Centrum Medycyny Naturalnej Akupunktura Fitoterapia 33-300 Nowy S - - PowerPoint PPT Presentation

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Jan 05, 2024 280 likes •428 views

Centrum Medycyny Naturalnej Akupunktura Fitoterapia 33-300 Nowy S cz ul. Kochanowskiego 30 Leonardo Da Vinci Project: PARTNERSHIP FOR PROFESSIONAL GROWTH IN COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) CAM- PROF Chronic Diseases

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Centrum Medycyny Naturalnej Akupunktura Fitoterapia 33-300 Nowy Sącz

ul. Kochanowskiego 30

Leonardo Da Vinci Project:

PARTNERSHIP FOR PROFESSIONAL GROWTH IN COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) CAM- PROF Chronic Diseases Preparation of Code of Ethics Meeting on May 18, 2013 Stuttgart

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Definition of chronic diseases

Chronic disease according to M. Zięcina (1976, s.156)

"permanent irreversible, progressive, damaging changes in the structure, permanently debilitating, mainly in the acute, but also chronic, as one and the same constantly

ngoing process of destruction ".

Chronic diseases include those “that are generally low

severity, but often lead to permanent organ damage, can take several years, and recovery does not have to be synonymous with regaining full health” (Śródka,Encyclopedia of Health)

These definitions are focused on biomedical perspective,

considering the three parameters, namely, the duration, course and consequences of medical illness

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List of chronic diseases Poland

1) acromegaly,
2) asthma, chronic obstructive pulmonary disease,

eosinophilic bronchitis,

3) Alzheimer's disease,
4) disease and Parkinson's syndrome,
5) Crohn's disease,
6) mental illness or mental retardation,
7) severe chronic obstructive pulmonary disease with a

documented spirometric values

f FEV1 <50% and a

negative diastolic test,

8) diabetes,
9) epidermolysis bullosa,
10) phenylketonuria,
11) tuberculosis, including MDR-TB and other

mykobakteriozy,

12) hypercholesterolemia LDL-C above 130 mg / dl despite

continuing statin therapy if: status after myocardial infarction or coronary revascularization (percutaneous or cardiac), the state of the peripheral revascularization or amputation because of peripheral atherosclerotic disease, familial hypercholesterolemia,

13) glaucoma;
14) myasthenia gravis,
15) symptomatic coronary atherosclerosis treated with

metal stents (up to 6 weeks after stent implantation) or drug-eluting stents antyrestenotycznymi (up to 12 months after implantation of the stent) to prevent blood clots,

16) pituitary diabetes insipidus,
17) cystic fibrosis,
18) chronic post-herpetic neuralgia,
19), hypothyroidism,
20) malignant neoplasms, including:
a) neutropenia in cancer,
b) osteolytic metastasis in cancer,
c) breast cancer and endometrial cancer,
d) breast cancer in the second wave endocrine therapy,
e) prostate cancer
21) osteoporosis,
22) epilepsy,
23) refractory epilepsy,
24) primary ciliary dyskinesia,
25) prostatic hypertrophy
26) chronic ulcers,
27) schizophrenia,
28) in the case of schizophrenia reapse of psychotic symptoms

during treatment with neuroleptics as a result of documented, persistent lack of cooperation of the patient,

29) state vascularised organ transplant or bone marrow
30) status after resection of the pancreas,
31) state after myocardial infarction without ST segment elevation

to 12 months of use,

32) state after myocardial infarction with ST-segment elevation to

30 days of use,

33) multiple sclerosis,
34) amyotrophic lateral sclerosis,
35) documented heart failure NYHA class II-IV NYHA,
36) polysymptomatic local pain syndrome type - I reflex

sympathetic dystrophy, and type II - causalgia,

37) ulcerative colitis,
38) teams congenital metabolic defects, food allergies, chronic

diarrhea,

39) Attention Deficit Hyperactivity Disorder in children over 6

years of age

Dz.U.09.35.276 → dated 5 March 2009

Regulation of Ministry of Health of February 2, 2009 on the list of diseases (congenital or aquired) and the list of medicines and medical devices, which, due to these diseases are prescribed free of charge, a flat rate or partial payment

