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dc.creatorAdams, Karen E.en
dc.creatorCohen, Michael H.en
dc.creatorEisenberg, Daviden
dc.creatorJonsen, Albert R.en
dc.date.accessioned2016-01-09T00:16:51Zen
dc.date.available2016-01-09T00:16:51Zen
dc.date.created2002-10-15en
dc.date.issued2002-10-15en
dc.identifierdoi:10.7326/0003-4819-137-8-200210150-00010en
dc.identifier.bibliographicCitationAnnals of Internal Medicine 2002 October 15; 137(8): 660-664en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Ethical+considerations+of+complementary+and+alternative+medical+therapies+in+conventional+medical+settings&title=Annals+of+Internal+Medicine+&volume=137&issue=8&spage=660-664&date=2002-10&au=Adams,+Karen+E.;+Cohen,+Michael+H.;+Eisenberg,+David;+Jonsen,+Albert+R.en
dc.identifier.urihttp://dx.doi.org/10.7326/0003-4819-137-8-200210150-00010en
dc.identifier.urihttp://hdl.handle.net/10822/1006897en
dc.description.abstractIncreasing use of complementary and alternative medical (CAM) therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies. The authors present a risk-benefit framework that can be applied to determine the appropriateness of using CAM therapies in various clinical scenarios. The major relevant issues are the severity and acuteness of illness; the curability of the illness by conventional forms of treatment; the degree of invasiveness, associated toxicities, and side effects of the conventional treatment; the availability and quality of evidence of utility and safety of the desired CAM treatment; the level of understanding of risks and benefits of the CAM treatment combined with the patient's knowing and voluntary acceptance of those risks; and the patient's persistence of intention to use CAM therapies. Even in the absence of scientific evidence for CAM therapies, by considering these relevant issues, providers can formulate a plan that is clinically sound, ethically appropriate, and targeted to the unique circumstances of individual patients. Physicians are encouraged to remain engaged in problem-solving with their patients and to attempt to elucidate and clarify the patient's core values and beliefs when counseling about CAM therapies.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:251110en
dc.subjectCounselingen
dc.subjectFormsen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectIntentionen
dc.subjectIllnessen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectRisken
dc.subjectRisks and Benefitsen
dc.subjectValuesen
dc.subject.classificationSociology of Health Careen
dc.subject.classificationPatient Relationshipsen
dc.subject.classificationQuality of Health Careen
dc.subject.classificationPhilosophy of the Health Professionsen
dc.titleEthical Considerations of Complementary and Alternative Medical Therapies in Conventional Medical Settingsen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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