Complementary and Alternative therapy

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Complementary and Alternative therapy

• Tracey Burgoyne

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Also Known As
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Complementary Therapy and the cancer patient
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What is Conventional Therapy
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Examples of Conventional

• Health practices that are widely accepted and
• practised by health professionals, doctors,
• doctors of osteopathy, physical therapists,
• psychologists and registered nurses

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What is Complementary Therapy
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What is Alternative Therapy
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Complementary and Alternative Therapy (CAM)

• 5 Domains (NCCAM National Centre for
  Complementary and Alternative Medicine)
• Alternative (homeopathic medicine and Chinese
  medicine)
• Mind-body interventions (visualisation and
  relaxation)
• Manipulative and body based (chiropractic and
  massage)
• Biologically based (vitamins and herbal products)
• Energy therapies (qi gong and therapeutic touch)

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Domains

• Alternative
• evolved separate from conventional
• Mind-body
• meditation, prayer, mental healing, art, music
  and colour therapy
• Biological based
• Herbs, foods, vitamins, sharks cartilage
• Manipulative and body based
• chiropractic, osteopathy
• Energy therapies
• Biofield - Reiki, qi gong
• Bio electromagnetic - pulsed fields, magnets,
  current

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How widely used

• 1998 study showed amongst general public use had
  increased from 34 in 1990 to 42 in 1997
• 2000 study reported 37 of 46 patients with
  prostate used one or more therapies (herbal, old
  time recipes, vitamins and special diets)
• 2000 study 83 of 453 cancer patients had used at
  least one therapy (diets, psychotherapy,
  spiritual practices) 69 had used at least one in
  their cancer therapy

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Evaluation of CAMs

• National cancer institute and NCCAM are funding a
  number of clinical trials to evaluate CAM
  therapies

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NCI and NCCAM Sponsorship

• Either the alternative therapy in comparison to
  conventional or the complementary therapy
  alongside conventional therapy
• Enzyme therapy with nutritional support
  inoperable pancreatic cancer
• Shark cartilage for advanced breast cancer
• chemotherapy plus radiotherapy with or without
  shark cartilage in NSCLC inoperable
• studies on the effect of diet on prostate and
  breast cancer

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What patients should be advised

• Discuss with doctor - some CAMs interfere with
  conventional therapy
• Ask
• what benefits can be expected
• What are the risks
• Do the benefits outweigh the risks
• What side effects
• Will it interfere with conventional therapy
• Is it part of a clinical trial if so whos the
  sponsor

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Therapies utilised

• Hypnosis Reflexology
• Acupuncture Biomagnets
• German Neural Therapy Healing/Reiki
• Prolo/Sclerotherapy Naprapathic
• Water therapy Relaxation
• Herbs/Homeopathy Massage

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Hypnosis

• The conscious use of the natural trance state,
  linking the mind through suggestion
• Referring to the suggestion, the acceptance
  depends on the motivation of the client
• Possible to anaesthetise by influencing the
  autonomic nervous system
• Stammers, phobias, facial ticks, habits, acute
  and chronic pain, labour pain, stress management,
  phantom limb pain, insomnia

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Pain control - hypnosis

• Fear
• Unknown, unending pain, death
• Belief
• endorphins
• Focus
• On the pain and reduction
• Relaxation
• visualisation and guided imagery
• Dissociation

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Reflexology

• Pain relief in acute and chronic states
• Control of anxiety
• Reduction of blood pressure
• Relaxation
• Improved sleep

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Acupuncture

• Treating pain injuries by inserting fine needles
  into acupressure points on the body
• accompanied by manual, electrical or heat
  stimulation
• Stimulation of nerve fibres in muscle or facia
  sending impulses to spinal cord
• Endorphins and cortisol
• neurological and musculoskeletal pain
• Migraine, neck pain, sciatica

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Magnets

• Magnets help to balance the acid-alkaline
  imbalances and increase calcium ions, increase
  blood and oxygen circulation and carry away
  toxins, neutralise histamine
• Unipolar
• either north or south, North relieve pain,reduce
  swelling, promotes tissue alkalisation, promotes
  restful sleep, increases oxygenation to tissues
  and calms nerves, South Opposite
• Bipolar

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Water Therapy

• Good for Fibromyalgia - chromic pain
• Goal is to rehabilitate a specific area of the
  body
• Reduced weight bearing
• Reduced joint compression and support
• Reduced effort with slow movement
• Increased resistance

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Others

• German Neural therapy
• nerve block using procaine - local anaesthetic
  for nerve ganglia, anti-inflammatory,
  re-establishes polarity
• Prolo/sclerotherapy
• After injury ligaments can become stretched, body
  tries to stabilise causing spasm - concentrated
  dextrose or calcium gluconate to cause sclerosing
  of the ligaments, sets of the healing process of
  collagen
• Naprapathic
• Manipulation

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More

• Cryoanalgesia
• cryoprobe-compressed nitrous oxide or C02
• Epiduroscopy
• visualisation of epidural space and perform
  injections
• Neurolytic injections
• Damage neural tissue
• Radiofrequency procedures
• Electrical current to block pain transmission
• Spinal cord stimulation
• Electrical stimulation of a precise area in the
  spinal cord to block pain transmission

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Studies - Enzymes

• 714-X - camphor
• Cancell/Entelev - unknown compound
• Laetrile/Amygdalin - Cyanide
• Mistletoe - stimulates immune system

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Studies - Diet

• Gurson -
• 13 glasses of juice from fresh veg and fruit, veg
  meals, supplements of iodine, vit B 12,
  potassium, thyroid hormone liver extract
  pancreatic enzymes - enemas coffee and/or
  chamomile
• Gonzalez -
• pancreatic enzymes and vitamins, minerals, trace
  elements and animal glandular products
• Hydrazine Sulphate - glucose
• Coenzyme Q10 -
• natural product, antioxidant, cell growth, energy
  production

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Studies - Cartilage

• Bovine and Shark
• Direct cancer kill, stimulates immune system,
  blocks angiogenesis