resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
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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