August - 20219of Integrative Oncology amongst cancer specialists can make it even harder for them to voluntarily initiate an exploration of CAM therapies with patients. An Integrative Oncology approach can help combat side effects of cancertreatments such as nausea, pain, and fatigue, enabling patients to feel better and more in controlof their illness,often potentiating the effect of mainstream cancer therapies. It is thus very important that cancer specialistsareaware ofthe evidence behindIntegrative Oncology and work with their patients to enable them to choose the right approach for them. In addition, Oncologists and cancer nurse specialists have to be aware when patients are takingsupplements or other alternative therapies together with their mainstream treatment to ensure that there is no harmful interaction between treatments. The role of the Oncology pharmacist is key in informing clinical teams about potential treatment interactions, assuring the safe use of complementary and alternative therapies. This multidisciplinary team support can result in patients with cancer feeling more empowered to have a choice intreatment,which can boost their personal resilience.Cancer diagnosis is a critical event in people's lives and often gives people the drive tomake lifestyle changes for themselves and people close to them, hence preventing further illnesses.The role of Integrative Oncology in cancer prevention needs further exploration, and it comes with good scientific evidence. For example, the adoption of regular moderate level exercise and a plant-based wholefood diet can reduce body fat, which in turn reduces the level of carcinogenic proteins in the body. When regular exercise and wholefood dietsare combined withstress management techniques such as yoga and meditation, the benefit is greater, and some studies have shown areduction in the risk of cancer death by as much as 50 percent. Psychological well being in the form of group support has also been shown to reduce death from cancer, whereas social isolation and loneliness can have the opposite effect, increasing the risk of premature death between 3 and 10-fold. The above activities are also helpful in preventing cardiovascular diseases and diabetes, hence improving population health.As cancer specialists, we have a duty to provide evidence-based treatments to our patients to treat cancer effectively, and such a mainstream approach is the recommended one, never to be replaced by alternative therapies alone. As health professionals, we have a duty to treat our patients as whole persons, optimising their body and mind health to help them cope with cancer treatment, enabling better treatment outcomes and preventing illness. We also have a duty to improve population health through preventative medicine and health promotion.Looking into the future, the inclusion of Integrative Medicine into the medical and nursing undergraduate curriculaglobally can increase knowledge and skill in the field. It can also lead to a more systematic approach to Real-World data collection, clinical research, and evidence generation about how Integrative Medicineworks and for whom.The evolution of this shift in clinical mindset and practice is the formation of a Personalised Healthcare Model and improved Population Health. In scientific terms, Integrative Medicine is about combining traditional medicine with complementary and alternative medicine (CAM) and lifestyle change, leading to synergistic therapeutic and quality of life effects
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