PUBH 2313 Final
brewing teas
DO NOT use pots made of aluminum or cast iron for brewing teas because it disintegrates into the herbal preparation; use glass, ceramic, or stainless steel
Sleeping Prophet
Edgar Cayce, psychic healer and trance channeler, would lie down and enter a trance and then give readings of patients, 20,000 readings total
hypnosis
Greek for sleep; focuses on awareness and attention to internal stimuli through a trance-like state where participant is highly responsive to suggestion(s)
choosing an HMO
HMOs are best for healthy people without serious preconditions, lower premiums and copay
Dr. Jean Valnet
French army surgeon, used Eos as antiseptics in WWII, wrote The Practice of Aromatherapy in 1977
Rene-Maurice Gattefosse
French chemist that created term aromatherapy, began research after treating burns with lavender oil
Greek chiropractic origin
Hippocrates devoted two chapter in Corpus Hippocrateum to manipulative procedures; Galen influenced Hippocrates and used cervical manipulation to heal paralysis of Eudemas' hand
most common quacks
Hoxsey cancer treatment, HIV/AIDS treatments, Arthritis, dietary supplements, weight loss aids, sexual enhancers, diabetes, influenza
healthcare providers
MD, DO, chiropractors, and nurses; have trained in naturopathic treatment modalities
meditation research
NCCIH found that meditation relieves stress, musculoskeletal pains, has potential to help quit smoking, has beneficial impacts on chronic illness and mental health
NCCIH result presentation
NCCIH website and in professional journals
malpractice insurance
OB/GYN has the most expensice malpractice insurance
choosing a PPO
PPOs are best for people with serious preconditions, more flexibility for specialists but higher premiums
Healthy People 2020
aims to increase the proportion of people that will be able to follow the instructions of providers, increase the proportion of people who say their providers helped them fill out paperwork, increase the amount of people who understand their providers instructions for their treatment
holistic medicine
aims to treat the patients body and mind
Bhagwan Shree Rajneesh
aka Osho, used laughter, crying, and silence as mediation techniques to let go of attachments to past and future egos and ultimately achieve enlightenment
vipassana meditation
aka insight meditation; rational method of purifying mind of stress or pain causing thoughts, watching breathing as it happens without attempting to control it
halasana position
aka plough position, good for stretching lower back and neck
consumer responsibilities (CRR-8)
all parties in healthcare system must take responsibility for maximizing healthy habits, being invloved in specific decisions, disclose info about wants and needs, etc.
herb uses
alleviate disease, support immune system, detox body
conventional physicians
allopathic and/or osteopathic
health savings account
allows a person to save pretax dollars to use for medical insurance expenditures that aren't covered by insurance, people with high deductible plans are eligible only
regionalized services
allows hopsitals to share expensive equipment
co-payment
amount of money you need to pay for each service or office visit
epidemiological study
analyze data from various population groups over a point in time or over several years
acupressure
ancient healing method that uses fingers to find trigger points on body surface, used to promote flow of Qi and stimulate immune system
pale tongue
anemia or lack of blood in body
Trouble in Toyland
annual safety report on most popular toys on the market, published by US PIRG
tea tree oil
antibacterial, antimicrobial, antiseptic, boosts immunity, treats fungi toes, not recommended for baths due to irritation
investigational medicine
approved testing of medicines or devices on consumers but not completely approved for distribution; treatments are discontinued if they are harmful, outmoded, or useless
tea
aqueous extractions of crude herbs or herbal powders
analytical studies
are akways quantitative
pitta out of balance
arouses anger, hatred and jealousy
correlation stats
assess relationship of 1+ variables to another variable
nursing home categories
assisted living facilities and skilled nursing homes
Jean Valnet
author of Practice of Aromatherapy, WWII surgeon that used essential oils as antisepctics
dry diagnosis
avoid fried food, spicy, broiled, etc.
nidan parivarjan
avoidance of disease-causing and aggravating factors
mindfulness meditation
awareness and focus on present thoughts and actions without judging, in order to become aware of oneself and analyze your own life
principle of the cosmos
ayurvedic principle that states the universe consists of 5 elements (tattwa) that form the physical universe and serve as building blocks of nature
Bach Remedies
Tinctures made from flowers to treat emotions rather than disease; 12 Healers, 7 Helpers, Second 19 were original groups
mind-body intervention
complimentary medicine therapy that focuses on communication between mind and body, many practices originate from Chinese and Ayurvedic Medicine
philosophy of mixers
comprise the majority of practitioners and are supported by American Chiropractic Assoc.; believe that disease is caused by pathogens and that subluxations can cause neurological imbalance; use adjustments to treat pain and musculoskeletal disorders
infusion
concentrate made by steeping 1 oz of herbs in 2 cups of water; use more delicate parts of herbs like leaves, flowers, and light stems
Essential Oils
concentrated plant oils, applied to skin or inhaled
holism
connectedness of physical, mental, spiritual, and emotional health
VALS-thinkers
conservative, educated, wealthy; want info and typically rely on doctor suggestions, value thorough and accurate info
VALS-believers
conservative, value tradition, loyal to people/products, fewer resources and less concerned about popular things
choice of providers and plans (CRR-2)
consumer has the choice to choose their plan and physician in their network to meet their own demands, giving them a wide variety of options
respect and nondiscrimination (CRR-5)
consumers cannot be refused coverage because of race, ethnicity, religion, income, etc.
