Complementary and Alternative Medicine the New Model of Care© Article Written by: Dr. Betty deMaye-Caruth, PhD., RN, CHTP, RM/T

A new government nationwide survey published by the National Institutes of Health reports that 36% of adults in the U.S. who are over the age of 18 use some form of complementary and alternative medicine also known as CAM. When prayer is added to this definition of CAM the percentage of Americans using complementary and alternative medicine rises to 62%. The survey also found that the majority of people who use CAM believed that these practices would help them when combined with conventional medical treatments. This is introducing a new way of thinking to the medical community. Picture a circle with prescription, over the counter drugs and surgery at the center and CAM and psychosocial approaches outside the circle. Now picture a circle where the center is Self Care using complimentary and alternative medicine; drugs and surgery are also part of the circle but instead of being in the center they are now on the periphery. As a result of this shift in thinking and acceptance of complementary and alternative medicine by the public, large numbers of people are now changing the way they approach health care by taking more interest in their personal health and asking to work in collaboration with their health care practitioner. This is not to indicate that drugs and surgery are not important – quite the contrary. However studies have shown that using various methods of self care can often decrease medication and reduce the healing time from surgical procedures. Some of the therapies that that can be easily learned by the public are relaxation techniques, breathing exercises, meditation, yoga, tai chi, imagery, nutrition and prayer.(For maximum effect it is recommended that some of these therapies be taught by a professional.)

James Gordon MD who has served as the Chair of the White House Commission on Complementary and Alternative Medicine Policy has stated that at the very least patients scheduled for surgical procedures should be taught breathing and relaxation techniques. Not only does this assist in the healing process but it also give the patient the ability to take an active part in their healing and feel more in control of their bodies.

Andrew Weil MD who is the director of the Program in Integrative Medicine at the University of Arizona is also a strong advocate of breath work and meditation. He has also included energy therapies such as Reiki or Therapeutic Touch.

CAM has been a topic on the evening news programs and in many newsstand magazines and newspapers. Thus the public has become more aware of the added benefits of complementary and alternative medicine causing them to question their healthcare provider and seek out practitioners of these therapies.

As a result of the public’s interest, many physicians and health care practitioners (RNs, Physician Assistants, and Nurse Practitioners) are beginning to utilize some form of CAM. There are over 2000,000 articles and studies published in established journals such as JAMA, LANCET and The American Journal of Nursing allowing the medical community to access this information as part of the continuing education process. Also various centers have been developed to train health care professionals in the utilization of CAM. Dr James Gordon is the Founder and Director of the Center for Mind-Body Medicine. Based in Washington DC, Dr Gordon’s organization presents programs for health and mental health professionals who wish to integrate therapies such as relaxation therapies, meditation, acupuncture, nutrition, yoga, herbalism, music and dance into their practice. There are also many programs and seminars addressing these practices that are offered by Universities such as Thomas Jefferson in Philadelphia to provide continuing education courses for health professionals.

Many patients have realized that there are restrictions placed upon their health care by many outside sources. Patients are now taking control, becoming educated and are now open to explore their options with complimentary and alternative medicine practices while utilizing the services of their healthcare practitioner. This new model of health care is fast becoming the norm for many Americans.

Betty deMaye-Caruth PhD, RN is the Founder and Director of the Minerva Educational and Treatment Center in Honesdale Pa. Dr. Betty has over 25 years experience in Complementary and Alternative Medicine; she has written articles for professional journals and various other publications, developed many educational seminars and maintains a private practice in Honesdale. Please direct any questions to her website www.minervaed.com.

Acupuncture Gets to the Point© Written Response by: Dr. Betty deMaye-Caruth, PhD., RN, CHTP, RM/T

Dear Dr. Betty:

I enjoy reading your articles and wonder if you could explain acupuncture to me. I can’t understand why someone would have needles put into them to help them feel better. Thank you. – E.D. (question received via e-mail)

Dear E.D.

Thank you for your question. You are not alone in wondering about this greatly misunderstood practice. Actually, acupuncture is a very effective procedure and usually does not hurt, although you may feel a little pressure as the needle is inserted.

