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Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
January, 2008, Vol. 08, Issue 01
A Promising Future Comes From Serving Special Populations
By Ann Catlin, LMT, NCTMB, OTR
I bring good news to those of you wishing to expand your practice to special populations! Massage is finding an accepted place in traditional settings that care for our elders, individuals with life-limiting illness or disability. Many of your peers are discovering opportunities in eldercare facilities, hospice and hospitals:
This is good news for us all. And thanks to the increased public awareness of the value of massage, the success these massage therapists are enjoying is being repeated across the country. But there are other influences at work here, too. Societal trends lend promise to this ever-growing specialized market for massage therapists.
Current Trends Support the Growth of Massage Therapy
We live in a society that loves to keep track of facts and statistics. Many of us in the massage profession don't get too excited about this kind of detail. We like to experience the world through other means, kinesthetically, for example. But my own experience and observation as a therapist and an educator prompted me to ask a key question: What are the forces driving the increased opportunities for massage therapists to serve elders and other special populations? Part of the answer to my question can be found in demographic and society changes occurring at the same time that massage therapy is being recognized as a valuable, if not essential, form of service. Call it synchronicity or just old-fashioned good timing, but the end result is that we are in a good place at the right time. Here is what I discovered about current trends.
There are increasing numbers of older adults. In 2006, there were 37.3 million people in the U.S. over age 65. By the year 2030, it is estimated there will be 71.5 million.1
People are living longer. The fastest growing segment of our population is 85 years and older. In the last century, our country has experienced enormous change in how long people live. In 1900, the average life expectancy in the U.S. was 47.3. Today it is 78. Advances in medicine and health care along with lifestyle changes have contributed to people living longer.2
The types of diseases have changed. In 1900, the leading cause of death among adults was infectious diseases such as pneumonia, tuberculosis and influenza, as well as accidents. Today, adults are affected by more chronic illnesses and living for years with conditions such as heart disease, diabetes, Parkinson's disease and Alzheimer's disease.2,3
More people are turning to complementary and alternative therapies. Individuals are using complementary and alternative therapies in growing numbers. Studies have shown that common reasons for this trend include: increased desire to participate in one's self care; concerns regarding side effects of medications; concern about health care costs; and consumer dissatisfaction with conventional medical care. One study showed that adults over 65 were most motivated to use complementary modalities for pain relief, to improve quality of life and to maintain health and fitness. The complementary and alternative therapies most commonly used by these older adults were chiropractic, herbal medicine and massage therapy. According to a 2006 consumer survey by the AMTA, the use of massage therapy among those 65 and older has tripled since 1997.4,5
There is greater public access to hospice care. Hospice is a relative newcomer to the health care system. Hospice today refers to specialized care of dying patients and can be traced back to 1967 when Dame Cicely Saunders founded the first modern hospice near London. She, along with Dr. Elisabeth Kubler-Ross, introduced holistic hospice care to the U.S. and the first hospice in America, the Connecticut Hospice, was opened in 1974. Today, there are more than 4,000 hospice organizations in the U.S.6,7
Hospitals are developing palliative care programs. (To palliate means to make comfortable by alleviating symptoms from an illness.) Hospices have traditionally provided palliative care to individuals suffering from terminal illness. Now, more hospitals are turning to palliative care for patients with advanced chronic or life-threatening illness, emphasizing symptom management, communication and other means to improve quality of life for patients and their families. Larger hospitals, university medical centers and not-for-profit hospitals are where most palliative care programs are found.7,8
Hospital-based massage programs are growing in number. A 2006 national survey by the AMTA showed the number of hospitals offering massage increased more than one-third over the previous two years. Of those hospitals, 71 percent indicated that massage therapy is offered for patient stress relief and comfort; 67 percent utilized massage therapy for pain management; 52 percent provided massage for cancer patients and 37 percent offered massage for end-of-life care.9,10
The Culture Change Movement is impacting nursing home care. This is a grass-roots movement, transforming the culture of aging in America and bringing person-centered care to the nursing home industry. Spearheaded by the Pioneer Network, this movement is about fundamental change in nursing homes, creating a less institutionalized and more humane environment that supports the elder's life, dignity, rights and freedom.11,12
So, what does all this have to do with you? If you are a massage therapist who feels drawn to work with elders, the ill or those in end-of-life care, it has a great deal to do with you. As our population ages, greater numbers of older adults will be seeking ways to live well longer or to find relief from the symptoms of the conditions affecting them. If you have the knowledge, skills and sensitivity to meet their needs, there is potential for your practice to thrive. Many elders will require the assistance of a care facility due to debilitating illness or injury.
The doors are opening for massage therapists to work in long-term care facilities as evidence shows that skilled touch improves the quality of life for the individuals who reside there. Public awareness and access to hospice and palliative care will continue to expand; and massage is an effective, non-pharmacological approach for comfort care. Keep in mind that nursing homes, hospice organizations and hospitals are businesses too, and they are continually looking for innovative programs to attract customers in their changing and competitive market. Bringing a massage therapist on board does exactly that.
The good news is that the potential for you to successfully expand your practice will only increase. What's more, working with individuals in this special population gives you the opportunity to serve others in a way that is profound. It can be the most uplifting and deeply rewarding work you will ever do. Now that is really good news!
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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