CAM Practices June 2015 Page 1

CAM PRACTICES

Week 1

15 June 2015

6-7:30 pm

Mind-Body

Medicine

Week 2

22 June 2015

6-7:30 pm

Manipulative and Body-based

Practices

Week 3

29 June 2015

6-7:30 pm

Biologically Based Practices

Hosted by

Nikki Avery, LMT, Wellness

Coach

Davis Island Community

Center

143 Davis Blvd

813-555-2727

COMPLEMENTARY AND ALTERNATIVE MEDICINE PRACTICES

Many community members have utilized complementary and alternative medicine (CAM) practices for thousands of years in the quest of health and well-being. They include dietary supplements and botanicals, traditional, acupuncture, mind-body medicine, and therapeutic massage. Come join me for a 3 week FREE course to learn more about these practices and benefits they have to your life!

CAM Practices June 2015 Page 2

COMPLEMENTARY AND ALTERNATIVE MEDICINE SyllabusCourse Overview

Many community members have utilized complementary and alternative medicine (CAM) practices for thousands of years in a quest of health and well-being. CAM therapies and medical systems are widely used and available in the United States. They include diverse products and practices such as dietary supplements and botanicals, traditional Chinese medicine, acupuncture, mind-body medicine, and therapeutic massage. Complementary medicine is highly recommended to be used together with mainstream medical care.

Audience

During these lectured based courses, community members will explore the field of complementary and alternative medicine (CAM), thus becoming familiar with understanding CAM, its practices, benefits and a video demonstrations. Community members will have the opportunity to partake in wellness quizzes and meditation techniques.

Course Materials

Hand-outs will be provided

Course Outcomes

By the end of these lecture sessions, member should be able to:

Thoroughly define complementary and alternative medicine.

Compare the various classifications of CAM practices. Observe and understand various methods of CAM.

CAM Practices June 2015 Page 3

Instructor

Necola Avery,

LMT, Esthetician,

Wellness Coach

Phone

813-555-2727

Email

Necola27

@gmail.com

Office Location

143 Davis Blvd

Tampa, FL 33606

Davis Island

Community

Center

Office Hours

3 week course

15, 22, 29 June

2015

6-7:30 pm

Self-identify personal wellness level and areas of improvement. Partake in mini-meditation session

Quizzes

Members are encouraged to participate in course quizzes and live method practices in order to have a better understanding of CAM practices. If member, would prefer a one on one session, please inform the instructor. Pen/Pencils will be provided.

Attendance

Attendance is voluntarily. However, members who participate and attend all three courses will be awarded a completion certificate upon full attendance of courses.

Classroom Rules of Conduct

Cell phone use prohibited during courses. Please no food and drink permitted during class. Feel free to take notes as needed! Please be courteous to other participants during lectures.

Participation

Members are highly encouraged to ask questions! Have fun and enjoy the course.

Emergency Procedures

Evacuation procedures  -- see instructions posted in the classroom. First aid kit  -- located in Room 112. All instructors have a key to the room. Emergency ambulance  -- from any instructor's office, phone "9" to get an

outside line, then "911." There are also phones on other floors and at the bookstore and nurse's office on the ground floor.

CAM Practices June 2015 Page 4

COURSE CALENDAR

Week 1

Mind-BodyMedicine

Intro

to CAM

Define Mind-Body Medicine

Techniques Video Demonstration

Practice

Discussion

Questions

Week 2

Manipulative and Body-

based Practices

What is Manipulative/BodyPractices

Massage

Bodywork Video Demonstration

Discussion

Week 3

Biologically Based Practices

Introduction Do’s and Don’ts

Safety Tips/Herbal Remedies

Wellness Quiz Open Discussion

CAM Practices June 2015 Page 5

CAM LECTURE NOTESWEEK 1

Introduction to Complementary and Alternative Medicine1. What is it?2. How does it compare to conventional medicine?3. How many American’s utilize this option?4. Examples

Mind-Body Medicine1. What is it?2. Benefits3. Practices

Play video demonstration of meditation 1. Discussion2. Questions

WEEK 2

What is Manipulative/Body-based practices?1. Definition2. Pros and Cons

Massage1. Benefits2. Kinds

Bodywork1. Benefits

Video Presentation of Massage Discussion

WEEK 3

Introduction to Biologically-based practices1. What is it?2. Do’s and Don’ts3. Safety Tips4. Common Herbal Supplements5. Wellness Quiz6. Discussion

CAM Practices June 2015 Page 6

HANDOUTS

Preface

As noted by the Medaus Pharmacy (2008), “Around the time of the Revolutionary War (1775-1783), medical doctors were not considered to fulfill major societal roles. In fact, the practice of medicine was seen as more of a part-time avocation due to the fact that the majority of citizens labeled as "doctors" also took on full-time occupations such as judge, magistrate, farmer, or merchant” (Medaus Pharmacy, 2008). In turn, this era left little room for private or hospital practice. As a result, lay practitioners took care of most medical matters including births, injuries, and illness through the use of herbal medicines and teas, salves, emetics, and purgative medicines (Medaus Pharmacy, 2008).

