Focus: la persona mes enllà de la malaltiaCos - Ment - Vitalitat

La dona del segle XXI cerca la atencióintegrada per la seva salut

Integrative Medicine is now an established part of healthcare in the United States:

• The patient and practitioner are partners in the healing process.• All factors that influence health, wellness, and disease are taken into consideration.• The care addresses the whole person, including body, mind, and spirit in the context of community.• Practitioners use all appropriate healing sciences to facilitate the body’s innate healing response.• Effective interventions that are natural and less invasive are used whenever possible.• Because good medicine is based in good science, integrative medicine is inquiry driven and open to new models of care.• Alongside the concept of treatment, the broader concepts of health promotion and the prevention of illness are paramount.• Care is individualized to best address the person’s unique conditions, needs, and circumstances.• Practitioners of integrative medicine exemplify its principles and commit themselves to self-exploration and self-development

1976: LA SALUT ES LA MANERA DE VIURE JOIOSA, AUTONOMA I SOLIDÀRIAX Congrés de Metges i Biòlegs de Llengua Catalana

All of the centers in the study reported being affiliated with a hospital, a healthcare system, and/or a medical or nursing school.

The interventions most prescribed are:• Food/Nutrition/ Supplements• Yoga• Meditation• TCM/Acupuncture• Massage• Pharmaceuticals

Clinical conditions for which integrative medicine has been successful:• Chronic pain• Gastrointestinal conditions• Depression• Stress• Cancer

The Concerted Action for Complementary and Alternative MedicineAssessment in the Cancer Field (CAM-Cancer) project divides theCAM into categories:

• biologically based practices (nutrition, vitamins, phytotherapy)• energy medicine (healing touch, therapeutic touch, reiki, spiritual

healing, satnam rasayan)• mind-body medicine (meditation, yoga, taichi, progressive

muscle relaxation, acupunture)• alternative medical systems (homeopathy, traditional medicines)• manipulative and body-based practices (massage, osteopathy,

chiropractor)

http://www.cam-cancer.org http://www.nccam.nih.gov

Clarke 2015

Motivacions d’ús per part de les pacients:Influènciat per l’ús de familia i amistats, i nivell educatiu alt p< .001

Reduïr dolor, efectes secundaris de tractaments, Corretgir cansament crònic,

Enfortir sistema immune, Prevenir recidives,

Augmentar qualitat de vidaAugmentar percentatge de curació

Temps de Resposta Variable als tractaments CAM: - inmediata en una aplicació bioelectromagnética medicinal o cos-

ment, - Biodisponibilitat segons el temps d’absorció de nutrients o

plantes: unes hores, 3 dies, 3 setmanes, 45 dies, 3 mesos per revertir processos bioquímics, biofísics bioelèctrics o mentals

Meditació Guiada: lider dirigeix atenció a l’objecte de focus

Meditation Voluntaria: la persona dirigeixinternament l’enfoc

Newberg 2003 Meditacio Voluntaria Tibetanaactivació en les areas de concentració, lobulsfrontals i prefrontal cortex (PFC),desactivació de lobuls parietals (percepcioatemporal i disminucio de diferenciacióindividual

Lazar 2010 Meditació Voluntaria Kundalini : activació en PFC

Kirtan Kriya Meditation and High Resolution Brain SPECT ImagingDharma Singh Khalsa M.D., NishaMoney M.D., Daniel Amen M.D.,

and Chris Hanks Ph.D. 2009Activació i sincronització de cortex

frontals i temporals. Activació neuroendocrina Hipófisi

… i les nostres pacientsen prenen, n’utilitzen

ens ho expliquenen demanen …?

Gràcies

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