Integrative Medicine

5th Edition - August 12, 2022
Editors: David P. Rakel, Vincent Minichiello
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 7 2 7 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 2 8 3 6 5 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 7 2 8 - 5

Written by physicians who are experts in both traditional and complementary medicine, Integrative Medicine, 5th Edition, uses a clinical, disease-oriented approach to safely… Read more

Purchase options

Info / Buy

LIMITED OFFER

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

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.

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

Purchase options

Save 50% on book bundles

Institutional subscription on ScienceDirect

David P. Rakel

Vincent Minichiello