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Integrative Nutrition: Integrative Health Week 2014
1.
2. Objectives
You will be able to
1. State the benefits of using an Integrative Nutrition
Model
2. Describe the five key areas that impact, and are
impacted by, the biological information that food,
nutrients, and herbs provide.
3. Review case examples
15. What is Functional Medicine/Nutrition?
Functional Medicine
addresses the underlying causes of disease using
a systems-oriented approach not just treating
symptoms
engages both patient and practitioner in a
therapeutic partnership
involves understanding the origins, prevention,
and treatment of complex, chronic disease.
16. Hallmarks of a functional approach include:
Patient-centered care.
Promotes health as a positive vitality; not just the absence of disease.
Listen to the patient’s story, tailors treatments that address the individual’s unique
needs.
An integrative, science-based healthcare approach
Look “upstream” to consider the patient’s history, physiology, and lifestyle that can
lead to illness.
Consider the unique genetic makeup of each patient, along with both internal (mind,
body, and spirit) and external (physical and social environment) factors that affect total
functioning.
Integrating best medical practices.
TraditionalWestern medical practices
“alternative” or “integrative” medicine, creating a focus on prevention
through nutrition, diet, and exercise
use of the latest laboratory testing and other diagnostic techniques
prescribed combinations of drugs and/or botanical medicines, supplements,
therapeutic diets, detoxification programs, or stress-management techniques.
Reference: http://www.functionalmedicine.org/about/whatisfm/
17. Nutrition is a critical component of
Integrative and FunctionalMedicine!
Nutrition = a key part of prevention and a key part of
therapy
Research is exploding in areas that link food, nutrients,
herbs, nutrigenomics, and prevention and treatment of
chronic conditions and disease states.
Consumer demand for more natural approaches
to optimizing health, and a more holistic, person-centered
and collaborative team management is
driving the need for RDs to be skilled providers
in Integrative Nutrition.
18.
19. What differentiates an DIFM-RD?
Employs a systems assessment of a person’s biochemical
individuality to develop a nutrition care plan
Includes information from emerging sciences such as
nutritional genomics
Recognizes Client uniqueness
Focuses on addressing the root cause of disease
and preventive care
Strives to help the client achieve optimal health, not just the
absence of disease
20.
21. “Food as Medicine”
whole foods therapies
targeted supplements and
mind/body modalities….
and is based firmly in the
IntegrativeMedicine model.
24. GI Issues
Nutrition – Foundational Eating Plan –
Elimination/Immune Health Plan
Function – Kombucha, Kimchi, Miso, Artichokes, Greek
Yogurt
Supplementation – Probiotics, DGL, Aloe, Marshmallow
Root, L-Glutamine
Adjunctive – MBSR, Somatic Education, Massage, Yoga
Testing – SIBO, Food Sensitivities, HS-CRP
25. Obesity or Diabesity
Nutrition – Foundational Eating Plan – Hi Protein and Clean
Foods
Function – Ceylon Cinnamon, Green Tea
Supplementation – Fenugreek, Multiple Vitamin, Alpha
Lipoic Acid,
Adjunctive – Exercise, Yoga/Meditation
Testing – Insulin Response Test, TSH, Vitamin D
26. Sports Specific
Nutrition – Foundational Eating Plan – Individualized
Fueling and Hydration Protocol
Function – Crystalized Ginger
Supplementation – Probiotics, DGL, Aloe, Marshmallow
Root, L-Glutamine
Adjunctive – MBSR, Somatic Education, Massage, Yoga
Testing – SpectraCell Micronutrient Test, VO2 Max
27. Depression
Nutrition – Foundational Eating Plan – Tryptophan Rich
Complex Carbs w. Protein
Function – Salmon, Avocado, Pumpkin Seeds, Black Berries,
Saffron
Supplementation – SAMe, 5-HTP, B12, Vitamin D,
Probiotics, Fish Oil
Adjunctive – Psychotherapy, Yoga, Neurac, Somatic
Education, Exercise
Testing – Vitamin B12, Vitamin D, TSH, Iron
28. Resources
Institute for Functional Medicine.
Jeffery Bland, MD and Mark Hyman, MD
Center for Mind Body Medicine
James Gordon, MD
Dietitians in Integrative Functional Medicine
Kathie Madona Swift, MS, RD
Arizona Center for Integrative Medicine – University of
Arizona (Integrative Medicine Fellowships)
Food as Medicine Conference
Notes de l'éditeur
Functional medicine formalizes this concept
HC reform no longer accepts that chronic disease is just part of the common condition
Story of the gauthiers
Our goal is to make movement accessible to ALL of our clients
Integrative
a blending of modalities that follows the triple aim – PMH – aim at prevention
Aimed at whole person – enhancing whole person for a better life – focus on person not disease
Blends modalities – east/west or complimentary services mind body healing
Looks at nutrition as common thread of imbalances
Movement toward care that is habilitative.
Optimal wellness mean we need to dig deeper.
There is an emerging new specialty within the field of nutrition called Functional Nutrition. Just as Functional Medicine approaches the body from the perspective of treating the root cause of disease, Functional Nutrition looks at the foundational way that food affects your body on the cellular level. Food is much more than calories, in fact there are millions of molecules of information in every bite of food that you eat! These molecules come into your body, effect how your cells behave and how you feel.
Food = Information that cells respond to
It is more important to know what person has
the disease than which disease the person has.
—William Osler
Patient Centered Care
Motivational Interviewing
When was the last time you felt well
What is your wildest dream about your health
Patient narrative
The most powerful tool is the relationship that you create with your patient
It is the functional medicine practitioner’s job to know not just
the ailments or their diagnoses, but the physical and
social environment in which sickness
occurs, the dietary habits of the person
who is sick (present diet
and pre-illness diet), his beliefs about the illness, the
impact of illness on social and psychological function,
factors that aggravate or ameliorate symptoms, and factors that predispose
to illness or facilitate recovery. This
information is necessary for
establishing a functional treatment plan
Tell me what you eat, and I will tell you who you are.
Jean Anthelme Brillat-Savarin
In our practice…
Lab based recs
Consider the hx…autoimmune disease, CA
Disease does not happen in a nut shell
Habillitation
Recommended Blood Panel in a New Chronic Pain Patient
AM Cortisol
Erythrocyte Sedimentation Rate (ESR)
C-Reactive Protein