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Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
September, 2004, Vol. 04, Issue 09
Safety While Working Alone
By Colleen (Steigerwald) Holloway, LMT
During massage school, never once did it occur to me that I was preparing for a career that would leave me isolated for the majority of my workday. After all, my technique classes were full of other students chatting and learning.Even the student clinic was brightly lit and somewhat noisy.
It wasn't until about a month into my career, when I was waiting for an unknown male client to arrive for a six o'clock appointment, that it dawned on me that I was going to be alone in the office - and in a room for an hour - with someone I did not know. Not only was this client a stranger, he was a stranger who was about to be completely "in the buff," covered only with a sheet. "If I'm going to be vulnerable, I should at least have a plan for my safety," I thought, while awaiting his arrival.
We've all been in this situation. Even male therapists experience the occasional female client who makes a suggestive or inappropriate comment that leaves the therapist wondering what kind of services the client is seeking in addition to professional massage. As massage therapists, it is essential to create a safe environment and plan your exit in advance so you will know what to do if your safety is ever at risk.
Screening Clients on the Telephone. Safety begins when the client calls for an appointment. A caller should not hesitate to give you a last name and telephone number. If the caller refuses, I would question the reason why and, in turn, refuse to grant the caller an appointment. Likewise, if a client refuses this information on the health intake form, I would refuse the appointment.
If the caller asks if you accept "tips," nine times out of 10, you are being asked if you will include sex in your treatment for extra money. My response would be, "Gratuities are accepted for exceptional professional services; however, sex is never a part of our service."
When the Client Arrives. Just prior to the arrival of your client, close any doors to other rooms so the client will not know if other people are present in your office or home. Keep several lights on outside the treatment room, as well.
During the Appointment. Make sure someone knows where you are, with whom, and when your appointment will be finished. If you have a cell phone, bring it into the treatment room with you and keep it within reach, or place it in your pocket. Of course, you will turn the ringer off, but keep the telephone turned on. If the client makes an inappropriate comment or gesture during the appointment, it is best to end the appointment and leave the room.
Whether you collect the fees for the appointment is not important; what is more important is your safety. I have known many therapists who tolerated an inappropriate client because they needed the money. It is never worth the money to risk your safety. If you let a client act inappropriately, the client will think the behavior is acceptable and continue.
On-Site Appointments. Your safety is most at risk if you are going to a client's home or hotel room because you will be unfamiliar with the location. Make it a point to survey the location inside and out, taking note of all exits when you arrive. This will prepare you for a quick exit should it become necessary.
After you arrive and greet the client, use your cell phone to call someone (or your answering machine) while in the client's presence. State where you are, including the address and/or room number, who you are with, and that you will call back when the appointment is finished. This will deter anyone with preconceived ideas from taking action. Keep your cell phone in your pocket or apron as a backup.
In my career of 10 years, I am thankful to say I have had only two mishaps with clients who acted inappropriately, although I've warded off many potential problem clients on the telephone. The first client was a nudist and thought I should adhere to his belief system. The second squirmed for 10 minutes on the table before flipping over without my prompting. Instead of accusing the clients of acting inappropriately, I simply told them that I was uncomfortable and left the room.
If you have a safety plan in place, you will be less vulnerable. Unfortunately, sometimes we come across those in our profession that abuse or misunderstand what massage is all about. Plan for your safety and enjoy your career.
Click here for previous articles by Colleen (Steigerwald) Holloway, LMT.
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