Alternative Medicine for the Elderly

Front Cover
P. Cherniack, N. Cherniack
Springer Science & Business Media, Apr 23, 2003 - Medical - 473 pages
1 Review
The explosion of information about complementary and alternative medicine (CAM) has demanded the attention of health professionals and responsible consumers, in cluding the elderly. Increasingly, medical schools are providing education about CAM. This book brings together for academicians and interested mainstream practitio ners much of the current information on CAM and its role in the health of the elderly. The individual chapters are thoroughly researched and quite readable, even for patients and the lay public concerned with the state of the evidence and art supporting CAM's role in prevention and management of illness and well-being. This book provides edu cators with much necessary information needed to prepare coursework and learning activities. Although definitive data are lacking regarding efficacy and even safety of CAM methodologies, many chapters in this book summarize the existing evidence in a us able way. The topics analyzed range from well-accepted therapies, such as vitamin E for dementia and zinc tablets for the common cold, to far less conventional therapies such as transcendental meditation. The conclusions are often surprising, but well-presented and defended. Even the most highly controversial areas, such as the use of acupuncture to treat low back pain and osteoarthritis of the knee, are thoroughly and fairly re viewed. Finally, the chapters address some of the political issues that challenge CAM. These issues include who should be allowed to practice a CAM discipline whose efficacy is not based on the scientific method, and some of the state-to-state variations in prac tice standards and licensure.
  

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Contents

Patterns and Predictors of CAM Use Among Older Adults
3
Predictors of CAM Use
5
Summary and Conclusions
7
Why Do the Elderly Use Complementary and Alternative Medicine?
9
What is CAM?
10
CAM in the Elderly Patient
13
Why Do People Choose CAM?
15
The Consultation
20
Food and Health in Native America
270
Health HunterGatherers and the Transition to Agriculture
273
Native American Herbal Pharmacology
275
MindBody Therapies in Native America
278
Spiritual Therapies in Native America
279
Similarities to Native American Practice
281
Todays Situation
284
Looking After Our Elders Healthcare and Wellbeing of the Elderly from the Perspective of Gwichin and Other First Nations of Canada
287

