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Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
April, 2008, Vol. 08, Issue 04
Massage for Caregivers
By Tracy Walton, LMT, MS
I have provided massage to people with cancer for years, and the exchanges I have shared with them have influenced me deeply. But some of my most moving encounters have been with the caregivers of people with cancer. These are family members, friends and partners who, by design or by accident, also are shaped and molded by their experiences as companions to their loved ones.
I meet caregivers when they bring their loved ones into my office. I also meet them at my clients' homes, bedsides and in the hospital. Occasionally, I even see them on my massage table, sometimes for an occasional massage and sometimes for a course of sessions.
Unfortunately, this is not as often as I wish. Caregivers often are the last to benefit from skilled touch in the cancer scenario. When I brainstorm with my students about the benefits of massage for people with cancer, we think up a flurry of ways touch can be helpful to patients. Often a lone voice will ask, "What about massage for family and other caregivers?" And we all quietly nod, remembering people who tend to be forgotten.
Caregiving can be physically exhausting and emotionally draining. It can mean being in a chronic state of emergency. It can require constant vigilance - 24 hours a day, seven days a week - for weeks, months or even years at a time. Imagine being at a sentry post for that long, never relaxing when your world is under siege. The sense of responsibility can be staggering, and rarely is matched by an equivalent amount of control over how things are going to go. Finding ourselves in this disparity, it's natural to be frightened, sad and outraged by the experience. It's no wonder the health risks of caregiving are enormous. Most poignantly, caregiving is isolating. It can be an incredibly lonely experience.
Against this landscape, I've looked for resources in massage therapy and found several. One is a book, A Touch of Hope, by Jana Carrington, who practices massage and teaches Reiki in central Florida. She knows both sides of the experience as a caregiver to her husband through years of cancer treatment, and as a cancer survivor who was diagnosed with cancer within months after her husband's completion of a bone marrow transplant and subsequent remission. Her book is designed for caregivers to read in small increments for self-care tips such as simple reminders to breathe. It's beautifully laid out and possible to draw from without making a commitment to reading the entire book.
I know of two research papers in which investigators looked at the effects of massage therapy on caregivers of people with cancer. The first, by Stephanie Rexilius, et al., appeared in 2002 in Oncology Nursing Forum. The researchers looked at caregivers of patients receiving a stem cell transplant. They recruited 36 caregivers and compared a massage group, a healing touch group and a control group. The massage and healing touch groups received two 30-minute sessions per week over three weeks. The investigators found anxiety, depression, and experiences of burden and fatigue at baseline. Although they did not find statistically significant improvements in the healing touch group, subjects who received massage therapy showed reduction in anxiety, depression and several types of fatigue.
In another paper, Nursing Research, a researcher looked at a more general population - spouses of patients with cancer. Author Linda Goodfellow recruited 42 subjects as part of her doctoral work in nursing. Half were provided with a single 20-minute massage. The other half (the control group) read a book for 20 minutes. In both groups, blood was collected via an IV that had been placed 30 minutes before the procedure. The investigator found improvement in mood and reductions in stress after the massage intervention as compared to the control group, but did not observe effects of massage on natural killer (NK) cell activity, a measure of immune function.
These two studies, while small, demonstrate a spark of interest in the potential for massage to help people's stress during difficult times in their lives. I would caution therapists to quote these studies carefully, without making sweeping claims. Something like, "Small studies suggest that massage therapy might help caregivers of people with cancer" and "Further study is needed to see what the role of massage is in this population," are more accurate than the statement, "Research proves massage helps caregivers."
But the fact that the research isn't quite there yet shouldn't stop us from seeking out work with caregivers. We don't have to wait for the science to support what we already know in our hearts: Skilled touch heals. It eases stress and builds an important bridge between people, easing the isolation of some of the hardest human experiences.
Yes, resources are growing in recognition of caregiver stress. But one of the greatest resources might be massage therapy professionals. Our willingness to listen, the full attention we give to our clients, and the support we provide to others can be powerful. As they give their companionship to others on the cancer journey, so too can they use our companionship.
One of the best resources in this caregiver scenario might prove to be our own hands. There we can comfort, reassure, ease pain, help sleep, shift perspective, validate and support. There we can provide respite, a port in a storm - and where nothing has to be explained, just wordless, quiet support. It will be interesting to find out, in the years ahead, the difference that our work can make.
Click here for more information about Tracy Walton, LMT, MS.
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