complaints and appeals (CRR-7)
consumers have the right to complain or express concerns about unfair treatment
confidentiality of health info (CRR-6)
consumers have the right to confidentiality of their info without worry that it will be disclosed without consent
participation in treatment decisions (CRR-4)
consumers have the right to decide whether or not they want treatment, and which treatment
access to emergency services (CRR-3)
consumers have the right to know the availability to emergency services, their costs, and what is covered
VALS-survivors
consumers with low or fixed income or in region with little resources, focus on immediate needs
reporting quackery
contact the FDA or FTC, state attorney or attorney general
buying standardized herbs
contain a minimum level of major active ingredients
DSHEA dietary supplements
contiain one or more dietary ingredients meant to be taken by mouth
integrative health
coordinated approach to bring alternative medicine and conventional medicine together
short-term care insurance
cover individual for 7, 15, or 30 days but no longer than 26 weeks
long-term care insurance
covers people who require help and supervision with activities of daily living (ADLs), makes care affordable, covers patient after several weeks/months up until 65YO
Ad Self-Regulatory Council
create and implement standards of truth in advertising
nonphysician acupuncturist training
accreditation from ACAOM, 2-3000 training hours, Diploma in Acupuncture certification, NCCAOM certification exam
Patient Protection and Affordable Care Act (ACA)
addressed patient rights and included insurance coverage issues, like: covering patients with preexisting health conditions, free preventative care, and illegitimate insurance termination, etc.
infomercials
ads that began to air after Reagan deregulated cable TV
2017 ad study
advertisements use more smiling faces during the halth risk sections of commericals
fair balance ad criteria
advertisers must explain the pros and cons of their product
Sufi dancing
dance of universal peace or 'whirling dervishes'; performed under strict oversight of Sufi master, intended to find inner peace and harmony by dancing in circles from partner to partner
gurdijieff sacred dances
dancing technique where the movements are coordinated to different rhythms, meant to train the dancers to focus only on the present moment
liniment
deconcoction or infusion is mixed with 1/4 to 1/2 part olive oil and/or rubbing alcohol; is rubbed into sore muscles and joints
benefits of meditation
decrease metabolic rate, reduce blood lactate levels, reduce free radicals, increase serotonin
HMOs costs
decreased users personal costs, but have not decreased overall healthcare costs
gauss rating
degree of strength of magnets
first step of ayurvedic treatment
determine dosha type
Samuel Hahnemann
developed homeopathy in 1790
NHIS most common CAM therapy
dietary supplements that are not vitamins or minerals
reminder ads
discuss product but not disease it treats, don't need to address risks
product claim ad
discuss specific product and disease, must address its risks and benefits
Bureau of Consumer Protection (BCP)
division of FTC designed to protect consumers from businesses that choose to use fraud or deception in the sale of their product
naturopathy beliefs
do no harm, body will heal itself, promote health, prevent disease; diet, stress, and genetics are mineral imbalance factors
William Fitzgerald
doctor that introduced zone therapy to the US and the idea that the body is divided into 10 vertical zones
NCCIH homeopathy remedy study
found that homeopathic remedies are relatively safe and unlikely to casue severe side effects
Benedict Lust
founded American School of Naturopathy after curing himself of TB with hydrotherapy
Daniel D. Palmer
founded chiropractic medicine; taught himself anatomy and physiology at time when physicians had no formal medical education
Mary Baker Eddy
founder of Christian Science
Robert Koch
founder of bacteriology, found causes of TB, cholera, anthrax
Andrew Taylor Still
founder of osteopathic medicine
second pulse (pitta)
frog pulse; middle finger denotes pitta dosha; strong pulse means strong pitta; feels excited and moves like a jumping frog
Register of Chinese Herbal Medicine
fully informed about herbals and their uses, follow detailed guidelines and code of practice; DO NOT prepare or dispense herbal medicines
National Center for Complementary and Alternative Medicine
funds and conducts research about complementary health approaches
NCCIH funding
funds the Center for Dietary Supplements Research Botanicals
so what claim
gives a claim that is not proving anything about the product
CO2 Extraction
gives more intense scent because more chemicals are released; plants placed in tank with CO2 under high pressure that liquidates it, solvent is added to extract EO
Food and Drug Administration (FDA)
government agency responsible for regulating vaccines, blood supply, cosmetics, OTC and Rx drugs, food products except poultry and beef; became regulatory agency after the Federal Food and Drug Act
medicare
government insurance for everyone who has paid social security and is 65+, and also some disabled people, accounts for largest proportion healthcare spending in US
medicaid
government insurance for people who meet financial need criteria and for those who are disabled, covers 80% of care expenses, largest insurance provider
Fair Balance
government requirement that pharma ads must present accurate balance of benefits and risks to consumer
White House Comission on Complementary and Alternative Medicine Policy
government should ensure safety of CAM roducts, facilitate dialogue between CAM and traditional medicine and the public, help evaluate the ways states regulated CAM practitioners
Galen
greek physician known for anatomical knowledge
powders
ground crude herbs, ingested naturally or cooked into teas
Online and Onboard
happy with care but open to alternatives, use online sources extensively
Consortium of Academic Health Centers for Integrative Medicine
have academic centers at Stanford, Michigan, and Duke
vata attributes
have cold hand and feet, hate cold weather, quick lifestyle, forget things quickly
VALS-innovators/sustainers
have many resources available to them, are willing to try out anything cutting edge like alternative care, motivated by image, achievement and self-expression
shirshasana position
headstand pose that increases brain blood circulation, aids nervousness, tension, and fatigue and spinal alignment
future healthcare costs
healthcare costs are predicted to increase 5.6% every year until 2025, accounting for 19.9% of the GDP
blue tongue
heart disease
moxibustion
heat is used at acupuncture points, artemisia is burned near body to heat up meridian and increase the flow of energy and blood
research on massages
helpful for all ages, helps feelings of isolation and loneliness in elderly, beneficial for lower back pain, anxiety and stress, PMS symptoms, pregnant women
