Person-centered medicine at the intersection of East and West

Pritzker, Sonya E.; Katz, Marian L.; Hui, Ka Kit

doi:10.5750/ejpch.v1i1.653

Cited by 4 publications

(4 citation statements)

References 35 publications

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“…The individualized treatment methods included acupuncture, trigger point injections (TPIs), lifestyle modifications, and self-care prescriptions to modify risk factors for perpetuating headache symptoms. 12 This case demonstrates the potential value of a multimodality, integrative medicine, CAM, and patient empowering approach to help complex CDH patients.…”

Section: Introductionmentioning

confidence: 84%

Integrative East–West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective

Laube

Araujo²,

Taw

2020

Glob Adv Health Med

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Chronic daily headache is a group of headache syndromes including most commonly chronic migraine and chronic tension-type headache, which often overlap, are complicated by medication overuse and are disabling, costly, and variable responsive to western pharmacotherapeutic interventions. There is growing research and awareness of integrative health approaches and therapies to address patients with chronic headache, yet limited examples of how to deliver this approach. This article reviews a commonly seen challenging case of a patient with overlapping chronic migraine and chronic tension-type headache complicated by medication overuse managed with an integrative east–west medicine intervention. This included person-centered biopsychosocial history taking, traditional Chinese medicine informed acupuncture, trigger point injections, and contributing factors modifications. A narrative review of the literature is presented to demonstrate an evidence-informed rationale for incorporating nonpharmacologic approaches to effectively help reduce the symptom burden of this patient population.

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Section: Introductionmentioning

confidence: 84%

Integrative East–West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective

Laube

Araujo²,

Taw

2020

Glob Adv Health Med

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“…An integrative East-West patient-centered approach, which has been successfully used in other chronic conditions, 25 can be considered for its potential application to eye disorders. Though the patient’s visual disorder was not cured, her vision improved enabling renewal of her driver license, and there was concurrent improvement in well-being with decreased burnout and increased resilience.…”

Section: Discussionmentioning

confidence: 99%

“…23 The World Health Organization included potential indications for acupuncture for eye disorders such as Sjogren's syndrome, central serous choroidopathy, and color blindness in their 2003 official report on the effectiveness of acupuncture based on data from clinical trials. 24 An integrative East-West patient-centered approach, which has been successfully used in other chronic conditions, 25 can be considered for its potential application to eye disorders. Though the patient's visual disorder was not cured, her vision improved enabling renewal of her driver license, and there was concurrent improvement in well-being with decreased burnout and increased resilience.…”

Section: Discussionmentioning

confidence: 99%

A Patient-Centered Integrative Approach Improves Visual Field Defect: A Case Report

Kao

Hui

2021

Glob Adv Health Med

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We present a case involving a patient with a complicated visual field defect preventing her from renewing her driver license. It highlights the underappreciated role of chronic stress in the genesis and perpetuation of ill health and the potential of Chinese medicine (CM) to complement biomedicine in the treatment of an intractable visual disorder. The patient experienced impaired vision from age 15, and ophthalmologists considered various diagnoses including optic neuritis and acute zonal occult outer retinopathy (AZOOR)-complex disorder with acute macular neuroretinopathy. She was treated with an integrative East-West medical approach incorporating acupuncture, cupping, trigger point injections, guidance on self-care and lifestyle modification. Although the eye disorder was not cured, there was visual improvement as demonstrated by various objective ophthalmologic tests, and the patient was able to renew her driver license. Visual improvement remained stable upon follow-up examination three years after the treatment intervention. Other concomitant health issues reported by the patient also improved including amelioration of neck pain, a more regular menstrual cycle, and decreased anxiety. This case demonstrates how a patient with an intractable complex eye disorder can have objective visual improvement when treated with an integrative patient-centered approach.

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“…By using nonpharmacological therapy early in the course of illness, we attempt to alter the disease course by targeting the dysregulation that produces symptoms. (32)(33)(34)(35)(36) Since its founding in 1993, the UCLA Center for East-West Medicine has been using an East-West medicine person-centered model that can be applied to palliative care patients. Using a person-centered, healing-oriented, integrative approach, we treat patients with serious refractory problems, including cancer patients at various stages of their journey.…”

Section: East-west Integrative Palliative Care Modelmentioning

confidence: 99%