The Use of Alternative Medicine by the Elderly and the DoctorPatient Relationship
27
Physicians Attitudes Towards CAM
31
Patients Attitudes Towards CAM
35
Alternative Medicines and the Elderly
47
Adverse Effects Associated with Alternative Medicines
50
How Can the Elderly Patient Achieve Benefit from Alternative Medicine?
56
The Role of Conventional Health Care Professionals in Promoting the Safe and Effective Use of Alternative Medicines
58
Conclusions
59
Ethical Issues Associated with CAM Use Among the Elderly
63
Ethical Issues in Relation to Society
68
The Need for a New Paradigm
70
Future Trends in Use Focus on Transcendental Meditation as a Traditional System of Natural Medicine
73
Focus on Transcendental Meditation as a Traditional System of Natural Medicine
75
Maharishi Vedic Medicine Introduction and Theory
77
Conclusion
84
Types of CAM Used
89
Alternative Therapy Vitamin Use in the Elderly
91
Antioxidant Vitamins
92
Vitamin B Complex
96
Other Vitamins
101
Conclusions
103
Herbal Therapy and the Elderly
111
Dementia
114
Depression
115
Anxiety
117
PostMenopausal Symptoms
118
Benign Prostate Hypertrophy
121
Claudication
122
Venous Insufficiency
123
Energy Enhancers
124
Osteoarthritis
125
Discussing Herbs with Patients
127
Information Sources
128
The Use of Green Tea by the Elderly
133
Tea and Its Constituents
134
Tea and Its Biochemical Properties
136
Tea Disease Control and Prevention
137
Conclusions
141
Chiropractic Spinal Manipulation for the Elderly?
145
Effectiveness
146
Safety
149
Conclusion
151
Unconventional Western Medicine
153
Naturopathy
157
Anthroposophical Medicine
160
Alexander Technique
161
Aromatherapy
163
Autogenic Training
165
Hypnotherapy
167
Massage
168
Conclusion
170
The Use of Traditional Japanese and Chinese Medicine for the Elderly
173
Traditional Japanese and Chinese Medicine for the Elderly
177
Acupuncture in the Context of Traditional Chinese Medicine
195
Traditional Chinese Medicine
196
Acupuncture
197
Current Practice of Acupuncture Use in Common Diseases of the Elderly
203
Acupoints
207
General Principles of Acupuncture
208
Needling Manipulations
209
Application of Acupuncture in the Treatment of Diseases of the Elderly
210
Tai Chi Use and the Elderly
227
Cardiopulmonary System
228
Balance
230
Musculoskeletal System
231
Other Health Benefits
232
Ayurveda The Ancient Scientific Medicine with Natural Healing
235
Ayurveda The Ancient Scientific Medicine with Natural Healing
236
Diagnosis and Treatment in Ayurveda
245
Conclusion
254
Herbal Folk Medicine
257
Willow Bark
258
European Folk Medicines
259
Native American Elder Care
265
Script Negotiation
266
Culture and the Elderly
267
Respect for the Aged and the Dead
268
Food and Nutrition
288
Shelter and Living Requirements
290
Self Sufficiency Self Esteem and Respect
292
Medicine and Healing Needs
293
Changes
295
Complementary and Alternative Medicine Use Among Latinos
301
Una de Gato Cats Claw
302
Rabo de Gato Cats tail
303
Diente de Leon Lions teeth
304
Yuca Yucca
305
Avena Oatmeal plant
306
Migranela
307
Diet and Lifestyle Modification for the Elderly
309
MindBody Therapies
311
Yoga
312
Meditation
313
Guided Imagery
314
Aromatherapy
315
The Benefits of Lifestyle Modification for Older People
319
Prevention is Intervention
320
The Science A Program That Works
321
The Ornish Program
323
An Integrated Approach
328
National Rate of Cardiovascular Procedures and Adverse EventsCost
331
Federal Participation The Medicare Lifestyle Modification Program Demonstration
333
Common Medical Problems of the Elderly and CAM
337
Treatments for Arthritis Conventional Drugs versus Complementary Alternative Medicines
339
Conventional Drug Treatments for OA and RA
340
Complementary and Alternative Treatments for Arthritis
341
Conclusion
347
Alternative and Complementary Treatments in Respiratory Diseases in the Elderly
351
Effects of Aging on Respiratory Function
353
Treatment of Respiratory Infections by Alternative Method Techniques
354
Alternative Treatments of Asthma
355
Alternative Treatments of Chronic Obstructive Lung Disease
358
Alternative Treatments of Pulmonary Carcinoma
360
Summary
361
The Use of Complementary and Alternative Therapies in Older Women
365
Herbal Medicine
366
Phytoestrogens
372
Natural Progesterone
383
Natural Estrogens
385
MindBody Therapies
391
Conclusion
392
The Use of Phytotherapy in the Treatment of Men with Benign Prostatic Hyperplasia
399
Herbal Therapy and BPH Proposed Mechanisms of Action
400
Saw Palmetto
401
Pygeum Africanum
404
Phytosterols
406
Other Phytotherapeutic Products
407
Alternative and Complementary Methods in Cancer Treatment Palliation and Prevention
411
Cancer Prevention
412
Treatment of Cancer
414
Palliative Treatment of Cancer
418
Conclusions
420
Dementing Illness and Complementary and Alternative Medicine
425
Aetiology
426
Clinical Features
427
Therapies
428
Preventing Dementia
434
Depression in the Elderly
437
St Johns Wort
438
Complementary and Alternative Medicine in Neurology
441
Stroke
443
Parkinsons Disease
444
Multiple Sclerosis
445
Epilepsy
446
Back Pain
447
Craniocerebral and Spinal Cord Trauma
448
Acupuncture Effect on Pain
451
Possible Mechanisms of Acupuncture Involving Pain Control
452
Tolerance to Electroacupuncture Stimulation
453
Optimization of Acupuncture Treatments
455
Selection of Electroacupuncture Parameters Should be Tailored According to Disease Category and Individual Cases
456
Appendix
461
Index
463
Copyright

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