Integrating Complementary and Conventional Medicine

212 Pages·2016·1.469 MB·English

by  Myra Coyle-Demetriou, Andrew Demetriou, Michael Dixon

Integrating Complementary
and Conventional Medicine
Myra Coyle-Demetriou
SRNSCMHEdCertCounsellingCerts
ReikiMasterandHolisticTherapist
and
Andrew Demetriou
MBChBDRCOGDCHMRCGPMFHom
GeneralPractitioner
HomeopathicPhysician
SpecialistRegister,FacultyofHomeopathy
Foreword by
Michael Dixon
Chair,NHSAlliance
Radcliffe Publishing
Oxford (cid:1)NewYork
CRC Press
Taylor & Francis Group
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© 2007 by Myra Coyle-Demetriou, and Andrew Demetriou
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Version Date: 20160525
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Conventionalmedicinesaveslife,
Complementarymedicineaddsqualitytolife.
MyraCoyle-Demetriou
AsanintegratedGreekdoctor,itismydutytoremindyouthatHippocratesis
regardedasthefatherofmodernmedicine.Also,itwasHippocrateswhofirst
proposedtreating‘likewithlike’leadingtotheoriginalideaofhomeopathy.
So,ishealsothefatherofintegratedhealth?
DrAndrewDemetriou
InauguralConference
ThePrince’sFoundationforIntegratedHealth
StJames’sPalace,London,2005
Contents
Foreword vi
Abouttheauthors vii
Acknowledgements viii
1 Whyintegratedhealthcare? 1
PSYCHOLOGICALILLNESS 5
2 Anxiety 7
3 Stress 15
4 Depression 21
5 Theprocessofdeathanddying 28
6 Bereavement 36
THERAPIES,HEALTHANDLIFESTYLE 43
7 Acupuncture 45
8 Aromatherapy 49
9 Ayurvedicmedicine 53
10 Counselling 56
11 Herbalmedicine 61
12 Homeopathy 68
13 Hypnotherapy 78
14 Massage 83
15 Meditation 87
16 Osteopathyandchiropractic:physicalmanipulationtherapies 91
17 Prayer 97
18 Reflexology 100
19 Reiki 104
20 TraditionalChinesemedicine 108
21 Yoga 111
22 Healthandlifestyle 115
PHYSICALDISEASE 123
23 Chronicdisease 125
24 Dermatology 139
25 Ear,noseandthroat 146
26 Headaches 155
27 Obstetricsandgynaecology 158
28 Paediatricmedicine 167
29 Palliativecare 174
EVALUATIONANDEVIDENCE-BASEDMEDICINE 179
30 Settingupanintegratedhealthservice 181
31 Evaluation 184
32 Theevidenceforcomplementarytherapies 187
Contents v
33 Aninvestigationintotheimpactofintegratingcomplementary
andalternativemedicineintoconventionalgeneralpractice 194
Index 201
Foreword
Itisarealpleasuretowritetheforewordforthisveryspecialbook.Ononelevelit
is a compendium of integrated care that covers every aspect of integration from
differenttreatmentsanddifferentdiseasestoresearch,evidenceandhowtoprovide
anintegratedservice.Onanotherandmorepracticallevelitwillbeofimmenseuse
toanyclinicianorpatientwhowishestostartonthejourneytowardsanintegrated
healthapproach,andtothosealreadyfamiliarwiththesubjectwhowishtoimprove
theirskills.
InMay2006,inaspeechtotheWorldHealthOrganization,HRHThePrinceof
Walessaidthatintegratedhealthcarewasnolongeraquestionof‘if’but‘how’and
‘how much’. With over 50% of UK general practitioners (GPs) offering patients
access to complementary medicine (two-thirds in Scotland) and 75% of patients
wantingcomplementarymedicineavailablewithintheNHS,itappearsthattheera
ofintegratedhealthcarehasfinallyarrived.Nowweneedtodefineexactlywhatit
offers to whom and in what circumstances. That is the theme of this pioneering
book.Itisamapofwheremedicineandcaringwillgonext,andprovidesavoiceof
hopeinthefuture.
Thisisalsoanimmenselypracticalbookwrittenbyauthors,whoarethemselvesa
conventional GP and a therapist, providing integrated care in a deprived area of
GreaterManchester.ForGPsandotherfrontlinecliniciansandforpatientsalike,it
describes,foreachpresentingproblem,therangeofchoicesthatareavailablefor
cliniciansandpatientspursuinganintegratedapproach.Itopensdoorsandpossi-
bilitiesforhealingthatsimplydonotexistwithinastrictlyconventionalmedical
approach.Idefyanyonetoreadthebookorevenjustdipintoitwithoutcoming
awaywithsomenewtipsandthoughtsonhealing.
Furthermorethisisanextremelyreadablepieceofworkwithdelightfulquotes
andfullofimaginativeideasandusefulcontactswithineachdiseasearea.Defying
thecoldrigourofaconventionaltextbook,itismorepracticalandindividuallyuseful
because it embodies the warmth and experience of its authors. Integrated careis
aboutopeningtherangeofhealingpossibilitiesforbothcliniciansandpatients.Indi-
vidualpreferencesandexperiencesmeanthatresponsetotreatmentandsuccessare
bound to vary, and this represents a necessary part of the emancipating role of
integratedcare.So,too,istheencouragementandliberationofpatientstohealthem-
