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The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Fish Oil: A Key Component of 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?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
September, 2008, Vol. 08, Issue 09
Communicating With Elders Who Have Special Needs
By Ann Catlin, LMT, NCTMB, OTR
Do you serve older adults in your practice? Regardless of whether you see your elder clients in your office, a long-term care facility or at their home, being able to communicate effectively can increase your confidence and make the experience more enjoyable for both of you.Communication is our way of exchanging information, but more importantly, it's our way to build relationships. Making an effort to learn how to relate to our elder clients who have special needs deepens our ability to connect with them.
Whether you are serving a robust, active older adult or an elder who suffers from a debilitating disease, you need to be sensitive to the conditions that impact their ability to communicate effectively. It's common to feel uncomfortable with how to handle a situation when an elder's condition impacts their ability to communicate. There are two things you can do that will help. First, become familiar with the obstacles affecting communication and learn a few ways of getting around them. It still is possible to communicate effectively by learning some simple skills. You will save yourself and your client frustration and embarrassment, and your experience will be a much more positive one.
We live in a culture that undervalues our elders. We have all most likely been affected by the prevalent social attitudes, beliefs and assumptions about older adults. Our own belief system affects our understanding of the elder's perspective. For example, our society seems to believe elders are no longer productive and no longer contribute to society. Based on this belief, we might assume the elder's goals or sense of purpose in life are somewhere in the past and we might overlook an inherent part of who this person is as a human being.
How to help:
Hearing loss: There are several reasons for hearing loss, including genetic factors, repeated exposure to loud noise, viruses or brain damage from a stroke or tumors. Many older adults gradually lose their hearing.
How to help:
Effects of Disease or Disability
Many elders suffer from chronic or debilitating conditions that impact communication in unique ways.
Lung disease: Emphysema, asthma and chronic obstructive pulmonary disease (COPD) all decrease lung capacity, resulting in shortness of breath. People with severe lung disease might avoid conversation and become withdrawn when the effort to speak makes them "winded."
How to help:
Brain injury and disease: Stroke, Parkinson's disease and traumatic injury can all affect the ability to communicate because of impaired motor skills associated with speech, as well as impaired function of the speech and language centers in the brain.
Dysarthria is the term used to refer to slurred speech resulting from the inability to coordinate the muscles used in speaking. This makes speech hard to understand.
How to help:
Aphasia is a complex communication disorder that affects the person's ability to process language. The most common cause of aphasia is stroke. There are two kinds of aphasia: expressive and receptive. The person with expressive aphasia has difficulty finding the right words or forming thoughts into speech. Receptive aphasia is the inability to understand spoken language.
How to help:
Oral health: Elders sometimes have a difficult time maintaining healthy teeth and gums. Some issues that can arise include poor-fitting dentures (which might not be used at all); failure to be vigilant about daily cleaning; periodontal disease; or dry mouth from medication side-effects. Clearly, there is a link between any condition of the mouth that causes discomfort and verbal communication. I once knew a woman in a skilled-nursing facility whose speech was very slurred and extremely hard to understand because she had no teeth. After seeing her several times to give her a massage, I discovered she had dentures she kept in a drawer. She just needed a reminder to put them in.
How to help:
When you feel more confident with your ability to handle communication challenges, you will be more at ease to shift your focus away from the physical condition to what is even more important - the well-being of the elder you are serving at the moment. You will be freer to simply allow yourself to be present and connect with the elder as a human being - a form of communication that speaks louder than words ever can.
"Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around." - Leo Buscaglia
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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