Medical Ethics of Complementary and Alternative Medicine (1)
To begin this topic, first we should understand what is complementary and alternative medicine (CAM) and how it has been applied to treat patients including its use along with conventional medicine. To help explain CAM, the following is an informational fact sheet publication by the U.S. National Institutes of Health. (Please note that in this post, the URL resources listed have not been linked.) I will be presenting the ethical issues of CAM in later postings. ..Maurice.
What Is Complementary and Alternative Medicine (CAM)?
On this page:
* What is complementary and alternative medicine?
* Are complementary medicine and alternative medicine different from each other?
* What is integrative medicine?
* What are the major types of complementary and alternative medicine?
* What is NCCAM's role in the field of CAM?
There are many terms used to describe approaches to health care that are outside the realm of conventional medicine as practiced in the United States. This fact sheet explains how the National Center for Complementary and Alternative Medicine (NCCAM), a component of the National Institutes of Health, defines some of the key terms used in the field of complementary and alternative medicine (CAM).[These definitions are found at the bottom of this fact sheet.]
What is complementary and alternative medicine?
Complementary and alternative medicine, as defined by NCCAM, is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine.1,2 While some scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.
The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.
Are complementary medicine and alternative medicine different from each other?
Yes, they are different.
* Complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aromatherapy to help lessen a patient's discomfort following surgery.
* Alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.
What is integrative medicine?
Integrative medicine, as defined by NCCAM, combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.
What are the major types of complementary and alternative medicine?
NCCAM classifies CAM therapies into five categories, or domains:
1. Alternative Medical Systems
Alternative medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of alternative medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional Chinese medicine and Ayurveda.
2. Mind-Body Interventions
Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (for example, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation, prayer, mental healing, and therapies that use creative outlets such as art, music, or dance.
3. Biologically Based Therapies
Biologically based therapies in CAM use substances found in nature, such as herbs, f