An integrative approach to addressing clinical issues in complementary and alternative medicine in an outpatient oncology center.
Complementary and alternative medicine (CAM) is popular among patients with cancer and often is used in conjunction with conventional medicine, mostly without the knowledge or guidance of healthcare professionals. The popularity of CAM has brought into sharp focus clinical issues such as the lack of disclosure and concern about interactions among dietary supplements, prescribed medications, and diseases. Those clinical issues underscore the need for a coordinated approach to integrate CAM therapies safely into conventional medicine. This article describes how an integrative CAM program in an outpatient oncology center addresses some of the clinical issues. The CAM program uses a nurse specialist to interface between CAM and conventional medicine. An interesting aspect of the CAM program is the provision of patient consultation and the creation of an individualized complementary therapies plan.
Chong
Ooi-Thye
OT
Complementary Therapies Program at St. Vincent's Comprehensive Cancer Center, New York, NY, USA. ochong@aptiumoncology.com
D000553:Ambulatory Care / Q000458:organization & administration*; D003142:Communication; D000529:Complementary Therapies / Q000458:organization & administration*; D003406:Credentialing / Q000458:organization & administration; D019317:Evidence-Based Medicine; D006301:Health Services Needs and Demand; D041743:Herb-Drug Interactions; D006801:Humans; D020407:Internet; D008487:Medical History Taking; D008495:Medical Oncology / Q000458:organization & administration*; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D009720:Nurse Clinicians / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D009859:Oncology Nursing / Q000458:organization & administration*; D010342:Patient Acceptance of Health Care; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation / Q000458:organization & administration; D017751:Safety Management / Q000458:organization & administration