Fast forwarding, by the beginning of the 19th century, conventional medicine was beginning to grow (Medaus Pharmacy, 2008). “Despite the growing popularity of the medical profession, patients often labeled conventional medical practices as expensive, imprecise, and dangerous” (Medaus Pharmacy, 2008). As a result, a number of citizens formed the Popular Health Movement (PHM) during the 1830s and 1840s (Medaus Pharmacy, 2008).

As a team, PHM supporters sought to alter conventional medical practices by incorporating and emphasizing some of the ideas that midwives and lay practitioners had long used to heal their patients (Medaus Pharmacy, 2008). Needless to say, these “included herbal remedies, proper nutrition, clean water, exercise, disease prevention, the body's innate ability to heal itself, and health education” (Medaus Pharmacy, 2008).

Due to this, Samuel Thompson and Wooster Beach (herbalists), influenced state after state to repeal their conventional medical licensing laws and allow for certain complementary and alternative medicine (CAM) therapies to be part of everyday health care (Medaus Pharmacy, 2008). In view of that, today 69% of the U.S. populace reports using at least one form of CAM in any given year (Medaus Pharmacy, 2008).

CAM Practices June 2015 Page 7

WEEK 1

What Encompasses Complementary and Alternative Medicine?

At some point in your health journey in life, you have seen the words “complementary,” “alternative,” and “integrative,” but what do they really mean? As defined by the Everyday Health, Complementary and alternative medicine, or CAM, is a category of medicine that includes a variety of treatment approaches that fall outside the realm of conventional medicine (Calabro, 2015).

So what are the differences between conventional vs complementary? 1. Complementary medicine refers to healing practices and products that

work in conjunction with traditional medicine (Calabro, 2015). 2. Alternative medicine differs in that it is not used as a complement to, but

rather as a substitute for traditional therapy (Calabro, 2015). The National Center for Complementary and Alternative Medicine (NCCAM)

recently surveyed Americans on their use of complementary and alternative medicine. The information was collected from more than 20,000 adults and nearly 10,000 children. The results noted that about 40 percent of adults and 12 percent of children use some form of complementary and alternative medicine (Calabro, 2015).

Out-of-pocket spending on herbal supplements, chiropractic visits, meditation, and other forms of complementary and alternative medicines (CAM) was estimated at $34 billion in a single year (Boyles, 2009).

The National Center for Complementary and Alternative Medicine (NCCAM) recognizes five main categories of complementary and alternative medicine:

CAM Practices June 2015 Page 8

Mind-body medicineMind-body medicine includes treatments that focus on how our mental and emotional status interacts and affects the body's ability to function. These include meditation and therapies expressed through art and music (Calabro, 2015).

Whole medical systemsRefers to complete systems of medical theory and practice. These include traditional Chinese medicine and Ayurveda, a therapy that originated in India. Whole medical systems from the West include homeopathy and naturopathy (Calabro, 2015).

Manipulative and body-based practicesThese require the physical manipulation of the body, this practice is intended to improve specific symptoms and overall health. These practices include chiropractic. Massage, yoga and osteopathy (Calabro, 2015).

Energy medicineThis form of medicine uses energy fields to promote healing. It has been noted that these Biofield therapies affect energy fields that are said to encircle the human body. These are conducted in the practices of Reiki and qi gong (Calabro, 2015).

Biologically based practicesThese practices focus on herbs, nutrition, and vitamins, dietary supplements and herbal medicine. Although these are a growing interest kinds of therapies, more research is still being conducted and tested (Calabro, 2015).

Mediation

“Meditation is a mind and body practice that has a long history of use for increasing calmness and physical relaxation, improving psychological balance, coping with illness, and enhancing overall health and well-being. Mind and body practices focus on the interactions among the brain, mind, body, and behavior” (National Institute of Health, 2014).

Research suggests practicing meditation may reduce blood pressure, irritable bowel syndrome, anxiety, depression, insomnia (National Institute of Health, 2014).

There are many types of meditation, but most have four elements in common: 1) a quiet location with as few distractions as possible 2) a specific, comfortable posture 3) a focus of attention (a specially chosen word or set of words, an object, or the sensations of the breath) and 4) open

CAM Practices June 2015 Page 9

attitude (letting distractions come and go naturally without judging them) (National Institute of Health, 2014).

