Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
July, 2008, Vol. 08, Issue 07
Age-Related Changes and Conditions, Part 2
By Ann Catlin, LMT, NCTMB, OTR
Last month, in part one of this article, we explored the typical changes that occur in physical and mental condition and function as people age. If you serve older adults in your practice, it's important to have a working understanding of signs and symptoms that might point to an underlying disease.Although we certainly aren't in the role of diagnosing any condition, we do have the responsibility to be watchful of changes and to refer to other health practitioners when appropriate. While some age-related changes generally are thought to be "normal," others might be signs of disease. Being informed about and anticipating such changes will strengthen your ability to assess your clients' needs, initially and on an ongoing basis.
Assessing the needs of elder clients might require you to modify your approach to fit individual differences in functional abilities. The purpose of any assessment is to determine four things:
Being willing to change how you conduct your assessment is critical to accommodate an older clientele. With a few practical adaptations, you will be able to gather the information you need to serve your clients with confidence.
Develop keen observation skills. Use you eyes, ears and intuition to gather information. By tuning in to both the person and the environment, you learn about functional abilities, posture, movement and pain. The client's reason for having a massage and their goals will determine the extent of the assessment. First, find out why they are getting a massage and go from there. The information you need will be different if they are there because their doctor referred them due to shoulder pain or because their daughter gave them a gift certificate.
Make the assessment process "user friendly." Simply asking your client to fill out your intake form might not be the best way to get the information you need. Many elders have difficulty writing due to arthritis or tremor. Even reading the small print of your form might be daunting to some. A few simple changes will save time and frustration for you and your client:
Even if a family member or friend accompanies your client, direct your questions and other communication to your client, not the companion. This empowers and honors the elder, and helps to establish a therapeutic relationship.
Signs of Possible Disease
The information you gather on your assessment form is only part of the story. Older adults often experience changes in physical or mental states that can be observed by looking, listening and feeling. If you sharpen your observation skills, you might pick up on important information not only during the initial assessment, but also during each visit. You then can make sound professional choices about how to proceed. The following changes might indicate an underlying condition or disease.
Vision: Sudden change in vision; eye pain, redness or swelling; or excessive discharge.
Hearing: Severe or abrupt hearing loss; ringing in the ears; or loss of balance.
Skin Conditions: Itching that causes sleep loss; new skin lesions or ulcers; mole that changes; bleeds, oozes, changes color or shape, or becomes larger; scars from past surgery; rash; edema; or red, shiny appearance (inflammation).
Bones and Joints: Pain that decreases mobility and range of motion; inflammation; scars from past surgery; recent fracture; or postural deformity (e.g., kyphosis of the spine).
Mobility: Physical pain, stiffness or swelling that inhibits the ability to accomplish daily activities; balance disturbance; decreased coordination; or a recent fall.
Urinary System: Burning on urination; urgency to urinate; "leaking" and stress incontinence; pain in the side or back; or incontinence.
Cognitive: Abrupt change in personality or signs of confusion or disorientation.
Being informed and ready to adapt to a client's changing needs will give you greater confidence in your skills, allowing you to enjoy the rich rewards of serving older adults in your practice.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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