Snapshots: CAM, Being SMART’R, & Exercise
Today ... • Have a better understanding of what CAM is and discover a SCOPED tool for CAM decisions • Create invested smart’r goals • See exercise and its components in a new way
• CAM is ... A group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine National Centre for Complementary & Alternative Medicine (NCCAM)
Some CAM terminology ... • Complementary medicine – Used together with conventional medicine • Alternative medicine – Used in place of conventional medicine • Integrative medicine – Combines treatments from conventional medicine and CAM for which there is evidence of effectiveness and safety
Why chat about CAM ... Percentage usage of CAM by Canadians up to 80% • Over $1.5 billion spent out-of-pocket each year by Canadians on CAM • Up to 60% do not inform health professionals about CAM use • Why? – • Feeling embarrassed Worried about reaction • • Health professional not seem interested Not seen as being relevant • Need to address CAM to help with ... • – Safety – Communication – Potential benefits
A Few things with CAM ... • Being safe • Ultimate goal with CAM – Concurrent use of CAM with conventional treatment ➢ Shared decision Resources: making ➢ Natural Medicines An integrative process between you Comprehensive (patient) and health care professional that Database ➢ Natural Standard • Engages in patient driven decision making Database • Information about treatment options (safety) • Facilitates incorporation of patient preferences and values into plan of care
Decision Making in CAM
SCOPED S ituation -Short story of your situation: diagnosis, symptoms, treatments - Anything about current situation you need to address? - Is there a time factor? C hoices -What are you interested in? - What is important to you? O bjectives -What do you want to achieve? -What are your priorities, values, preferences and goals? P eople - Your team: who can help? How do you get everyone together? E valuation - How might each choice affect the objective? Risk vs. Benefit D ecision - What choice is best? What are the next steps?
CAM Summary: Key Questions ➢ Does it work? - What is evidence? Conflict of interest? ➢ Is it safe? - What are benefits and risks? - Will it interact with other medication or conditions? ➢ What’s the plan? - How long will I use the CAM and what outcomes should I expect? - How will I monitor my CAM use? ➢ Can I afford to invest in it – time, $, effort? - Balance healthy choices with the good things in life
Snapshots: CAM, Being SMART’R, & Exercise
‘R – Rewards (Immediate/Later)
Example using SMART’R S – Do a brisk walk everyday for 6 minutes for the next 2 weeks M – Time my walk with a watch A – Walking R – Relevant to my goal of improving my health T – Daily for 2 weeks ‘R – Smile after walk is done/Invest in fitbit to help track exercise
Snapshots: CAM, Being SMART’R, & Exercise
New way towards exercise ... Guidelines are 30 min moderate activity per day. • Make the time into smaller chunks i.e. 10 min x 3 • The guideline is a goal to work towards: start where you are ... Even if that is 5 min per day, then progressively increase time tolerance
A simpler version to exercise ... Exercise Time to do exercise Push theraband 30 seconds Chest, front shoulder, triceps Sit to stand 30 seconds legs Pull theraband 30 seconds Mid back, back shoulder, biceps Stretch chest muscles 30 seconds Rest/drink water 30 seconds 2.5 min Repeat two more times 7.5 min total
Snapshots: CAM, Being SMART’R, & Exercise
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