rolling chinese method
helps those who suffer from migraines
effectiveness of biofeedback
helps treat incontinence, eases Raynaud's disease symptoms, helps fibromyalgia patients, kids with ADD
lower herb
herb that is used to attack the organism that is causing illness and is taken on a short-term basis
peony
herb used to regulate blood
most popular aspects of TCM
herbal medicine and acupuncture
ginger root
herbal remedy for nausea
botanicals
herbs and/or spices
dried decoctions or concentrated granules
herbs are made into teas, then remove solids, and then let it evaporate to leave concentrated powder ; about 4x as potent as herbs
crude herbs
herbs that are collected, dried and sifted
crude herbs
herbs that are collected, dried, cut, sifted; may be cooked into teas
liniment
herbs that are rubbed into sore muscles and joints
upper herbs
herbs that expel illness, gentle strength and function, could take months/years to take effect
middle herbs
herbs thought to cure illness, eliminate suffering if taken quickly, increase lifespan if taken gradually
chiropractic philosophy on vaccines
historically have been opposed to vaccination because of their belief in diseases are only caused by spine problems, but are starting to accept them
Eastern Shiatsu Massage
holistic massage for relaxation, uses acupressure techniques with hands, thumbs, elbows, and knees to unblock meridian points and restore health and energy
gelsemium
homeopathic remedy for anxiety and headaches
naturopathy major body systems
immune, elimination, nervous, hormonal systems
Content and Compliant
inactive subgroup that are happy with the way things are, like their doctors and have established trust
pale tongue diagnostic
indicates anemic condition
coating on tongue
indicates toxins in stomach or small/large intestine
top areas of waste in healtcare
inefficient claims processing, defensive medicine, preventable diseases and disorders
information disclosure (CRR-1)
information given to consumers must be accurate and easy to understand, should have assistance when making an informed decision
deductible
initial amount you pay before the insurance company will pay
acupuncture
insertion of stainless steel needles into skin at acupuncture points on body, releases endorphins
Koan
insight technique designed to break down ordinary thinking patterns, includes story, question, or statement that can only be solved through intuition
contemplation
insight technique using introspection to gain a deeper understanding of an aspect of reality, like death
Children's Health Insurance Program
insurance offered to children whose parents don't have health insurance and don't qualify for medicaid
health maintenance organization (HMO)
insurance plans usually provided through employers, has main in-network provider who acts as gatekeeper for all services, typically cheapest insurance type
indeminity insurance
insurance that allows you to choose your provider, most expensive and flexible type of insurance, must pay annual deductible and annual max payout to be fully reimbursed
decreasing term life insurance
insurance that decreases in value over the life of the policy
whole life insurance
insurance that offers death benefit and savings account
shamana therapy
intended to achieve balanced state of body and alleviate disease symptoms through 7 procedures; focuses on spiritual dimensions of healing, milder than Shodhanam therapy
snehan treatment
internal and external therapy; internal = 2 tsp of medicated oil or butter; external = medicated ghee body massage given a few times a week
RTH Laennec
invented the stethoscope
FDA drug approval process
investigational new drug application (IND), clinical studies, new drug application (NDA), approval for sale; takes about 2.5 years
silent mind meditation
involves directly perceiving and feeling the world and how we think
experiemtnal study
involves randomly selecting subjects and randomly assigning them to treatment or control group
arnica
is derived from daisy flower
assessing spirituality
it is difficult to assess spirituality because it varies from person to person
white tongue
kapha imbalance and mucus accumulation
Casual and Cautious
largest of all subgroups, concerned about care but aren't engaged because they have no need
Consolidated Omnibus Budget Reconciliation Act (COBRA)
law that allows families to have group coverage for limited periods of time if a parent lost their coverage because of reduced work hours
Ralph Nader
leading advocate for consumer health and safety
kapha out of balance
leads to attachment, greed and envy, lethargy
Flexner report
led to reform of medical school curriculum
level term life insurance
life insurance that pays the same amount on the death of the policy holder at any time during the life of the policy
future of naturopathy
likely to become the most prevalent because it can be integrated into conventional mediccal practices and is cost-effective
physician network
list of physicians that are associated with a particular insurance plan
ectomorph
long and lean biotype
Out and About
look for the greatest number of options for their healthcare
Shop and Save
look for the least expensive path to receive healthcare
vata type qualities
love sitting, sleeping, and doing nothing
VALS-strivers
low-resources but compulsive buyers, care about their perception by others and try to be seen at a higher social status, tend to smoke and suffer later in life,
worstpills.org
maintained by Public Citizen Health Research Group, outlines the effectiveness and potential harm caused by 18,000+ medications
Water is West claim
make a statement that is tru to all products that are like it
physician and clinical services costs
make up 20% of healthcare costs
product claim ad
makes a claim about the safety or effectiveness of a product
Direct to consumer marketing
makes a pitch for a specific product
Affordable Care Act
mandates that certain licensed CAM therapist should not be discriminated against, but doesn't require insurance plans to cover it
federal and state mandates that raise insurance premium
mandates that require health insurance plans to add specific benefits or services
massage therapy
manipulation of soft tissue and muscle by applying a variety of physical methods
Eastern Lomi-Lomi Massage
massage intended to increase energy flow in body, uses the Hawaiian concept of Huna (harmony and love), gentle but deep working of the muscles
basic kneading
massage technique done flat and smoothly like kneading dough, used on fleshy areas and quads
deep sustained pressure
massage technique given up the length of sausage-shaped muscles on either side of the spine, eases pressure on cervical area in neck
knuckling
massage technique using the knuckles on the skin, rotate in a rippling movement in small circles
circular stroking
massage technique where both hands work on the same side simultaneously, typically used on back and other large areas
cat stroking
massage technique where hands are placed at the top of the area being massaged and glide down with light pressure
