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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!
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
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.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
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 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.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
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.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
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.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
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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