...31 October 2014 Modified and Traditional Constraint-Induced Movement Therapy In 50-70 year-old individuals who has suffered a stroke (either hemorrhagic or ischemic) at least 1 month from onset of accident, how does modified or traditional constraint-induced movement therapy (CIMT) compared to a more traditional therapy approach in allowing patients to return to performing functional activities of daily living? According to Go et al1, an American dies from a stroke every 4 minutes. In the United States, stroke is the 4th leading cause of death and major cause of a serious and long-term disability.1 A stroke occurs when the blood supply is disrupted to the brain or a blood vessel ruptures in the brain, which can defined as an ischemic stroke...
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...Family therapy is a type of psychological counseling that helps family members improve communication and resolve conflicts. Family therapy is usually provided by a psychologist, clinical social worker or licensed therapist. With family therapy it may include all of the family members and anyone that is willing to participate. It caters to your specific therapy plan and often short term. Family therapy sessions will deepen the family connections by teaching all the family members skills to get through the stressful times, even after completing therapy. In this research paper this articles presents and illustrates historical underpinnings, key concepts therapeutic process of treatment, multicultural perspective and criticisms of evidence based treatment of family therapy. Family therapy was formed in the 1950’s due the clinicians and Theoretician who were in the lead of those experimenting with the treating family members conjointly were motivated by several factors according to Florence w. Kaslow. PhD is in Inependent Practice as a Life & Executive coach. Kaslow states that the first factor was because the leaders of experiment were disconnected by the slow progress made when doing individual psychoanalysis or psychotherapy. She states the second factor is that they recognized that the changes in the patient and his/her attitudes and behaviors could have a strong impact on other family members, and that if significant others had no one with whom to explore what was transpiring...
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...Mindfulness-Based Cognitive Therapy Reaction Paper Denise Dugan California Baptist University Author Note This paper is being submitted to Dr. Kristen White in partial fulfillment for the requirements for MFT Counseling Techniques, PSY 525, on March 1, 2014. Abstract Mindfulness-based cognitive therapy (MBCT) is a group therapy approach that utilizes mindfulness techniques and cognitive therapy for depression relapse prevention. This paper will reflect the effectiveness of MBCT from a personal worldview. It will also discuss if MBCT can be utilized in different areas of psychological treatment including: marriage and family therapy, patients with anxiety, culturally diverse groups, and in working with religious patients. Mindfulness-Based Cognitive Therapy Reaction Paper Mindfulness-based cognitive therapy (MBCT) is a group therapy treatment that integrates mindfulness and cognitive therapy practices to help individuals that suffer from recurrent depression in the prevention of depression relapse. Zindel Segal, John Teasdale, and Mark Williams developed MBCT, which was adapted from the mindfulness-based stress reduction (MBSR) work of Jon Kabat-Zinn at the University of Massachusetts Medical Center for helping people with chronic physical illnesses (Sipe & Eisendrath, 2011). The core element of this treatment modality is mindfulness. MBCT teaches focus on the here and now and to be mindful of the thoughts that are taking place. Mindfulness...
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...Therapeutic Modalities Paper In today's world, there are many treatment methods for the different ailments people encounter. Although traditional medical practices are the predominant choice among Americans, many also use complimentary or alternative medicine (CAM) to treat certain conditions. According to NCCAM Clearinghouse (n.d.), CAM is defined as "a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine" (Defining CAM). In this paper alternative, complementary and integrative medicine will be defined and differentiated, and the role of conventional medicine in these medicines will be discussed. There will also be a comparison of the regulations and oversights in conventional and non-conventional medicine in the United States, a review of the CAM philosophy, and a description of the domains of therapies according to the NCCAM website. Finally, a CAM treatment modality within one of the domains will be described and evaluated. Alternative medicine is the use of CAM as a replacement for conventional medicine such as faith healing ("alternative medicine," 2014). Conventional medicine does not play a role in alternative medicine because the conventional methods are discarded for the alternative methods. "An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor" (NCCAM...
