DSA 02: Philosophy of Osteopathic Medicine

What are the three osteopathic principles for patient care in 2002?

- the patient is the focus for health care- the patient has the primary responsibility for his or her health - an effective treatment program for patient care

What falls under the "effective" in effective treatment program for patient care?

-evidence based medicine -care plans-quality

What falls under the "treatment" in effective treatment program for patient care?

-prevention-wellness-proactive vs reactive

What are the four osteopathic tenets (1950's)?

-the body has triune nature; the person is a unit comprised of body, mind, and spirit-the body is capable of self-regulation, self healing, and health maintenance-structure and function are reciprocally interrelated -rational individualized patient treatment is based upon an understanding of the basic principles of the body unit, self regulation, and the interrelationship of structure and function

When you combine the tenets of osteopathy and principles of patient care, health is characterized as:

-health is natural state of harmony-the human body is a perfect machine created for health and activity-a healthy state exists as long as there is normal flow of body fluids and nerve activity

When you combine the tenets of osteopathy and principles of patient care, disease is characterized as:

-disease is an effect of underlying, often multifactorial causes-illness is often caused by mechanical impediments to normal flow of body fluids and nerve activity -environmental, social, mental, and behavioral factors contribute to the etiology of disease and illness

When you combine the tenets of osteopathy and principles of patient care, patient care is characterized as:

-the human body provides all the chemicals necessary for the needs of its tissues and organs -removal of mechanical impediments allows optimal body fluid flow, nerve function, and restoration of health-environmental, cultural, social, mental, and behavioral factors need to be addressed as part of any management plan -any management plan should realistically meet the needs of individual patient

Example of structure and function: hookes law

Stress applied to stretch or compress a body is proportional to the strain (change in length) thus produced, so long as the limit of elasticity of the body is not exceeded -the more you pull a bone the longer it will get

Example of structure and function: davis law (wolfs law)

-every change in the function of a bone (or other connective tissue) is followed by changes in the internal architecture and external conformation (shape) in accordance with mathematical laws. -the more you compress a bone the more calcium deposition (stronger)-every change in the form and function of a bone

Define osteopathy

A complete system of medical care with a philosophy that combines the needs of the patient with current practice of medicine, surgery and obstetrics; that emphasizes the interrelationship between structure and function; and that has an appreciation of the body's ability to heal itself.