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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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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