35685_complementary, Alternative, Traditional Medicine- Tutor 19 Gis-gus, Fk Unpad 2013

8/17/2019 35685_complementary, Alternative, Traditional Medicine- Tutor 19 Gis-gus, Fk Unpad 2013

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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

Documents

35685_complementary, Alternative, Traditional Medicine- Tutor 19 Gis-gus, Fk Unpad 2013