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The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
January, 2002, Vol. 02, Issue 01
Welcome to the Great Spa Conversation
By Robin Zill, LMT
As we begin The Great Spa Conversation, I'd like to introduce you to the 10 Elements of the Spa Experience. This is an evolving paradigm, developed to give some structure to the philosophy of spa and to facilitate communication among industry professionals.Given the social and spiritual climate since September 11, 2001, it is all the more poignant that we find new ways to connect using new tools. We hope that this column will be a place where we can explore our roots and traditions, and brainstorm new ways to connect with clients and better serve the world in which we live.
Part I: The Genesis of the 10 Elements
The history of the 10 Elements helps to tell the story of the contemporary spa movement. The 10-elements construct has two broad goals. The first was to help define the elusive and ever changing nature of the spa experience. The second was to create a foundation, a common language and career path for the emerging spa professional.
Embarking on this task was difficult, as you can imagine. More often than not, it seemed impossible to wrap our arms around this quickly evolving, growing and diverse industry. However, the ISPA Education Committee members believed we had the opportunity to help give definition to this 21st century profession. The diversity and experience of the committee allowed us to examine the evolution and growth of related professional organizations such as fitness, massage/bodywork, and aesthetics, and to compare that growth to the spa industry. We wanted the spa industry to embrace the new need of professionals to have their lifework and career path be more integrated with their personal life. We also wanted a career path that acknowledged the rich life experience people bring to their work, as this was so critical in creating a memorable spa experience, which in turn creates client retention.
Key words and ideas that framed the dialogue and inspired the 10-Element Circle:
Part II: Understanding the 10-Element Circle
My belief is that spas have the potential to be the sacred spaces for understanding and nurturing the contemporary human spirit. What creates excellence in "the spa experience" is difficult to capture and articulate. There are many levels to the dialogue and they are interrelated in nature. On the surface, a spa treatment is about feeling good. But to achieve a memorable experience and not just a great massage, facial or wrap, we need to encourage each client's connection to a deeper sense of self. What we really want to do is create a space for self-discovery and growth. The 10-element circle can give form and structure to this search, both for the professional and the consumer. After all, the healing dynamic of giving and receiving is at the heart of this exchange.
First, take a moment to understand the circle pattern. You will notice that there are eight pieces of the pie, but 10 elements. The center and the circumference of the circle make up the final two elements: Integration (element five) and Time, Space, Rhythms (element 10). Elements one, two, three, four, six, seven, eight and nine sequentially fill in the pie. Within the circle, all 10 elements are related and interact dynamically with one another. Each is dependent upon the other.
Part III: The 10 Elements
Key words: The transforming power of water.
Water is the heart of the spa experience. Fundamentally transforming, it is used for cleansing, purifying and basic survival. Both the external use of water through compresses, showers, bathing, and swimming, and the internal uses of water through drinking and other internal cleansing procedures, are included.
Key words: Nature as nourishment.
How do we feed ourselves to maximize our experience of life? Yes, a healthy, well-balanced diet is necessary, but how we combine it with our nutritional supplements, medicine if we are ill, and the nine other elements give us the tools to expand our experience of optimal health.
Key words: Our body as a vessel for growth.
The third element envelops movement of all forms: aerobic and cardiovascular exercise, yoga, walking meditation and dance. Movement is within the spa space, or transition from one treatment to another consideration.
Key words: Experience of other. The fourth element involves embracing touch through massage and bodywork modalities to connect with the client on a deep level and enhance vitality and growth from within. As professionals in our industry you know this just hints at the depth of what we do and why we do it. Touch is not only one of the most profitable services in the spa, it is at the heart of helping people move to new and deeper levels: physical, emotional, and spiritual. Visit the Great Spa Conversation at www.spaelegance.com/gsc.asp or the International Spa Association (ISPA) at www.experienceispa.com and see the recent profile we developed regarding what qualities are most valuable for a massage therapist working in the spa environment. See if you agree. We want to hear from you.
Key words: Experience of self.
Located in the center of the circle, this element is the "ousia" or essence of the 10 elements. Ousia (oo SEE ahh; Greek in origin) is a concept that describes when mind, body, spirit all merge into one to make a memorable and meaningful experience. The definition of ousia is: essence; being; that which makes us who we are (but not a material substance) as well as our search for something greater than ourselves.
Key words: Earth as healer.
The appreciation of beauty, both inside and out is paramount to element six. Practically, it means feeling beautiful and embraces our current concepts of beauty, which include the outward manifestations of fashion, skin, hair, nails etc. Understanding this and enhancing this service in the context of total health bridges the chasm between feeling and looking beautiful.
Key words: Earth as home.
Environment is our place on the planet. Are we in the city, the coast or the desert? The treatments we choose are related to the season, the time, the weather. How we change and react to and with our environment as well as our commitment to be stewards of the earth are all contained in this element.
Key words: Sense of place in community.
Broad, yet basic in scope, the eighth element embraces the science, politics, belief systems and cultural appreciation of the arts in healing.
Key words: Integration of daily work as purpose.
What is our life's work? What is our heart's passion? There are at least two ways we are rewarded or satisfied by our work. One is monetary; the other is giving of oneself. This element explores the exchange or energy (including commerce) between service provider, client, spa and community.
Key words: Vehicle for transcending self.
The 10th element encircling all the others is actually metaphorical in nature as is the fifth element in the middle. It holds all the others, as a vessel from which the other domains interrelate and reflex into each other. This element embraces the seasons and rhythms of the human experience, incorporating the life cycle; biorhythms; chronobiology; the therapist's role as timekeeper; and more.
PART IV: A Call to Participate in the Great Spa Conversation
In summary, the Great Spa Conversation is about evaluating, expressing, and embracing our values; it is about our shared purpose. It is up to us to address and define professional competency, standards of practice and levels of excellence.
After all, spa is a peoples' movement. It is up to us to come together: to heal, to encourage, to challenge, to dialogue, and to question. It is great to connect with my roots in the massage and touch industry. I look forward to writing this series of articles featuring the 10 elements, but look forward to your feedback even more.
I can't believe how far we have come as an industry in the last 20 years. Have we made mistakes? Yes. Are we wiser? Sure. Can we do better? Absolutely. It is time for our collective professional voice to have more political and social influence. In the words of Margaret Mead: "Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has."
Imagine what we can do as an integrated industry. Please join me on line at The Great Spa Conversation. Your voice makes a difference.
Click here for previous articles by Robin Zill, LMT.
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