therapeutics
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What is therapeutics in medicine?
Therapeutics is the treatment and care of a patient to prevent and combat disease, or to ease pain or injury. It means serving and caring for the patient comprehensively, integrating exercise, diet, and mental factors in both preventing and managing disease processes. Specific measures include drugs for pain relief or infection treatment, surgery to remove diseased tissue or replace organs, and counseling or psychotherapy for emotional distress. The effectiveness of therapeutics is enhanced by confidence in the physician and the selected method. Drug treatment is the most frequently used type of therapeutic intervention in medicine because the human body relies extensively on chemical communication systems to achieve integrated function between billions of separate cells.
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How do doctors use therapeutics to help patients?
Doctors employ therapeutics, encompassing treatment and care, to prevent and combat disease, alleviate pain, and manage injuries. Therapeutics involves serving patients comprehensively, integrating exercise, diet, and mental health care for both disease prevention and specific problem management.
To determine appropriate treatments, physicians consider the patient's reasons for seeking medical advice and their expectations, which may involve diagnostic tests and reassurance. Treatment plans are made with the patient, considering preferences for therapy types and potential side effects. Regimens may include drugs to relieve pain or treat infection, surgery, or counseling.
The selection of drugs is based on scientific studies, clinical trials, and the physician’s experience. Clinical trials, regulated by the FDA, occur in phases to test safe dosages, determine effectiveness, and compare new interventions with standard treatments. Some treatments are personalized based on a patient's genetics. Cardiovascular drugs, endocrine drugs and nervous system drugs are examples of therapeutic treatments.
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What are some common types of therapeutic treatments?
Therapeutic treatments encompass a range of approaches to manage diseases and disorders, including mental health conditions.
Common types of therapeutic treatments:
* Psychotherapy Utilizes psychological techniques to address mental disorders, adjustment problems, or psychological distress. Types of psychotherapy include dynamic, humanistic, behavioral, cognitive, and interpersonal.
* Drug Treatment Involves the use of chemical substances to affect the functioning of living organisms and treat diseases.
* Occupational Therapy Helps patients maintain and improve their ability to participate in daily activities and tasks.
* Physical Therapy Focuses on exercise, massage, and manual muscle therapy to improve physical function and mobility.
* Alternative Medicine Includes less conventional approaches like homeopathy, naturopathy, and acupuncture.6 Britannica SourcesCreated from Britannica articles using AI. AI can make mistakes, so verify using Britannica articles. -
How do medications act as a form of therapy?
Medications serve as a form of therapy by interacting with the body's chemical communication systems to combat disease, alleviate pain, and prevent illness. By binding to target molecules in cells, such as receptors, drugs can initiate physiological changes.
Pharmacology explores drug mechanisms, balancing benefits and risks. Chemical agents can affect the brain and are important in medical therapeutics. For example, drugs can act as central-nervous-system depressants, stimulants, or euphorizing agents to manage mental illnesses, overactive states, and depression. In cancer treatment, targeted therapies can neutralize molecules responsible for tumor cell behavior, embodying personalized medicine. In addition, gender-affirming hormone therapy can improve mental health by reducing anxiety and depression.
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What role do physical therapies play in healing?
Physical therapies play a crucial role in healing by focusing on restoring movement and function affected by injury, disease, or other conditions. Physical therapists examine individuals and design exercise programs and functional training to improve movement, reduce pain, and enhance participation in daily activities.
They also educate patients on how to recover or improve movements, prevent injuries, and manage conditions like abnormal posture. Treatments such as joint and soft tissue mobilization, electrotherapy, and other physical methods may be employed to address issues like pain. For chronic pain, physical therapy, exercise, and alternative therapies are used.
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How is therapeutic treatment chosen for different diseases or patients?
Therapeutic treatment is chosen based on several conditions, including the patient's expectations and the physician's diagnosis. If a cure isn't possible, the goal becomes relief from symptoms or restoration of normal functioning. An explanation of the disease, its cause, and what to expect can provide significant relief and alleviate anxiety.
When selecting a management plan, physicians often involve the patient, considering their preferences for therapy or medication. The possible side effects of treatment may also influence the therapeutic choice. Patient compliance, or adherence to the physician's recommendations, is another factor affecting therapeutic success. Physicians also depend on scientific studies that compare different drugs or treatment regimens.
In personalized medicine, family history and genetic testing can determine preventive measures and screening decisions. Targeted therapy, like the anticancer drug imatinib, targets specific molecules involved in disease.
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News •
therapeutics, treatment and care of a patient for the purpose of both preventing and combating disease or alleviating pain or injury. The term comes from the Greek therapeutikos, which means “inclined to serve.”
