biomechanical
  • Therapies to Consider
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 18. Chronic Sinusitis
  • Pathophysiology
  • Symptoms and Diagnosis
  • Integrative Therapy: the Respiratory Healing Program
  • Integrative Therapy: Treating and Preventing Sinus Infections and Colds
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 19. Acute Respiratory Infection Cold and Flu
  • Abstract
  • Illness Experience and Disease Pathophysiology
  • Psychosocial Influences
  • Integrative Therapies
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 20. HIV Disease and AIDS
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Pharmaceuticals
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 21. Herpes Simplex Virus
  • Epidemiology
  • Clinical Manifestation
  • Integrative Therapy
  • References
  • Multiple Choice Questions
  • 22. Chronic Hepatitis
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Lifestyle Interventions
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 23. Urinary Tract Infection (UTI)
  • Abstract
  • Integrative Therapies
  • Biochemical
  • Lifestyle: Behavioral Changes
  • Bioenergetic
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 24. Lyme Disease
  • Abstract
  • Pathophysiology
  • Clinical Manifestations
  • Diagnosis and Testing
  • Integrative Therapy
  • Lifestyle
  • Pharmaceuticals for Posttreatment Lyme Disease Syndrome
  • Therapies to Consider for Posttreatment Lyme Disease Syndrome
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section IV: Cardiovascular Disease
  • 25. Non-Pharmaceutical Approaches to Hypertension
  • Integrative Therapy
  • References
  • Multiple Choice Questions
  • 26. Heart Failure
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 27. Coronary Artery Disease
  • Integrative Approaches to Cardiovascular Disease
  • Integrative Therapy
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 28. Nutrition and Nutritional Supplements in the Management of Dyslipidemia
  • Introduction
  • Pathophysiology
  • Integrative Therapy
  • Future Perspectives
  • References
  • Multiple Choice Questions
  • 29. Arrhythmias
  • Abstract
  • Pathophysiology
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section V: Allergy/Immunology
  • 30. Asthma
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 31. The Allergic Patient
  • Pathophysiology
  • Integrative Therapy
  • Supplements
  • Botanicals
  • Pharmaceuticals
  • Immunotherapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 32. Food Allergy and Intolerance
  • Nomenclature
  • Pathophysiology
  • Research Validation
  • Diagnosis
  • Integrative Therapy
  • Celiac Disease Versus Nonceliac Gluten Sensitivity
  • Key Web Resources
  • References
  • Reference
  • Multiple Choice Questions
  • Appendix A Allergy Elimination Diet
  • Foods You Must Avoid
  • Read Labels
  • Foods You May Eat
  • General Suggestions
  • Plan Meals
  • People with Limited Access to a Health Food Store
  • Dining Out
  • Withdrawal Symptoms
  • Testing Individual Foods
  • Food Sources for Testing
  • Testing Procedure
  • After the Testing
  • Suggestions for Self-Help
  • 33. Integrative Medicine and Immune Support
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Therapies to Consider
  • Key Web Resources
  • MCQ References
  • Multiple Choice Questions
  • Section VI: Metabolic/Endocrine Disorders
  • 34. Prediabetes
  • Abstract
  • Defining Prediabetes
  • Diagnosis
  • Prevalence
  • Pathophysiology
  • Risk Factors
  • Sequelae
  • Metabolic Syndrome, Nonalcoholic Fatty Liver Disease, and Insulin Resistance
  • Integrative Therapy
  • Lifestyle Factors
  • Exercise
  • Nutrition
  • Sleep
  • Mind–Body
  • Supplements and Botanicals
  • Pharmaceuticals
  • Bariatric Surgery
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 35. Diabetes Mellitus
  • Pathophysiology
  • Integrative Therapy
  • Acknowledgment
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 36. Hypothyroidism
  • Abstract
  • Pathophysiology
  • Environment
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 37. Polycystic Ovarian Syndrome
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 38. Osteoporosis
  • Abstract
  • Epidemiology and Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 39. An Integrative Approach to Obesity
  • Introduction
  • Pathophysiology
  • Pathogenesis
  • Integrative Assessment
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 40. MTHFR Polymorphisms, Homocysteine, and Nutrient Needs
  • Pathophysiology
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 41. Stress-Induced Hypothalamic–Pituitary–Adrenal Axis Dysfunction
  • Chronic Stress Depletes Metabolic Reserve
