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COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE
TUTOR 19 GIS - GUS
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COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE
TUTOR 19
! Viga Abdillah Haloho (130110130168)
! Lathifah Muthiah (130110130165)
! Ridha Mustika Zaif (130110130013)
! Sarita Arizky Ramadanti (130110130121)
! Rara Aulia Hadisty (130110130107)
! Laras Pertiwi (130110130156)
! Raihan Natadikarta (130110130192)
! Nadiah Nurul Ikhsani (13011
! Vanessa Natasha Harjito (13
! Garidya Bestari (130110120
! Tivanda Sylvianita (1301101
! Ameliawati Azizah (1301101
! Nida Rahmalia Nur Azizah (1
! Indri Widia Nuriva (1301101
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MED·I·CINE/!MED"S"N/
the science that deals wi
preventing, curing, and t
disease
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DEFINITION
COMPLEMENTARY MEDICINE
Complementary (adj): forming a complete orbalanced whole
! Complementary medicine (WHO): broad set of
health care practices that are not part of that
country’s own tradition or conventional
medicine and are not fully integrated to the
dominant health-care system
! Complementary medicine is a non-mainstream
practice used together with conventional
medicine
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DEFINITION
ALTERNATIVE MEDICINE
Alternative (adj): existing or functioning outsidethe established society
! Alternative medicine: medical products and
practices that are not part of standard care
! Alternative medicine is a non-mainstream
practice used in place of conventionalmedicine
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DEFINITION
TRADITIONAL MEDICINE
Traditional (adj): inherited, established, or customarypattern of thought, action, or behavior
! Traditional medicine (WHO): the sum total of the
knowledge, skills, and practices based on the
theories, beliefs, and experiences indigenous to
different cultures, whether explicable or not, used in
the maintenance of health as well as in theprevention, diagnosis, improvement or treatment of
physical and mental illness
! Traditional use of herbal medicine is well established
and widely acknowledges to be safe and effective,
and may be accepted by national authorities
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WHY DOCTORS MUST KNOW THE DIFFEBETWEEN COMPLEMENTARY, ALTERNATAND TRADITIONAL MEDICINE?
ANALYSIS
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ANALYSIS
Be able to give explanation to patient why conventional therapy is b
received by patients than CATM
EDUCATION TO PATIENT
NON-MALEFICENCE
LIFE-LONG EDUCATION
If patient genuinely to take the CATM as a choice, we acknowledge w
that is standardized clinically for the safety of patient regarding the in
contraindication
Following the development of CATM, doctors as life-long learners m
acknowledge them for a better comprehensive choice of treatment f
best result
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CASE ANAL
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CASE ANALYSIS - COMPLEMENTARY MEDICINE
ACUPUNCTURE
! Acupuncture is a technique in which practitioners stimulate specific points on the bodinserting thin needles through the skin and believed to stimulate the central nervous s
chemicals into the muscles, spinal cord, and brain
! Recent studies (conducted by national Center for Complementary and Alternative Me
acupuncture is effective to cure some disease. University of Indonesia has opened spe
program for acupuncture and also Ikatan Dokter Indonesia have recognized a specialis
the acupuncturist, Persatuan Dokter Akupuntur Indonesia
! Issue: In Indonesia, acupuncture is a legal practice under Ikatan Dokter Indonesia and
some disease and must be performed under supervision from specialistic from acupu
! Ethical issue regarding acupuncture: non maleficence (look for legal and licensed acu
with competent doctor), beneficence (carefully asses for indication and contraindicatio
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CASE ANALYSIS - COMPLEMENTARY MEDICINE
YOGA
! Yoga describes the joining of the body, mind, and spirit, and has been used conventional medicine to treat a wide range of health problems, but it does
disease -> complementary medicine
! Yoga works to refine human physiology by performing postures (asanas), an
breathing ( pranayama). Individuals would be able to cleanse their bodies’ o
systems and achieve a higher state of consciousness
! Issue: asanas can be injurious and do more harm instead of relieving if done
! Ethical issues regarding yoga: non maleficence (no standardization and reg
beneficence (e.g in rheumatic disease, yoga needs physician’s inquiries), au
teaching, student cannot decline the procedure)
Medscape, National Center for Complementary
Yoga Alliance
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CASE ANALYSIS - ALTERNATIVE MEDICINE
CHIROPRACTIC
! Chiropractic is a health care profession concerned with the diagnosis treatmentof disorders of the neuromusculoskeletal system and the effects of these disord
health
! Chiropractic is used in place of conventional medicine and the theory is still con
alternative medicine
!
Issue: on January 2016, one of Chiropractic clinic in Jakarta was closed followinmalpractice, which allegedly caused the death of patient named Allya Siska Nad
! Ethical issue regarding Chiropractic: non maleficence (chiropractors must meet
requirements and obtain permits and licenses under a diverse array of laws and
justice (informed consent obligation), and beneficence (must be intensified for f
development to meet scientific explanations and improve patient’s safety)
WHO, http://www.thejakartapost.com/news/2016/02/06/alleged-chiropractic-malp
of Chiropractic Interventions: A systemic review (Gouveia LO)
http://www.thejakartapost.com/news/2016/02/06/alleged-chiropractic-malpractice-an-indonesian-law-perspective.html
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CASE ANALYSIS - ALTERNATIVE MEDICINE
HYPNOTHERAPY
! Hypnotherapy is a form of psychotherapy used to create subconscious chanthe form of new responses, thoughts, attitudes, behaviors or feelings
! Hypnotherapy can help manage psychiatric disorders and may be an alterna
conventional therapy like antidepressant -> alternative medicine
! Issue: Mr. A was diagnosed as depression by dr. B and was prescribed antid
the management but he refused then came to a hypnotherapist to have hypsessions. After those sessions, he felt better but experiences delusions not lo
! Ethical issue regarding hypnotherapy: beneficence (may improve psychiatri
not supported by sufficient evidences), non maleficence (risk for other psych
e.g confabulation, personality disorder; used as “mind control” and fraud m
(suggestive “mind control” risk can make patient’s ability to make decisions
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CASE ANALYSIS - TRADITIONAL MEDICINE
JAMU
! Jamu is an Indonesian traditional medicine (Peraturan Menteri Kesehatan Republik In003/Menkes/Per/I/2010 tentang Saintifikasi Jamu dalam Penelitian Berbasis Pelayan
! Jamu works as herbal medicine that takes place in promotive and preventive aspect
Nowadays, Balitbang Depkes are empowered to declare the “Saintifikasi Jamu” as o
programs to create a great industry of jamu in Indonesia
! Issue: not clinically tested jamu can impact personal health because the natural plan
also have chemical substance as well as pharmaceutical medicine, and each person
response to medicine
! Ethical issue regarding jamu: non maleficence (need to be clinically tested), benefic
promotive and preventive aspect of health), justice (serves as a widely used herbal
Indonesia and affordable), autonomy (each person has the right to choose the medi
one of the mostly used medicine)
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CASE ANALYSIS - TRADITIONAL MEDICINE
CHINESE MEDICINE
! Chinese Medicine (TCM) is an ancient set of practices from China that the belief, knowledge, skills, used in maintenance of health as well as
prevention, diagnosis, improvement or treatment of physical and men
traditional medicine
! Issue: some of Chinese herbal medicine have been reported for being
with drugs, toxins, or heavy metals or not containing the listed ingredihave serious side effects or unsafe for people with certain medical con
! Ethical issue: non maleficence & safety (limited information on safety o
medicine methods can increase complications including heart attack a
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THANK YOU