REACTION TO ESSAY BELOW: (Use information from this book (Joanna, K., P., C. D., Rose, S. Family Health Care Nursing: Theory, Practice, and Research, 5th Edition [VitalSource Bookshelf version]. Retrieved from vbk://9780803641228) to connect your response to national guidelines and evidence-based research in support of your ideas. In addition, at least 2 scholarly articles must be used also. This is required.
In addition, you may also provide an example case, either from personal experience or from the media, which illustrates and supports your ideas. All sources must be referenced and cited using correct APA (including a link to the source).)
Holistic vs biomedical care model in the critical care setting
Holistic medicine also known as complimentary and alternative medicine (CAM) therapy is the principle of treating the patient as a whole person from a body mind and spirit perspective. Core principles of CAM therapies focus on alternative treatments including herbal remedies, physical treatments such as acupuncture or cupping, and spiritual therapies focused on improving the flow of energy through the patient’s body. Approved CAM therapies are FDA approved under the pretense that they have been studied sufficiently to confirm a lack of detrimental effects on the patient. However, CAM therapies also remain classified as such based upon a lack of evidence that they provide sufficient benefit to the patient’s condition to be warranted as a legitimate treatment. In some cases this is due to a lack of funding for research regarding the CAM therapy in question, although in many cases it is due to a total lack of evidence that the CAM would be beneficial to the patient. Overall, studying CAM therapies is important as even marginally effective alternative therapies often lead to development of science oriented treatments of proven effectiveness.
In the critical care setting the focus for patient care is generally on science based medicine, as proven, effective treatment is critical to improving the patient’s chances of survival. This logically encourages providers to focus what limited resources are available on proven treatments when dealing with patients in more severe condition than the average patient in the acute care setting. Unfortunately, this may conflict with the patient’s beliefs or those of the patient’s family members/power of attorney. In the event that this conflict becomes apparent, it is important that the beliefs in question are acknowledged, however it is also important to clarify the potential detrimental impact in the event that science based treatments are delayed or avoided in order to seek alternative therapies.
Ideally, to establish good rapport with the patient/family, as well as to support their mental well being, it is in the provider’s best interest to allow the CAM to be performed as long as it does not conflict with the science based treatment the patient is scheduled to undergo. In the event that the CAM treatment is in direct conflict with the science based treatment, such as use of conflicting herbal remedies, the CAM therapy should be discontinued immediately in favor of the proven treatment. A common example being use of St. John’s Wort in a patient at risk of a blood clot, who is also taking coumadin. While St. John’s Wort is seen as a legitimate CAM for the treatment of mild to moderate depression, and may be seen as a preferable alternative to a conventional medication such as an SSRI, it will cause increased clearance of the blood thinner thus increasing the patient’s risk of developing a thrombosis. In such a scenario, CAM therapies, even a therapy widely accepted as effective, should be opposed in favor of conventional medication.
AHHA (2019) Principles of Holistic Medicine; American Holistic Health Association. Retrieved February 26, 2020 from https://ahha.org/selfhelp-articles/principles-of-holistic-medicine/
Anlauf (2015) Complimentary and alternative drug therapy versus science-oriented medicine. German Medical Science, National Library of Medicine. Retrieved February 26, 2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480118/
NIM (2019) Complimentary and Alternative Medicine; National Cancer Institute, National Institute of Medicine. Retrieved February 26, 2020 from https://www.cancer.gov/about-cancer/treatment/cam
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