Let’s practice one now! This will be a guided meditation which is a form of meditation where an individual is verbally guided into a state of consciousness either by a person's live voice or by a recording of a voice. It’s about 10 minutes long.

http://www.fragrantheart.com/cms/free-audio-meditations/relaxation/blue-sky-inner-stillness-and-silence

QUESTIONS/DISCUSSION

WEEK 2

What is Manipulative/Body-based practices?

“Manipulative and body-based practices encompass a system of therapies that use either manual manipulation or movement of one or more parts of the body to address structural or systematic imbalances of the bones and joints, the soft tissues, and the circulatory and lymphatic systems. Practices include Chiropractic and Osteopathic manipulation, therapeutic massage, and a variety of other "bodywork" therapies” (Raby Institute, 2011).

What Conditions Can Manipulative and Body-Based Therapies Treat? Accident and

sports injury Anxiety and stress Arthritis / Joint

pain Asthma Chronic fatigue

syndrome

Infertility Low back pain Migraines Neck pain/shoulder pain Overuse or misuse of the

body Sinusitis Visual problems(Raby Institute, 2011)

When Should I Avoid Manipulative and Body-Based Therapies?When you experience: (Raby Institute, 2011)

Acute raised intracranial pressure  A recent cerebrovascular accident (stroke)  A recent fracture of the skull or pelvis 

There are two main therapies involve the movement or realignment of parts of the body:

CAM Practices June 2015 Page 10

Massage Therapy Bodywork

Massage

“Massage is the rubbing of soft tissues of the body, such as the muscles. Massage may be helpful in reducing tension and pain, improving blood flow, and encouraging relaxation. Massage therapists usually apply pressure with their hands, but they can also use their forearms, elbows, or feet” (WebMD, 2015).

Types

Swedish massage is very gentle and is often used to promote relaxation,

improve blood flow, and relieve muscle tension (WebMD, 2015).

Deep tissue massage is more active and intense. It is used to treat long-

lasting muscle tension. The therapist applies slow strokes (with the fingers,

thumbs, and elbows) using intense pressure to reach deeper layers of the

muscles than those reached with a Swedish massage technique (WebMD,

2015).

Trigger point massage is less gentle and can sometimes be

uncomfortable. The therapist applies firm pressure to knots or tight, tense

muscles that have been overused or injured, continuing until the muscles

relax (WebMD, 2015).

CAM Practices June 2015 Page 11

Bodywork

Bodywork and manual therapy are general terms that refer to body

manipulation therapies used for relaxation and pain relief. The aim of

bodywork is to realign and reposition the body to allow natural, graceful

movement. Bodywork, along with identifying possible contributing causes of

unnatural movement and posture, is thought to reduce stress and ease pain

(WebMD, 2015).

The Alexander technique focuses on proper alignment of the head, neck,

and trunk. It emphasizes improving health by increasing awareness of proper

posture (WebMD, 2015).

The Feldenkrais method is a gentle form of bodywork that increases

flexibility and coordination. These exercises increases a person's awareness

of body movement and develop new patterns of movement (WebMD, 2015).

The Trager approach is used to help you relearn natural movements and

exercises so your bodies can function better. Practitioners teach gentle,

rhythmic motions to improve flexibility and promote relaxation and dancelike

exercises to increase awareness of body movement (WebMD, 2015).

Now, let’s watch this short video on a massage session:

http://www.psychetruth.net/free_hd_massage_videos/full-body-massage-video-

for-back-relaxation/

CAM Practices June 2015 Page 12

QUESTIONS/DISCUSSION

WEEK 3

Introduction to Biologically-Based Practices

This practice includes the use of dietary supplements and herbal remedies. These treatments use ingredients derived from nature. Some of the ingredients include but not limited to herbs such as ginseng, ginkgo and echinacea; examples of other dietary supplements include selenium, glucosamine sulfate and SAMe. In addition, herbs and supplements can be taken as teas, oils, syrups, powders, tablets or capsules (Mayo Clinic, 2015).

On the flip side, herbal supplements haven't been subjected to the same scientific scrutiny and aren't as strictly regulated as medications. Therefore, it is critical to investigate potential benefits and side effects of herbal supplements before you buy (Mayo Clinic, 2015).

Herbal supplements are regulated by the FDA, but not as drugs or as foods (Mayo Clinic, 2015). They fall under a category called dietary supplements, thus Manufacturers don't have to seek FDA approval before putting dietary supplements on the market (Mayo Clinic, 2015).  

Do

Ask your doctor or pharmacist they should be able to point you to the latest medical guidance about its uses and risks (Mayo Clinic, 2015).

Look for scientific research findings two good sources include the National Center for Complementary and Alternative Medicine (NCCAM) and the Office of Dietary Supplements websites (Mayo Clinic, 2015).

Contact the manufacturer. If you have questions about a specific product, ask to talk with someone who can answer questions (Mayo Clinic, 2015).