  • Physiology of the Stress Response
  • The Hypothalamic–Pituitary–Adrenal Axis
  • Cortisol Signaling: Modulating Target Tissue Responses
  • Integrative Therapy
  • Common Patterns of Dysfunction
  • Solutions for Hypothalamic–Pituitary–Adrenal Axis Dysfunction
  • References
  • Multiple Choice Questions
  • Section VII: Nephrology
  • 42. Chronic Kidney Disease
  • Introduction
  • Definition
  • Integrative Therapy
  • Key Web Resources
  • Acknowledgments
  • References
  • Multiple Choice Questions
  • Section VIII: Gastrointestinal Disorders
  • 43. Irritable Bowel Syndrome
  • Abstract
  • Irritable Bowel Syndrome
  • Nutrition
  • Food Allergy
  • Gluten Senstivity and Celiac Disease
  • Lactose and Fructose Intolerance
  • FODMaps
  • Supplements
  • Traditional Chinese Medicine
  • Ayurveda
  • Kampo
  • Mind–Body Therapies
  • Pharmaceuticals
  • Chlorine-Rich Intestinal Secretions
  • Other Therapies
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 44. Gastroesophageal Reflux Disease and Functional Dyspepsia
  • Abstract
  • Classification
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 45. Peptic Ulcer Disease
  • Pathophysiology
  • Integrative Therapy
  • Biomechanical
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 46. Recurring Abdominal Pain in Pediatrics
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 47. Constipation
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 48. Nonalcoholic Steatohepatitis/Fatty Liver
  • Pathophysiology
  • Diagnosis
  • Differential Diagnosis
  • Monitoring
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section IX: Autoimmune Disorders
  • 49. Fibromyalgia
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Summary
  • Key Web Resources
  • Answers
  • References
  • Multiple Choice Questions
  • 50. Chronic Fatigue Syndrome
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 51. Rheumatoid Arthritis
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 52. Inflammatory Bowel Disease
  • Pathophysiology
  • Integrative Therapies for Inflammatory Bowel Disease
  • Key Web Sources
  • References
  • Multiple Choice Questions
  • Appendix A Primary Nutritional Problems Related to Crohn Disease
  • Appendix B Global Clinical Practice Guideline
  • Appendix C Brown Gastrointestinal Quality Of Life (QOL) Questionnaire
  • Symptom Chart
  • Section X: Obstetrics/Gynecology
  • 53. Preconception Counseling and Fertility
  • Overview
  • Overview
  • Introduction
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 54. Perimenopause to Menopause
  • Abstract
  • Pathophysiology
  • Treatment Controversy
  • Assessing Risk Before Treatment
  • Integrative Therapy
  • Traditional Chinese Herbal Formulas
  • Hormone Replacement Therapy
  • Route of Administration
  • Dosing
  • Tai Chi, Meditation, Progressive Muscle Relaxation, and Breathwork
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 55. Premenstrual Syndrome
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 56. Dysmenorrhea
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 57. Uterine Fibroids (Leiomyomata)
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 58. Vaginal Dryness
  • Description and Prevalence
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section XI: Urology
  • 59. Benign Prostatic Hyperplasia
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 60. Urolithiasis (Kidney and Bladder Stones)
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Therapies to Consider
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 61. Chronic Prostatitis
  • Abstract
  • Pathophysiology
  • Diagnosis
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 62. Erectile Dysfunction
  • Pathophysiology
  • Evaluation
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 63. Testosterone Deficiency
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • Section XII: Musculoskeletal
  • 64. Osteoarthritis
  • Pathophysiology
  • Integrative Approaches
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 65. Myofascial Pain Syndrome
  • Epidemiology
  • Diagnosis
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 66. Chronic Low Back Pain
  • Introduction
  • Pathophysiology
  • Specific Pathology
  • Psychosocial Factors
  • Evaluation
  • Rule out Specific Pathology
  • Differentiating Nonspecific Low Back Pain
  • Identify Psychosocial Factors
  • Evaluate Lifestyle and Health Goals
  • Integrative Therapy
  • Lifestyle
  • Exercise Therapy
  • Mind–Body Therapies
  • Biomechanical Therapies
  • Massage
  • Bioenergetics
  • Biochemical Therapies
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 67. Neck Pain
  • Abstract
  • Pathophysiology
