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TUTOR 19 GIS - GUS

TUTOR 19 GIS - GUS COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE

COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE

COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE

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 (130110130132)

Vanessa Natasha Harjito (130110130178)

Garidya Bestari (130110120133)

Tivanda Sylvianita (130110130045)

Ameliawati Azizah (130110130083)

Nida Rahmalia Nur Azizah (130110130057)

Indri Widia Nuriva (130110130054)

MED·I·CINE / ˈ MED Ə S Ə N/ the science that deals with preventing, curing,

MED·I·CINE

/ ˈMED Ə S Ə N/

the science that deals with preventing, curing, and treating disease

DEFINITION

DEFINITION

COMPLEMENTARY MEDICINE

Complementary balanced whole

(adj):

forming

a

complete

or

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

health-care system ▸ Complementary medicine is a non-mainstream practice used together with conventional medicine

DEFINITION

DEFINITION

ALTERNATIVE MEDICINE

Alternative (adj): existing or functioning outside the established society

Alternative

medicine:

medical

products

and

practices that are not part of standard care

Alternative

medicine

is

a

non-mainstream

practice

medicine

used

in

place

of

conventional

care ▸ Alternative medicine is a non-mainstream practice medicine used in place of conventional

DEFINITION

DEFINITION

TRADITIONAL MEDICINE

Traditional (adj): inherited, established, or customary pattern 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 the prevention, 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

medicine is well established and widely acknowledges to be safe and effective, and may be accepted

ANALYSIS

ANALYSIS

WHY DOCTORS MUST KNOW THE DIFFERENCE BETWEEN COMPLEMENTARY, ALTERNATIVE, AND TRADITIONAL MEDICINE?

ANALYSIS

ANALYSIS

EDUCATION TO PATIENT

Be able to give explanation to patient why conventional therapy is better received by patients than CATM

NON-MALEFICENCE

If patient genuinely to take the CATM as a choice, we acknowledge which CATM that is standardized clinically for the safety of patient regarding the indication and contraindication

LIFE-LONG EDUCATION

Following the development of CATM, doctors as life-long learners must acknowledge them for a better comprehensive choice of treatment for patients’ best result

CASE ANALYSIS
CASE ANALYSIS

CASE ANALYSIS

CASE ANALYSIS - COMPLEMENTARY MEDICINE

CASE ANALYSIS - COMPLEMENTARY MEDICINE

ACUPUNCTURE

Acupuncture is a technique in which practitioners stimulate specific points on the body — most often by inserting thin needles through the skin and believed to stimulate the central nervous systems to release chemicals into the muscles, spinal cord, and brain

Recent studies (conducted by national Center for Complementary and Alternative Medicine) showed that acupuncture is effective to cure some disease. University of Indonesia has opened specialistic medical program for acupuncture and also Ikatan Dokter Indonesia have recognized a specialistic association for the acupuncturist, Persatuan Dokter Akupuntur Indonesia

Issue: In Indonesia, acupuncture is a legal practice under Ikatan Dokter Indonesia and recommended for some disease and must be performed under supervision from specialistic from acupuncture medicine

Ethical issue regarding acupuncture: non maleficence (look for legal and licensed acupuncture practice with competent doctor), beneficence (carefully asses for indication and contraindication)

CASE ANALYSIS - COMPLEMENTARY MEDICINE

CASE ANALYSIS - COMPLEMENTARY MEDICINE

YOGA

Yoga describes the joining of the body, mind, and spirit, and has been used with conventional medicine to treat a wide range of health problems, but it does not cure any disease -> complementary medicine

Yoga works to refine human physiology by performing postures (asanas), and by controlling breathing (pranayama). Individuals would be able to cleanse their bodies’ organs and systems and achieve a higher state of consciousness

Issue: asanas can be injurious and do more harm instead of relieving if done wrongly

Ethical issues regarding yoga: non maleficence (no standardization and regulation), beneficence (e.g in rheumatic disease, yoga needs physician’s inquiries), autonomy (in yoga teaching, student cannot decline the procedure)

Medscape, National Center for Complementary and Integrative Health, Yoga Journal, International Yoga Alliance

CASE ANALYSIS - ALTERNATIVE MEDICINE

CASE ANALYSIS - ALTERNATIVE MEDICINE

CHIROPRACTIC

Chiropractic is a health care profession concerned with the diagnosis treatment, and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health

Chiropractic is used in place of conventional medicine and the theory is still controversial -> alternative medicine

Issue: on January 2016, one of Chiropractic clinic in Jakarta was closed following claims of malpractice, which allegedly caused the death of patient named Allya Siska Nadya

Ethical issue regarding Chiropractic: non maleficence (chiropractors must meet stringent requirements and obtain permits and licenses under a diverse array of laws and regulations), justice (informed consent obligation), and beneficence (must be intensified for further scientific development to meet scientific explanations and improve patient’s safety)

CASE ANALYSIS - ALTERNATIVE MEDICINE

CASE ANALYSIS - ALTERNATIVE MEDICINE

HYPNOTHERAPY

Hypnotherapy is a form of psychotherapy used to create subconscious change in a patient in the form of new responses, thoughts, attitudes, behaviors or feelings

Hypnotherapy can help manage psychiatric disorders and may be an alternative for conventional therapy like antidepressant -> alternative medicine

Issue: Mr. A was diagnosed as depression by dr. B and was prescribed antidepressants as the management but he refused then came to a hypnotherapist to have hypnotherapy sessions. After those sessions, he felt better but experiences delusions not long after

Ethical issue regarding hypnotherapy: beneficence (may improve psychiatric conditions but not supported by sufficient evidences), non maleficence (risk for other psychiatric disorders e.g confabulation, personality disorder; used as “mind control” and fraud media), autonomy (suggestive “mind control” risk can make patient’s ability to make decisions doubtful)

CASE ANALYSIS - TRADITIONAL MEDICINE

CASE ANALYSIS - TRADITIONAL MEDICINE

JAMU

Jamu is an Indonesian traditional medicine (Peraturan Menteri Kesehatan Republik Indonesia Nomor:

003/Menkes/Per/I/2010 tentang Saintifikasi Jamu dalam Penelitian Berbasis Pelayanan Kesehatan)

Jamu works as herbal medicine that takes place in promotive and preventive aspect of health. Nowadays, Balitbang Depkes are empowered to declare the “Saintifikasi Jamu” as one of the main programs to create a great industry of jamu in Indonesia

Issue: not clinically tested jamu can impact personal health because the natural plants being used are also have chemical substance as well as pharmaceutical medicine, and each person has different response to medicine

Ethical issue regarding jamu: non maleficence (need to be clinically tested), beneficence (useful for promotive and preventive aspect of health), justice (serves as a widely used herbal medicine in Indonesia and affordable), autonomy (each person has the right to choose the medicine and jamu is one of the mostly used medicine)

CASE ANALYSIS - TRADITIONAL MEDICINE

CASE ANALYSIS - TRADITIONAL MEDICINE

CHINESE MEDICINE

Chinese Medicine (TCM) is an ancient set of practices from China that operates under the belief, knowledge, skills, used in maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness -> traditional medicine

Issue: some of Chinese herbal medicine have been reported for being contaminated with drugs, toxins, or heavy metals or not containing the listed ingredient that can have serious side effects or unsafe for people with certain medical condition

Ethical issue: non maleficence & safety (limited information on safety on Chinese medicine methods can increase complications including heart attack and stroke)

THANK YOU