Alternative Medicine for the Elderly

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Springer Science & Business Media, Apr 23, 2003 - Medical - 473 pages
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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
xvii
Predictors of CAM Use
1
Summary and Conclusions
3
Why Do the Elderly Use Complementary and Alternative Medicine?
5
What is CAM?
6
CAM in the Elderly Patient
9
Why Do People Choose CAM?
11
The Consultation
16
Food and Health in Native America
266
Health HunterGatherers and the Transition to Agriculture
269
Native American Herbal Pharmacology
271
MindBody Therapies in Native America
274
Spiritual Therapies in Native America
275
Similarities to Native American Practice
277
Todays Situation
280
Looking After Our Elders Healthcare and Wellbeing of the Elderly from the Perspective of Gwichin and Other First Nations of Canada
283

The Use of Alternative Medicine by the Elderly and the DoctorPatient Relationship
23
Physicians Attitudes Towards CAM
27
Patients Attitudes Towards CAM
31
Alternative Medicines and the Elderly
43
Adverse Effects Associated with Alternative Medicines
46
How Can the Elderly Patient Achieve Benefit from Alternative Medicine?
52
The Role of Conventional Health Care Professionals in Promoting the Safe and Effective Use of Alternative Medicines
54
Conclusions
55
Ethical Issues Associated with CAM Use Among the Elderly
59
Ethical Issues in Relation to Society
64
The Need for a New Paradigm
66
Future Trends in Use Focus on Transcendental Meditation as a Traditional System of Natural Medicine
69
Focus on Transcendental Meditation as a Traditional System of Natural Medicine
71
Maharishi Vedic Medicine Introduction and Theory
73
Conclusion
80
Types of CAM Used
85
Alternative Therapy Vitamin Use in the Elderly
87
Vitamin B Complex
92
Other Vitamins
97
Conclusions
99
Herbal Therapy and the Elderly
107
Depression
111
Anxiety
113
PostMenopausal Symptoms
114
Benign Prostate Hypertrophy
117
Claudication
118
Venous Insufficiency
119
Energy Enhancers
120
Osteoarthritis
121
Discussing Herbs with Patients
123
Information Sources
124
The Use of Green Tea by the Elderly
129
Tea and Its Constituents
130
Tea and Its Biochemical Properties
132
Tea Disease Control and Prevention
133
Conclusions
137
Chiropractic Spinal Manipulation for the Elderly?
141
Effectiveness
142
Safety
145
Conclusion
147
Unconventional Western Medicine
149
Naturopathy
153
Anthroposophical Medicine
156
Alexander Technique
157
Aromatherapy
159
Autogenic Training
161
Hypnotherapy
163
Massage
164
Conclusion
166
The Use of Traditional Japanese and Chinese Medicine for the Elderly
169
Traditional Japanese and Chinese Medicine for the Elderly
173
Acupuncture in the Context of Traditional Chinese Medicine
191
Traditional Chinese Medicine
192
Acupuncture
193
Current Practice of Acupuncture Use in Common Diseases of the Elderly
199
Acupoints
203
General Principles of Acupuncture
204
Needling Manipulations
205
Application of Acupuncture in the Treatment of Diseases of the Elderly
206
Tai Chi Use and the Elderly
223
Cardiopulmonary System
224
Musculoskeletal System
227
Other Health Benefits
228
Ayurveda The Ancient Scientific Medicine with Natural Healing
231
Ayurveda The Ancient Scientific Medicine with Natural Healing
232
Diagnosis and Treatment in Ayurveda
241
Conclusion
250
Herbal Folk Medicine
253
Willow Bark
254
European Folk Medicines
255
Native American Elder Care
261
Script Negotiation
262
Culture and the Elderly
263
Respect for the Aged and the Dead
264
Food and Nutrition
284
Shelter and Living Requirements
286
Self Sufficiency Self Esteem and Respect
288
Medicine and Healing Needs
289
Changes
291
Complementary and Alternative Medicine Use Among Latinos
297
Una de Gato Cats Claw
298
Rabo de Gato Cats tail
299
Diente de Leon Lions teeth
300
Yuca Yucca
301
Avena Oatmeal plant
302
Migranela
303
Diet and Lifestyle Modification for the Elderly
305
MindBody Therapies
307
Meditation
309
Guided Imagery
310
Aromatherapy
311
The Benefits of Lifestyle Modification for Older People
315
Prevention is Intervention
316
The Science A Program That Works
317
The Ornish Program
319
An Integrated Approach
324
National Rate of Cardiovascular Procedures and Adverse EventsCost
327
Federal Participation The Medicare Lifestyle Modification Program Demonstration
329
Common Medical Problems of the Elderly and CAM
333
Treatments for Arthritis Conventional Drugs versus Complementary Alternative Medicines
335
Complementary and Alternative Treatments for Arthritis
337
Conclusion
343
Alternative and Complementary Treatments in Respiratory Diseases in the Elderly
347
Effects of Aging on Respiratory Function
349
Treatment of Respiratory Infections by Alternative Method Techniques
350
Alternative Treatments of Asthma
351
Alternative Treatments of Chronic Obstructive Lung Disease
354
Alternative Treatments of Pulmonary Carcinoma
356
Summary
357
The Use of Complementary and Alternative Therapies in Older Women
361
Herbal Medicine
362
Phytoestrogens
368
Natural Progesterone
379
Natural Estrogens
381
MindBody Therapies
387
Conclusion
388
The Use of Phytotherapy in the Treatment of Men with Benign Prostatic Hyperplasia
395
Herbal Therapy and BPH Proposed Mechanisms of Action
396
Saw Palmetto
397
Pygeum Africanum
400
Phytosterols
402
Other Phytotherapeutic Products
403
Alternative and Complementary Methods in Cancer Treatment Palliation and Prevention
407
Cancer Prevention
408
Treatment of Cancer
410
Palliative Treatment of Cancer
414
Conclusions
416
Dementing Illness and Complementary and Alternative Medicine
421
Aetiology
422
Clinical Features
423
Preventing Dementia
430
Depression in the Elderly
433
St Johns Wort
434
Complementary and Alternative Medicine in Neurology
437
Stroke
439
Parkinsons Disease
440
Multiple Sclerosis
441
Epilepsy
442
Back Pain
443
Craniocerebral and Spinal Cord Trauma
444
Acupuncture Effect on Pain
447
Possible Mechanisms of Acupuncture Involving Pain Control
448
Tolerance to Electroacupuncture Stimulation
449
Optimization of Acupuncture Treatments
451
Selection of Electroacupuncture Parameters Should be Tailored According to Disease Category and Individual Cases
452
Appendix
457
Index
459
Copyright

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