  • Physical Examination
  • Integrative Therapy
  • Biomechanical Therapy
  • Therapies to Consider
  • Botanicals and Supplements26,42,67,155
  • Key Web Resources
  • References
  • MCQ References
  • Multiple Choice Questions
  • 68. Gout
  • Pathogenesis and History
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 69. Carpal Tunnel Syndrome
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section XIII: Dermatology
  • 70. Atopic Dermatitis
  • Abstract
  • Diagnosis
  • Pathophysiology
  • Skin Microbiome
  • Allergens
  • Allergen Elimination
  • Hormones
  • Sweat
  • Emotional Stress
  • Integrative Therapy
  • Lifestyle and Supportive Care
  • Harsh Soaps and Detergents
  • Moisturizers After Bathing
  • Wet Dressings
  • Nutrition
  • Phosphodiesterase-4 Inhibitors
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 71. Psoriasis
  • Pathophysiology and Clinical Background
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 72. Urticaria
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 73. Hair Loss
  • Pathophysiology
  • Basic Biology of Hair
  • Genetic Patterned Alopecia
  • Alopecia Areata
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 74. Acne Vulgaris and Acne Rosacea
  • Abstract
  • Acne Vulgaris
  • Integrative Therapy
  • Rosacea
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section XIV: Cancer
  • 75. Breast Cancer
  • Abstract
  • Pathophysiology
  • Risk Factors
  • Screening
  • Integrative Therapy
  • Conventional Treatment
  • Key Web Resources
  • Acknowledgments
  • References
  • Multiple Choice Questions
  • 76. Lung Cancer
  • Abstract
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • Acknowledgments
  • References
  • Multiple Choice Questions
  • 77. Prostate Cancer
  • Abstract
  • Screening and Early Diagnosis
  • Diagnosis and Staging
  • Integrative Therapy
  • Integrative Approach
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 78. Colorectal Cancer
  • Abstract
  • Natural History
  • Incidence and Prevalence
  • Screening
  • Risk Factors
  • Primary and Secondary Prevention
  • Medications
  • Conventional Treatment
  • Survivorship and Tertiary Prevention
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 79. Palliative and End of Life Care
  • Abstract
  • Pathophysiology
  • Communication
  • Symptom Clusters In Palliative Care
  • Pain Management
  • Constipation
  • Fatigue
  • Nausea and Vomiting
  • Dyspnea
  • Anxiety and Depression
  • Delirium
  • Spiritual Care
  • Bereavement
  • Integrative Therapies
  • Acknowledgments
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section XV: Substance Abuse
  • 80. Addiction Treatment
  • Pathophysiology
  • Integrative Therapy
  • Acupuncture
  • References
  • Multiple Choice Questions
  • Section XVI: Ophthalmology
  • 81. Cataracts
  • Abstract
  • Pathophysiology
  • Screening
  • Epidemiology
  • Risk Factors
  • Integrative Therapy
  • Nutrition
  • Supplements
  • Botanicals
  • Surgery
  • Key Web Resources
  • References
  • Multiple choice questions
  • 82. Macular Degeneration
  • Introduction
  • Pathophysiology
  • Integrative Therapy
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Part III: Tools for Your Practice
  • Section IA: Lifestyle: Nutrition
  • 83. The Elimination Diet
  • Pathophysiology of Nonallergic Food Intolerances
  • Pathophysiology of Leaky Gut Syndrome: Gut-Immune Barrier
  • Summary of a Pragmatic Approach for Recommending an Elimination Diet
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 84. The Glycemic Index/Load
  • Abstract
  • Glycemic Index
  • Glycemic Load
  • Disease Prevention and Management
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 85. The Antiinflammatory Diet
  • Introduction
  • Mechanisms and Measurement of Inflammation
  • The Mediterranean Diet is an Archetype of an Antiinflammatory Diet
  • Components of an Antiinflammatory Diet
  • Other Antiinflammatory Foods, Spices and Supplements
  • Medical Conditions that May Improve with the Antiinflammatory Diet
  • Conclusion
  • Acknowledgment
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 86. The DASH Diet
  • What is the dash diet?
  • How much can i expect my blood pressure to come down?
  • By what other means might the dash diet benefit health?
  • Oxidative Stress
  • Metabolic Function
  • Cancer
  • Bone Health
  • Cognitive Function
  • Health Outcomes
  • What foods are emphasized in this diet and how do they influence one’s health?
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 87. The FODMaPs Diet
  • what does fodmap stand for?
  • What is the mechanism of action?
  • what type of condition is fodmap best used for?