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...Evidence Based Intervention Report for (Child Neglect) Risk and protective factors for trauma survivors * Risk factors (Child Welfare Information Gateway) * Individual: life stress, acute mental and physical health crises, school problems, family relationship problems, isolation, induced stress, anxiety, fear * Microsystemic: abusive parents, parents with mental or physical health problems, family conflict, bullies, single parent, inappropriate caregivers, antisocial peer groups, domestic violence, parental substance abuse, shuttling from home to foster care, lack of money, power issues in house hold * Mesosystemic: Lack of communication between family and school, parent isn’t involved in child education, lack of friends, lack of supervision from parents and community members, lack of religious community * Exosystemic: Medical neglect, less social contact and support, lack of societal/professional knowledge around neglect, low-income neighborhoods, dangerous neighborhoods, lack of resources, lack of childcare, lack of transportation * Macrosystemic: lack of requirement to register sex offenders, lack of social norms around neglect, fear of reporting abuse * https://www.childwelfare.gov/can/factors/protective_factors.cfm * Protective factors * Individual: low stress, coping strategies, positive self-image, sense of purpose, academic skills, involvement in activities, problem solving skills. * Microsystemic:...
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...Cognitive-Behavioral Therapy and Social Work Values: A Critical Analysis A. Antonio González-Prendes, Ph.D. Wayne State University aa3232@wayne.edu Kimberly Brisebois Wayne State University Journal of Social Work Values and Ethics, Volume 9, Number 2 (2012) Copyright 2012, White Hat Communications This text may be freely shared among individuals, but it may not be republished in any medium without express written consent from the authors and advance notification of White Hat Communications Abstract Increasing numbers of clinical social workers use cognitive-behavioral therapy (CBT) in their practice. This article analyzes how CBT fits with social work values and in particular with social justice. We propose that CBT is a good fit with the values of the profession and make suggestions for areas of improvement. Keywords: cognitive-behavioral therapy, social work values, social justice, social work practice 1. Introduction In a day when evidence-based practice has become so important to the social work profession, cognitive-behavioral therapy (CBT) has become one of the most frequently used forms of psychotherapeutic intervention. Extensive research supports the effectiveness of CBT approaches for a wide range of psychosocial issues (Dobson & Dobson, 2009; Granvold, 2011). It is one of the most widely researched and published models of therapy, with more than 325 published outcome studies that validate its efficacy (Butler, Chapman, ...
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...about the state of family psychiatry. They are preparing for a plenary at the Group for the Advancement of Psychiatry with the goal of showing how far family psychiatry has come since the first psychiatrists embraced the paradigm of systemic thinking. They also are debating why family psychiatry is ignored in current practice, especially since the evidence shows that family treatment dramatically improves recovery rates for many illnesses. When family therapy had its first wave of popularity, the charismatic leaders were out front wowing the crowds. Dr. Sal Minuchin's sessions were heavily focused on structure and boundary making, and involved much chair rearranging and pulling family members, especially children, out from between the couple dyad and into their own space and chairs One of his most famous tapes involved putting an ashtray between the chairs of two family members to literally increase the distance between them! Jay Haley, Ph.D., delivered strategic barbed arrows that pierced the hearts of the family members. Virginia Satir demonstrated the theater of families, sculpting organic shapes that pulsed with the gestalt of the family. There was much smoking of cigarettes during the sessions, by both the family psychiatrists and the family members. Psychiatry was exciting. The possibilities for change were endless. It was the 1960s. Unfortunately, in those early days, family therapy was oversold as the sole treatment for schizophrenia and other mental illnesses...
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...The Beneficial Use of Honey in Wound Management Introduction The use of honey for medicinal purposes has been around for thousands of years. It has been documented to the era of the ancient Egyptians, to the days of the Islamic Prophet Muhammad, even to the battles of World War I. The use of honey has so far declined due to the advances in medicine; however, the improvements in antibiotics are not without flaws. Antibiotic-resistant microbes have proved to be a widespread problem in wound management in all health-care settings. This incline of antibiotic-resistance resulted in a renewed interest in honey for the use in wound therapy. Considered by most clinicians as “complementary” or “alternative” medicine, the purpose of the four articles on this specific topic was to provide academic thought into whether honey should be an acceptable form of wound management. The authors of the respectable articles thoroughly discussed each point of view in a matter that created a profound insight of the use of honey and its properties in wound care. Benefits According to Sharp (2009), honey “possesses antimicrobial and anti-inflammatory properties, promotes debridement, deodorizes wounds, maintains a moist wound environment and stimulates healing” (p. 66). Honey has been discovered to be rich in antioxidants, maintains a low pH environment, facilitates osmosis to create a moist wound bed, and produces natural hydrogen peroxide from glucose oxidation. These...
