This chapter highlights that the realm of hypnosis is full of startling, counterintuitive, and even “magical” experiences and phenomena and devotes some attention to the potential advantages of trying to cage such phenomena within the framework of rigorous research design. It outlines major features of effective research design, which apply as fully to hypnosis as to any other domain, by referring to some classic experiments in the history of science. The chapter distinguishes among three major types of hypnosis research, intrinsic, neurophysiological and instrumental hypnosis researches, which require somewhat different handling of these basic design issues. Qualitative reviews and meta-analytic studies consistently document the potential of hypnosis to play a role in the treatment of a wide variety of psychological and medical conditions, ranging from acute and chronic pain to obesity. Neurophysiological research is one of the most intriguing and active areas of hypnosis-related inquiry.
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Unwanted sequelae of therapeutic trance states were observed in the healing temples of ancient Greece. Hypnosis, like other beneficial therapeutic modalities, is inevitably associated with instances of unintended, unwanted, and undesirable consequences. These range from transient and trivial discomforts to more lasting mild through severe uncomfortable forms of physical, psychophysiological, and psychological distress. While unwanted responses to hypnosis are more common and covert than has been generally understood, the risk of their occurrence can be markedly reduced by the more thorough evaluation of the patient, the regular use of rather basic and straightforward clinical interventions, and the individualization of the techniques and imagery brought to bear in the treatment setting. Further, initially unrecognized incipient problems often can be identified and nipped in the bud by monitoring alertness with the clinician- and patient-friendly Howard Alertness Scale (HAS) and the more assertive use of directive approaches to dehypnosis.
This chapter provides an overview of delirium and dementia, including primary dementias, secondary dementias, and reversible dementias. The distinction between mild and major neurocognitive disorders is described. An in-depth description of Alzheimer’s disease, including etiology, treatment, and general guidelines for care, is included. Other dementias including Huntington’s disease, frontotemporal lobar degeneration, Lewy body disease, Creutzfeldt-Jakob disease, and vascular dementia are also briefly covered. Secondary dementias (e.g., dementia associated with Parkinson’s disease) and reversible dementias (e.g., normal pressure hydrocephalus) conclude the chapter.
An overview of the gastrointestinal system as it relates to the nutritional status of the older individual is presented. The anatomy and physiology and age-related changes of the system are reviewed. Selected common age-related disorders are discussed along with their incidence, presenting symptoms, diagnostic measures, and interventions. The American Cancer Society’s 2020 screening recommendations for the intestines are then outlined.
An overview of the anatomy, physiology, and functioning of the respiratory system is provided. Age-related changes in the respiratory system along with selected specific disorders commonly experienced by older adults and measures useful in preventing and living with respiratory dysfunctions are explained.
Significance of changes in biological, psychological, and social aging and their impact on lessened reserve capacity; the importance of understanding slowness, stress, pacing, and accidents in working with older adults; and the role of health promotion, disease prevention, and health maintenance in successful aging conclude the chapter.
An overview of the anatomy, physiology, and function of the urinary system and age-related changes is provided. Selective disorders common in older adults with description and common symptoms are discussed. Useful diagnostic procedures and treatments frequently prescribed to maintain urinary health in older age were elaborated.
Health promotion, exercise, and the need to focus on these to enhance a healthy long life are discussed. Identification of significant areas of health promotion and barriers to achieving good health are presented. Next, disease prevention along with primary, secondary, tertiary, and quaternary preventive measures are listed. Healthy People 2030, the fifth national health initiative, and its objectives are outlined along with the Patient Protection and Affordable Care Act. Exercise, its meaning, and value in modifying age-related changes are briefed. Types of exercise programs; isometric, isotonic, and aerobic and their recommended use by older adults are listed.
The anatomy, physiology, and functions of the endocrine system are reviewed. Age-related changes and specific disorders are grouped together to better understand their impact on the system and health of the older adults. Special attention is given to hyperthyroidism, hypothyroidism, and prediabetes and type 1 and type 2 diabetes. Recommended care for diabetics is also outlined.
This chapter describes the current status of caregiving in the United States. Who are caregivers and what tasks they routinely do are discussed. The diversity of caregiving is also considered. Physical, psychological, social, and financial ramifications of caregiving are described along with benefits reported. The chapter concludes with recommendations on how healthcare professionals can support caregivers.