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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.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
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.
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.
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.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
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!
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
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.
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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