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...Medicine, a group of diverse therapies and products that are neither part of conventional medicine as taught in U.S. medical schools, nor generally available at U.S. hospitals,” (Bowling, Steward, 2007). Although, there is a lot of controversy surrounding the many different CAM practices, I believe, based on current research and individuals experiences, that CAM practices can benefit anyone who would like to improve their health and wellness. The research I will use to support my beliefs about CAM practices could help to integrate CAM as part of our regular health care system and reduce all the skepticism surrounding Complementary and Alternative therapies. There are also many reports and testimonies available today that support the positive effects CAM therapies can have. Still with these many clinical and laboratory research experiments and the reports and testimonies, people still have questions about Complementary and Alternative therapies and the benefits surrounding CAM practices as well as the safety of their techniques. Complementary medicine is becoming more integrated into our mainstream health care system largely in response to consumer demand, as well as the recognition of new scientific findings that explain the views of health and healing-which push against the limits of the current biomedical paradigm (Micozzi, 2006). There are many different types of Complementary and Alternative medicine; although they are different and diverse, all these therapies of CAM...
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...Article Critique - Adherence to ocular hypotensive therapy: Patient health education needs and views on group education This paper evaluates a medical journal article entitled, “Adherence to ocular hypotensive therapy: Patient health education needs and views on group education,” by Waterman et.al. published on the Journal of Patient Preference and Adherence, Volume 7, pages 55-63, 2013. While the title is apparent to the clinicians on the topic that the article is looking at, it may be slightly challenging for the general public to understand the term "ocular hypotensive therapy" in the title as it was not explained anywhere in the article. The term may be phrased in a more understandable manner such as "therapy to reduce eye pressure" or "glaucoma therapy" as this article is from an open access medical journal focusing on patient preference and adherence, the general public who are interested in this topic will have access to it and they intend to understand and get useful information from the article. Therefore, the title should be as clear as possible to stimulate the interest of not only the clinicians but also the general public to encourage them to read. Nonetheless, after reading the article, the title is considered as precise and concise in reflecting the content of the work. As the title of the article suggests, the main issue discussed in the article was that as in other long-term conditions, there is a tendency in patients with glaucoma did not adhere to their prescribed...
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...medicine” (NHSR, 2009). In this paper, I will define the terms alternative medicine, complementary medicine, and integrative medicine and clarify how these terms differ. I will also describe how conventional medicine plays a role in these three terms. After, I will review the philosophy of CAM and how it relates to or is different from conventional Western medicine. Followed by describing one CAM treatment modality within one of the five NCCAM domains and give an example of how such a therapy could be used as an alternative therapy, a complementary therapy, and an integrative therapy for a specific medical condition. Then, I will explain how each example meets the definition of alternative, complementary, or integrative therapy and support the rationale for each section. Lastly, I will conclude with the results of scientific studies, if available, that show a clinical benefit from the examples selected. Complementary and alternative medicine (CAM) is a term used to describe medical products and practices that are not part of conventional medicine used and practiced by western or allopathic medicine. Our conventional medicine is practiced by medical doctors, doctor of osteopathic medicine and allied health professionals, such as psychologists, and registered nurses. Complementary medicine means no more than “in addition...