fan stroking
massage technique where hands are placed palm-down and smoothly slide up by leaning into it with a straight back, fingers are fanned out on both sides, slowly releases pressure
circular pressure
massage technique where pressure is applied lightly with the thumbs, use a circular motion and gradually increase pressure
static pressure
massage technique where the thumbs are placed on the skin and the therapist leans into them and increases pressure, held for 10 seconds at each pressure point, good for releasing tension
thumb stroking
massage technique where thumbs stroke firmly upward and out, left thumb is lower and the right thumb is higher
western holistic massage
massage that deal with the person as a whole, combines kneading strokes on tights muscles and strokes to aid lymphatic drainage
Western Esalen Massage
massage that uses ocean sounds for slow rhythm that emulates body rhythm, long and slow strokes are given to awaken awareness and then the contact deepens and muscles are kneaded; stress management massage
Effleurage technique
massage where hands are placed across the body with fingers together and thumbs slightly stretched; use successive light or deep stroking or gliding motions across body contours
petrissage technique
massage where the stomach is kneaded, rubbed, or rolled to stimulate and relaxation and the release of toxins; use the whole hand with fingers together and thumbs stretched out in order to squeeze the rounder body contours
Infant massage study
massages help infants younger than 6 months, improves sleep, reduces crying and stress
basti
mediated enema, herbal oils and such are placed in liquid medium and used as an enema to cleanse colon
Medicare Part A
medicare hospital and homecare insurance, paid through payroll taxes
Medicare Advantage/ Part C
medicare insurance that mixes A and B, can include Part D prescription benefits, more expensive upfront but reduces overall costs
Medicare Part B
medicare medical insurance, paid through monthly premium, covers doctor services and outpatient care
meditation and nervous system
meditation reduces sympathetic NS activity and increases parasympathetic NS
main causes of disease
mental factors, lifestyle, dosha imbalance, metabolic toxins
satvajaya
mental hygiene or psychotherapy
energy therapies
method of healthcare where one manipulates body energy to improve health
electro-acupuncture
mild electrical pulses are relayed via acupuncture needles to trigger points in skin
principles of mind-body intervention
mind, body and spirit are: interconnected, stress and depression hinder disease recovery, psychoneuroimmunology explains mental process that affect immunity, gives value to placebo effect, social support enhances CAM therapies
premium
monthly payment for health insurance
Sick and Savvy
most active subgroup, have health issues that need immediate attention, actively engaged with healthcare providers to receive care
steam distillation
most common method of extracting oils, plant parts are heated and molecules evaporate, steam is cooled and condenses, water is drawn off the oil and results in pure oil
white willow bark
most commonly used to treat pain
Hippocrates
most famous physician of all time
kinhin
movement meditation position, walking while focusing on breathing and leg movement, intended to focus on the present moment and being self-aware
Zen archery
movement position through archery meant to focus on breathing and internal energy to become self-aware
Human biofield
multidimensional, vibrational, reflectional of the emotional and mental energy of the physical form and links our cellular activity to the body meridians
Ayurvedic physician training
must complete 18 month course to become licensed
medication ads
must include research results of medical trials
oil used for anointing
myrrh
trigger-point acupuncture
needles are inserted at location away from organ/tissue being affected and Qi is channeled through nerves
earlobe needling
needles or staples used at ear acupuncture points
medical malpractice
negligent practice in medicine that causes injury or death of a patient
preferred provider organization (PPO)
networks of physicians that work with an insurance company with a negotiated rate for services, copay is higher for out of network doctors
Reiki practitioners
no formal training, mastering of the art, serve as channel for qi by using their hands to transmit their energy to sick people
reflexologist training
no licensing laws requiring special training but it allows to be more effective, standard set by American Reflexology Certification Board (ARCB)
NCCIH magnet therapies
no scientific evidence to support magnets as medical devices; could be harmful if patient has insulin pump or pacemaker, minimal but untrusted evidence for pain management
Buddhist meditation
one-pointed focus (ekagatta) to become detached from thoughts, disciplined practice that helps relieve anxiety and fear
Dr. Stephen Barrett
opponent of alternative medicine because it needs to be studied further to determine its merit; founder of Quackwatch.org
chiropractic philosophy on water fluoridation
oppose fluoridation because they believe that disease causes are traced to the spine
consumers union
organization responsible for policy and action based on publications of Consumer Reports, strive to create a safe marketplace
hospital assessment surveys
overall patient satisfaction with hospital experiences have shown steady increase since 2010, good for smaller facilities but showed steady declines as the facility increased in size
kapha attributes
overweight, slow metabolism; slow lifestyles but good long-term memory; compassionate laid-back people
primary beneficiaries
people that receive death benefit upon the policy holder's death
contingent beneficiaries
people who receive death benefit when the policy holder dies and the primary beneficiaries are deceased or not found
illness
perception of feeling the symptoms of a disease
Carl Zeiss
perfected the microscope
quack
person who promotes medical fraud/deceit
beneficiary
person who recieves benefit when someone dies
red or yellow-green tongue
pitta imbalance
essential oils-absolute
plant extraction obtained by using chemical solvents
essential oils-CO2
plant oil extracted by CO2 method
boswellia
plant that helps ease pain
insight technique
popularized by Maharishi (guru), focuses on negating your false self to find your true nature and become enlightened
capsules
powdered herbs , dried concoctions, or concentrated extracts placed in gelatin capsules
tablets
powdered herbs, dried concoctions, or concentrated herbal extracts with a binding substance added, then pressed into tablets
suggestions for meditation
practice frequently, find joy in your current life, take each experience in the moment then move on, practice kindness to yourself and others
herbalists
practitioner of and contributor to the field of herbal medicine; include shamans, healers, holistic MDs, pharmacists, etc.
