Nontraditional/alternative for headache treatment.

Research, list, and describe 2 nontraditional/alternative for headache treatment.
What are some possible causes of decreased visual functioning in older adults?
What is the whispered voice test and what does it assess?
What is bruxism, the causes, treatments?
List the steps of a head, face, neck, lymphatic assessment. (This is what you will use as a guide to your upcoming focused physical assessment)
List references

Full Answer Section

     

Decreased Visual Function in Older Adults:

  • Cataracts: Clouding of the eye lens, commonly leading to blurry vision, sensitivity to light, and difficulty seeing at night.
  • Age-related Macular Degeneration (AMD): Deterioration of the macula, a crucial part of the retina responsible for central vision, causing blurred central vision and difficulty reading.
  • Glaucoma: Increased pressure in the eye that damages the optic nerve, leading to gradual vision loss, especially in peripheral vision.
  • Diabetic Retinopathy: High blood sugar damages blood vessels in the retina, causing blurry vision, floaters, and potential vision loss if left untreated.

Whispered Voice Test:

This simple test assesses hearing acuity, particularly for high-frequency sounds. The examiner whispers specific numbers or phrases from different distances while shielding their mouth. The ability to correctly identify the whispers indicates good high-frequency hearing, while difficulty suggests potential hearing loss.

Bruxism:

Bruxism is involuntary clenching, grinding, or gnashing of teeth. It can occur during sleep (nocturnal bruxism) or while awake (awake bruxism).

Causes:

  • Stress and anxiety
  • Malocclusion (misaligned teeth)
  • Sleep disorders like sleep apnea
  • Certain medications
  • Underlying medical conditions

Treatments:

  • Stress management techniques
  • Wearing a mouthguard at night
  • Dental treatments like Botox injections or neuromuscular relaxants
  • Addressing underlying medical conditions

Head, Face, Neck, Lymphatic Assessment Steps:

  1. Inspection: Observe posture, symmetry, any swelling or tenderness, skin condition, and lymph node visibility.
  2. Palpation: Gently palpate lymph nodes for size, texture, tenderness, and mobility.
  3. Auscultation: Listen for any bruits (unusual sounds) in the neck or near lymph nodes.
  4. Range of Motion: Assess head, neck, and jaw movement for any limitations or discomfort.
  5. Specific Tests:
    • Facial nerve function tests (blinking, smiling)
    • Neck muscle strength tests
    • Submandibular and parotid gland massage to assess saliva flow
    • Gentle jugular compression to assess venous drainage

Sample Answer

   
  1. Acupuncture: This traditional Chinese Medicine practice involves inserting thin needles into specific points on the body. Studies suggest acupuncture can effectively reduce the frequency and intensity of headaches, particularly migraines.

  2. Biofeedback: This therapy helps individuals recognize and control unconscious bodily responses, including muscle tension and blood flow. By learning to manage these factors, individuals can potentially reduce headache severity and occurrence.