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...leading cause of death in the United States (US) and is responsible to 17% of the national health expenditures. It has been eight years since new cholesterol guidelines have been updated and the new guidelines have created a little controversy. The ATP IV guidelines set by the American College of Cardiology/American Heart Association (ACC/AHA) have created many waves in the treatment of cholesterol and lipid management. The guidelines stress the prevention of stroke as well as heart disease and focuses on statin therapy rather than other alternative unproven therapeutic agents. It also recognizes that more intensive treatment is superior to less intensive treatment for many patients. History Cholesterol screening guidelines have evolved and changed over the past couple of years, but there continues to be gaps in care with an insufficient number of patients receiving standard of care with lipid-lowering therapy. The numerous guidelines set out by specialty practices have been shown to be a contributing factor to suboptimal management of cholesterol management. The new ATP IV guidelines established by the ACC/AHA have sparked considerable controversy from the previous ATP III guidelines and many professional organizations...
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...promote motor recovery in arm and hand functioning is therefore critical in stroke rehabilitation. Lori Gage Richards, (PhD, OTR/L) is an active researcher and educator seeking to uncover which therapies drive neural reorganization after a stroke, and what are the most effective strategies leading to improvements is UE function. Richards is currently Associate Professor and Chair of the Occupational Therapy Department at the University of Utah. She was recently appointed editor-in-chief of the American Journal of Occupational Therapy and serves as Chair of the Nursing and Rehabilitation Committee-Stroke Council, of the American Heart Association. Additionally at the American Heart Association, she is a member of both the Leadership Council - Stroke Council and the Stroke Rehabilitation and Recovery Committee - Stroke Council. Her current professional affiliations include the American Occupational Therapy Association (AOTA), Society for Neuroscience, and the American Congress of Rehabilitation Medicine. Motor rehabilitation is premised on the belief that behavior (e.g., practice and motor-based intervention) forces neuroplastic changes in the central nervous system (CNS) which lead to better motor function. According to Richards, Hanson, Wellborn, & Sethi (2008b) the current evidence supports that "repetitive behavior that produces motor skill acquisition does...
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...Evidence-Informed Practice: An Evaluation of the David Bennett Inquiry Report In this essay I will evaluate the David Bennett Inquiry Report, which was set up by the North, Suffolk and Cambridgeshire Strategic Health Authority (NSCSHA) to investigate the death of Mr David Bennett. I will define evidence-informed practice (EIP) and summarise the inquiry report. I shall highlight and critically analyse some of the key issues raised in the report in relation to ethnic minority issues. Finally, I will discuss the implications of evidence-informed practice for social work as well as my own future practice. EIP in social work began in the early 1990s when contemporary writers Geraldine MacDonald and her colleagues wrote articles very much in contrast to earlier reviews; they looked at results from studies such as quasi-experimental studies and client opinion studies about the effectiveness of social work practice. This led to good outcomes for social work practice (Webber, 2011) [Online]. Evidence-informed practice in social work has been described as: ‘Evidence based social care is the conscientious, explicit and judicious use of current best evidence in making decisions regarding the welfare of those in need of social services.’ (Sheldon and Chilvers, 2000, p.5, adapted from Sackett et al., 1996 cited in Webber, 2011, p.3) Webber (2011) and Sheldon and Chilvers (2000, p.5, adapted from Sackett et al., 1996 cited in Webber, 2011, p.3) both define EIP as using effective interventions...
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...A Cochrane review found low-to-moderate quality evidence that acupuncture improves pain and stiffness, but the effect was similar to that of sham acupuncture. In addition, in this Cochrane review, the benefit only lasted up to 1 month after therapy. There was also a suggestion that electroacupuncture, in which current is conducted through electrodes attached to acupuncture needles, may be more effective than manual acupuncture. However, this review was also limited by a paucity of large, well-designed trials. Acupuncture is traditionally used as only one component of a holistic, individualized treatment plan. One recent RCT (N=162) evaluated acupuncture in a more naturalistic clinical setting (Vas). In this study, women with fibromyalgia were referred from their primary care doctors to Traditional Chinese Medicine (TCM) practitioners who applied customized acupuncture treatments in 20-minute weekly sessions for 9 weeks based on the patient’s TCM diagnosis. The control intervention was the sham application of empty guide tubes to the back without puncturing the skin. At 6-month follow up, there was a small improvement in overall well-being, moderate improvement in pain, and moderate improvement in physical function. These effects...
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