Don’t

If you're taking prescription or over-the-counter (OTC) medications some herbs can cause serious side effects when mixed with prescription and OTC drugs, such as aspirin, blood thinners or blood pressure medications (Mayo Clinic, 2015).

You're pregnant or breast-feeding the medications that may be safe for you as an adult may be harmful to your fetus or your breast-feeding infant (Mayo Clinic, 2015).

CAM Practices June 2015 Page 13

If you're having surgery some may decrease the effectiveness of anesthetics or cause dangerous complications, such as bleeding or high blood pressure (Mayo Clinic, 2015).

If you're younger than 18 or older than 65 few herbal supplements have

been tested on children or have established safe doses for children (Mayo

Clinic, 2015).

Safety tips for using herbal supplements

Follow supplement instructions

Keep track of what you take

Be cautious about supplements manufactured outside the United States

Check alerts and advisories from the FDA and NCCAM

(Mayo Clinic, 2015)

Common Herbal Supplements

St. John’s Wort – Wild-growing with yellow flowers. Known to treat mild to

moderate depression (Holistic Health Library, 2015).

Saw Palmetto –may be helpful in the treatment of an enlarged prostate, a

common condition in men over age 50 (Holistic Health Library, 2015).

Hawthorn – Popularly used for several heart-related conditions and is supportive

in the treatment of angina, atherosclerosis, congestive heart failure, and high

blood pressure (Holistic Health Library, 2015).

CAM Practices June 2015 Page 14

Green tea –used to combat fatigue, prevent arteriosclerosis and certain cancers,

lower cholesterol, reduce tooth decay, and aid in weight loss (Holistic Health

Library, 2015).

Ginseng – Used as a general tonic to increase overall body tone, ginseng is

considered helpful in elevating energy levels and resistance to stress (Holistic

Health Library, 2015).

Gingko Biloba –used for many conditions associated with aging, including poor

circulation and memory loss (Holistic Health Library, 2015).

Echinacea –used to strengthen the body’s immune system, echinacea is also

considered prevention against colds and flu (Holistic Health Library, 2015).

QUESTIONS/DISCUSSION

Wellness Quiz

Do you wake up with enthusiasm for the day ahead?

Do you have the high energy you need to do what you want?

Do you laugh easily and often, especially at yourself?

Do you confidently find solutions for the challenges in your life?

Do you feel valued and appreciated?

Do you appreciate others and let them know it?

Do you have a circle of warm, caring friends?

Do the choices you make every day get you what you want?

If you answered "no" to any of these questions, yeah! You have identified areas in your life that you may want to change.

CAM Practices June 2015 Page 15

QUESTIONS/DISCUSSION

Resources

Alternative Health

http://www.everydayhealth.com/alternative-health/the-basics.aspx

Mayo Clinic-Herbal Supplements

http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/herbal-supplements/art-20046714

Medline Plus that can provide trusted information found at:

http://www.nlm.nih.gov/medlineplus/complementaryandalternativemedicine.html

NCCAM (National Center for Complementary and Alternative medicine) found at:

http://nccam.nih.gov/

The whole-person solution for professional and personal well-being

www.healthy.net

CAM Practices June 2015 Page 16

References

Boyles, S. (2009, Jul 30). Americans spend $34 billion on alternative medicine. Retrieved from http://www.webmd.com/balance/news/20090730/americans-spend-34-billion-alternative-medicine

Calabro, S. (2015, June 13). Defining complementary and alternative medicine. Retrieved from http://www.everydayhealth.com/alternative-health/the-basics.aspx

Holistic Health Library. (2015, June 15). Common herbal supplements – uses and tips. Retrieved from http://holistichealthlibrary.com/common-herbal-supplements-uses-and-tips/

Mayo Clinic. (2015, June 13). Complementary and alternative medicine. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/alternative-medicine/art-20045267

Mayo Clinic. (2015, June 15). How do you know if herbal supplements' claims are true?. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/herbal-supplements/art-20046714?pg=2

Medaus Pharmacy. (2008). The history of complementary and alternative medicine in the united states and beyond. Retrieved from http://www.medaus.com/index25fb.html?id=23:the-history-of-complementary-and-alternative-medicine-in-the-united-states-and-beyond-

National Institute of Health. (2014, Nov). Meditation: What you need to know. Retrieved from https://nccih.nih.gov/health/meditation/overview.htm

Raby Institute. (2011). What are manipulative and body-based practices?. Retrieved from http://www.rabyintegrativemedicine.com/pages/manipulative_and_body_based_practices/43.php

WebMD. (2015, June 14). Bodywork and manual therapy - topic overview. Retrieved from http://www.webmd.com/pain-management/tc/bodywork-or-manual-therapy-topic-overview

CAM Practices June 2015 Page 17

CAM Practices June 2015 Page 18