selvesandalsotakeamoreactivepartintheirownhealthandhealing.Onceaclinician
orpatienthasembarkedonthisvoyage,Ihaveneverknownanytoturnback.
Theauthorsshouldbecongratulatedonproducingsuchalivelyandusefulpiece
ofwork,whichwillbeofpracticalusetoeveryclinicianandpatient,whetherthey
areexperiencedorarejustembarkingforthefirsttimeonanintegratedapproachto
healthandcare.
DrMichaelDixon
Chair,NHSAlliance
VisitingProfessor,InstituteofIntegratedHealth,WestminsterUniversity
HonorarySeniorLecturer,PeninsulaMedicalSchool
January2007
About the authors
Myra has been married to Andrew for 30 years and they have three grown up
children. She has worked inhealth care for most of that time, initially as a ward
sister running a vascular unit and she also qualified as a midwife. Following the
birth of her children, she worked in primary care with Andrew on screening
programmesfortheelderly,coronaryheartdisease(CHD)preventionandhealth
promotion,whichincludedstressmanagement,exercise,healtheducation,medi-
tationandrelaxation.Shestudiedhomeopathy,healtheducationandcounselling
subsequently.Forthenext14yearssheworkedasacounsellorinprimarycareina
deprivedarea,withspecialinterestsinhealthandlifestyle,bereavement,stressand
anxietymanagement.Thiswasfollowedwithakeeninterestinenergyhealingand
shesubsequentlyqualifiedasaReikimaster.Sherunsabereavementsupportand
marriagepreparationgroupforherlocalCatholicchurchandcontinuestoworkasa
holistictherapisttoraisefundsforanorphanageinAfrica.
Andrew is a 1974 Liverpool Medical School graduate. As a GP principal since
1980 and a Homeopathic Physician since 1988, he gained recognition to the
Specialist Register of the Faculty of Homeopathy. His main interests have been
undergraduate and postgraduate teaching as a GP trainer, research and medical
writing,contributingtoseveralbooksandjournals.HeheldthepostofGPtutorin
Bury Postgraduate Centre and with Myra runs regional workshops in the north
westonmotivationandprevention.Hepresentedhisresearchon‘Integration of
Complementary Therapies in a GP Setting’ at the inaugural conference of the
Prince’s Foundation for Integrated Health at St James’s Palace. He has always
emphasisedthepreventionandholisticaspectsinhisteachingsandclinicalcareof
hispatients.
Acknowledgements
OurgratitudeandthanksmustfirstgotoalltheteamatHuntleyMountMedical
Centre.Theirsupportandkindnesstoall,goesbeyondthecallofduty.Theyfaced
thetaskofdecipheringourmanuscriptscribblesandtapeswithgreatenthusiasm
andendlesspatience.Botheyesightandcomputerskillsweresorelytested.Thank
youtoJanetMorley,MaureenFoster,DeniseIves,HilaryCornwellandalsotoKath
Adamson,ValerieWinstanleyandJuneSturmanforsupportingthemintheirtask.
OurappreciationmustgotheAssociationofComplementaryTherapists,underthe
leadershipofBarbaraHeron,whoforthreeyearsrantheschemeatourcentreand
helpedtoprovidetheevidenceforourresearchstudy.Forexpertstatisticalanalysis
in Chapter 33 we are indebted to Timothy Sendall. Many thanks to Christopher
Demetriou,VeryRevPaulCannonandSharonBeechfortheirexpertiseincom-
puting, and for printing the many versions of the manuscript. Our gratitude and
thankstoDrsKimandPatrickScottfortheirenthusiasticandpainstakingreadingof
thebookfromamedicalperspective.
AbelatedthanksgoestoAndrew’sgrandfather,AndreasPattichisMaos(1893–
1985), who was the first to spark our interest in holistic therapy. He was a self-
taughthypnotherapistofsomerepute,inCyprus.Aspecialacknowledgementmust
gotoourchildren,Christopher,LydiaandNatasha,whoinadvertentlywereguinea
pigs in all our integrated and holistic ventures. A special mention to Lydia for
keeping us both focused, not being afraid to speak her mind, and for setting the
standardontheevidenceforintegratedhealthcare.Ahugedebtofgratitudemust
gotoourpatientsoverthelast30yearsforenthusiasticallyjoiningusinourquestto
find appropriate integrated health care to suit their needs. We truly believe that
everyonewemeetisourteacher,therefore,itisaprivilegetohavebeengiventhe
opportunitytohelpinsomewaywiththehealthandhealingprocessofthehuman
condition.OurthankstoGillianNineham,JamieEtheringtonandRadcliffePublishing
Ltd for having the vision and respect for the subject matter and for publishing
IntegratingComplementaryandConventionalMedicine.
Tobothsetsofparents,whohavenowpassedon,wededicatethisbookfortheirpart
inourjourney.Forourchildren,Christopher,LydiaandNatasha,whoareblessed
withabeautifulspirit.Toour24childrenthatwe‘adopted’inAfrica,whostruggle
dailyfortheirsurvivalandanuncertainfuture.