Acupuncture originated in China approximately 2000 years ago and is based on principles of Traditional Chinese Medicine (TCM) that view health as a state of balance and disease as a state of imbalance. TCM uses a system of medicine that seeks to restore and maintain balance in the body’s energy system.

The energy, or chi as it is known in the Orient, flows along energy pathways called meridians that circulate energy throughout the body similar to the way arteries carry blood. There are 12 major meridians grouped in pairs that connect the exterior and interior of the body, and many of these pathways travel just under the surface of the skin. When these pathways become disturbed or blocked, illness or pain results.

Acupuncturists require a great deal of training. Their studies include a thorough knowledge of the body’s many systems and how the energy system interacts with the organs muscles and other systems of the body.

Practitioners look beyond the physical ailments affecting skin, blood, organs, muscles and bones to seek the underlying or energetic root cause that is creating the disturbance.

Once the practitioner diagnoses the imbalance he inserts sterile needles along the meridians to affect the flow of energy to stimulate the area being treated. Often the needles are set up in “circuits” that “turn on” the energy elsewhere in the body, much like a light switch on the wall will turn on a light on the ceiling.

For instance, shoulder pain is often treated by accessing points on the arms and hands because the energy pathways that “feed” the shoulder originate in the hands and travel up the arms and through the shoulders.

Most people hold exaggerated views of the actual procedure. The needles used in this country are single use, disposable, sterile needles that are very, very fine and flexible. The needle does not pierce the skin but rather disperses it, therefore the patient does not bleed and often does not even feel the needle being inserted.

The needles do not penetrate deep into the skin, just enough to access the meridians that lie beneath the surface of the skin. There-are many “energy points” along the meridians that the acupuncturist can stimulate, some texts detail as many as 2000 points.

I often use the analogy that the meridians are like a railroad track and the acupuncture point is the station on the track. When the energy becomes stuck it is similar to a train stopping at the station; the energy or train must be released before it can proceed down the track or meridian.

Since President Nixon brought back a group of acupuncturists from his visit to China in the late 1960s, acupuncture has enjoyed a greater understanding of this ancient practice. Over the past 20 years, with the growing popularity and acceptance of holistic therapies, acupuncture has increasingly become the therapy of choice for certain conditions, particularly for control of pain.

Many people seek acupuncture treatments to prevent or control disease, particularly during the cold and flu season, or they may have treatments to strengthen their energy and boost their immune system.

It is becoming more common for addiction programs to train staff members in ear (auricular) acupuncture, to ease or eliminate cravings for drugs, alcohol, cigarettes or even food.

A very small needle is inserted and sometimes left in the proper spot on the exterior area of the ear to stimulate the flow of chi. Studies have shown that this is a very valid therapy for some patients.

If you are considering trying acupuncture inquire about the practitioner’s credentials to be sure they graduated from an accredited school and obtained a license to practice. Licensing credentials differ from state to state, and although the laws governing the practice of acupuncture are currently undergoing changes across the country, acupuncturists in the State of Pennsylvania are required to practice under the auspices of a physician even if the practitioner’s licensed as a DOM (Doctor of Chinese Medicine).

There are a growing number of physicians who are also trained in acupuncture as an adjunct to their practice.

Even with the extensive documented benefits of acupuncture, many people still shy away from this very effective practice due to a fear of needles. An understanding practitioner will take the time to reassure the patient by explaining the procedure and deomonstrating the needles.

However. if you still want to enjoy acupuncture without the needles, then you may want to try a treatment by a qualified acupressure practitioner. Acupressure uses the same concepts as acupuncture, but uses finger pressure to stimulate the energy rather than needles. I have experienced both acupuncture and accupressure and have found that both work quite well when in the hands of the proper practitioner.

There are many “points” to consider in seeking acupuncture to treat pain or other health concerns. I suggest you try it for yourself to see if it is right for you.

Readers are encouraged to send questions to Dr. Betty at Minerva Educational Center, 303 Deer Lane, Honesdale PA 18431 or email: mlnervaed@aol.com. For more information visit the Minerva website at www.minervaed.com.

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