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Biomedical versus Holistic Approach

Biomedical: human health in this approach is meant only

as a properly functioning biological organism. The disease is interpreted as a disruption of these normal functions of the human body

Holisitc: In contrast to the previous position human body

is understood as more complex in addition to physical/somatic aspect together with mental and spiritual

dimension. Health does not just refer to the efficiency of

the biological system, but a state of dynamic equilibrium of many systems, including biological, psychological and social levels of functioning of the individual

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Understanding code of ethics WHO (World Health Organiation) definition:

Ethics is concerned with moral principles, values and

standards of conduct. The field of health and health care raises numerous ethical concerns, related to, for example, health care delivery, professional integrity, data handling, use of human subjects in research, and the application of new techniques, such as gene manipulation.

SLIDE 6

Cultural Perspective on code of ethics in Poland

Historically the first code related to medical ethics in

Poland was published in print in 1876

From 1952 - 1991 many provisions of the law came from

the communist era.

Code of Medical Ethics published in 1991 is used to the

present day

Currently ethical standards are influenced by

Hippocratic ethics and Christian morality (the postion

f the Roman-catholic Church)in relation to abortion,

euthanasia, in vitro, stem cells research, human gene manipulation etc.

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The content of the Polish Code of Medical Ethics:

1) the guidelines of doctor and patient relationship 2) the quality of medical care 3) respect of patients' rights 4) medical confidentiality 5) help patients in the terminal stages 6) organ transplant 7) procreation 8) medical certificates 9) research and medical experiments 10) relationships with industry practitioners 11) of the human genome 12) the mutual relations between doctors 13) best clinical practice 14) the physician and society

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Important points to consider in code of ethics

patient´s rights, beneficence, non-male ficence, justice

concerns (common values, influenced by cultural aspects i.e. abortion, euthanasia, etc.)

the distribution of health resources; availability

f alternative treatment (Polish perspective: acupuncture

and TCM herbal tx are not covered by National Health Insurance),

truth-telling, (should the doctor tell all about the poor

prognosis, impact on the well being and psychological aspect of the individual)

confidentiality

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Recommendation: Alternative Medicine Code of Ethics

As an example: AOM Profession (USA) Publishes

Model Code of Ethics

In 1999, a panel at one of the AOM profession's

national conferences addressed the issue of professional ethics. In 2001, a Joint Ethics Committee, composed of members of the American Association of Oriental Medicine (AAOM) and the Acupuncture and Oriental Medicine Alliance, began to work on a model code.

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Recommendation: NCCAOM (USA) Code of Ethics

NCCAOM (National Certification Commission for

Acupuncture and Oriental Medicine) publishes Code of Ethics effective as of October 14, 2008

All practitioners certified by NCCAOM must be

committed to:

responsible and ethical practice, to the growth of the profession’s role in the broad spectrum of

American health care,

and to their own professional growth. All Diplomates, Applicants and Candidates for certification

agree to be bound by the NCCAOM Code of Ethics.

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Alternative medicine practioners in the region (malopolska region)

Gabinet Akupunktury i Ziołolecznictwa

wg Tradycyjnej Medycyny Chińskiej

ul. Emaus 4/1, Kraków

rejestracja tel. 0-602-270-252 http://www.medycynazintegrowana.pl/

NaM Nature and Medicine

Plac Braci Duzińskich 1A 30-556 Kraków,

Gabinet Tradycyjnej Medycyny Chińskiej

dietoterapia i akupunktura

ul. Witosa 21 (Centrum Medyczne

PLAST-MED) 40-832 Katowice

ORIENT. MEDYCYNA NATURALNA

MOGILSKA 121B LOK. 704 31-571 KRAKÓW, MAŁOPOLSKIE

MEDYCYNA DALEKIEGO WSCHODU.

SP. Z O.O.

ŚWITEZIANKI 3 31-563 KRAKÓW, MAŁOPOLSKIE

Chinmed S.C. Wojciech Buła i S Ka

Wojciech Buła Halina Dębczuk Kalwaryjska 30/6Kraków(12) 296-34-36