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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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A Patient-Centered Integrative Approach Improves Visual Field Defect: A Case Report.

Lan Kao1, Ka-Kit Hui1,2, Edward Hui1,2

  • 1UCLA Department of Medicine, UCLA Center for East-West Medicine, University of California Los Angeles, Los Angeles, California.

Global Advances in Health and Medicine
|June 9, 2021
PubMed
Summary

This case study shows how integrating Chinese medicine with Western treatments improved vision in a patient with a complex visual disorder. The patient experienced lasting visual gains and improved overall health, highlighting complementary medicine

Keywords:
acupuncturechronic stressintegrative medicinepatient-centeredvisual field defect

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Area of Science:

  • Ophthalmology
  • Integrative Medicine
  • Neuro-Ophthalmology

Background:

  • Chronic stress can significantly impact health, including complex visual disorders.
  • Intractable visual impairments pose challenges for diagnosis and treatment.
  • The potential of complementary therapies in managing chronic conditions warrants exploration.

Observation:

  • A patient presented with a severe visual field defect, impacting daily life and driving ability.
  • Ophthalmologists considered diagnoses such as optic neuritis and acute zonal occult outer retinopathy (AZOOR).
  • The patient had a long history of impaired vision since age 15.

Findings:

  • An integrative East-West approach, including acupuncture and lifestyle modifications, was implemented.
  • Objective ophthalmologic tests confirmed visual improvement.
  • The patient successfully renewed her driver license and maintained visual stability for three years.
  • Concomitant health issues, including neck pain, menstrual irregularities, and anxiety, also improved.

Implications:

  • Integrative, patient-centered care can yield objective visual improvements in intractable eye disorders.
  • Chinese medicine offers a valuable complementary approach to conventional treatments for visual impairments.
  • Addressing chronic stress and holistic well-being is crucial in managing complex health conditions.