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June 2020 -
Volume 18, Issue 6

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Lean processes mapping of diabetic patient flow in primary healthcare centres in Kuwait highlights opportunities for fewer patient visits
[Abstract]
[pdf]
Hisham Kelendar, Muhammad Faisal, Mohammed A Mohammed
DOI: 10.5742MEWFM.2020.93814

The Survey of primary care physicians about their comprehension of HBA1C , and their understanding of the common medical conditions that can affect the accuracy of HBA1C
[Abstract]
[pdf]
Husam Al Saudi , Fazila Khattak
DOI: 10.5742MEWFM.2020.93815

Prevalence of Type 2 Diabetes in a Rural Population of AbuNakhla, Doha, Qatar
[Abstract]
[pdf]
Mir Saad Hussain , Nusrat Nizamani
DOI: 10.5742MEWFM.2020.93816

Get Acquainted with the Secret "Its Duration And Not The Type Of Contact That Matters In COVID-19"
[Abstract]
[pdf]
Hamzullah Khan, Mian Mohammad Naveed, Ghazan Khan, Mohammad Zahid Khan, Abu Zar, Fazli Bari
DOI: 10.5742MEWFM.2020.93817

The most desired values of high density lipoproteins in the metabolic syndrome
[Abstract]
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93818

Population and Community Studies

Effects of Touch and Massage Care in Advanced Alzheimer Patient: A Pilot Case Report
[Abstract]
[pdf]
Emi Miki
DOI: 10.5742MEWFM.2020.93819

Do tourists suffer from depression and anxiety disorders?
[Abstract]
[pdf]
Yahia Mater AlKhaldi
DOI: 10.5742MEWFM.2020.93820

Identifying depression symptoms among general population living in conflict zone In Jammu And Kashmir
[Abstract]
[pdf]
Anood Tariq Wani, Tafazzul Hyder Zaidi
DOI: 10.5742MEWFM.2020.93821

Knowledge, Attitude and Practice of Stethoscope Disinfection Among Health Care Providers in Karachi
[Abstract]
[pdf]
Kanwal Jamal, Muhammad Waqaruddin Sheroze, Syed Tafazzul Hyder Zaidi, Rabisa Batool,
DOI: 10.5742MEWFM.2020.93822

Reviews

World Perspective of Divorce in Selected Countries: A Sociological Appraisal
[Abstract]
[pdf]
Mohammad Taghi Sheykhi
DOI: 10.5742MEWFM.2020.93823

Parkinson's Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 2 : Etiology and Pathophysiology
[Abstract]
[pdf]
Abdulrazak Abyad
DOI: 10.5742MEWFM.2020.93824

Case Study

Anti-TNF-a drug-induced lupus: A Case Report
[Abstract]
[pdf]
Abdulaziz Saad Alshahrani
DOI: 10.5742MEWFM.2020.93825


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
June 2020 - Volume 18, Issue 6

Effects of Touch and Massage Care in Advanced Alzheimer Patient: A Pilot Case Report

Emi Miki

Graduate School of Biomedical and Health Sciences, Hiroshima University

Correspondence:
Emi Miki
Graduate School of Biomedical and Health Sciences, Hiroshima University
Current affiliation
Kansai Medical University
2-5-1 Shin-machi, Hirakata City, Osaka 573-1010, Japan
TEL: +81-72-804-2072
Email: mikiem@hirakata.kmu.ac.jp

Received: April 2020; Accepted: May 2020; Published: June 1, 2020. Citation: Emi Miki. Effects of Touch and Massage Care in Advanced Alzheimer Patient: A Pilot Case Report. World Family Medicine. 2020; 18(6): 40-43 DOI: 10.5742MEWFM.2020.93819

Abstract


Objectives: In the advanced stages of Alzheimer disease (AD), communication abilities are lost, and the patient is expressionless, cannot make utterances or move independently, and, in many cases, is bedridden. Though touch and massage have usually been used as one of the occupational therapy intervention methods for various terminally patients, little has been studied about its effect on advanced AD patients.

Methods: The patient was a woman in her late 80s with the most severe level of care need and dementia due to AD. Once a month, over 5 months, unscented jojoba oil was applied to the patient’s hands while she was seated on a wheelchair with her hands on a table, and she received 10 minutes of touch and massage care on each hand, for a total of 20 minutes. Salivary amylase activity was measured just before and immediately after every intervention session as a non-invasive indicator which reflects psychological stress.

Results: The average salivary amylase values before and after the 5 times that the patient received the touch and massage care were 185.6 KIU/L (SD = 44.5) and 112.8 KIU/L (SD = 38.3), respectively. A significant decrease was observed (P = 0.043). As for the patient’s appearance during the sessions, when she was helped to move her arms onto the tabletop, her arms and legs sometimes stiffened, and she flexed them intermittently, however, the stiffening diminished after the massage began.

Conclusions: Since this was a pilot case study with a single patient, the results cannot be generalized. However, the study showed that touch and massage care could provide pleasant stimulation for an advanced AD patient with verbal communication difficulties and offered the possibility of reducing physical and emotional stress; therefore, it provides important clues for the future occupational therapy intervention and care of advanced AD patients.

Key words: Advanced Alzheimer Disease,
Non-pharmacological intervention,
Occupational Therapy,
Salivary amylase activity,
Touch and massage care

 







 


 
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