  • Which irritable bowel syndrome symptoms are reduced the most?
  • Is it the elimination of sugar or food proteins that results in the greatest benefit?
  • What to Tell Your Patients when Placing Them on the Fodmap Diet
  • what are the limitations of the fodmap diet?
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section IB: Lifestyle: Exercise
  • 88. Rethinking the Movement Prescription
  • Changing the Game: Words Matter
  • Harmony = Synergy = Reality
  • Physical Health = Functional Movement
  • Evaluation: Finding the Appropriate Starting-Point
  • The Balance Example
  • Functional Strength
  • Moving to Live and Living to Move
  • Practical Application
  • Physician and Patient Considerations
  • More Practical Application
  • Subjective Perceived Exertion
  • Heart Rate
  • Obstacle Avoidance
  • Unhelpful Help
  • The Patient-Zealot
  • A Way Forward
  • References
  • Multiple Choice Questions
  • 89. Therapeutic Breathing
  • What is Therapeutic Breathing?
  • The Mechanism of Breathing
  • Paced and Patterned Breathing
  • Muscle and Body Emphasis in Breath Work
  • Airway Resistance in Breath Work
  • Resources for Practicing Therapeutic Breathing
  • Meeting Challenges that Arise With Therapeutic Breathing
  • References
  • Mcq References
  • Multiple Choice Questions
  • 90. Low Back Pain Exercises
  • Breathing and Relaxation Training
  • Flexibility Training
  • Strength Training
  • Coordination Training
  • Key Web Resources
  • References
  • Section II: Mind–Body
  • 91. Relaxation Techniques
  • A Few Words on Terminology
  • A Brief History of Stress and Relaxation
  • The Science of Stress and Relaxation
  • References
  • Multiple Choice Questions
  • 92. Self-Hypnosis Techniques
  • What To Look For In A Consultant
  • The Six Main Steps
  • Homework for the Patient
  • What to Look For in a Consultant
  • Key Web Resources
  • References
  • Multiple choice Questions
  • 93. Enhancing Heart Rate Variability
  • Abstract
  • Background
  • Four Theories of Heart Rate VariabilityPolyvagal Theory
  • Neurovisceral Integration, Resonance, and Coherence Theories
  • The Heart Is More Than a Pump
  • The Vagus Nerve, Disease, and Inflammation
  • Physiology and Measurement of Heart Rate Variability
  • Demographic, Environmental, and Social Factors Affecting Heart Rate Variability
  • The Basics Matter
  • Making Recommendations to the Patient
  • Steps to Enhance Heart Rate Variability
  • Teaching Patients a Deep-Breathing in the Office
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 94. Guided Imagery and Interactive Guided Imagery*
  • What is Guided Imagery?
  • Applications in Medicine
  • How Does Imagery Work?
  • Commonly Used Treatment Techniques
  • How to Get Started with Guided Imagery
  • The Structure of a Typical Interactive Guided Imagery Session
  • Precautions and Contraindications
  • Resources
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 95. Journaling for Health
  • Pathophysiology of Disclosure
  • Journaling after a Stressful Event
  • Key Areas of Research
  • Writing Characteristics Associated with Health
  • Precautions
  • Relationship-Centered Care
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 96. Forgiveness
  • Abstract
  • The Health Benefits of Forgiveness
  • The Nature of Forgiveness
  • Guidelines for Helping People to Forgive
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 97. Recommending Meditation
  • What is Meditation?
  • Why Meditate?
  • Review of Meditation Research
  • The Experience (Ties Mnemonic)
  • Mindfulness in Medical Practice
  • Types of Meditation
  • Movement as Meditation
  • Key Web Resources
  • Acknowledgment
  • References
  • Multiple Choice Questions
  • 98. Motivational Interviewing Techniques
  • Abstract
  • Values you Probably Already have that are Consistent with Motivational Interviewing and Integrative Medicine
  • Back to MS. M
  • Quit Your Job as the Only Expert in the Room
  • Pull, Don’t Push
  • Three Styles of Affirmations
  • Even Better, Self-Affirmation Tasks
  • Change Talk and Sustain Talk
  • Helping the Client Access His or Her Motivation for Change
  • Enhancing your Motivational Interviewing Skills
  • What Difference May it Make if a Motivational Interviewing Approach is Used?