In a broad sense, therapeutics means serving and caring for the patient in a comprehensive manner, preventing disease as well as managing specific problems. Exercise, diet, and mental factors are therefore integral to the prevention, as well as the management, of disease processes. More specific measures that are employed to treat specific symptoms include the use of drugs to relieve pain or treat infection, surgery to remove diseased tissue or replace poorly functioning or nonfunctioning organs with fully operating ones, and counseling or psychotherapy to relieve emotional distress. Confidence in the physician and in the method selected enhances effectiveness.
Preventive medicine
The rationale for preventive medicine is to identify risk factors in each individual and reduce or eliminate those risks in an attempt to prevent disease. Primary prevention is the preemptive behavior that seeks to avert disease before it develops—for example, vaccinating children against diseases. Secondary prevention is the early detection of disease or its precursors before symptoms appear, with the aim of preventing or curing it. Examples include regular cervical Papanicolaou test (Pap smear) screening and mammography. Tertiary prevention is an attempt to stop or limit the spread of disease that is already present. Clearly, primary prevention is the most cost-effective method of controlling disease.
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Leading causes of death worldwide include cardiovascular disease, cancer, cerebrovascular disease, accidental injuries, and chronic lung disease. A major preventable cause of death is cigarette smoking, which is linked to increased risk of cardiovascular disease (e.g., heart attack), cancer, stroke, and chronic lung diseases such as emphysema and chronic bronchitis.
Multiple organizations worldwide have established recommendations and guidelines for disease prevention. For example, in the United States, following earlier work by the Canadian Task Force on the Periodic Health Examination, the U.S. Preventive Services Task Force was established to evaluate the effectiveness of various screening tests, immunizations, and prophylactic regimens based on a critical review of the scientific literature. Its report, Guide to Clinical Preventive Services, lists the recommendations for a variety of conditions evaluated by the panel.
Immunization is the best method for preventing infectious diseases. Standard immunizations of infants and children include those for diphtheria, tetanus, and pertussis, or whooping cough (DTP); polio (OPV); measles, mumps, and rubella (MMR); Haemophilus influenzae type b (HbCV); and hepatitis B (HBV). A yearly vaccine against the influenza virus should be administered to infants and young children, to adults who are over age 65, to those at risk because of chronic cardiopulmonary disease, and to those in chronic care facilities. Adults at age 65 should also be immunized against pneumococcal pneumonia with a vaccine containing 23 of the most common strains of Streptococcus pneumoniae.
Acquired immunodeficiency syndrome (AIDS), caused by human immunodeficiency virus (HIV), is a major infectious disease problem. Although a vaccine is expected, obstacles to its development are great. Primary preventive measures include abstaining from sexual contact, using condoms, and, among intravenous drug users, avoiding the sharing of needles.
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The risk factors for coronary artery disease that can be modified to prevent heart attack are cigarette smoking, hypertension, an elevated serum cholesterol level, a sedentary lifestyle, obesity, stress, and excessive alcohol consumption. In addition to an elevated total serum cholesterol level, an elevated low-density lipoprotein (LDL) level and a decreased high-density lipoprotein (HDL) level are significant risk factors. The total cholesterol level and elevated LDL level can be reduced by appropriate diet, whereas a low HDL can be raised by stopping smoking and increasing physical activity. If those measures do not provide adequate control, a variety of drugs capable of lowering the cholesterol level are available.
The major risk factor for stroke is hypertension, with cigarette smoking and type 2 diabetes mellitus significantly increasing the risk. Transient ischemic attacks (TIAs) occur before stroke in 20 percent of patients and consist of sudden onset of one or more of the following symptoms: temporary loss of vision in one eye, unilateral numbness, temporary loss of speech or slurred speech, and localized weakness of an arm or leg. Attacks last less than 24 hours and resolve without permanent damage until the stroke occurs.
The most important preventive behaviour in averting cancer is the avoidance of cigarette smoke. Smoking accounts for 30 percent of all cancer deaths, and there is increasing recognition of the danger of environmental or secondhand smoke to the nonsmoker. Primary prevention of skin cancer includes restricting exposure to ultraviolet light by using sunscreens or protective clothing. For other cancers, secondary preventive measures include mammography, clinical breast examinations, and breast self-examinations for breast cancer; pelvic examinations and Pap tests for cervical cancer and ovarian cancer; and sigmoidoscopy, digital rectal examinations, and stool tests for occult blood for colorectal cancer.
Demineralization of bone and a reduction in bone mass (osteoporosis) occur most often in men and women age 70 or older and may result in fractures, low back pain, and loss of stature. Osteoporosis in postmenopausal women that is caused by estrogen deficiency is the most common manifestation. The most effective method for preventing loss of bone mass after menopause is estrogen replacement therapy and increased calcium intake. Primary preventive measures include increasing physical activity and avoiding cigarettes and heavy alcohol consumption.
Alcohol abuse is the primary reason that accidents are a major cause of death in the United States. Other factors are failure to wear seat belts or motorcycle helmets, sleep deprivation, and guns in the home. Taking reasonable precautions and being aware of the potential dangers of alcohol and firearms can help reduce the number of deaths due to accidents.