First degree reiki
practitioners place their hands on sick person's hands and the energy will go where it has to, no specific placement
pregnant women massage oil
pregnant women should not use arnica, clary sage, fennel, cinnamon, clove, and juniper when getting a massage
poultice
preparation of fresh, dry, ground herbs that are applied to the skin directly or wrapped in a cloth
poultice
preparation of fresh, dry, ground, or powdered herbal mixture that is wrapped in thin cotton or wool cloth and applied to the skin
pathya vyavastha
prescription of diet and activity
private insurances and CAM
private insurances are more likley to cover CAM therapies if they offer more savings than conventional therapies
Consumer federation of America
pro-consumer group that focuses on advocacy, research, education, and service; investigates issues and published findings as well as advancing policy discussion in the government
medical necessity
procedure that is required for the benefit of a person's physical health
Alexander Technique
process of learning how to release muscle tension, developed by actor Fred Alexander after experiencing chronic laryngitis; involves walking, standing, sitting, etc. for 30-45 mins and having a teacher point out posture flaws
cold-pressed extraction
process of making essential oils by using high mechanical pressure to force oils out
vata out of balance
produces fear and anxiety, eating and digestive disorders
DSHEA Supplement definition
products that are intended to supplement the diet, contains one or more dietary ingredients, are taken orally, are labeled as supplements
Pure Food and Drug Act and Shirley Amendment
prohibited companies from making fraudulent claims and ads about their products/services
Pure Food and Drug Act
prohibits companies from making fraudulent claims about their products or advertising those claims to the general public
Stark Law
prohibits physicians from referring patients to another provider or facility that they have a financial relationship with
Ruth Drown
promoted Therapeutic Machine that was said to access etheric life force energy from drop of patients blood and would produce a photo of tissue anywhere in the body; Radio-Vision device that could diagnose patient without them being present because the radio waves travel over distances
vata dosha in balance
promotes creativity and flexibility
psychological benefits of massage therapy
promotes general well-being, reduces stress, improves mood and sleep
hypnosis effects
promotes health and mastering of ones own awareness states, do not lose control of themselves and act on their own free will, remember everything that happened while hypnotized
pitta in balance
promotes understanding and intelligence
variable universal life insurance
provides death benefits and cash values that vary when the investment portfolio changes
VA
provides healthcare for military members, provide life insurance, disability comp, and burial allowances
Agency for Healthcare Research and Quality
provides info about getting safer medical care
satvajaya therapy
psychotherapy or mental health counseling; meditation used to restrain from excessive substance abuse to improve memory or self-esteem
Deloitte Review
published 6 categories that describe how people are engages in their healthcare decisions; 2 groups aren't very engaged but are the larger groups (56% of all), other 4 are engaged but smaller
Patriot Act
pulled pseudophedrine from OTC availability because it was used to make meth
Medigap
purchased by Medicaid patients to supplement limitations of Medicare, cannot be part of Medicare Advantage, doesn't cover long-term care, dental, eye, hearing, or private nurses
chiropractic treatment
purpose is to adjust vertebrae or other misaligned joints to release pressure on nerves that connect to the rest of the body
psychograph
quack device that claimed it could read skull topography and diagnose mental illness or personality
sports/energy bands
quack devices that claimed to improve strength, balance, and coordination through energy balance
Pinkmans Vegetable compound
quack herbal remedy that claimed to cure female problems and eventually depression, moodiness, headaches, backaches, fainting spells
spectrochrometry
quack procedure that claimed it could cure ailments by bombarding body with color spectrum by attuning the body
Dr. Wilhelm Reich
quack psychiatrist who promoted the Orgone Energy Accumulator, orgone energy would heal any disease or illness, arrested for fraud by FDA
radithor
quackery that claimed it could cure 150 ailments by ingesting radium with distilled water
renulife
quackery that claimed the use of UV rays could be used for therapeutic purposes
Taoist meditation
quiet, still, and calm while concentrating focus to ignore sensory stimuli, enhances self awareness and insight; involves breathing through nostrils and using the abdomen to breathe
laser acupuncture
rays or lasers are used instead of needles to facilitate trigger points
stages of decision making and ad influence
recognition, info search, alternate evaluation, purchase, evaluation
bolus
rectal or vaginal suppository made with cocoa butter, water, or honey, mixed with powdered herbs
Reflexology research
reduces anxiety and pain in patients with breast and lung cancer; effective for PMS symptoms; improves quality of life in palliative stage of cancer; reduces labor time
Chiropractic Doctor (DC) training
referred to as Doctors; 3 years of undergrad scientific courses, 4-5 years at chiropractic college accredited by Council on Chiropractic Education (CCE), board exams and licensing requirements, specialization for most
scientific medicine
reflects established conventional knowledge based on standard methods of prevention, diagnosis, and treatment; reviewed by med schools, research centers, professional orgs and journals, and gov offices
ginseng
regulates blood sugar, blood pressure, resist fatigue, increase oxygen utilization, and enhances immune system
attunement
reiki ceremony of initiation to the force of energy , precursor to becoming a practitioner
rasayana
rejuvenation treatment
rasayana treatment
rejuvenation treatment
rasayana therapy
rejuvenation treatment that nourishes body and boosts immunity, strength, and vitality; uses drugs, herbs, diet, and lifestyle change
stages of hypnosis
relaxation stage to prepare to think deeply, dissociation of past to focus on moment, responding to suggestions, return to awareness and reflect on experience
Dr. Eunice Ingham
renamed zone therapy to reflexology, author of Stories the Feet Can Tell
longitudinal study
research design that follows a population from one point in time to another time in the future
controlled clinical trial
research method involving a number of people using an experiemtnal and control group
quantitative research
research that finds an amount of something
risk section of ads
risk info must be contained in a block of text distinct from the rest of the ad
cupping
round glass cup is heated and used to create vacuum on skin, promotes circulation and Qi, opens pores to flush out toxins
Florence Nightingale
sanitized hospitals during the Crimean War, greatly decreased deaths
flexible spending accounts
savings accounts set up by employers that allow employees to contribute on a pretax basis to reimburse healthcare expenses, HSA members are ineligible, money not used in year goes to employer
gelcaps
sealed gelatin capsules that hold tinctures or concentrated liquid herbal extracts
Burmese position
seated mediation pose resembling Buddha's pyramid, sitting on pillow with knees touching the ground
half lotus position
seated meditation pose where feet are placed on the opposite thighs, symmetrical and very stable
US Dietary Supplement Health and Education Act (DSHEA) (1994)
set new guidelines with regard to the quality, labeling, packaging, and marketing of supplements; resulted in dietary ingredients no longer being subjected to pre-market safety evaluations
current procedural terminology
set of codes that set the guides for determining physician fees
white tongue coating
signals poor digestion
point of service plans (POS)
similar to HMO and PPO plans, but you can choose either an HMO or PPO provider every time you go to receive care
internal qigong
similar to meditation, focus on breathing and thinking to increase qi, open meridians, lungs, and strengthen organs
therapeutic touch
similar to reiki, energy therapy where hands are held several inches away from the patient and send energy via the hands in an effort to heal
naturopathic physician training
similar to traditional physician
Physician Accountability/Doctor Discipline
site maintained by Public Citizen Health Research Group, provides information about doctors that have been disciplined by state or national boards
transcendental meditation
sitting 15-20 mins 2x a day and keeping a blank mind, helps people see beyond their thoughts and to experience the source of thoughts
Zen meditation
sitting still and emptily, eliminating mental thoughts and images, shallow breathing
VALS-experiencers
small group, young, first to try and quit trends, social and outgoing
VALS-makers
smallest group, see self-expression as a function of building things, value practical things that are self-sufficient and are seen as valuable in their lives, tough it out mentality
pitta attributes
smart but critical, little patience and quick temper
first pulse (vata)
snake pulse; index finger denotes vata dosha; strong pulse means strong vata; pulse is irregular and thin moving in waves like snake
home/folk remedies
some are effective for specific things but not all diseases/disorders, some are completely useless
second degree reiki
specific hand placement and integrated symbolism, allows for healing of mind and emotions
So What claim
statements that are true, but provide no info about the product's benefits
acupuncture point injection
sterile syringes are used to inject trigger points with vitamins, minerals, medicine, etc.