  • References
  • Multiple Choice Questions
  • 99. Emotional Awareness for Pain
  • Abstract
  • Introduction
  • Their Pain is Real
  • The Psychology of Pain
  • Diagnosis of Psychophysiological Disorders
  • Treatment Approach
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 100. Compassion Practices
  • Abstract
  • Meditation 1: Field Of Care
  • Meditation 2: Compassionate Presence To Feelings
  • Meditation 3: Taking Empathy Into Compassion Instead Of Empathic Distress
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section III: Biochemical
  • 101. Prescribing Botanicals
  • Who Uses Herbs?
  • What Else are They Taking?
  • Talking About Herbs With Patients
  • Efficacy
  • Safety Considerations
  • Choosing a Brand Or Product: A Question of Quality
  • Dosing
  • Conclusion
  • References
  • Multiple Choice Questions
  • 102. Prescribing Probiotics
  • Abstract
  • The Gut Microbiome in Health and Disease
  • How the Human Microbiota is Established and Altered
  • What are Probiotics, Prebiotics, and Synbiotics?
  • How do Probiotics Work? Potential Mechanisms
  • Prescribing Probiotics: a General Approach
  • Prescribing Specific Probiotics for Disease Treatment or Prevention
  • Do Natural Food Sources Provide Probiotics?
  • How Safe are Probiotics?
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 103. Prescribing Low-Dose Naltrexone
  • Introduction
  • Background and Mechanism
  • Low-Dose Naltrexone: Discovery of a Hormetic Effect
  • Dosing Terminology
  • Low-Dose Naltrexone Mechanisms of Action
  • Condition Review
  • LDN in Clinical Care
  • Conclusions
  • Key Web Resources
  • References
  • Further Reading
  • 104. Detoxification
  • What is Detoxification and Why Do it?
  • Testing for Toxins
  • Chelation Therapy
  • Sauna Therapy
  • Exercise
  • Nutrition
  • Manual Therapies
  • Acknowledgment
  • Key Web Resources
  • Patient Handout
  • References
  • Multiple Choice Questions
  • MCQ REFERENCES
  • 105. Chelation Therapy
  • Abstract
  • History of Chelation Uses
  • The Trial to Assess Chelation Therapy
  • Clinical Use of Chelation Therapy for Heavy Metal Detoxification
  • Treatment of Heavy Metal Intoxication
  • Pharmacological Approaches
  • Natural Products
  • Summary
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 106. Psychedelic-Assisted Psychotherapy for Health
  • Historical Perspective
  • Mechanisms of Action of Psychedelic Agents and Therapies
  • Safety of Psychedelic Medicines
  • Psychedelic-Assisted Psychotherapy
  • Psychedelic-Assisted Therapies for Specific Illness
  • Addiction
  • End of Life Care
  • Psychedelics for Health Enhancement
  • Microdosing
  • Training in Psychedelic-Assisted Psychotherapy
  • Current Availability of Psychedelic-Assisted Therapies (See Table 106.3)
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 107. Tapering Off a Proton Pump Inhibitor
  • Pathophysiology
  • How to Taper Off a Proton Pump Inhibitor
  • The Bridge
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 108. Tapering Off Opioids
  • Why taper?
  • Factors to Consider Before Deciding to Taper
  • Shared decision and patient-centered approach
  • Approaches to tapering
  • Slow taper
  • Fast taper
  • Rapid taper
  • Adjusting tapering regimens
  • Adjunctive therapy
  • Emergency tapering for patients
  • Integrative approaches
  • Conclusion
  • Key web resources
  • References
  • Multiple choice questions
  • 109. Integrative Strategies for Planetary Health
  • A Living Systems Framework
  • Our Linear Legacy
  • Linear Material Economy
  • Industrial Food System
  • Climate Change
  • A Precautionary Approach
  • The Provider’s Role and the Context of Place
  • Personal and Planetary Strategies for Everyday Life
  • Reconnect With Life
  • Conclusion
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section IV: Biomechanical
  • 110. Osteopathic Manipulative Treatment
  • Nuts and Bolts of Osteopathic Manipulative Medicine
  • Examination
  • Osteopathic Manipulative Treatment Modalities: Direct Versus Indirect
