An older adult woman who stops using complementary alternative medicine (CAM) becomes disoriented and is given a diagnosis of dementia

The family is upset with the family physician and the CAM practitioner for not diagnosing the condition earlier. Which CAM may have interfered with early detection of the dementia?
a. Large doses of calcium caused cerebral plaques to form, thereby disguising atrophy of the brain.
b. Excess doses of folic acid masked a vitamin B12 deficiency that led to dementia.
c. Hypnotherapy focused on current pleasant thoughts, eliminating clues to the past.
d. The electrical current from magnetic fields interfered with normal brain waves, resulting in confusion and inability to concentrate.


ANS: B
Correct: Individuals with Alzheimer's often have low levels of vitamin B12; thus, large doses of folic acid may have masked the dementia.
Incorrect:
a. Calcium results in kidney stones and malabsorption of other essential minerals but would not disguise atrophy of the brain.
c. Dementia is not associated with unpleasant thoughts of the past; instead, life review and reminiscence may stimulate cognitive function and a sense of well-being.
d. Magnet therapy is thought to relieve pain by creating a slight electrical current that stimulates the nervous system; it is also thought to speed wound healing by dilating vessels and increasing circulation to an area and is even purported to boost the immune system.

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