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It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
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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