  • Contraindications to Osteopathic Manipulative Treatment and Anticipatory Guidance for Patients
  • Soft Tissue Techniques
  • Paraspinal Kneading and Stretching
  • Strain–Counterstrain (Counterstrain)
  • References
  • Multiple Choice Questions
  • 111. Prolotherapy for Chronic Musculoskeletal Pain
  • What It Is
  • Basic Science
  • Clinical Research
  • Osteoarthritis
  • Tendinopathies
  • Contraindications
  • Common Side Effects
  • Adverse Events
  • Practical Considerations
  • Insurance Coverage
  • References
  • Multiple Choice Questions
  • Section V: Bioenergetics
  • 112. Integrating Spiritual Assessment and Care
  • Abstract
  • Seven Steps for Integrating Spiritual Assessment and Care
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • 113. Biofield Therapies
  • Abstract
  • Defining Energy Medicine
  • Energy Medicine Research
  • Guidelines for Making an Energy Medicine Referral
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Section VI: Caring for Communities
  • 114. Integrative Medicine for the Underserved
  • Health Inequities
  • Social Determinants of Health
  • Why Integrative Care is Especially Valuable with the Underserved
  • Facilitating Behavioral Change
  • Provider Characteristics for Healing the Underserved
  • Affordable Approaches and Sustainable Programs
  • Examples of Affordable Services by Intervention Type
  • Characteristics of Successful Integrative Programs for the Underserved
  • An Example of a Sustainable Alternative Medicine Hospital Practice
  • Example of Group Visit in an Underserved Community
  • Achieving Buy-In from Administration
  • Outside the Examination Room: Activism
  • Key Web Resources
  • References
  • Multiple Choice Questions
  • Answers
  • Chapter 1
  • Chapter 2
  • Chapter 3
  • Chapter 4
  • Chapter 5
  • Chapter 6
  • Chapter 7
  • Chapter 8
  • Chapter 9
  • Chapter 10
  • Chapter 11
  • Chapter 12
  • Chapter 13
  • Chapter 14
  • Chapter 15
  • Chapter 16
  • Chapter 17
  • Chapter 18
  • Chapter 19
  • Chapter 20
  • Chapter 21
  • Chapter 22
  • Chapter 23
  • Chapter 24
  • Chapter 25
  • Chapter 26
  • Chapter 27
  • Chapter 28
  • Chapter 29
  • Chapter 30
  • Chapter 31
  • Chapter 32
  • Chapter 33
  • Chapter 34
  • Chapter 35
  • Chapter 36
  • Chapter 37
  • Chapter 38
  • Chapter 39
  • Chapter 40
  • Chapter 41
  • Chapter 42
  • Chapter 43
  • Chapter 44
  • Chapter 45
  • Chapter 46
  • Chapter 47
  • Chapter 48
  • Chapter 49
  • Chapter 50
  • Chapter 51
  • Chapter 52
  • Chapter 53
  • Chapter 54
  • Chapter 55
  • Chapter 56
  • Chapter 57
  • Chapter 58
  • Chapter 59
  • Chapter 60
  • Chapter 61
  • Chapter 62
  • Chapter 63
  • Chapter 64
  • Chapter 65
  • Chapter 66
  • Chapter 67
  • Chapter 68
  • Chapter 69
  • Chapter 70
  • Chapter 71
  • Chapter 72
  • Chapter 73
  • Chapter 74
  • Chapter 75
  • Chapter 76
  • Chapter 77
  • Chapter 78
  • Chapter 79
  • Chapter 80
  • Chapter 81
  • Chapter 82
  • Chapter 83
  • Chapter 84
  • Chapter 85
  • Chapter 86
  • Chapter 87
  • Chapter 88
  • Chapter 89
  • Chapter 91
  • Chapter 92
  • Chapter 93
  • Chapter 94
  • Chapter 95
  • Chapter 96
  • Chapter 97
  • Chapter 98
  • Chapter 99
  • Chapter 100
  • Chapter 101
  • Chapter 102
  • Chapter 104
  • Chapter 105
  • Chapter 106
  • Chapter 107
  • Chapter 108
  • Chapter 109
  • Chapter 110
  • Chapter 111
  • Chapter 112
  • Chapter 113
  • Chapter 114
  • Index
  • Confidence is ClinicalKey

Product details

  • No. of pages: 1152
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: August 12, 2022
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323777278
  • eBook ISBN: 9780323777285

About the Editors

David Rakel

Affiliations and Expertise

Professor & Chair of the Department of Family Medicine and Community Health, University of Wisconsin, Madison, Wisconsin

Vincent Minichiello

Affiliations and Expertise

Faculty, University of Wisconsin School of Medicine and Public Health, Madison, MI

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