acupuncture needles
sterilized or disposable, as thick as a human hair, conical tips to prevent tissue damage
storing herbs
store in empty glass container in a cool, dark cabinet
VALS-achievers
successful professionals, self-reliant, like to buy namebrands and expensive luxuries
hypnosis social psychological model
suggests hypnosis is explained by suggestibility, positive attitudes and expectation, doesn't involve altered conscious state
hypnosis neo-dissociation model
suggests that hypnosis activates subsystem of psychological and physiological parts which results in an altered conscious state
tapotement technique
superficial form of percussion that is done quickly, tapping the body or face, may be done by cupping, hacking, and pinching
third pulse (kapha)
swan pulse; ring finger denotes kapha dosha; strong pulse with movement that resembles a swan
essential oils used as carrier oils
sweet almond, sesame, sunflower
VALS
system that categorizes consumers into 8 groups based on what motivates their decision-making
how can one decrease healthcare costs?
taking advantage of wellness programs in health plans
essential oil not used as carrier oil
tea tree oil
Active Release Technique (ART)
technique designed to treat scar tissue adhesions and small muscle tears or under oxygenated muscles
empty mind meditation
technique that creates awareness by emptying the mind, involves sitting in a lotus position and letting the mind go silent
testimonials
technique used to associate a product/service with public figures
chiropractic belief
the body has an inherent ability to heal itself if nerve impulses can travel freely between the brain and the rest of the body
validity
the extent to which a test predicts the outcome it is supposed to predict
bioelectromagnetic therapy
therapies that use magnets, light, sounds to emit energy that will heal a patient
complementary practices
therapies used alongside traditional treatments, like aromatherapy after surgery
homeopathic training
there are no uniform licensing or professional standards in the US
why did insurance companies leave exchange pools?
they were losing money
resin
thick, sticky substance made by trees
activator
tool that delivers a light and measured force to correct vertebral alignment, preceded by soft-tissue massage techniques
naturopathic physicians
training similar to MD; pre-med undergrad, clinical xp, NPLE after year 2 and 4 of ND school
chiropractic medicine
treatment method based on belief that the muscular, skeletal, and nervous system interact and disease or pain is due to blockage of their interaction; from Greek words cheir (hand) and praktikos (done for)
unproven treatments
treatments of unknown value, have not been proven to be useful or effective by Western standards
recognizing quackery
treatments/devices that offer: quick and painless cure, secret formula claims, claim the medical community doesn't want you to know, testimonials or undocumented cases, cures everything even things without cure, requires immediate payment
bandwagon claims
tries to covince consumer to follow trend/crowd based on a common feature
massage oils
typically use mineral oils and aromatherapy oils like lavender, tangerine, lemon, eucalyptus, tea tree, etc.
