resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
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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