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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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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