Lili Liu, PhD, Associate Professor and Associate Chair, Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB.
Alison Barnfather, MSc, Co-Director, Social Support Research Program, University of Alberta, Edmonton, AB.
Miriam Stewart, PhD, Scientific Director, Institute of Gender and Health, Canadian Institutes of Health Research; Professor, Faculties of Nursing, Medicine and Dentistry, and School of Public Health; Principal Investigator, Social Support Research Program. University of Alberta, Edmonton, AB.

In Canada, older adults are the most likely of all age groups to experience chronic health conditions. Most Canadians living with disabilities or chronic conditions and most older adults are supported by family members or close friends. Caregivers frequently describe the emotional, physical, and financial burdens associated with the caregiver role. Accessible support programs can improve health outcomes for family/friend caregivers of older adults with chronic conditions. Practitioners can use the strategies presented to help caregivers access timely and accessible support resources.
Key words: family caregivers, caregiver support, older adults, home care, chronic conditions.

David Yap, BSc

The area of complementary medicine in Geriatrics is important, as the use of complementary practices grows along with the expanding elderly population. Complementary medicine consists of a wide range of health care services, which are offered outside the mainstream of orthodox western medicine. Some types of complementary health services are: Acupuncture, T'ai Chi, Herbal Medicine, Homeopathy and Chiropractic.

In complementary medicine, health is viewed as the result of interactions between positive life building forces and negative destructive forces. To treat an illness complementary medicine attempts to improve the positive forces by incorporating a holistic conception of health. Complementary medicine lacks the emphasis on determining a specific pathophysiological diagnosis. The assessment of an individual is based on history and physical exam without a heavy reliance on laboratory tests to confirm a particular diagnosis. Lastly, in complementary medicine the individual actively takes part in their well being and is at least an equal partner in the practitioner-patient relationship.

It is important for family doctors and general internists to have a basic understanding and background in complementary medicine due to the increasing use of complementary services and the potential benefits.