Person-Centered Approaches to Therapeutic Strategies: Self-Healing and Living Systems — Ancient to Future
Models and maps illustrate key mythopoietic and scientific concepts of person-centered health dynamics, three-worlds metaphysiology, therapeutic terrains, collaborative care, and interactions at the levels of therapies and relationships within nested living systems. We will explore how the self-regulatory activity of living systems expresses itself on personal, cultural and planetary levels, through our bodies and relationships. Examples in person-centered health and naturopathic medicine will illustrate how clinicians can use these principles, tools and methods to enrich perception, organize conceptual models, and integrate multidisciplinary therapies into personalized and evolving therapeutic strategies.
Interactions, Polypharmacy and Collaborative Care: Person-Centered Therapeutic Strategies in Aging Populations
In clinical practice, interactions occur at two levels: (1) coordination of pharmacologic and other therapeutic interventions, and (2) collaboration between and among the involved parties. Purposeful coadministration of multiple therapeutic interventions within a complex and evolving clinical strategy represents a valuable approach to dynamic and individualized person-centered care. The challenges of multidisciplinary care that often involve diverse philosophical and clinical traditions necessitates a new paradigm of proactive polypharmacy that is focused on patient safety, therapeutic efficacy and evidence-informed clinical decision-making. We examine three levels at which pharmacologic interactions can be characterized, analyzed and predicted and suggest two models for maximizing safety and providing effective care in response to the individual patient’s resources, needs and opportunities, with particular emphasis on aging and the elderly. Operative clinical principles are embodied in the 4Cs of Person-centered healthcare: Communicate, Coordinate, Collaborate, Contextualize. Therapeutic relationship systems are thus contextualized with the patient as person in the center of nested systems of relationships.
About Lori and Mitchell Stargrove
Dr. Lori Beth Stargrove and Dr. Mitchell Bebel Stargrove practice at A WellSpring of Natural Health, Inc. and teach together in diverse professional settings. They are co-founders of the Alchemical Medicine Research and Teaching Association (AMR’TA) and MedicineWorks.
Mitchell Bebel Stargrove, ND, LAc, earned his acupuncture diploma from OCOM in 1987 and naturopathic doctorate from NCNM in 1988. Dr. Stargrove is editor and co-author of Herb, Nutrient, and Drug Interactions: Clinical Implications and Therapeutic Strategies. He coordinated development of the Integrative BodyMind Information System (IBIS). Dr. Stargrove teaches the history of medicine and is lead history editor of and a contributing author to the Foundations of Naturopathic Medicine text.
Lori Beth Stargrove, ND, received her naturopathic doctorate at NCNM in 1991. She served as project manager for Herb, Nutrient, and Drug Interactions. She served on the Oregon Board of Naturopathic Examiners from 2001-2007 and currently focuses on building naturopathic elder-student relationships and the dying process from a natural medicine perspective.