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Elements of Holistic Integrative Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Integrative medicine, also referred to as integrative health, encompasses and embraces diverse perspectives and disciplines within the healing field of healthcare. Different organizations and practitioners offer somewhat different definitions.
Integration with the Interdisciplinary Care Team
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Christopher M. Wilson, Amy J. Litterini
A holistic approach to care aims to consider the whole person within a patient-practitioner partnership. Integrative medicine combines complementary, non-mainstream approaches with conventional medicine. Alternative therapies are considered non-mainstream approaches that occur in place of conventional medicine.27 Integrative medicine and its practitioners, as a representative part of the interdisciplinary care team, may enhance many of the innate goals of skilled rehabilitation, including improved QoL and reduced pain. Techniques such as guided imagery, progressive relaxation, yoga, massage, the use of herbal and botanical supplements, Pilates, tai chi, acupressure/acupuncture, chiropractic medicine, creative arts, music therapy, aromatherapy, and cranial-sacral therapy are examples of commonly used approaches within integrative medicine.
Complementary and alternative medicine †
Published in Gary Chan Kok Yew, Health Law and Medical Ethics in Singapore, 2020
Integrative medicine, which combines complementary therapies with mainstream patient care, has been gaining popularity among patients with cancer and other chronic illness.4 Complementary therapies including acupuncture, massage therapy, mind-body techniques and herbal supplements are used to reduce symptoms and side effects that may arise independently or as a result of standard treatments such as surgery or radiation.5
Improving symptom burden and quality of life in patients with myelofibrosis: current strategies and future directions
Published in Expert Review of Hematology, 2021
Given the positive associations between non-pharmacologic interventions and clinical outcomes, there is growing interest in the role of integrative medicine to manage symptoms. Integrative oncology is a field of cancer medicine that uses evidence-based practices involving meditation, exercise, nutrition and other lifestyle modifications to complement traditional interventions [59]. The Survey of Integrative Medicine in Myeloproliferative Neoplasms (SIMM) study was conducted to assess the use of integrative medicine by MPN patients and its association with symptom burden, quality of life, depression, and fatigue [60]. A total of 858 participants were included in the analysis, which showed that decreased symptom burden was associated with aerobic activity and strength training, while increased symptom burden was associated with massage and use of support groups. Higher quality of life was reported in patients using massage and support groups, while lower quality of life was reported in patients using aerobic activity and strength training. Increase in fatigue was associated with massage therapy and breathing techniques. The authors attributed the paradoxical association of some of these integrative medicine interventions with worse outcomes to the assumption that more symptomatic patients may be more willing to seek out these services.
The Use of Complementary and Alternative Medicine (CAM) in Psychiatric Units in Sweden
Published in Issues in Mental Health Nursing, 2020
Maria Wemrell, Anna Olsson, Kajsa Landgren
According to the US National Institutes of Health (NIH), CAM consists of “a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine” (NCCAM., 2006). While the use of these concepts differs somewhat between contexts and actors, complementary medicine typically refers to therapy used in combination with conventional medicine, also by health care personnel, while alternative medicine is a term for practices used instead of it. Integrative medicine refers to the actual or potential integration of complementary methods in conventional healthcare (Jensen et al., 2007; SOU 2019:15, 2019). Eklöf and Kullberg (2004) distinguish between four types of CAM practice. The first is comprised of CAM treatments outside of conventional healthcare, paid by the patient. The second consists of patients seeking licensed practitioners such as chiropractors through referral from conventional care, while the third encompasses licensed healthcare personal practicing forms of CAM within conventional care. The fourth group consists of close cooperation, under the ‘same roof’, between healthcare personnel and CAM therapists. CAM encompasses a wide variety of different practices, which the NIH (Jensen et al., 2007; NCCAM., 2006) divide into alternative medical systems (e.g., Chinese medicine and Ayurvedic medicine), mind-body interventions (e.g., meditation and mental training), biologically based therapies (e.g., herbs and nutritional supplements), manipulation therapies (e.g., chiropractic and massage), and energy therapies (e.g., healing).
Development of a Virtual Integrative Oncology Center
Published in Oncology Issues, 2022
At a national level, there has been significant growth in the area of integrative oncology. A web-based search of the 71 NCI-designated cancer centers identified that at least 22 have current integrative oncology programs. A study from Memorial Sloan Kettering Cancer Center in 2017 cited a 30 percent growth in integrative oncology modalities at NCI-designated cancer centers from 2009 to 2016, and currently 6 out of 12 supportive care National Comprehensive Cancer Network (NCCN) Guidelines® include integrative oncology modalities as part of their recommendations.6 Additionally, over 60 percent of NCI-designated cancer centers not only offer integrative oncology information and specific services, but provide physician consultation visits in integrative medicine.7