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reframing Palliative Care:An East-West Integrative Palliative Care Model

Chinese Journal of Integrative Medicine 2021年第10期27卷 723-728页

作者： S.Anjani D.Mattai Ka-Kit P.Hui Department of Medicine David Geffen School of MedicineUniversity of California Los AngelesCaliforniaUSA Center for East-West Medicine Department of MedicineDavid Geffen School of MedicineUniversity of California Los AngelesCaliforniaUSA

Convergence of principles of palliative care and integrative medicine has led to the introduction of the new practice of integrative palliative care in which integrative therapies(including mind-body modalities,traditional Chinese medicine,Ayurveda,and dietary supplements)are used to provide symptom management for patients who are dying or experiencing the sequelae of serious illness and its *** propose an East-West Integrative palliative care model using non-drug therapies,such as acupuncture,diet,exercise,and stress management that shift the paradigm from suppressing the symptoms of illness to addressing both the root cause of the symptoms and the imbalance and declining homeostatic reserve that perpetuate these *** whole-person model expands the reach of palliative care,prolonging a better quality of life and allowing the patient to maintain as many activities as possible by preventing symptoms and improving *** this approach we reframe the dialogue such that patients are"living better"rather than"dying better"when faced with serious illness or *** this article,we provide an overview of the principles of palliative care,integrative medicine,and the novel area of integrative palliative care,and propose an East-West integrative palliative care model that incorporates and broadens the scope of these existing approaches.

关键词： person-centered model palliative care integrative medicine traditional Chinese medicine acupuncture symptom management cost-effectiveness reframing healthcare

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