Federal Trade Commission (FTC)
ultimate authority for ad laws in US, establish what is dishonest or misleading
Federal Trade Commission
ultimate authority to create regulatory laws for advertisements
external qigong
use movement to project qi that can affect their energy or that of others, involve single or combination of movements, reduces blood pressure and increases flexibility
phytotherapy
use of botanical medicines to treat diseases
Western Swedish Massage
use of firm but gentle pressure to promote relaxation, ease muscle tension, and promote stress relief and improve blood circulation; deeper pressure on specific areas of muscle tension is deep tissue massage
magnet therapy
use of magnet on or around the body to restructure the flow of energy in the human body for healing and well-being
Biofeedback
use of the body's electrical signals to heal, involves visual or audio stimulation to give a response and then are trained to control their responses, like heart or breathing rates
Weasel claim
use terms that make products sounds great, but don't really say anything about it
baby massages
use vegetable or plant oil (grape seed or sweet almond) so the oil is not harmful, mineral oils aren't use because they aren't readily absorbed and could be harmful
solvent extraction
used for extracting EO from blossoms that cannot be distilled; wash blossoms with hexane that dissolves compounds, filter solution, waxy mass remaining is eliminated by agitating and freezing the solution, leaves absolute
cowhage plant
used to prevent or lessen side effect of drugs for Parkinsons
cranberry juice
used to treat urinary tract infections
soaking or macerating
used when heat can damage plant components; soak plants in animal fat or vegetable oil, fat/oil picks up scent of plant, pure grain alcohol dissolves EO compounds leaving fat behind, vacuum distillation removes alcohol, leaves behind floral absolute
rhythm and song meditation
uses a combination of rhythm/music, breathing, and chanting during meditation to reach a desired state of calmness
Eastern Ayurveda massage
uses a reed massage mat placed on an Indian-style futon or cotton mattress, use ayurvedic massage oils, provides relaxation, circulation, and eliminates body toxins
variable life insurance
uses part of the premium to purchase stocks, bonds, and mutual funds
healing
using the mind, body, and spirit to control disease, enhance quality of life, and promote well-being
black or brown tongue
vata indication
subluxation
vertebrae that have moved out of position and cause pressure or irritate spinal nerves
reflexology technique
wash feet with rose water to soothe, press points on feet to stimulate circulation, use talcum powder not oil, record feelings of crystals in feet
theory of the 5 elements
water, fire, wood, metal, earth
information research stage
when a consumer looks for options that will satisfy their needs
Direct to Consumer Marketing (DTC)
when an ad makes a direct pitch for a specific product
need recognition stage
when consumer recognize a need for something
peer-reviewed journals
where most researchers present their findings to the public
future of CAM medicine
will increase in costs and use
peppermint oil
world's oldest medicine, canbe safely ingested or used in soaps, shampoo, tea; helps treat digestive disorders and nausea
chiropractic diagnosis
x-ray, physical exam, and then template for treatment
outside-in herbs
yang herbs that are used on the outside and work into the body, like skin ointments
inside-out herbs
yin herbs that are ingested and work from the inside, out
yoga benefits and function
yoga helps treat health problems like back pain, respiratory problems, depression, etc.; increases flexibility, strength, muscle tone, and posture
Reiki Principles
you must make a conscious decision to improve yourself, you must accept responisibility for your healing process in order to have long-lasting results
CBO ACA cost estimation
CBO estimates the ACA would reduce the deficit by $143B over first 10 years and $1.2T in the 10 years after that
Eastern Tuina Massage
Chinese body therapy that uses hand techniques that massage soft tissue, muscles, and tendons; acupressure directly applied to move the flow of Qi
Advisory Commission on Consumer Protection and Quality in the Healthcare Industry
Clinton administration council created after rise of costs and consumer dissatisfaction with HMOs, responsible for keeping the president informed on healthcare system's status
Physician's Assistant (PA) education
Bachelors, Masters, PA school
Nurse Practitioner (NP) education
Bachelors, RN credentials, Masters, licensing and certifications, specialization
first phase qigong
1000-300 BCE; qi was first recorded as energy source, Zhuang Zi Daoist philosopher describes connection between breathing and personal health
American Reflexology Certification Board (ARCB) certification
110 hours of hands-on training, 40 hours of history and theory, 55 hours of anatomy and physiology, 5 hours of business ethics and standards, 10 hours of supervised practicum, 90 hours of postgrad sessions (200 total hours)
Bach Remedies
12 Healers, 7 Helpers, Second 19
amount of chiropractors that are identified as straights
15%
Alexander Technique teachers
1500-1600 hours of instruction and 3 years at an accredited teacher training site
final phase qigong
1911-present; emphasis on wellness, used all around the world, is a mix of practices from many countries
acupuntcurist training
2-3000 training hours in an independently accredited master's program
bath
2-4 qts of deconcoction or infusion are strained and then added to a tub for a bath
second phase qigong
200 BCE 200 AD; Han Dynasty, religious era of qigong after introduction of meditation from Buddhism, was kept secret but leaked to public, focused solely on health and well-being and emphasized religious tone
physician acupuncturist training
200-300 hours of specialized training, pass acupuncture exam
NCCIH meditation studies
2009, TM has positive effects on coping with stress in young adults; 2013, meditation positively impacts smoking cessation
Use of meditation
2012 NCHS study found that 18 million (18%) American adults used meditation in the past year because of positive effects on anxiety, pain, mental health, and CVD and cancer emotional effects
insurance alltime high
2016, 91.2% of Americans had health insurance
US gov healthcare expenses
29% of annual healthcare spending comes from the US government
amount of acupuncturists in US
3000
Physician Assisstant (PA)
33 month graduate curriculum, can provide diagnostic, therapeutic, and preventative healthcare services
massage therapist training
500 hours of study, high school degree, courses in kinesiology physiology anatomy and clinical massage techniques, licensing, NCETMB or MBLEx exams
third phase qigong
500-1911; Liang Dynasty, became martial art where each form represents a different animal, style, and sequence of movement
Ayurvedic herbal medicine
600+ herbal formulas and 250 single-plant drugs
healthcare spending
Americans pay $3.2T annually on healthcare, 33% private health insurance, 20% medicare, 17% medicaid, 11% out of pocket
diet product quackery
Americans spent $60B on weight loss products, including products with unlisted, prescription-only, or unrelated ingredients
TRICARE
DoD healthcare program, offers 11 programs including pharma, dent, and retirement
History of reiki
Dr. Usui was meditating in a temple on mountain and gained healing powers, one must ask for healing and give something in return, records of reiki lost during WWII
Health Insurance Portability and Accountability Act (HIPAA)
Privacy Law, mandates that patients' medical records are kept private and protected
Hulda Clark
