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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
May, 2002, Vol. 02, Issue 05
The Fourth Element of the Great Spa Conversation: Touch
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the fifth article in a 12-part series and focuses on the fourth of the 10 elements: Touch.
"We were just givin' love, mon..."
During the annual spa getaway and education month at the Swept Away Resort and Spa in Jamaica, I learned a great lesson.During a hands-on wrap session, we American massage therapists took a quick break in the adjoining room while the clients were resting. As we were talking and laughing, one of the therapists noticed that all the Jamaican therapists were still with their clients, sitting on the edge of the table, each with one hand gently touching the client. As we re-entered the classroom, one of the American therapists asked, "What were you doing?" The response: "We were just givin' love, mon."
Touch, the soul of universal language, speaks to each of us no matter our age, race, economic class or culture. That sense of soul is perhaps why touch and massage therapy remain among the most popular treatments in the burgeoning spa industry.
In the context of the 10 Elements of the Spa Experience, we define this fourth element as "connectivity and communication embraced through touch, massage and bodywork." With the incredible expansion in scope and skill of talented therapists and visionaries, touch services have penetrated the spa industry in many ways. Treatments now range from traditional touch specialties to hot rocks, watzu and water dance, to adjunctive medical, beauty and sports training sessions. Spa, like massage, has gone mainstream.
Dovetailing with the growth of the spa industry in corporate America, the touch professions have an opportunity to lead by example when it comes to integrating vocation and lifestyle. Massage therapists have set a standard for 21st century, next-level professionalism. What is that next level? It is when professional goals and job requirements balance and support, and enhance a lifestyle choice. As Steven Capellini, author of Massage Therapy Career Guide and contributing columnist for Massage Today, writes:
I believe the spa industry is the perfect home for pursuing such endeavors. But we are not without problems, and we can't do it alone.
It is no secret that any successful spa operation, no matter the type, is dependent on the skills and competencies of the technical staff. The lack of strong educational programs focusing on spa services has made recruiting and educating qualified personnel one of the biggest challenges facing the industry today. Many spas, especially larger destination, resort and day spas choose to actually train therapists themselves. But what does this mean for national or international standards? How do we provide access to improving the quantity and quality of therapists to meet the increasing demand of this sixteen billion dollar industry?
To address this need, the International Spa Assocation (ISPA) set an immediate goal in 2001 to begin the process of establishing core competencies for the spa industry, based on actual feedback of spa owners, spa directors, spa therapists and consumers. Through roundtable feedback from membership, in-depth discussion from our interdisciplinary committee, interviews with selected spas and therapists recommended for their excellence, and an ISPA membership survey, we were able to begin the process of defining what kind of skills are required to become a successful massage therapist in a spa environment. Although spa environments vary greatly from a large, busy resort spa, to a day spa, salon, club spa or medical spa, certain qualities define excellence. Consider the following foundations of this profile.
Here is a summary of the characteristics considered critical or important to being a successful therapist in the spa environment:
Interaction with Spa and Other Staff
One of the great qualities about the spa industry is its ability to embrace the concept of integration. Aside from the desire for most of us to achieve a greater sense of well being, there is a sincere effort at this point in the spa industry's development to embrace this concept from a business perspective as well. For massage therapists, this means that spa managers and owners usually make genuine efforts to provide an optimal environment for caring touch. After all, if the environment is not beautiful, easy or comfortable to work in, it is not conducive to creating that magic space and feeling that keeps clients coming back. Somehow these intangibles set the tone for the reputation of the spa. Scheduling, compensation, career incentives and many other issues have all become an active part of an enthusiastic spa dialogue between massage therapists and their co-workers. We all must rise to the challenge of creating a soulful workplace.
For me, the spa industry has opened the door to the magic of water, the pleasure of scent and sound, a deeper comfort from touch, and the fineries of taste and the concept of ousia (oo-see-ahh). Ousia is a philosophical system that has helped me understand and integrate the living patterns of nature into my environment and work. The concept of ousia, along with the 10 Elements, helps me explore the multi-dimensional nature of the wellness journey through the senses. There is a word I am exploring that I think you would like, called synethesia. It refers to when all your senses blend together to create one feeling and sense of awe for something greater than yourself. This is what inspires me to connect the foundation I have gathered from massage and bodywork to the multi-faceted nature of the spa experience. I hope you will join me.
Remember, spa is a people's movement. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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