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Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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