Ran century nutrition clinic in TJ, Zapper provided electrical current designed to kill parasites in body therefore curing diseases like cancer and HIV; Syncrometer was said to measure frequency of any disease or organ like tuning a radio
third degree reiki
Reiki Master Healer/Teacher/Grandmaster, mastery of symbols and are expected to train new practitioners and pass along skills and attunements
mandala
Sanskrit for 'completion' or circle; circular symbols with a pattern inside that represent all aspects of life, used in meditation to focus and reach deeper levels of unconsciousness
yoga
Sanskrit for 'union'; believed to increase body's prana storage, intended to achieve self-realization, enlightenment, and soul liberation
Doctor of Osteopathy (DO) education
bachelors, DO school, residency/fellowship, clinical XP
shamanam
balancing treatment
carrier oil
base or vegetable oil derived from fatty portions of plants; used to dilute Eos made by CO2 or Absolute methods
prana
basic life force in the body in Ayurvedic medicine
Chiropractic Philosophy of Traditional Straights
believe in innate intelligence and have been called a faith-based and unscientific belief; strictly manual spine manipulations and follow Palmer's doctrine
carrier oils are
best if cold-pressed
raktalmoksha
blood detox, blood-letting and herbal treatments
meditation
body is in state of conscious relaxation and feeling of well-being; "a way of being, seeing, and loving" Jon Kabat-Zinn
vitalism
body's capacity to heal itself
insurance billing out of network
can be any amount the hospital considers appropriate
qigong
can help alleviate PMS pain
turmeric dangers
can worsen gall bladder disease
infused oil
carrier oil mixed with herb(s)
infused oil
carrier oil that is mixed with one or more herbs
high deductible health plan
catastrophic insurance, doesn't reimburse medical services until deductible is paid
stages of therapeutic touch
centering, meditation to focus and channel energy >> assessment, finding the location needing healing by moving hands around patient >> rebalance, hands move in long strokes to rebalance patient's energy >> treatment, energy is focused into the location that needs healing >> evaluation, final asessment of patient and end of session
yin and yang inbalance
change proportion to bring themselves back into balance
Tips for the savvy consumer
check with doctor before taking supplements, learn who is responsible for efficacy, find current info on the products
Mylan Burch
claimed a serum of steroids and chemotherapy chemicals could cure cancer, showed positive results but was not a doctor, fled to Cook Islands, California, and is believed to be practicing in Switzerland
US herbal products
classified as dietary supplements
shodhanam
cleansing treatments involving Panchakarma, purifies body of toxins, returns balance to body
fomentation
cloth is soaked in infusion or deconcoction after the herb has been strained, cloth is applied to the skin
behavioral advertising
collection of online consumer info to tailor ads specifically for consumer
external qi
comes from the air the breathe and food we eat
Consumer Rights and Responsibilities (CRR)
document that discusses the rights of consumers related to 8 areas of healthcare: plan info disclosure, choice of provider and plan, access to emergency services, participation in decisions, respect and non discrimination, confidentiality, consumer responsibilities
traditional naturopath training
does not have an undergraduate or higher education degree
Florasols/Phytols Extraction
done by Dr. Peter Wilde, use of gaseous solvents to extract aromatic oils and biologically active components for perfumes or food, no heat used
Ayurvedic causes of disease
dosha imbalance, metabolic toxins, mental factors
tridoshic
doshas are evenly distributed
common vata disorders
dry skin, dry hair, and mental confusion
kapha dosha
earth and water; forms bones, tendons, muscles; holds cells together, lubricates joints, supplies water to body
concentrated herbal extracts
either liquid or solid form, 2-100x as concentrated as crude herbs
physiological benefits of massage therapy
eliminates wastes, improves circular, stimulates lymph system to eliminate toxins
nasya
elimination of kapha toxins through nose, neti pot with salt water or medicated oil used to cleanse sinuses
help-seeking ads
encourage consumers to seek medical attention for ailment, little regulations
reiki
energy force guided by a god, stress reduction and relaxation technique that promotes healing, developed by Dr. Mikao Usui
Patient Bill of Rights
ensures right to choose doctor, ends lifetime and annual limits on insurance coverage, ensures young adults are covered under parent's plan
Better Business Bureau
ethical marketplace that sets the standard for trust, quality, and calling out substandard behaviors
how did ACA provide greater access to healthcare
expanded Medicaid to make more people eligible, created tax credits for people with an income 100%-400% of the federal poverty level
kapha in balance
expressed as love, calmness, forgiveness, strong
expression
extracts EO from fruit rinds; soak rinds and pith in water, oils drips out and soaks into sponges, sponges squeezed into containers
tinctures
extracts made by soaking herbs in solutions, typically alcohol
quackery
false representation of medical treatment or device that is said to be effective but really isn't
future of reflexology
favorably received among PTs, massage therapists, and nurses; medical staff train to use as complementary therapy
NCCIH
federal agency responsible for conducting research and reviews involving complmentary and integrative health approaches
Consumer Product Safety Commission (CPSC)
federal regulatory agency responsible for vast array of products, investigate claims of products that can possible cause fires, electrical, chemical, or mechanical hazards
US Public Interest research Group
federation of state level groups that conduct research, provide advocacy, and conduct community organizing to address consumer issues of public concern, is free of lobbying and solely focuses on the good of the consumer
NCCIH yoga study
females have lower stress compound related to CVD and T2D, lower blood sugar, 5x lower C-reactive protein related to inflammation
pitta
fire and water; located in small intestine; controls digestion, absorption, nutrition, metabolism, body temp
hydrosol
floral water or distillate water that remains after distilling an essential oil
Chiropractic Philosophy of Objective Straights
focus solely on the correction of chiropractic vertebral subluxations
Patient Care Partnership (PCP)
focuses on areas of care and the consumer rights associated with them, like right to high quality care, names and expertise of medical staff, and receive care when you need it
US Postal Inspection Service (USPIS)
focuses on the use of the postal service to defraud consumers through faulty ads of jobs and products
virechana
forced purging aided by substances, removes pitta toxins that accumulate in liver and gallbladder
vamama
forced vomiting for therapeutic purposes; consume licorice or salt water and rub tongue
bonesetters
form of chiropractic practice that sets bones without the use of surgery
Qigong
form of exercise designed to redirect the flow of qi to improve well-being
reflexology
form of massage that involves applying pressure to points on feet and hands; based on idea that reflex are in the feet and hands correspond to different body parts
2012 NHIS acupuncture survey
found that 3.5 million american adults had used acupuncture in the past year
Cochrane acupunture review
found that acupuncture has placebo effect on carpal tunnel syndrome
Dr. Dean Ornish
found that comprehensive lifestyle changes can reverse heart disease
ginger studies
found that ginger can safely relieve pregnancy-related nausea and vomiting
